Maternal Final Answer Key

Maternal FINAL 1. Most appropriate way to identify mom and baby? -matching wristbands 2. What is the best form of contraception that protects against STIs? Condoms 3.Who shouldn’t take oral contraceptives? Smoker 4.Breastfeeding is okay to take oral contraceptives 5.HPV leaves you at a long-term risk for cervical cancer. 6.Postpartum hemorrhage with uterine atony, foley ordered why? T o monitor function of kidney and I&O’s 7. . Postpartum may have cystitis, what indicates it? Burning with urination. 8.Finding that suggests infection after birth? Poorly relieved perineal pain 4 hrs after birth 9. If nurse finds a new mom’s uterus is soft whats the initial action? Massage uterus until firm. 10. 1 hr after vaginal birth and has a bruise in perineal area. Apply chemical cold pack to the area. 11. Lochia characteristic you would report 12 days postpartum? If blood goes away and it comes back. 12. Vaginal birth, midline episiotomy, the best way to increase comfort? Ice pack. 13. What is the biggest benefit of colostrum to newborns? Immunity, prevents infection. 14. A womans bladder distended in early postpartum means what? Hemorrhage. 15. Baby most at risk for cold stress syndrome? Post-date neonate. 16. Full term baby blood glucose of 35, what can you do? Feed them first. 17. What type of spontaneous abortion is for health reasons? Therapeutic abortion 18. Priority nursing action after an amniotomy? Monitor FHR to make sure baby is not in distress 19. Severe Preeclampsia monitor for what? Seizures. 20. Presumptive signs of pregnancy? Amenorrhea, breast tenderness, quickening, frequent urination. 21. Best advantage of an epidural? Reduces pain. 22. Using nagele, calculate the due date? Subtract 3 months and add 7 days from first day of last menstrual 23. 20 week pregnant, what would they expect to experience? Movement of the fetus. 24. What vessels carry blood to the fetus? One umbilical vein. 2 arteries 25. Which is normal result of pregnancy? Reduced platelets 26. T erm for softening of the cervix and the vagina? Goodells 27. Pregnant pt complaining of backache what can you recommend? Wear low heeled shoes and using proper body mechanics. 28. Abnormal sign of pregnancy? Burning during urination. 29. Placenta creates a barrier between moms and babys blood and gives hormones 30. What part of the male repro system transports sperm? Epididymus 31. Fetal circulation; oxygenated blood by passes liver through where? Ductus venosus 32. Pt in L&D, rapidly progressing labor, what can we do ? Support the baby33. Indicators of mastitis from mom thats postpartum breastfeeding? Redness and painful area 34. Whats the reason for mom having diureses in early post partum? is getting rid of excess fluid 35. Fullterm newborn placed on moms chest what do you do 1st? Remove wet blankets 36. Whats the 4th stage of labor? Postpartum; monitor mom for postpartum bleeding 37. Thinning of cervix during labor is? Effacement 38. Duration of a contraction? Beginning and to the end of one contraction 39. Normal FHR ? 110-160bpm 40. BPP purpose? T o make sure placenta can support fetal life. 41. Hyperemesis graviderum, what kind of baby will you have? Low birth weight 42. Chadwicks sign? Black, blue, or purple coloration of vaginal mucosa and cervix. Indicator of possible pregnancy. 43. Whats the most definitive sign or symptom of pregnancy? Auscultation of fetal heart sound. 44. Reinforcing nutrition teaching during prenatal visit, how do you know they understand the teaching? She states she Should not drink alcohol. 45. Pt is postpartum, what would indicate a postpartum complication? Heartrate of 110 46. Newborn weight 9 lbs and 6 oz, shes at risk for uterine atony. 47. Amniotic fluid alpha-fetoprotein screening, what mom would you want to use this test on? Mom who who has history of a child with neurotube defect. 48. A nurse is admitting a 30 week gestation pt and has bright red vaginal bleeding with no pain, whats this an indicator of? Placenta previa, thats why its painless because the placenta is in the wrong spot. 49. Pregnant pt going through amniotomy? Monitor FHR 50. Maternal gestational diabetes complication; the baby might have? Low BS, large baby 51. Administering Vitamin K to baby where? Vastus lateralis 52. Pt 18 weeks of gestation and feel light flutter, whats it called? Quickening 53. Carrying for umbilical cord stump, what should you do? Give baby sponge bath and let it fall off. (petroleum jelly gauze for circumcision) 54. Which reflex initiates sucking in newborn? Rooting reflex 55. Pt first stage of labor, they have external fetal monitor; what cause variable decelerations? Umbilical cord compression 56. WHat can prevent breast engorgement? Pumping or feeding every 2 hours 57. Baby born term but small, how would you prevent heatloss? Dry them and keep them warm. 58. Changing diaper of 1 day old female, thick white mucosal discharge , red and swollen genitalia? Just document findings. 59. You’re caring for a newborn following a vaginal delivery what do you do first? Clear airway first. 60. Client 35 wks gestation, what do you report to the provider? Blurred vision 61. 2 month old infant with down syndrome, what should parents be instructed to pay special attention to? Pay attention to respiratory care.62. Parents in nursery and they see light on baby for jaundice what do you tell them? The light breaks down bilirubin. 63. Preterm infant, yellow skin, rising bilirubin yellow, what are they at risk for? Brain damage or neurological defects. 64. Newborn 38 wks, weigh 8 lb and 10 oz, what size do you consider them? Large for gestational age 65. Sweling of scalp in a newborn baby that doesnt cross the suture line, what do you call this? Cephalohematoma 66. What symptom in the newborn should be reported? Chest retraction 67. Moro reflex? When legs and arms flex then retract. 68. Measuring vitals of calm full term newborn, what is abnormal? Apical pulse at 178 69. If infants diaper isnt wet after 8 hours what should you tell the parents to do? Contact provider. 70. Birth weight vs current weight of 3 day old and determine thy loss weight, what should you do? Nothing, its normal to lose weight 3 days post birth. 71. At 34 weeks they newborns temperature regulation is underdeveloped so they have to stay in an incubator. 72. If youre caring for a preterm infant and theyre experiencing apnea, what should you do? Rub their back and feet. 73. If baby is receiving photo therapy what should you do? Keep their eyes covered. 74. Deficiency that causes a preterm infant to have respiratory distress syndrome? Deficiency of surfactant. 75. Developmental hip dysplasia what signs would you see? One leg will be shorter than the other. 76. Post cleft lip surgery , wht is the most important intervention you can do? Keep the area safe and put them in elbow restraints. 77. If infant has an obstruction in the ventricles or inadequate reabsorption of CSF , whats a sign of this? Hydrocephalus 78. Feeling anterior fontanelle on neonate what does that indicate? Its normal. 79. Performing a blood glucose test on a newborn, mom has diabetes, you get reading of 50 for baby? It’s normal. 80. In the home pregnancy test what hormone is being tested ? HcG 81. Newborn undergojng phototherapy, what actions should nurse include in the plan? Breastfeed every 2 hours 82. Caring for newborn immediately after birth, they have bubbles of mucous coming out of their mouth what do you do? Bulb syringe suction 83. Know how to calculate APGAR 84. 38 wks gestation severe preeclampsia, what would she complain of? Headaches 85. Help them to pant to help them refrain from pushing since its not time to push until they are 10 cm dilated not 7cm. 86. 42 wks of gestation and she thinks she is in labor, what confirms it? Cervical dilation 87. Who should you see first? The c section thats complaining of pain 88. Who should not have oral contraceptives? High blood pressure