Maternity notes for class | Study notes Nursing

1. Sublimaze (Fentanyl), butorphanol (Stadol), and nalbuphine (Nubain) are used for which purpose with the

client on the labor and delivery unit?

To assist in “taking the edge off” of labor contraction pain

2. The nurse is conducting a class for postpartum women about mood disorders. The nurse describes a

transient, self-limiting mood disorder that affects mothers after birth. The nurse determines that the women

understood the description when they identify the condition as postpartum:

Blues

3. A nurse is teaching new parents about keeping follow-up appointments and calling their health care provider

if they notice signs of illness in their newborn. The nurse determines that the teaching was successful when the

parents identify which signs as needing to be reported immediately? SATA

Temperature of 38C (100.4F)

Refusing feedings

Abdominal distention

4. The nurse is preparing the nursing care plan for a newborn who was born via a cesarean delivery. Which

diagnosis should the nurse prioritize?

Ineffective airway clearance related to mucus and secretions

5. The nurse would recommend the use of which supplement as a primary prevention strategy to prevent

neural tube defects in the future offspring of pregnant women?

Folate

6. The infant has Apgar scores (5) at 1 minute after birth and (6) at 5 minutes after birth. What is the indication

of this assessment finding?

Moderate difficulty and may need intervention

7. Which statement is false regarding bathing the newborn?

To reduce the risk of heat loss, the bath should be performed by the nurse, not the parents, within 2-4 hours of

birth.

8. A nurse is assessing a postpartum client. Which finding would cause the nurse the greatest concern?

Sharp stabbing chest pain with SOB

9. Which of the following statements are true regarding Terbutaline (obstetrical use):

All of the above

10. The nurse is teaching a prenatal class illustrating the steps that are used to keep families safe. The nurse

determines the session is successful when the parents correctly choose which precaution to follow after the

birth of the infant?

Check the ID badge of any health care worker before releasing baby from room

11. A client who has just given birth to a healthy newborn, required an episiotomy. Which action would the

nurse implement immediately after birth to decrease the client’s pain from the procedure?

Apply an ice pack to the site

12. At birth, a term infant has irregular respirations and a weak cry. What is the sequence of events initiated by

the nurse when caring for this infant?

Dry the infant vigorously to stimulate the infant and initiate crying. Place a warm blanket over the mother and

baby to keep the infant warm. Use bulb syringe if indicated to assist in clearing secretions

13. Which are potential capabilities of umbilical cord blood? SATA

If a family member develops a disease, umbilical cord blood may be used in treatment

Transfusion therapies use umbilical cord blood in various treatments

Umbilical cord blood is used for admission laboratory studies in newborns

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Sublimaze (Fentanyl), butorphanol (Stadol), and nalbuphine (Nubain) are used for which purpose with the client on the labor and delivery unit? To assist in “taking the edge off” of labor contraction pain
The nurse is conducting a class for postpartum women about mood disorders. The nurse describes a transient, self-limiting mood disorder that affects mothers after birth. The nurse determines that the women understood the description when they identify the condition as postpartum: Blues
A nurse is teaching new parents about keeping follow-up appointments and calling their health care provider if they notice signs of illness in their newborn. The nurse determines that the teaching was successful when the parents identify which signs as needing to be reported immediately? SATA Temperature of 38C (100.4F) Refusing feedings Abdominal distention
The nurse is preparing the nursing care plan for a newborn who was born via a cesarean delivery. Which diagnosis should the nurse prioritize? Ineffective airway clearance related to mucus and secretions
The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects in the future offspring of pregnant women? Folate
The infant has Apgar scores (5) at 1 minute after birth and (6) at 5 minutes after birth. What is the indication of this assessment finding? Moderate difficulty and may need intervention
Which statement is false regarding bathing the newborn? To reduce the risk of heat loss, the bath should be performed by the nurse, not the parents, within 2-4 hours of birth.
A nurse is assessing a postpartum client. Which finding would cause the nurse the greatest concern? Sharp stabbing chest pain with SOB
Which of the following statements are true regarding Terbutaline (obstetrical use): All of the above
The nurse is teaching a prenatal class illustrating the steps that are used to keep families safe. The nurse determines the session is successful when the parents correctly choose which precaution to follow after the birth of the infant? Check the ID badge of any health care worker before releasing baby from room
A client who has just given birth to a healthy newborn, required an episiotomy. Which action would the nurse implement immediately after birth to decrease the client’s pain from the procedure? Apply an ice pack to the site
At birth, a term infant has irregular respirations and a weak cry. What is the sequence of events initiated by the nurse when caring for this infant? Dry the infant vigorously to stimulate the infant and initiate crying. Place a warm blanket over the mother and baby to keep the infant warm. Use bulb syringe if indicated to assist in clearing secretions
Which are potential capabilities of umbilical cord blood? SATA If a family member develops a disease, umbilical cord blood may be used in treatment Transfusion therapies use umbilical cord blood in various treatments Umbilical cord blood is used for admission laboratory studies in newborns

A nurse is reviewing the medical record of a pregnant client. The nurse suspects that the client may be at risk for dystocia based on which factor? SATA Maternal age over 45 Short maternal stature (less than 5ft) Suspected macrosomia
When assessing several women for possible TOLAC, which woman would the nurse identify as being the best candidate? One who had previous cesarian birth via a low transverse incision
A nurse is preparing a presentation on current American trends in maternal morbidity and mortality in order to lobby for program funding. Which statements would the nurse include? SATA The leading causes of pregnancy related mortality are hemorrhage, infection, preeclampsia – eclampsia, obstructed labor and unsafe abortion. Most of pregnancy-related complications respond well to proper care The US ranks below many other countries in rates of maternal deaths
If a patient started to show signs of respiratory depression while on magnesium sulfate; list in order of importance the steps the nurse would take. Apply oxygen via facemask (10L), stop magnesium sulfate infusion, prepare to administer calcium gluconate to the patient.
The nurse places a newborn with jaundice on a phototherapy light blanket to achieve which goal? Decrease the serum bilirubin level by changing the molecule into a water soluble compound
If a mother makes the choice NOT to give her newborn the Hep. B vaccine before discharge from the hospital, the nurse should take which of the following actions: Provide written information on the Hep. B infection. Include the method of transmission and possible consequences of the disease if contracted. Discuss and attempt to dispel any myths with evidence-based science. Support her decision to make an informed choice.
A woman has just entered the second stage of labor. The nurse would focus care on which intervention? Encouraging the woman to push when she has a strong desire to do so
Which patient would be the most appropriate to receive the medication carboprost tromethamine (Hemabate)? A woman who just delivered twin babies vaginally and is bleeding profusely
The nurse administers phytonadione (vitamin K) intramuscularly to the newborn based on which rationale? Promote blood clotting
After reviewing a patient's history, which factor would the nurse identify as placing her at risk for gestational hypertension? Patient’s mother had gestational hypertension during pregnancy
A nurse measures a pregnant woman’s fundal height and finds it to be 28cm. The nurse interprets this to indicate that the client is at approximately how many weeks gestation? 26-28 weeks gestation
Which of the following situations would be the most appropriate for the mother to receive a Rho(D) immune globulin (Rhogam) injection? SATA A mother with RH negative blood type that just had a therapeutic abortion A mother with RH negative blood type that just delivered a baby RH positive blood type A mother with RH negative blood type who just experienced a spontaneous abortion

Seven hours ago, a multigravida woman gave birth to a 4133g male infant. She has voided once and calls for a nurse to check because she states that she feels “really wet” now. Upon examination, her perineal pad is saturated. The immediate nursing action is to: Assess and massage the fundus
A nurse is providing education to a woman who is experiencing postpartum hemorrhage and is to receive a uterotonic agent. The nurse determines that additional teaching is needed when the woman identifies which drug as treating postpartum hemorrhage? Terbutaline
The client is experiencing back labor and reporting intense pain in the lower back. The nurse should point out which intervention with be effective at this point? Counterpressure against the sacrum
When explaining how a newborn adapts to extrauterine life, the nurse would describe which body systems as undergoing the most rapid changes? Respiratory and cardiovascular
Where is the most appropriate place to give the phytonadione (vitamin K) injection to a newborn? In the vastis lateralis muscle. Using a 25g, 2/3 inch long needle
A postpartum client has a fourth degree perineal laceration. The nurse would expect which medication to be ordered? Docusate
On examination, the hands and feet of a 12 hour old infant are cyanotic without other signs of distress. The nurse should document this as: acrocyanosis. A normal occurrence following birth.
While providing care to a woman who is experiencing postpartum hemorrhage, the nurse weighs her perineal pads to estimate blood loss. The pad weighs 320g. The nurse documents this as which amount? 320mL
Which nursing assessment should be performed at minimum every 1-2hrs. when a patient is receiving magnesium sulfate therapy? Urine output, deep tendon reflexes, RR and lung sounds
During a prenatal visit, a pregnant woman says, “I know the amniotic fluid is important, but can you tell me more about it?” When describing amniotic fluid to a pregnant woman, which description would the nurse most likely include? This fluid acts as a cushion to help to protect your baby from injury
Which vaccines are contraindicated during pregnancy since they may transmit a viral infection to the fetus? SATA Mumps, Measles, Rubella
In which situation would the nurse anticipate client admission to the labor and delivery unit? SATA The client reports a gush of fluid from the perineal region The nurse notes that the cervix has thinned with 7cm dilation The client is experiencing regular contractions every 5 minutes that are becoming stronger and closer together Fetal kicks noticed by the mother frequently throughout the day
A client at 27 weeks gestation is admitted to the OB unit after reporting headaches and edema of her hands. Review of the prenatal notes reveals BP consistently above 165-95mmHG. The nurse anticipates the healthcare provider will order magnesium sulfate to accomplish which priority goal? Prevent maternal seizures

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