RN Maternal Newborn Online P B
3 days postpartum
Apply cabbage leaves to the breasts.
preterm labor about terbutaline
"I will have blood tests because my potassium might decrease."
10 weeks gestation
"I will likely need to use alternative positions for sexual intercourse."
Rh negative about Rh0
"I will need this medication if I have an amniocentesis."
birth 2 hr ago about the facility
"The person who comes to take my baby's pictures will be wearing a photo identification badge."
29 weeks of gestation
"This medication stimulates fetal lung maturity."
28 years
-Heart rate is correct. -Vaginal spotting is correct.
24 hr old
Blood glucose 30 mg/dL (30 to 60 mg/dL)
Severe Preeclampsia
Blurred vision
24 Weeks gestation 1 hr glucose tolerance test
"A blood glucose of 130 to 140 is considered a positive screening result."
collecting a specimen for the universal newborn
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen."
40 weeks of gestational
"I can administer oxytocin 4 hours after the insertion of the medication."
Diaphragm
"You should leave the diaphragm in place for at least 6 hours after intercourse."
20 g magnesium sulfate in 500 ml of D5
50 ml/hr
Recent Cocaine use
Abruptio placenta
26 weeks of gestation and has epilepsy
Administer oxygen via a nonrebreather mask.
record at 1800 for a client who is at 34 weeks
Administer terbutaline.
35 weeks gestation
Initiate continuous external fetal monitoring.
first trimester doppler ultrasound
Just above the symphysis pubis
7 year old child
Obtain a gift from the newborn to present to the sibling.
via a heel stick
Place the newborn skin to skin on the caregiver's chest.
36 weeks of gestation
Report of visual disturbances
gestational diabetes mellitus
Reports increased urinary output
30 weeks of gestation
Respiratory rate 10/min
Manifestation should nurse instruct to monitor and report
Unilateral breast pain
tubal ligation
"This procedure should have no effect on your sexual performance or adequacy."
28 years of age 3 findings
-Abdomen assessment is correct. -Vaginal spotting is correct. -Menstrual period is correct.
Who is pregnant 4 actions
-Administer a bolus of IV fluids is correct. -Reposition the client to their side is correct. -Apply oxygen at 10 to 12 L/min by nonrebreather mask is correct. -Elevate the client's legs is correct.
72 hr old
-Administer scheduled doses of oral morphine is correct. -Maintain a low-stimulus environment is correct. -Initiate neonatal abstinence syndrome (NAS) scoring is correct.
28 years
-Ectopic pregnancy is correct. -Right lower quadrant abdominal tenderness is correct.
physical assessment of a newborn
-Heart rate 154/min is correct. -Respiratory rate 58/min is correct. -Weight 2.6 kg (5 lb 12 oz) is correct.
28 years
-Inform the client to be NPO prior to surgery is correct. -Administer Rho(D) immune globulin prior to surgery is incorrect. -Prepare to administer AB positive blood products if needed is incorrect -Insert an 18-gauge peripheral IV prior to surgery is correct. -Explain the surgical procedure to the client is incorrect. Obtain a complete blood count is correct. -Verify a consent form is signed by the client is correct.
28 years
-Transvaginal ultrasound is indicated. -Meperidine IM is contraindicated. -Repeat quantitative β-hCG level is anticipated. -Methotrexate IM is anticipated. -Blood typing is anticipated.
36 Weeks Positive Contraction Test
Biophysical profile
Nonpharmacological pain management
Cold cabbage leaves
Umbilical cord protruding from the vagina
Insert two gloved fingers into the vagina and apply upward pressure to the presenting part
24 weeks of gestation
Kleihauer-Betke test
Pree and is receiving mag sulfate
Monitor the FHR continuously.
28 years
Neurological findings of drowsiness and easy arousal are expected postoperatively; therefore, no follow up is required by the nurse. The client's temperature is below the expected reference range, which can be an indication of hypothermia. The client's oxygen saturation is below the expected reference range which can be an indication of decreasing oxygen levels associated with anesthesia. The client's blood pressure is below the expected reference range which can be a result of anesthesia or the client's low temperature. The client's temperature, oxygen saturation, and blood pressure all require immediate follow-up by the nurse. An integumentary finding of moist, cool skin is unexpected and requires follow up by the nurse. This finding might indicate hypothermia. A cardiopulmonary finding of +1 pedal pulses bilaterally requires follow up by the nurse. This indicates decreased circulation and perfusion.
teaching to the guardian of a newborn about car seat safety
Place the retainer clip at the level of the newborn's armpits.
PP and has pree
Platelets 50,000/mm3
first trimester of pregnancy
Pregestational diabetes mellitus
Adheres to traditional hispanic cultural beliefs
Protect the client's head and feet from cold air.
parvovirus B19
Schedule an ultrasound examination.
last menstrual cycle on November 27th
September 3rd
12 hr old
Substernal chest retractions while sleeping
bathe a newborn
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus outward using plain water. The nurse should then wash the newborn's neck by lifting the newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump followed by washing the newborn's legs and feet. The last step of the bath should be to clean the newborn's diaper area.
Spina Bifida occulta
The nurse should identify this as an image of spina bifida occulta. External indications of this neural tube defect include a dimpled area over the defect and the presence of a birthmark or hairy patch above the area.
3 days postpartum
The nurse should plan to obtain a culture of vaginal fluid and to administer IV antibiotics because the client is most likely experiencing endometritis as evidenced by increased pelvic pain, pressure and tenderness, fever, and foul-smelling vaginal discharge. The client had an increased risk of developing endometritis due to the history of anemia, gestational diabetes, operative vaginal birth, and prolonged rupture of membranes. The nurse should plan to monitor the client's temperature and the amount and odor of the lochia. Clients who have endometritis have an increased risk of hemorrhage. A decrease of foul-smelling lochia and fever indicate progression toward resolution of the infection.
38 weeks gestation during a weekly during a weekly prenatal visit
Weight gain of 2.2 kg (4.8 lb)
Clavicle Fracture or Erb-Duchenne
When analyzing cues the nurse should identify that clavicle fracture is associated with the birth of a large for gestational age newborn who had a vacuum assisted birth. Manifestations of a clavicle fracture include the presence of crepitus over the fractured bone with decreased movement and an absent moro reflex in the affected arm. The newborn retains the presence of a palmar grasp reflex. When analyzing cues the nurse should identify that Erb-Duchenne paralysis is the result of mechanical trauma to the spinal cord during a difficult birth. This complication is more likely to occur during the birth of a large for gestational age newborn and during a forceps or vacuum assisted birth. Manifestations of Erb-Duchenne paralysis include a limp arm with absent spontaneous movement and absent moro reflex. The affected shoulder and arm are adducted and internally rotated with the wrist and fingers flexed. This results in a characteristic upwards positioning of the palm towards the back. The palmar grasp reflex is present because the paralysis is limited to the muscles in the upper arm.
who is in labor
When taking action the nurse should discontinue the magnesium infusion, administer calcium gluconate, and apply oxygen at 10L by nonrebreather mask. The client is exhibiting signs of magnesium toxicity. The client's urine output is less than 25 to 30 mL/hr. Decreased renal function can lead to inadequate clearance of the magnesium. Other manifestations of magnesium toxicity the client is experiencing include decreased level of consciousness, decreased respiratory rate and absent deep tendon reflexes. Calcium gluconate is the antidote for magnesium sulfate toxicity and should be administered to prevent a cardiac arrest. The client's pulse oximeter reading is < 95%. Low circulating levels of maternal oxygen can lead to fetal distress.
2 Hr postpartum
Demonstrate to the client how to perform a newborn bath.
22 weeks gestation Blotchy hyperpigment
Explain to the client this is an expected occurrence.
carboprost for postpartum
Hypertension
fetal position as left occiput anterior
Left lower quadrant
uterine atony
Massage the client's fundus.
Bulb Syringe to suction
Stop suctioning when the newborn's cry sounds clear.
36 weeks of gestation
To locate a pocket of fluid
who is pregnant
When recognizing cues the nurse should report the client's temperature, which is above the expected reference range, and the burning upon urination to the provider. These are manifestation of an infection. The nurse should also report the client's statement of "cramping and lower back pain", the frequency and duration of the uterine contractions, and cervical dilation and effacement. These findings in a client who is less than 37 weeks gestation are all manifestations of preterm labor.
