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study sets > maternity exam > Flashcards

maternity exam Flashcards

1
Q

which prenatal factor might result in a larger than average infant?

A

gestational diabetes

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2
Q

An infant from a cesarean birth might have which finding on assessment

A

tachypnea

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3
Q

Which of the following would be best to help a newborn maintain adequate body temperature

A

wrap the infant in a warm, dry blanket

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4
Q

A fan blowing in the mother’s room would result in which kind of heat loss

A

convection

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5
Q

Which method is helpful in detecting hydrocele in a newborn male?

A

use a penlight to illuminate the scrotal sac for translucence

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6
Q

Poor muscle tone, low temperature, jitteriness, and a high-pitched cry are signs of what in a newborn

A

hypoglycemia

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7
Q

A white cheese-like substance on a newborn is called what

A

vernix

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8
Q

One side of a NB body turns dark red while the other side is a pale after vigorous crying is a normal finding (Harlequin) T or F?

A

true

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9
Q

Which of the following is a cardiovascular change the newborn goes through at birth

A

pressure changes occur and result in the closure of ductus arteriosus

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10
Q

Hypothermia in a newborn can lead to hypoglycemia if not corrected. T or F?

A

true

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11
Q

It is normal for a newborn to lose what percent of birth weight during the first few days of life

A

5%-10%

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12
Q

Which reflex is used to encourage the infant to feed?

A

rooting reflex

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13
Q

Which reflex is also known as the sterile reflex in a newborn?

A

moro reflex

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14
Q

Which APGAR scores would be a priority for close observation?

A

5 at 1 minute, 6 at 5 minutes

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15
Q

What is the Ortolani maneuver used to assess in a newborn?

A

possibility of dislocated hip

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16
Q

An infant from a cesarean delivery is at greater risk for what compared to a vaginally delivery?

A

excessive fluid in its lung leading to risk for respiratory distress

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17
Q

HR 140 RR48 T98.6ax B/P72/38 are abnormal newborn VS and should be reported immediately. T or F?

A

false

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18
Q

What action is a priority for an infant that has jitteriness, poor feeding and a high-pitched cry?

A

assess for hypoglycemia

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19
Q

It is not necessary to wear gloves when caring for a newly born infant that has been bathed yet. T or F?

A

false

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20
Q

Which of the following would demonstrate how to correctly clear secretions from an infants mouth and nose?

A

position newborn on its side, head slightly lower and use a bulb syringe

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21
Q

A priority for the newborn’s first bath is to remove all traces of blood and leave the vernix in place. T or F?

A

true

22
Q

One way to prevent infant abduction is to

A

instruct parent to check staff ID of all staff before releasing infant

23
Q

Why is Vitamin K administered IM to the newborn shortly after birth?

A

it is necessary for formation of certain clotting factors they are lacking

24
Q

Which are the critical transition hours for a newborn?

A

the first 6-12 hours after birth

25
Q

One way to help an infant get warm is provide kangaroo care that involves skin-to-skin contact and coverage with blanket. T or F?

A

true

26
Q

The newborn has bluish tint to the skin when they develop jaundice. T or F?

A

false

27
Q

Which of the following is not a way to prevent heat loss in a 1-day old newborn

A

bathe the infant when its temperature is 97.5

28
Q

Which is appropriate to instruct new parents regarding their infant’s circumcision care

A

cover the penis generously with petroleum jelly with each diaper change

29
Q

Which is a nursing intervention that is most appropriate to help prevent thrombophlebitis in a post cesarean woman

A

assist to ambulate at soon as VS stable and able to stand

30
Q

Which is the best site to administer Vitamin K IM to in a newborn

A

vastus lateralis

31
Q

You should instruct a new mother to call her HCP if her newborn does not void in how many hours

A

12 hours

32
Q

When preparing the delivery room which of the following would not be a priority to have available

A

otoscope

33
Q

Ineffective airway clearance related to mucus and secretions is a priority nursing diagnosis for a C-section baby. T or F?

A

true

34
Q

Symptoms of postpartum blues include which of the following

A

lack of interest in infant, insomnia, poor appetite, obsessive thinking

35
Q

What is the most common cause of postpartum hemorrhage

A

uterine atony

36
Q

Which instruction is a priority for a woman with postpartum infection

A

handwashing

37
Q

Which of the following findings would be a priority to report immediately in a woman with a DVT.

A

sudden onset of dyspnea

38
Q

In critical situations it is best to explain care, focus on signs of improvement and acknowledge it’s difficult time. T or F?

A

true

39
Q

A heavy steady trickle of blood with a firm fundus in a postpartum woman could indicate which of the following

A

cervical laceration

40
Q

Which position is best for a woman with endometritis to assist lochia to drain and not become stagnant.

A

semi-fowler

41
Q

Which action would be a priority for a postpartum woman with heavy lochia and passing large clots?

A

palpate her fundus

42
Q

If you suspect a DVT in a postpartum woman, which assessment would be a priority for the nurse to make

A

check for redness, warmth and swelling in the extremity

43
Q

If you note a postpartum woman saturates 2 peri-pads in 30 minutes, what action should you prioritize

A

assess her fundus

44
Q

In a postpartum woman recovering from a cervical laceration repair, what findings is most concerning

A

weak, thready and rapid pulse

45
Q

Which of the following medications is used first for uterine atony in postpartum patient if fundal massage is not working

A

oxytocin

46
Q

Which of the following are common signs and symptoms of mastitis in a breastfeeding woman

A

reports of painful red and warm area on one breast

47
Q

What do you need to assess as a priority hourly on a new postpartum woman

A

number and amount of saturation on peri-pads

48
Q

What behaviors exhibited by a postpartum woman at her 6-week checkup would be a priority to report

A

irritability and lack of interest in caring for infant

49
Q

Anticoagulants are not usually prescribed for a postpartum woman who has developed a DVT. T or F?

A

false

50
Q

An immediate response by the nurse in a postpartum woman that develops sudden dyspnea and shortness of breath is

A

elevate the head of bed to 45 degrees

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