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Maternity > Maternity HESI > Flashcards

Maternity HESI Flashcards

1
Q

What should the breasts be like on the first day post-partum?

A

breasts should be filling and secreting colostrum

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2
Q

Acrocyanosis - after birth

A

normal & expected after birth, This is blue mouth, hands & feet and occurse from peripheral vasomotor instability. Continue monitoring newborn for changes in skin color, respirations & heart rate throughout the newborn phase.

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3
Q

What is the nurses role in the transition phase of labor?

A

assist in maintaining control

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4
Q

What is Phytonadione given for?

A

To prevent hemorrhage shock

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5
Q

What does good hydration urine look like

A

Straw colored urine

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6
Q

What is something important in terms of nutrition that a breastfeeding mother should know?

A

Continue prenatal vitamins if breastfeeding

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7
Q

Why dose a pregnant mother undergo numeroud ultasounds?

A

monitors fetal growth

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8
Q

TORCH

A

Tests for toxoplasmosis

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9
Q

What can anmio tell you?

A

lung maturity

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10
Q

What should a nurse do if her client starts delivering the baby while in bathroom?

A

call for help

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11
Q

What is something to consider about pregnent mothers who are not from USA or new to country?

A

lack of support

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12
Q

Painless blood in the 3r trimester may indicate what?

A

Placent previa

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13
Q

What should the nurse do if the (mother or baby?) if experiencing respiratory distress?

A

administer betamethasone

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14
Q

How is a child delivered if they have active herpes?

A

C-section

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15
Q

Why are iron supplements given at night time to a mother?

A

To avoid n/v

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16
Q

What should a nurse teach a mother who is vegetarian and breastfeeding?

A

Keep taking prenatals, esp. B12

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17
Q

How can a nurse promote mother bonding?

A

Encourage to room in

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18
Q

Patient receiving magnesium sulfate post-partum - risk

A

risk for injury related to uterine atony due to mag sulfate being CNS depressant & muscle relaxer.

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19
Q

Infant hypothermic: management

A

gradual warm in radiant heat source

20
Q

When is post-partum early discharge considered

A

when a client’s hospital stay is long enough to identify common postpartum complications and to ensure that the mother is ready to care for the infant.

21
Q

Uterine atony: what are the greatest risk for post-partum hemorrhage?

A

multiparous and large for gestational age (LGA)

22
Q

rH isoimmunization: a positive fetal hemoglobin indicates what?

A

the presence of fetal hemoglobin in the mother’s blood related to maternal abdominal trauma which causes leakage of fetal cells into the maternal circulation and is a warning sign of a possible placental tear or abruption.

23
Q

Uterine atony: What is the greatest risk for postpartum hemorrhage?

A

Multiparous and large for gestational age (LGA)

24
Q

What should the nurse assess if a mother has a ruptured membrane?

A

Clients can be at risk for infection if ruptured too long or an unknown amount of time. Take temperature to establish baseline then continue to monitor. Keeping a pad count is indicated if amniotic fluid is initially scant or copious.

25
Q

What does an elevated alpha-fetoprotein level indicate?

A

indicates the need for follow up evaluation with a sonogram to provide visual evidence of fetal age and presence of neural tube defects.

26
Q

Boggy uterus or boggy fundal assessment finding

A

indicates the uterus is not contracting adequately, which means that the uterine sinuses are not closed, resulting in intrauterine blood clots. Once the fundus has been supported/anchored to prevent uterine inversion, retained clots should be expressed through fundal massage to prevent hemorrhage. Boggy=massage

27
Q

When would a nurse administer Betamethasone?

A

Respiratory distress syndrome is common in preterm infants who have immature lungs. The incidence and severity of RDS has been found to be reduced if glucocorticoids (Betamethasone) are administered 24-48 hours before birth to a woman who is less than 34 weeks gestation.

28
Q

What can a positive group beta strep (GBS) result cause? How should nurse go about this diagnosis

A

significant morbidity and mortality to a newborn. Treat mom with antibiotics such as ampicillin or Pen G during labor to help prevent transmission to the newborn.

29
Q

Why are insulin requirements for an insulin dependent breastfeeding mother lower than prior to pregnancy or during pregnancy?

A

Because lactation uses maternal glucose so insulin requirements for an insulin dependent breastfeeding mother are lower

30
Q

When does a placenta start to decompensate?

A

after 40 weeks gestation

31
Q

How should a nurse care for a post-term infant?

A

monitor blood sugars - hypoglycemia is common due to them compensating in utero for placenta decompensating not delivering adequate amount of nutrition.

32
Q

What is common in a magnesium sulfate toxicity, and what should the nurse expect to do next if this occurs?

A

Absent patellar reflexes - The nurse should understand that the antidote calcium gluconate will be required to reverse the effects of magnesium sulfate.

33
Q

What happens during the transition labor phase? How can a nurse help a client in this phase?

A

Difficult and exhausting, patient can lose control and give up. Assisting her to maintain control the the primary concern at this time.

34
Q

What are signs and symptoms of placenta previa?

A

painless bright red bleeding, can occur in 3rd trimester.

35
Q

OB client prioritization (specific question)

A

The multipara with contractions every 2-3 minutes is first to be seen to determine is delivery is impending

36
Q

What is IUGR?

A

Intrauterine growth restriction- Gestational weeks 18-32 the height of the fundus in centimeters is approximately the same as the numbers of weeks of gestation. If the measurement is smaller or larger- Ultrasounds are done to evaluate fetal growth.

37
Q

False labor - how to confirm or deny?

A

If a client is not in labor the braxton hicks contractions will decrease with walking and if she is in labor the contraction will continue to increase regardless of the ambulation

38
Q

What should the nurse include in the post-partum assessment?

A

assess vagina for hematoma

Hematoma s/s include pain, swelling and discoloration. If constant vaginal pressure assess for hematoma.

39
Q

What would warrant immediate intervention by the nurse in the second trimester?

A

No fetal movement, fetal heart rate of less than 100 BPM

40
Q

Late deceleration definition

A

a decreased fetal HR after the peak of a contraction is an ominous sign and indicates fetal distress and requires immediate attention

41
Q

What does eclampsia put someone at risk of? what should the nurse do to ensure safety?

A

seizures = have airway at bedside, seizure precautions

42
Q

What is erythromycin 5%? Why is it administered? how is it administered?

A

Newborn eye medication to prevent blindness from STD/I’s such as Chlamydia and Gonorrhea. Place the drops ribbon from inner eye to outer eye conjunctiva.

43
Q

What should the nurse do if a client in labor wants to bear down?

A

Complete a vaginal exam to assess dilation. This will protect the child. I am assuming that this would not be recommended if the client was dilated significantly.

44
Q

What should should happen is an infant scores a 3 on APGAR at 1 minute?

A

resuscitative efforts should have been started already i.e. as soon as delivered, measures must continue until the infant improves.

45
Q

What phase is a mother in if she is dilated 3-4 cm. Would an epidural be indicated here? Why or why not?

A

Dilation 3-4 cm = Latent phase. Epidural would slow the process

Maternity (1 decks)

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