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NGN-NCLEX 2024 > Maternity Rationales > Flashcards

Maternity Rationales Flashcards

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1
Q

_____ movements in one hour is considered typical fetal movement.

A

10 movements

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2
Q

epigastric pain and a frontal headache not relieved with acetaminophen is a sign of _____ _______.

A

severe preeclampsia

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3
Q

Severe preeclampsia manifest as ______ to right-upper quadrant pain suggestive of a _____ injury.

A

epigastric / liver

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4
Q

physiological anemia of pregnancy is a result of increase in ______.

A

plasma

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5
Q

The classic signs of abrupt placentae are _____ _____ and _____ ______.

A

severe pain and vaginal bleeding

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6
Q

Abruptio placentae is the premature separation of a _____ ______ from the uterus.

A

implanted placenta

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7
Q

Oxytocin should always be administered ____ as a _______ infusion pump.

A

IV as a piggyback infusion

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8
Q

By 20 weeks gestation, the fetus is approximately _____ cm long or _____ inches.

A

20 cm long or 7 1/2 inches

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9
Q

Fetal Heart tones cannot be heard with the doppler until about ____ - _____ weeks.

A

10-12 weeks

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10
Q

If the fetal HR decreases following a uterine contraction it’s considered a _____ ______.

A

late deceleration

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11
Q

Vitamin _____ increases the absorption of _____.

A

Vitamin C / iron

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12
Q

Take an iron supplement with ____ juice.

A

orange juice

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13
Q

A normal FHR typically ranges between ____ - ____ BPM.

A

120 - 160 BPM

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14
Q

A FHR or _____ - ____ bpm may indicate fetal distress.

A

90-100 bpm

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15
Q

A client admitted with placenta prevue should be on ____ _____.

A

bed rest ( to help reduce bleeding)

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16
Q

______ fetal monitoring is key in managing placenta prevue as bleeding episodes may trigger fetal distress. .

A

external fetal monitoring

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17
Q

_____ is an infusion fro correct fetal heart rate changes caused by umbilical cord compression.

A

Amnioinfusion

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18
Q

Several hours after birth the fund will be _____ or _____ _____ the umbilicus.

A

level or slightly above the umbilicus

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18
Q

After an hour the fundus should be ____, ______, and at the level of the _____.

A

hard, midline, and at the level of the umbilicus.

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19
Q

_____ ______ is a broad term indicating difficult labor that is not progressing.

A

Labor dystocia

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20
Q

______ is used in labor dystocia.

A

Oxytocin

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21
Q

Levonorgestrel is available over the counter for emergency _______.

A

emergency contraception

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22
Q

Clients with systolic HF have ______ heart tones and ____ _____.

A

S3 heart tone & peripheral edema

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23
Q

Clients with iron-deficiency anemia have a HA and _____ _____.

A

HA and restless legs

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24
Q

A client taking Ferrou Sulfate should be encouraged to increase her _____ _____.

A

water intake

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25
Q

A biophysical profile is commonly performed if a ___ ____ ___ is positive or a NST is non-reactive.

A

CST is positive

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26
Q

Ferrous Sulfate may cause _______.

A

constipation

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27
Q

CST requires the client to have contractions through oxytocin administration or _____ ______.

A

nipple stimulation

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28
Q

_____ ______ interval is a severe side effect of Ondansetron.

A

Prolonged QT interval

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29
Q

_____ ____ can cause the formation of valvular lesions, which can lead to cardiac stress during pregnancy.

A

Rheumatic Fever

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30
Q

_______ results from severe reduction in the amount of amniotic fluid.

A

Oligohydraminos

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31
Q

Oligohydramnios results in less than expected _____ ____.

A

fetal growth

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32
Q

_______ is defined a new born that I significantly larger than average.

A

Macrosomia

33
Q

______ is a condition in which excessive amounts of amniotic fluid accumulates during pregnancy.

A

Hydramnios

34
Q

______ ____ ______ is an acute collapse of mother and baby due to an allergic-type response to amniotic fluid entering the mother’s circulatory system.

A

Amniotic fluid embolism

35
Q

Tamsulosin treats BPH and causes vasodilation. The biggest side effect is _____ _____.

A

orthostatic hypotentsion (change positions slowly)

36
Q

Do you need to delay dental care when a woman is pregnant?

A

NO (second trimester is best though)

37
Q

CVS is a test used to determine the presence of ______ abnormalities. And it involves the aspiration of small samples from the placenta.

A

chromosomal abnormalities

38
Q

When doing a CVS test you should not empty your _____.

A

bladder

39
Q

What is the priority nursing action when there is a prolapsed umbilical cord?

A

apply pressure to the presenting fetal part

40
Q

With a prolapsed cord what position should the mother be in to keep the fetus off the cord and blood flow to the fetus continues?

A

Trendelenburg’s or knees to chest position.

41
Q

A spinal change that is common I spregancy is _______.

A

lordosis

42
Q

Most women see a decrease in their ___ & ___ levels during the pregnancy. It’s due to increased plasma volume in the maternal bloodstream.

A

Hgb & Hmct

43
Q

High Alpha-fetoprotein level may indicate possible ____ _____ _____.

A

neural tube defect

44
Q

Terbutaline may increase the clients _____ level.

A

BG level

45
Q

The normal pad count after birth is ____ pad every ____ hours.

A

1 pad every 2 hours

46
Q

Sexual pleasure is heightened during the _____ trimester of pregnancy.

A

2nd trimester

47
Q

The mucus plug is passed?

A

several weeks before the onset of labor

48
Q

Placenta Prevue typically manifests as ______ vaginal bleeding after 20 weeks gestation.

A

painless

49
Q

When a FHM is showing late decels 1st the nurse should ____ _____ _____ before notifying the HCP.

A

reposition the client (left side-lying)

50
Q

Nifedipine is a CCB that can be used for clients in _____ labor.

A

preterm

51
Q

A client recovering from Preeclampsia will show signs of _____.

A

diuresis (excess fluid volume is now depleting)

52
Q

Caffeine intake should be less than ____ mg/ day.

A

200 mg/ day

53
Q

Can you take pictures of visitors coming to the nursery?

A

yes

54
Q

The average weight gain during pregnancy with a normal BMI is _____ to _____ pounds.

A

25 to 35 pounds

55
Q

One of the most accurate ways to determine gestational age during the 1st trimester is with an _________.

A

Ultrasonography

56
Q

_____ is a maternal infection that is known to increase the risk that the fetus will have a congenital heart defect.

A

Rubella

56
Q

A positive pregnancy test is a _____ sign.

A

probable sign

57
Q

A ______ non stress test is a reassuring finding.

A

positive

58
Q

Does a client have to fast prior to a NST?

A

No

59
Q

Prolapsed cord also means ______ ______.

A

Cord compression

60
Q

Early decels is a ______ response.

A

normal response

61
Q

The expulsion of the placenta causes a ____ in ______ levels.

A

a decrease in progesterone levels

62
Q

A seperation of the placenta prior to the delivery is known as _____ ______.

A

placental abruption

63
Q

Name 3 signs of placental abruption.

A
  1. painful vaginal bleeding
  2. Hypotension - d/t bleeding
  3. Rigid Abdomen - d/t blood accumulation in the abdomen.
64
Q

_____ _____ is an obstructed labor. The baby can not exit the fetus.

A

Labor Dystocia

65
Q

______ is when the uterus fails to contract & return to its nonpregnant size & location.

A

Subinvolution

66
Q

_____ decels, _____ _____ decels, and _____ are ok.

A

early decels, mild variable decels, and accelerations.

67
Q

_____ does not cause the expulsion of the placenta.

A

oxytocin

68
Q

_______ is indicated when the mom is undergoing chorionic villus sampling.

A

Rho (D)

69
Q

The second stage of labor is known as the _____ stage.

A

pushing stage

70
Q

Fetal tachycardia is a HR > _____.

A

160

71
Q

Fetal Bradycardia is a HR <______.

A

110

72
Q

______ is one of the causes labor dystocia because of the maternal fatigue it induces.

A

Hypoglycemia

73
Q

Magnesium sulfate ______ the uterus and may decrease the intensity of _____ ______.

A

relaxes the uterus / uterine contractions

74
Q

Obesity is a risk for ______.

A

PPH

75
Q

When dealing with mastitis the mother should ______ each breast at each finding & complete an entire course of the prescribed _____.

A

Empty / ATB

76
Q

________ is inflammation of the uterine endometrium.

A

endometritis

77
Q

A client with ______ has fever, pelvic tenderness, malaise, anorexia, and foul-smelling lochia.

A

endometritis

78
Q

Treatment of endometritis is with _____ antibiotics and antipyretics.

A

IV

79
Q

RHo (D) Immune Globulin therapy is administered at _____ weeks of pregnancy and within ____ hours of delivery.

A

28 weeks / 72 hours of delivery

NGN-NCLEX 2024 (57 decks)

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