Mother Baby Flashcards
A nurse is caring for a client who is pregnant and LMP began April 8th. Using Naegele’s rule, which of the following dates would be the client’s EDD?
January 15th,
According to Naegele’s rule, subtract 3 months and add 7 days to the first day of the client’s LMP to determine the EDB
EDB
estimated date of birth
LMP
Last menstrual period
HP (hyperemesis gravidarum)
a pregnancy complication that causes severe nausea and vomiting, and can lead to dehydration and weight loss
A nurse is assessing a client who is suspected of having HP. Which of the following laboratory tests should the nurse check first?
A. CBC
B. Liver enzymes
C. Bilirubin level
D. Urine ketones
D
A nurse is reviewing the medical record of a client at 33 weeks gestation who has placenta previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider?
A. Perform a vaginal exam
B. Perform continuous external fetal monitoring
C. Insert a large-bore IV catheter
D. Obtain a blood sample for lab testing
A. - When a client has a placenta previa, the placenta implants in the lower part of the uterus and obstructs the cervical os. The nurse should clarify this prescription bc any manipulation can cause tearing of the placenta and increased bleeding.
antepartum
before birth or relating to the period before childbirth
A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following pieces of information should the nurse include about the hepatitis B immunization?
A. The first dose should be administered at 3 months of age
B. Your baby will receive this immunization subQ
C. We will need your consent prior to administering the vaccine
D. Your baby will receive this vaccine in a series of 5 doses
C
A nurse is teaching the guardian of a newborn about caring for the newborn’s umbilical cord. For which of the following reasons should the nurse instruct the guardian to avoid using antimicrobial agents on the cord?
A. They can cause increased pain from the cord
B. They can cause delayed cord separation
C. They can cause swelling of the surrounding tissue
D. They can cause skin discoloration
B - keeping the cord moist with any kind of preparation prevents drying and separation.
Expecting a person to act in a characteristic way without regard to their individual traits.\
A. stereotyping
B. prejudice
C. discrimination
A. stereotyping
A negative attitude toward members of a group.
A. stereotyping
B. discrimination
C. prejudice
C. prejudice
The action of treating people differently based on their physical or cultural traits.
A. stereotyping
B. prejudice
C. discrimination
C. discrimination
What type of nursing is guided by cultural aspects and respects individual differences?
Transcultural Nursing
Expecting pregnant woman to visit care providers for prenatal care and parents to bring children for immunizations are examples of _____ in the US, but not worldwide beliefs.
Norms
A client is having their vital signs and weight taken and recorded at a prenatal visit. The client is in the second trimester at 23 weeks’ gestation. The client’s weight gain in the first trimester was 2 pounds and they have currently gained 14 pounds overall. What is the nurse’s interpretation of this data?
A. The patient gained too little in trimester 1, but now has gained too much.
B. The patient needs to gain another 20-25lbs
C. The patient gained too little in trimester 1, but has now caught up to a healthy weight gain.
C
The nurse teaches a primigravida about lightening and that it occurs about 2 weeks before the onset of labor. Which statement reflects the client’s understanding of the information?
A. I will feel a little short of breath right after lightening occurs.
B. I will likely notice I have to pee more often after lightening occurs.
C. I may experience constipation after lightening occurs.
B
During pregnancy a pregnant parent has many psychological adaptations that must be made. The nurse must remember that the nonpregnant partner is also experiencing the pregnancy and has adaptations that must be made. Some partners actually have symptoms of the pregnancy along with the pregnant parent. What is this called?
A. pseudo pregnancy
B. couvade syndrome
C. pregnancy syndrome
B
What is GTPAL?
G = Gravida - Total # of pregnancies
T - Full term pregnancies
P - Preterm deliveries
A - Abortions and miscarriages
L - Living children
What is gravida?
Number of total pregnancies
What is para?
of births after 20 weeks (living or not)
A woman is being evaluated by her PCP. The woman states that she might be pregnant. An ultrasound is performed and confirms pregnancy at 16 weeks gestation. She reports that she delivered her son at 36 weeks gestation and previously had a spontaneous abortion at 14 weeks gestation. What is the gravid and para?
Gravida 3
Para 1
A woman is 22 weeks gestation. She reports that she delivered her daughter (now age 7) at 39 weeks gestation and her son (now age 3) at 29 weeks gestation.
She previously had a spontaneous abortion at 15 weeks gestation between her 2 children. How would the nurse document her obstetrical history? GTPAL
G 4, T 1, P 1, A 1, L2
These 4 actions are used to determine the position and estimate birth weight of the fetus inside the uterus.
Leopolds Manuevers
Jane is pregnant for the third time. She previously had one pregnancy that resulted in a live birth at 39 weeks gestation and one pregnancy that ended in a miscarriage at 10 weeks gestation. How would you fill out her GTPAL information?
G 3, T 1, P 0, A 1, L 1
