PQ-3OOT: Maternal Newborn P4 Flashcards
A nurse is reinforcing teaching about crib safety with the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
a. “I will place my baby on his stomach when he is sleeping.”
b. “I will warm the crib sheets before putting my baby to bed.”
c. “I should place the crib near a window to provide adequate sunlight and fresh air.”
d. “I should place my baby’s stuffed animals between the mattress and side of the crib.”
b. “I will warm the crib sheets before putting my baby to bed.”
Prewarming crib sheets is an acceptable infant quieting technique. The sheets can be prewarmed with a hot water bottle or heating pad that should be removed before putting the baby to bed. Some babies startle and awaken when placed on a cold sheet.
A nurse is reinforcing teaching with the mother of a newborn who is small for gestational age. Which of the following should the nurse include as a cause of this condition?
a. Placental insufficiency
b. Maternal obesity
c. Primipara
d. Perinatal asphyxia
a. Placental insufficiency
Placental insufficiency is a cause of a newborn being born small for gestational age. Placental insufficiency can result from maternal infections, embryonic placental deficiency, teratogens, or chromosomal abnormalities.
A nurse is assisting with the care of a newborn following a vaginal delivery. Which of the following actions should the nurse perform first?
a. Clear the respiratory tract.
b. Dry the infant off and cover the head.
c. Stimulate the infant to cry.
d. Clamp the umbilical cord.
a. Clear the respiratory tract.
Using the airway, breathing, circulation (ABC) priority-setting framework, the first action the nurse should take is to open the airway of a newborn who was just delivered.
A nurse is collecting data from a client who is postpartum 2 hr following delivery of a healthy newborn. Which of the following indicates the client’s bladder is distended?
a. Increased uterine contractions
b. Decreased lochia
c. Elevated fundus level
d. Heart rate 52/min
c. Elevated fundus level
If the bladder is distended, it will push the uterus up out of the pelvis above the umbilicus, thus elevating the level of the fundus.
A nurse is collecting data from a newborn immediately after delivery by a client who was at 42 weeks of gestation. Which of the following findings should the nurse expect?
a. Copious vernix
b. Scant scalp hair
c. Increased subcutaneous fat
d. Dry, cracked skin
d. Dry, cracked skin
Newborns who are postmature have dry, cracked skin that feels like parchment paper.
