Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

concept 3 > random maternal questions > Flashcards

random maternal questions Flashcards

1
Q

how should a pt relieve swelling and discomfort from engorgement?

A

apply ice pack for 15 mins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what kind of bra should a pt wear to relive discomfort from engorgement

A

a well fitted supported bra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

should a pt post partum wear a supportive bra while asleep? if yes for how long??

A

yes for at least the first 4 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

should a pt express breast milk 3x per day? why or why not?

A

no because expressing can stimulate more milk production.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

should a pt experiencing engorgement run warm water over the breast? why or why not

A

no because warm water can increase milk production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

light massaging on pt abdomen in rhythm with breathing during contractions is called

A

effleurage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

steady pressure applied to sacral area during contractions using heel of hand, tennis ball or fist during contractions is called

A

counterpressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is counterpressure used for

A

relieving low back pain from fetus in occipitoposterior presentation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

can a newborns face be washed using a mild soap?

A

no use plain water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what part of a new borns boy should be washed last? and what should you use to wash a newborns body

A

genitals last. use mild soap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

should a newborn be bathed once a day? why or why not?

A

no because it can mess w skin integrity & protective acid mantle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

when should a newborn be bathed

A

when they wake up and before a feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

should you bathe a newborn after a feeding? why or why not?

A

no because they can regurgitate food

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

should you clean a newborns ears & nose w a cotton swab?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what should you clean a newborns ears with

A

corner of a washcloth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

hyperglycemia, polyphagia, polyuria and polydipsia are signs of what pregnancy complication

A

gestational diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

headache, vision changes, epigastric/abdominal pain, facial/hand edema are signs of what pregnancy complication

A

preeclampsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

severe vomiting, weight loss, fluid and electrolyte imbalances and nutritional deficits are signs of what pregnancy complication?

A

hyperemesis gravidarum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

vaginal bleeding, abdominal pain, uterine contractions are signs of what pregnancy complication

A

abruptio placentae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is fundal height and what is it used for

A

distance of top of uterus to pubic bone. used to see if baby small for gestational age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

is umbilical cord stump blackening an expected finding in a newborn who was born a few days ago

A

yes it should happen by 2nd or 3rd day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

is skin redness at base of the umbillacal stump an expected finding in a newborn who was born a few days ago

A

no its a sign of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

is dried blood on skin around umbillical cord stump an expected finding in a newborn who was born a few days ago

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

is a hardened umbillical cord stump an expected finding in a newborn who was born a few days ago

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

how many times should a newborn be fed in 24hrs

A

8-12 times

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

how many wet diapers should a newborn have after 4 days

A

at least 6 wet diapers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what does fewer than 6 wet diapers after day 4 indicate

A

ineffective breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what 5 things do an apgar score asses

A

heart rate
resp effort
muscle tone
reflex irritability
color at 1 and 5 min following birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

heart rate score of 0 means what on apgar scoring

A

absent heart rate

30
Q

heart rate score of 1 means what on apgar scoring

A

slow heart rate below 100 bpm

31
Q

heart rate score of 2 means what on apgar scoring

A

heart rate above 100 bpm

32
Q

resp rate score of 0 means what on apgar scoring

A

absent resp effort

33
Q

resp rate score of 1 means what on apgar scoring

A

slow/weak resp effort

34
Q

resp rate score of 2 means what on apgar scoring

A

loud cry

35
Q

muscle tone score of 0 means what on apgar scoring

A

flaccid

36
Q

muscle tone score of 1 means what on apgar scoring

A

some flexion of extremities

37
Q

muscle tone score of 2 means what on apgar scoring

A

well flexed

38
Q

reflex irratibility score of 0 means what on apgar scoring

A

no response

39
Q

reflex irratibility score of 1 means what on apgar scoring

A

grimace

40
Q

reflex irratibility score of 2 means what on apgar scoring

A

cry

41
Q

color score of 0 means what on apgar scoring

A

pale/blue

42
Q

color score of 1 means what on apgar scoring

A

pink body w blue extremities

43
Q

color score of 2 means what on apgar scoring

A

completely pink

44
Q

Prepregnancy BMI of what is considered obese

A

over 30

45
Q

a obese prepregnant pt should plan to limit their weight gain to how many pounds? kg if ur feeling fancy

A

11-20 lbs (5-9.1 kg)

46
Q

Prepregnancy pts are underweight if they have a BMI of?

A

less than 18.5

47
Q

underweight prepregnancy pts should plan to gain how many lbs during pregnancy? kg if ur feeling fancy

A

28-40 lbs (12.7-18.1 kg)

48
Q

normal prepregnant BMI

A

18.5-24.9

49
Q

A nurse is caring for 4 newborns. Which of the following newborns is at the greatest risk of hypoglycemia?
A. A newborn who is large for gestational age
B. A newborn who has an Rh incompatibility
C. A newborn who has pathologic jaundice
D. A newborn who has fetal alcohol syndrome

A

A. A newborn who is large for gestational age

50
Q

A nurse is checking laboratory values to determine if a client with diabetes mellitus is adhering to the treatment plan. Which of the following tests should the nurse use to make this determination?
A. Glycosylated hemoglobin levels
B. Urine sugar and acetone levels
C. Glucose tolerance test
D. Fasting serum glucose

A

A. Glycosylated hemoglobin levels

51
Q

A nurse is planning care for a client who is at 35 weeks gestation. Which of the following laboratory tests should the nurse obtain?
A. Rubella titer
B. Blood type
C. Group B streptococcus ß-hemolytic
D. 1-hour glucose tolerance test

A

C. Group B streptococcus ß-hemolytic

52
Q

what should be given prophalactically for pts during labor who are group B strep positive

A

antibiotics

53
Q

when should maternal blood type and Rh factor testing be done

A

first prenatal visit

54
Q

when will RhoGAM be given to rh - pt

A

28 weeks

55
Q

A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication?
A. Gestational diabetes
B. Past cesarean delivery
C. Preeclampsia
D. Genital herpes

A

B. Past cesarean delivery

56
Q

what is misoprostol used for

A

inducing labor

57
Q

why is misoprostol contraindicated in pts w hx of c-sections or uterine surgery

A

increases risk of uterine tachysystole

58
Q

what is uterine tachysystole

A

more than 5 contractions/10 mins in 2 consecutive intervals

59
Q

A nurse is caring for a recently delivered newborn whose mother had gestational diabetes. What action should the nurse take within 1 hr after birth?
A. Administer the hepatitis B (HBV) vaccine
B. Assess the newborn’s blood glucose level
C. Bathe the newborn
D. Perform a screening for congenital heart disease

A

B. Assess the newborn’s blood glucose level

60
Q

when should skin to skin contact occur

A

the first 1-2 hrs after birth

61
Q

when should newborn be bathed

A

when temp has stabalized

62
Q

when should congenital heart disease be screened in newborn

A

24-48 hrs after birth

63
Q

what happens if congenital heart disease screening occurs prior to 12 hrs after birth

A

acrocyanosis (bluish discoloration)

64
Q

what is used to screen for congenital heart disease

A

pulse oximeter

65
Q

when should Hepatitis B vaccine be administered to newborn

A

prior to discharge

66
Q

A nurse is reviewing the laboratory values of a client who is pregnant and has a low progesterone level. Which of the following complications should the nurse expect?
A. Gestational diabetes
B. Preterm labor
C. Inadequate milk supply
D. Inadequate uterine growth

A

B. Preterm labor

67
Q

what does progesterone do

A

maintains uterus lining
reduces uterine contractility

68
Q

what happens if a preg pt has low progesterone

A

preterm labor

69
Q

human placental lactogen (HPL) can cause what preg complication

A

gestational dm

70
Q

lactogenesis is influcenced by what

A

human placental lactogen

71
Q

what stimulates uterine growth and mammary gland development

A

estrogen

concept 3 (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions