Week 2: paediatrics/maternity Flashcards
Immediately after birth of a neonate, the nurse dries and position the neonate. following this, the neonate remains apneic. what should the nurse do?
- assign first APGAR score
- start positive pressure ventilation
- administer oxygen
- start cardiac compressions
answer 2
The nurse in a prenatal clinic is assessing a client at 30 weeks gestation. which findings lead this nurse to suspect that the client has mild preeclampsia?
- glycosuria, HTN, seizures
- hematuria, blurry vision, reduced UO
- burning on urination, HTN, abdominal pain
- HTN, edema, proteinuria
answer: 4 most common s&s
A 28 year old multigravida at 32 weeks is admitted to the hospital with painless vaginal bleeding. which actions should the nurse take first?
- perform sterile vaginal exam
- administer a cleansing enema
- prepare for a cesarean birth
- check BP and fetal HR
answer: 4
rationale: if we perform a vaginal exam we could separate the placenta further because we dont know where it actually is ‘, other ones why tf would be put an enema and c section is not first action
A primigravida in active labour is 9cm dilated with complete effacement and +1 station. what should the nurse so when the HCP precribes morphine 10mg IM
- administer the med
- ensure naloxone is at bedside
- ask to verify dosage
- refuse to administer
answer: 4
rationale; she about to pop this baby out too late to give her this could cause resp depression when births baby
After receiving change of shift report, in which order should the nurse see these newborn clients
- 12 year old neonate with temp of 36.4
- 4 hr neonate with BG 2.4
- 1 hr old with occasional resp grunting
- 24 hr with no urine output in last 12 hours
answer: 3, 2, 1, 4
rationale: always respiratory first, then the next baby needs to breastfeed, the third needs skin to skin and the fourth its common for them not to pee lots yet
A breastfeeding client asks the nurse what contraception method she and her male partner should use until she has her 6 week check up. which method should be suggested
- condom
- progesterone oral contraceptives
- fertility awareness method
- abstinence
answer 1
The nurse is assessing a postpartum client who gave birth earlier in the day, the funds is 2cm above umbilicus firm and deviated to the side what needs to be done
- increase oxytocin infusion
- reassess in one hour
- have client void then reassess
- provide fundal massage
answer: 3
a client has just had a cesarean section for a prolapsed cord. in reviewing the clients history, which factors places a client at risk for cord prolapse? SATA
- fetus at -2 station
- preterm fetus
- rupture of membranes
- prior abortion
- low lying placenta
- breech presentation
answer: all besides 4
Triad S&S for preclampsia
HTN
Proteinuria
Edema
Explain HELLP syndrome
hemolysis elevated liver enzymes low platelets is a condition mothers may develop during pregnancy
What is the hallmark sign for HELLP syndrome
Epigastric/RUQ pain
What would be ideal treatment for HELLP syndrome
hydralazine or labetalol are often first line treatment as they help to lower BP
What is the hallmark symptom of placenta previa
bright red painless vaginal bleeding
What is the hallmark symptom of placental abruption
dark red painful bleeding
One hour following a normal vaginal delivery, a newborn infant axillary temperature is 36.1 C, the lower lip and hands are shaking. Which intervention should the nurse implement first?
- Place infant skin to skin
- stimulate the infant to cry
- feed the infant formula
answer: a
This infant is demonstrating signs of hypoglycemia, possibly secondary to a low body temperature. The nurse should first determine the glucose level.
