Pregnancy
This is the first fetal movement felt by the mother, usually occurring between 16 and 20 weeks.
Quickening
These decelerations are considered normal and are caused by fetal head compression.
What are early decelerations?
In the BUBBLE assessment, the first "B" stands for this body part.
Breasts
A normal umbilical cord contains this number of arteries and veins.
what is 2 arteries and 1 vein
This medication is given to prevent hemorrhagic disease in the newborn.
what is vitamin K
This pregnancy complication is characterized by painless, bright-red vaginal bleeding in the third trimester.
What is placenta previa?
A nurse notes late decelerations on the fetal monitor. Name the first nursing intervention.
What is lay her on her left side?
During assessment, a nurse finds a boggy uterus. What is the nurse's first action?
What is massage the fundus?
This newborn assessment is performed at 1 and 5 minutes after birth and evaluates five areas of adaptation.
APGAR
This medication is administered to an Rh-negative mother at about 28 weeks and after delivery if the infant is Rh-positive.
What is Rho(D) immune globulin (RhoGAM)?
A pregnant client at 34 weeks reports a severe headache, blurred vision, and epigastric pain. What condition should the nurse suspect?
What is preeclampsia?
The fetal monitor shows variable decelerations. These are most commonly caused by what complication?
What is umbilical cord compression?
A postpartum client's fundus is firm but deviated to the right. What is the most likely cause?
What is a distended bladder?
A newborn develops jaundice within the first 24 hours after birth. Is this physiologic or pathologic jaundice?
What is pathologic jaundice?
A client receiving magnesium sulfate has absent deep tendon reflexes and a respiratory rate of 10/min. Which medication should the nurse prepare to administer?
What is calcium gluconate?
A client is diagnosed with an ectopic pregnancy and suddenly develops severe abdominal pain, shoulder pain, dizziness, and hypotension. What life-threatening complication should the nurse suspect?
What is a ruptured ectopic pregnancy with hemorrhage (internal bleeding)?
During labor, the nurse discovers a prolapsed umbilical cord. What is the nurse's priority intervention while awaiting an emergency cesarean birth?
What is relieve pressure on the cord by manually elevating the presenting part? (Accept: place the client in knee-chest or Trendelenburg position, call for help, administer oxygen.)
A client is experiencing postpartum hemorrhage. Name three nursing interventions.
What are massage the fundus, increase IV fluids, administer oxytocin as ordered, assess vital signs, notify the provider, and monitor bleeding
A newborn is receiving phototherapy for jaundice. Name three nursing interventions.
Name three nursing interventions.What are protect the eyes, expose as much skin as possible except the diaper area, reposition every 2 hours, monitor temperature, encourage frequent feedings, and monitor hydration/intake and output?
A biophysical profile (BPP) evaluates fetal well-being using five components. Name four of the five.
What are fetal breathing movements, fetal movement, fetal tone, amniotic fluid volume, and nonstress test?
A client is G4 T2 P0 A1 L2. Interpret this obstetric history.
What is: 4 pregnancies, 2 term births, 0 preterm births, 1 abortion/miscarriage, and 2 living children?
A laboring client has recurrent late decelerations despite repositioning. Name four additional nursing interventions before preparing for possible emergency delivery.
What are discontinue oxytocin, administer oxygen at 8–10 L/min via nonrebreather mask, increase IV fluids, notify the provider, assess maternal vital signs, and prepare for possible cesarean birth? (
A nurse assesses a postpartum client with a boggy fundus, heavy lochia, tachycardia, and hypotension. What is the priority nursing diagnosis or complication?
What is postpartum hemorrhage?
A newborn has absent rooting and sucking reflexes immediately after birth. Why is this finding a priority concern?
What is the newborn is at risk for ineffective feeding, aspiration, and inadequate nutrition because these reflexes are essential for feeding?
A 40-week pregnant client has a biophysical profile score of 4/10. What does this result indicate, and what should the nurse anticipate?
What is fetal compromise requiring immediate provider evaluation and likely prompt delivery if indicated?