Newborn Assessment
The assessment is routinely performed at approximately 1 and 5 minutes after birth to evaluate newborn adaptation
What is the Apgar Score?
This is the most common cause of primary postpartum hemorrhage
What is uterine atony?
A pregnant client at 20 weeks gestation reports urinary frequency, fatigue, and breast tenderness. These are examples of what type of pregnancy changes?
What are normal physiological changes of pregnancy?
Nurse Walter should expect a 3-year-old child to be able to perform which action?
A. Ride a tricycle
B. Tie the shoelaces
C. Roller-skates
D. Jump rope
What is ride a tricycle?
A newborn of a client with gestational diabetes is particularly at risk for the metabolic complication after birth
What is hypoglycemia
A postpartum client has a boggy uterus and heavy vaginal bleeding. The nurse’s first action is generally to perform this intervention.
What is fundal/uterine massage?
A pregnant client is RH-negative and has an RH-positive partner. This medication may be administered to prevent maternal sensitization.
What is Rho(D) immune globulin (RhIG)?
You are assessing an infant and notice that the anterior fontanelle feels sunken. What might this mean?
What is dehydration or poor PO intake
A newborn is experiencing respiratory distress. Which finding would be most concerning?
Acrocyanosis shortly after birth
Respiratory rate of 48/min
Nasal flaring and grunting
Periodic breathing
What is C?
A postpartum client reports unilateral calf pain and swelling. The nurse should be concerned about this complication.
What is venous thromboembolism/deep vein thrombosis (DVT)
A client at 34 weeks’ gestation reports a severe headache, visual disturbances, and upper quadrant/epigastric pain. The nurse should be particularly concerned about this hypertensive disorder.
What is preeclampsia?
Which of the following is the best method for performing a physical examination on a toddler
A. From head to toe
What is From least to most intrusive?
In the first 24 hours of life how many voids and stools do we expect?
What is 1 void 1 mec
A postpartum client is saturating pads rapidly, has a boggy fundus, HR 122, and BP 88/54. What is the priority nursing concern?
What is postpartum hemorrhage with possible hypovolemic shock?
Q: A pregnant client with preeclampsia is receiving magnesium sulfate. Which assessment finding requires the nurse’s most immediate attention?
Urine output of 35 mL/hr
Respiratory rate of 10/min
Blood pressure of 148/98 mmHg
1+ lower-extremity edema
What is B - respiratory rate of 10/min?
What approach involves asking each person’s relationship to the child and using terms like “parent” or “caregiver,” rather than assuming the family consists of mom and dad?
What is inclusive or family-centered care?
A newborn is cold after birth. This increases oxygen and glucose consumption and can contribute to this metabolic complication.
What is hypoglycemia
A client is 32 weeks’ gestation presents with painless, bright-red vaginal bleeding. The nurse should avoid performing this assessment until placenta previa has been ruled out
What is a digital vaginal examination?
Archie who weighs 44 lb has been given an order for amoxicillin 500 mg b.i.d. The drug text notes that the daily dose of amoxicillin is 50 mg/kg/day in two divided doses. What dose in milligrams is safest for this child?
What is 1100 mg BID?