Newborn Assessment
Which S&S is a possible sign of hypoglycemia in a newborn?
Hypertonia
Increased feeding
Hyperthermia
Respiratory distress
Resp Distress
This is the acronym for the list of viruses that are capable of crossing the placenta and infecting the newborn
TORCH
This is the average time span for an NST
20-30 minutes
At 35 weeks which of the following S&S should be considered abnormal?
SOB
Swelling of hands/feet in the evening
Headache unrelieved by analgesia
Braxton Hicks contractions
Headache
A patient being admitted to the L&D unit just states "my water broke". The nurse's first priority is which of the following?
Check FHR
Check the fluid with nitrazine
Assess the fluid
Check the FHR
This is abnormal in a newborn at 16 hours old and should be reported to the provider.
Substernal retractions
Overlapping suture lines
13in head circumference
Substernal Retractions
Which of the following is a contraindication to oral contraceptives? (Select All that Apply)
Cholecystitis
HTN
HPV
Migraines
Anxiety
Cholecystitis
Migraines
HTN
This is the normal range for a one hour glucose tolerance test
Less than 140mg/dL
This lab value would be affected with idiopathic thrombocytopenia
Platelets
A nurse is performing a sterile vaginal exam on a patient in labor and observe the umbilical cord protruding from the vagina. After calling for help what is the priority action for the nurse?
Insert gloved finger into the vagina to remove pressure from the presenting part.
Which S&S could be related to the mom of a newborn taking antidepressants during pregnancy?
LGA
Hyperglycemia
Vomiting
Vomiting
A patient with hyperemesis gravidarum should focus on eating food that tastes good rather than worrying about a balanced diet
True or False
True
This test could use IV oxytocin or endogenous oxytocin through nipple stimulation
Contraction Stimulation Test (CST)
This is the antidote for Magnesium Sulfate
Calcium gluconate
You are admitting a patient in labor. She confesses that she used cocaine during this pregnancy. Which complication would you assess for?
Abruption
When assessing a newborn at 12 hours of age, which finding should be reported to the physician?
Acrocyanosis
Transient Strabismus
Jaundice
Caput succedaneum
Jaundice
False
Only if the baby is Rh(+) should the drug be administered after delivery
This test involves an ultrasound and could be used when an NST was non-reactive
Biophysical Profile
This is the number one cause of post partum hemorrhage in the US
Uterine atony
True or False
Your patient is completely dilated, 100% effaced and a 0 station with a normal FHR and contraction pattern. She has an adequate epidural and is not experiencing any pain per her verbalization. It is now time to start encouraging her to push actively with contractions.
False
She has no indication on the FHR tracing of imminent delivery and no complaints of pain or the need to push. Zero station is still relatively high in the pelvis and not considered "engaged"
Red jelly like stools and a bulls eye image on a CT are both indicative of this GI issue in newborns
Intussusception
January 8th 2025
Subtract 3 mos from April1 (January 1st)
Add 7 days (January 8th of 2025)
This test is a screen for neural tube defects and is performed around 16-18 weeks of gestation
Alpha fetal protein (AFP)
This the first maneuver you should attempt during a shoulder dystochia
McRoberts
The pathology behind late decelerations is this
Uteroplacental insufficiency