Labor & Delivery / Immediate Newborn
What is the nurse’s first action after the fetal head is delivered in a precipitous delivery?
Check for a nuchal cord
Which newborn complication presents with jitteriness, weak cry, and low blood sugar?
Neonatal hypoglycemia
What is the most common cause of postpartum hemorrhage?
Uterine atony
A newborn has an APGAR score of 7 at 1 minute. What does this indicate?
Normal adaptation, no resuscitation needed
What is the purpose of erythromycin eye ointment?
What is the purpose of erythromycin eye ointment?
A newborn is SGA with tremors and a high-pitched cry. What should the nurse assess for?
Hypoglycemia
Yellowing of the skin and sclera after birth may indicate what condition?
Hyperbilirubinemia (jaundice)
A postpartum client has fever, foul-smelling lochia, and uterine tenderness. What condition is suspected?
Endometritis
Which newborn vital sign is most concerning: HR 140, RR 50, or Temp 97.0°F?
Temperature of 97.0°F (risk of cold stress)
Why is Vitamin K given to newborns?
Prevent bleeding; they lack clotting factors
A preterm newborn with RDS has a deficiency of what substance?
Surfactant
What is the major complication of meconium-stained amniotic fluid?
Meconium aspiration syndrome
Which postpartum breast condition presents with pain, redness, and flu-like symptoms?
Mastitis
Which newborn head finding crosses suture lines?
Caput succedaneum
Name one test included in newborn screening.
PKU, congenital heart disease (CCHD), hearing
The “turtle sign” is seen in which emergency, and what is the priority maneuver?
Shoulder dystocia; McRoberts position
List one nursing intervention for preventing cold stress in a newborn.
Drying, skin-to-skin, radiant warmer, hat, swaddling
What mental health complication is an emergency requiring immediate intervention?
Postpartum psychosis
What is the purpose of the Ballard score?
Assess gestational age
How should a nurse teach parents to clean the umbilical cord stump?
Keep clean and dry; monitor for infection signs
After SROM, the cord prolapses. What position should the nurse place the client in?
Trendelenburg or knee–chest to relieve cord compression
A newborn presents with irritability, tremors, and poor feeding after birth. What condition is suspected?
Neonatal abstinence syndrome (NAS)
List two risk factors for postpartum hemorrhage.
Multiple gestation, retained placenta, prolonged labor, bladder distension
Which reflex causes a newborn to fan out toes when the sole is stroked?
Babinski reflex
A newborn weighing 3 kg requires the Hepatitis B vaccine. The order is 10 mcg/0.5 mL IM. How much is administered?
0.5 mL