Preconception
This B Vitamin should be taken before conception to reduce the risk of neural tube defects in the developing fetus
What is folic acid?
This is the recommended amount of moderate physical activity most pregnant women should aim for each day, assuming there are no contraindications.
What is 30 minutes of moderate exercise?
During the first 24 hours after birth, the uterine fundus is normally found at this landmark.
What is the level of the umbilicus?
This score is assigned at birth by evaluating heart rate, respiratory effort, muscle tone, reflex irritability, and color.
What is the Apgar score?
A postpartum woman develops a temperature of 101F (38.3C) on the second day after birth. This finding is most concerning for this complication.
What is postpartum infection (puerperal infection/endometritis)?
During a preconception visit, the nurse reviews prescription medications because some of these drugs may be unsafe to continue during pregnancy.
What are teratogenic medications (or medications contraindicated in pregnancy)?
After the fourth month of pregnancy, a woman should avoid exercising in this position because it can decrease uteroplacental blood flow and cause hypotension.
What is supine position (lying flat on her back)?
A postpartum nurse finds the fundus boggy during assessment. This is the nurse's first intervention.
What is massage the fundus until it becomes firm?
A newborn being transported home should ride in this type of car seat and this location in the vehicle.
What is a rear-facing car seat in the back seat?
To reduce the risk of pertussis in a newborn, family members should receive this vaccine at least two weeks before having close contact with the infant.
What is Tdap?
Although it greatly reduces the risk of sexually transmitted infections, this protective method does not completely eliminate the risk and should be replaced with a new one for every act of intercourse.
What is a latex condom?
This medication is routinely administered to an unsensitized Rh-negative pregnant woman around 28 weeks gestation and again within 72 hours after birth if the infant is Rh-positive.
What is Rh immune globulin (Rho(D) immune globulin/ RhoGam)?
A nurse encourages a mother to breastfeed within the first 1 to 2 hours after birth because it promotes the release of this hormone that helps contract the uterus.
What is oxytocin?
This sleeping position is the safest and is recommended for every nap and nighttime sleep to reduce the risk of sudden infant death syndrome (SIDS).
What is placing the infant on their back (supine position)?
During pregnancy and breastfeeding, the nurse teaches that no prescription medications, over-the-counter medications, or herbal supplements should be taken without first doing this.
What is consulting their healthcare provider?
A nurse encourages a patient planning pregnancy to reach out and maintain this before conception because it helps reduce maternal and fetal complications.
What is an optimal (healthy) weight?
A pregnant patient calls reporting a severe headache, blurred vision, and swelling of her face. These findings are most concerning for this pregnancy complication.
What is preeclampsia?
A nonimmune postpartum woman receives the MMR vaccine before discharge. She should avoid becoming pregnant for this length of time.
What is 1 month?
During skin-to-skin contact, the newborn's head should be positioned this way to maintain a patent airway.
What is the "sniffing" position (with the head turned to one side)?
A new parent places a ribbon around the baby's neck to hold a pacifier. The nurse explains this practice is unsafe because it increases the risk of this life-threatening complication.
What is strangulation?
A couple reports a family history of cystic fibrosis and sickle cell disease. The nurse should recommend this specialized referral before conception.
What is genetic counseling?
A pregnant woman on a 6-hour car trip asks how to reduce her risk of venous thromboembolism. The nurse recommends doing this at regular intervals.
What is stopping to walk and change positions frequently (frequent ambulation)?
A postpartum woman suddenly reports severe perineal pain that is not relieved by prescribed pain medication. According to nursing priorities, this is the nurse's first action.
What is assess the perineum for a hematoma (or signs of infection)?
Until this has been completed, the nurse should wear gloves when handling a newborn because blood and amniotic fluid may still be present.
What is the newborn's first bath (or removal of blood and amniotic fluid)?
While practicing skin-to-skin contact, the newborn's face becomes covered by the mothers gown. The nurse's priority teaching is to always keep these two structures visible and uncovered.
What are the newborn's nose and mouth?