Antepartum Care & Pregnancy Complications
A pregnant client at 10 weeks gestation presents with vaginal bleeding and abdominal cramping. What is the nurse's priority action?
Assess maternal vital signs and the amount of bleeding.
A laboring client states she feels an intense urge to push. What is the nurse's priority action?
Assess cervical dilation immediately.
A postpartum client has a boggy uterus. What is the nurse's first action?
What is the normal APGAR score range indicating a healthy newborn?
7-10
Magnesium sulfate is administered to prevent which complication?
Seizures associated with preeclampsia.
A client at 32 weeks gestation reports painless, bright red vaginal bleeding. What condition does the nurse suspect?
Placenta previa.
A fetal heart rate of 90 bpm is detected during labor. What is the priority nursing intervention?
Repositioning the client to the left lateral position and administering oxygen.
A saturated perineal pad within 15 minutes indicates what complication?
Postpartum hemorrhage
A newborn's heart rate is 90 bpm immediately after birth. What is the priority action?
Initiate positive pressure ventilation.
What is the antidote for magnesium sulfate toxicity?
Calcium gluconate
A pregnant client has hypertension, proteinuria, and edema. What is the priority diagnosis?
Preeclampsia.
Umbilical cord compression
A client develops a fever and foul smelling lochia. What condition does the nurse suspect?
Postpartum endometritis.
A newborn exhibits jitteriness and poor feeding. What condition should the nurse suspect?
Neonatal hypoglycemia
Oxytocin is administered postpartum for what primary purpose?
Preventing or treating postpartum hemorrhage by stimulating uterine contractions
A client with suspected placental abruption presents with abdominal pain and a rigid uterus. What is the priority concern?
Fetal and maternal hemorrhage leading to shock
Late decelerations are observed on the fetal monitor. What is the priority interpretation?
Uteroplacental insufficiency
A postpartum client reports calf pain, warmth, and swelling. What is the priority concern?
Deep vein thrombosis (DVT)
A newborn has a bluish discoloration of the hands and feet shortly after birth. What is this finding called?
Acrocyanosis
Terbutaline is prescribed during preterm labor. What is its therapeutic effect?
Relaxing the uterus to stop contractions.
A client with preeclampsia reports severe headache and visual disturbances. What is the nurse's priority action?
Prepare to administer magnesium sulfate to prevent seizures.
A prolapsed umbilical cord is identified. What is the nurse's immediate action?
Relieve pressure on the cord by elevating the presenting part and calling for assistance.
A client feels sad and tearful on the third postpartum day but can care for her newborn. What condition is most likely?
Neonatal abstinence syndrome.
A client receiving magnesium sulfate develops absent deep tendon reflexes and respiratory depression. What is the nurse's priority action?
Stop the infusion and administer calcium gluconate