Antepartum Nursing Complications
A patient is diagnosed with gestational diabetes mellitus. the patient is nervous that she will need to check her sugar and be on insulin for the rest of her life. The nurse explains to the patient that .....
What is once the baby is born the mother is no longer diabetic.
The doctor orders two 12 mg doses of betamethasone intramuscularly. to your 32 week preterm labor patient Your patient is worried and asks why am I receiving this medication. You explain to the patient.
What is: Because it stimulates fetal surfactant production.
Your patient just delivered and you tell your patient that the newborns APGAR score is a 9 out of 10. Your patient and partner are concerned and ask if this is concerning you explain that the APGAR stands for?
What is
Appearance (skin color)
Pulse (Heart rate)
Grimace (Reflex irritability)
Activity (muscle tone)
Respiration.
placenta that has not separated after 60 minutes
What is : Retained placenta
RBC breakdown causes an increase in which compound that can lead to jaundice
what is bilirubin
What is the fetal heart monitoring acronym
What is : VEAL CHOP.
Your patient is not progressing on their own. This class of medication is often given for cervical ripening when a patients cervix is less than 2cm dilated and cervical induction is indicated.
What are prostaglandins
Three hours after a vaginal delivery, the patient complains of increased perineal pain. What should you as the nurse do first?
a) Administer analgesia as ordered
B) Assess the perineum
C) Perform perineal Care
D) Apply ice to the perineum
What is Assess the perineum.
A women is two hours postpartum and reports intense vaginal pain and pressure. Upon assessment, the woman's uterus is firmly contracted and her bleeding is scant. The nurse would suspect possible.
What is vaginal hematoma
When monitoring a newborn these are your findings: Respiratory difficulties, cyanosis, tachycardia, tachypnea, and diaphoresis. You are worried about what congenital anomalies
What is Tetrology of Fallot
the three classic signs of preeclampsia?
What are hypertension, generalized edema and proteinuria.
Note if the patient has : a low grade fever, increased pulse rate and increased respiratory rate is not associated with preeclampsia.
You and your preceptor are caring for a 28 week patients whose painfully contracting every 1-5 minutes. The first thing the nursing preceptor asks the patient to do is leave a urine sample. You question the preceptor why?
What is to check and see if the patient is dehydrated.
Methergine that is given to treat postpartum hemorrhage is contraindicated in patients with
What is Hypertension
Your patient experienced gestational diabetes during pregnancy. What would you as the nurse expect when assessing the newborns glucose level shortly after birth?
What is hypoglycemia
Nursing interventions with a baby with hydrocephalus?
What is: Frequently reposition the newborns head to prevent sores
Measure the newborns head circumference daily.
Assess for manifestations of increased intracranial pressure (ie vomiting, shrill cry)
Your patient is diagnosed with HIV and she asks you what her feeding options are for her newborn. You should educate her by saying?
What is : You will need to bottle feed your baby.
What factors increase a women's risk for a prolapsed umbilical cord in the presence of ruptured membranes.
What is
1) Poly Hydramnios (increased fluid)
2) fetus that poorly fits the pelvic inlet due to small size or abnormal presentation.
3) Fetal presenting part at a high station.
This medication is the first- line treatment for postpartum hemorrhage and is frequently given prophylacticly after placental expulsion.
What is Pitocin/oxytocin
Your patient just had a spontaneous abortion. Which complication should you as at the nurse assess for?
What is Hemorrhage.
A nurse is caring for a newborn who was born at 32 weeks of gestation . The newborns birth weight is 1,100g. What are some expected findings in the newborn.
What is :
Lanugo
Weak grasp reflexes
Translucent skin that is thin and shiny.
Abnormal implantation of fertilized ovum outside the uterine cavity, usually in a fallopian tube. This can result in tubal rupture causing hemorrhage.
What is ectopic pregnancy.
The nurse has received end of shift report in the high risk maternity unit. Which client should the nurse see first?
1) 35 week gestation with grade 1 abrupt placentae in labor who has a strong urge to push.
2) 30 week gestation with placenta previa which the EFM strip shows late decelerations.
3) 26 week gestation with placenta previa experiencing blood on toilet after a bowel movement.
4) 37 week gestation with pregnancy induced hypertension whose membranes ruptured spontaneously.
3) this is the highest priority.
Bleeding with placenta previa is a complication that can be life threatening to both the mother and baby.
The primary nursing responsibility when caring for a women experiencing an obstetric hemorrhage associated with uterine atone is to ?
What is : PerformFundal massage.
Your patient has spontaneous ROM for over 24 hours. The fluid is noted to be clear. The Fetal heart rate was between 125bpm to 145bpm but now is noted to be at 170bpm for the past 17 minutes. Which assessment is most important for the nurse to make at this time?.
What is : check the maternal Temperature.
What safety measures are needed for a baby having phototherapy
what is maintaining temperature, exposing as much skin to light, monitoring for dehydration, and keep eyes covered with a mask