LABOR & DELIVERY
NEWBORN PRIORITIES
POSTPARTUM COMPLICATIONS
ANTEPARTUM HIGH RISK
NEWBORN EDUCATION
MEDS & INTERVENTIONS
100

This finding indicates the fetus is tolerating labor well:

What is moderate variability, accelerations and no decelerations? (any one or all 3)

100

The FIRST action immediately after birth for a  newborn:

What is dry and stimulate?

100

Boggy uterus indicates this complication:

Uterine atony

100

Painless vaginal bleeding in pregnancy suggests:  

Placenta previa  

100

Safe sleep position for newborn:

What is supine?

100

Medication given to prevent newborn bleeding disorder:

What is vitamin K?

200

The client is augmented for labor and has a contraction pattern of every 1–2 minutes lasting 90 seconds requires this priority action:

What is discontinue oxytocin?

200

A newborn with jitteriness and poor feeding is most concerning for:

What is hypoglycemia?

200

The FIRST action for postpartum hemorrhage:

Massage the fundus

200

Painful bleeding with a rigid abdomen suggests:

What is placental abruption?  

200

The car seat harness should be positioned here and tightened to this standard

What at or below the newborn’s shoulders and is  snug with no slack (no pinch)?

200

Medication used to stimulate uterine contractions postpartum:

What is oxytocin?

300

Variable decelerations are most commonly caused by this:

What is cord compression?

300

A newborn with bilirubin levels rising rapidly requires this intervention:

What is phototherapy?

300

A fever, uterine tenderness, and foul lochia indicate:

What is endometritis?

300

A client with severe preeclampsia requires this medication:

What is magnesium sulfate?

300

Umbilical cord care includes:

What is keep cord dry?

300

Medication used to delay preterm labor:

What are tocolytics/terbutaline?

400

Late decelerations require this priority nursing intervention FIRST:

What is reposition the client?

400

A newborn exposed to maternal diabetes is at highest risk for:

What is hypoglycemia?

400

A postpartum client reports calf pain and swelling. Priority action:

What is assess for DVT?

400

This finding in a pregnant client suggests HELLP syndrome and requires immediate intervention:

What is right upper quadrant pain?

400

After circumcision, this finding requires intervention:

What is no urine within 6–8 hours?

400

A client receiving magnesium sulfate should be monitored for:

What is respiratory depression/BURP?

500

A client is 8 cm, feeling rectal pressure, and states “I need to push.”
The nurse’s priority action is:

What is assess cervical dilation?

500

This newborn condition makes feeding unsafe and should be addressed first:

What is tachypnea (RR > 60)?

500

This distinguishes postpartum depression from postpartum blues:  

Symptoms lasting longer than 2 weeks and impairing function

500

This finding most strongly differentiates a molar pregnancy from a normal pregnancy:

What is absent fetal heart tones with high hCG?

500

A sign of newborn infection parents must report:

What is poor feeding?

500

This medication is contraindicated in a client with hypertension when treating postpartum hemorrhage:

Methylergonovine

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