PRENATAL
What is the initial responsibility of the nurse during the first prenatal visit?
Reinforce the importance of consistent prenatal care.
What are the risks to a fetus from a mother that consumes alcohol?
Risk of Teratogenic effects to the developing fetal organs, tissues, and structures. Preterm and SGA.
What is a clear sign that indicates that the placenta is beginning to separate from the uterus and is ready to be expelled?
Appearance of a sudden gush of blood
What is the average weight a mother with a normal weight (BMI 18.5-24.9) should gain with pregnancy?
What are the normal ranges for hemoglobin and hematocrit values during the first trimester?
Between 25-35 pounds.
Hemoglobin 11.6 - 13.9 gm/dl
Hematocrit 31%- 41%
When should a primigravida client call her health care provider about labor?
How do you determine the frequency of a client's contractions?
How do you know when a client is in true labor?
How do you identify true labor from false labor?
When her membranes rupture (water breaks).
The time from beginning of one contraction to the beginning of the next.
The contractions are getting stronger and closer together.
Cervical dilation is progressive
How would you explain to a client how a baby gets air inside the uterus?
Placenta provides oxygen to the baby and excretes carbon dioxide into your bloodstream.
What is the most important initial nursing intervention to monitor when a woman in labor has just received an epidural block?
Maternal blood pressure for possible hypotension.
Which intervention would you instruct a client who is experience vomiting and nausea during pregnancy?
Why should a pregnant client eat protein and how does it affect the fetus?
The client should eat small, frequent meals (every 2 to 3 hours).
Protein will help the baby grow.
What would you do if you noted a fetal heart rate of 100 bpm?
Notify the physician
A client's last menstrual period was January 20th 2023. What is her EDD, expected date of delivery?
LMP was March 10th 2022. What is her EDD?
Name the rule?
October 27th 2023
December 17th 2022
Nagele's Rule
Give an example of a normal bpm for a baby's heart rate? What is the normal range?
Between 110 and 160bpm
Why would a physician prescribe short term therapy with enoxaparin sodium (Lovenox) and why?
Reduce the risk of deep vein thrombosis.
Anticoagulant therapy to prevent clot formation.
Which test results aids in determining if a newborn may have spina bifida?
Maternal serum alpha fetoprotein (MSAFP)
What is the possible sign effect of Magnesium Sulfate for treatment of preterm labor regarding lab value?
Serum level of greater than 10.
Name the four stages of Delivery
Stage 1: Early labor contractions, active labor, and full dilation of the cervix.
Stage 2: Pushing and delivering the baby.
Stage 3: Delivering the placenta.
What is the normal limits for a client's biophysical profile?
Between 8 and 10.
What are common adverse side effects of methylergonovine (Methergine)?
Nausea and vomiting and headaches.
Fetal tachycardia commonly occurs when?
Maternal fever
What position should a nurse place a client in to measure the fundal height whose fetus is 28 weeks' gestation?
Name a priority complication for the mother associated with a twin pregnancy?
Supine with her head on a pillow and knees slightly flexed.
Maternal anemia
Pitocin induction who is experiencing a fetal distress, name four actions to implement for the client?
Discontinue Pitocin, Left lateral position, oxygen at 8-10 liters, IV bolus, call provider.
Explain the GTPAL format is detail?
G - Gravida (how many pregnancies)
T - Term (how many babies went full term, delivered)
P - Preterm (delivered before 37 weeks)
A - Abortion (miscarriage or therapeutic)
L - Living (children living today)
A client with preeclampsia is receiving Magnesium Sulfate IV, which antidote would you have immediately available?
Calcium Gluconate
Why is RhoGam prescribed for a client who experienced a spontaneous abortion and is RH-?
It prevents development of RH+ antibodies.
A client's vaginal mucosa is bluish-purplish discoloration, what would you note?
What is the expected color of a laboring client's amniotic fluid?
Chadwicks
Straw-colored, clear, and contains little white specks.
What is the priority intervention following the artificial rupture of membranes (AROM)?
Assess the fetal heart rate (FHR)