Women's health/Nutrition
This nutrient should be taken before conception and during early pregnancy to reduce the risk of neural tube defects.
What is folic acid?
This pregnancy complication is characterized by hypertension developing after 20 weeks of gestation in a previously normotensive client, with proteinuria and/or evidence of end-organ dysfunction.
What is preeclampsia?
These fetal heart rate decelerations mirror contractions and are usually caused by fetal head compression.
What are early decelerations?
A postpartum client's fundus should normally be this consistency when palpated.
What is firm?
Immediately after birth, these are priority actions to prevent heat loss and promote respiratory transition.
What are warm, dry, and stimulate the newborn as needed?
A pregnant client should avoid changing cat litter and eating undercooked meat to prevent this infection.
What is toxoplasmosis?
A pregnant client is Rh-negative and unsensitized. This medication is routinely administered around 28 weeks and again postpartum when indicated.
What is Rho(D) immune globulin or Rhogam?
The nurse sees recurrent variable decelerations on the fetal monitor. This is the most common underlying cause.
What is umbilical cord compression?
A postpartum client has heavy lochia and a boggy uterus. This is the nurse's first action.
What is massage the fundus?
This medication is routinely administered IM shortly after birth to prevent hemorrhagic disease caused by low levels of vitamin K–dependent clotting factors.
What is vitamin K (phytonadione)?
This contraceptive method is the only method that also helps reduce transmission of sexually transmitted infections.
What are condoms?
A client at 34 weeks reports painless, bright-red vaginal bleeding. The nurse should suspect this condition and avoid performing a vaginal examination.
What is placenta previa?
Immediately after an epidural, the client's BP drops and recurrent late decelerations appear. This is the nurse's priority positioning intervention.
What is lateral positioning (usually left lateral)?
The nurse should question an order for this uterotonic medication in a postpartum client with hypertension or preeclampsia.
What is methylergonovine (Methergine)?
A newborn of a diabetic mother is jittery and has a weak cry. This complication should be suspected first.
What is hypoglycemia?
A client with an IUD calls the clinic reporting severe pelvic pain, fever, and abnormal vaginal discharge. What should the nurse instruct the client to do?
What is seek prompt medical evaluation?
These can indicate pelvic infection and should not be ignored.
A client with severe preeclampsia receiving this medication develops absent DTRs, respirations of 10/min, and decreased urine output. The nurse should stop the infusion and prepare to administer calcium gluconate.
What is magnesium sulfate?
A client receiving this medication has contractions every 1½ minutes lasting 100 seconds with recurrent late decelerations. The nurse's priority is to stop the infusion. What is this medication?
What is oxytocin (Pitocin)?
A postpartum client has heavy vaginal bleeding, but her uterus is firm and midline. The nurse should suspect this cause rather than uterine atony.
What is a laceration?
A newborn develops jaundice 12 hours after birth. The nurse should recognize this finding as physiological or pathological?
What is pathological jaundice? Jaundice in the first 24 hours requires prompt evaluation.
A client taking combined oral contraceptives should report ACHES. Name one of the warning signs represented by ACHES.
What is abdominal pain, chest pain, severe headache, eye/vision problems, or severe leg pain?
A client at 35 weeks with preeclampsia reports a severe headache and blurred vision. Her BP is 168/112 mm Hg. Which action is the priority: A. Encourage ambulation, B. Place her in a quiet environment and initiate seizure precautions, C. Increase oral fluids, or D. Perform a vaginal examination?
What is B? Severe features indicate high seizure/eclampsia risk.
After rupture of membranes, the fetal heart rate suddenly drops to 70/min. The nurse performs a vaginal exam and palpates the umbilical cord. This is the first priority action while calling for assistance.
What is manually elevating the presenting fetal part off the cord? Continue relieving pressure while preparing for emergency birth.
One hour after delivery, a client saturates a perineal pad in 15 minutes. Her uterus is boggy and displaced to the right. After fundal massage, what should the nurse do next?
What is assist the client to empty her bladder? A full bladder can displace the uterus and interfere with contraction.
A newborn is grunting, has nasal flaring, intercostal retractions, and a respiratory rate of 72/min. Which action takes priority: A. Feed the newborn, B. Swaddle and reassess in 1 hour, C. Assess oxygenation and initiate respiratory support as indicated, or D. Place the newborn prone and allow rest?
What is C? These are signs of respiratory distress; airway/breathing takes priority.