ANTEPARTUM
A client reports nausea, fatigue, and missed menses. How should the nurse classify these findings?
What is "presumtive signs of pregnancy"
A client reports rupture of membranes and decreased fetal movement. What is the nurse’s FIRST action?
What is "Assess fetal heart rate"
What is the normal baseline fetal heart rate?
what is "110-160bpm"
Best intervention to promote bonding?
Most common cause of hospital-acquired infection?
What is a urinary catheter?
Which are included in initial prenatal labs?
What is a "CBC, Rubella titer, HIV screen, Hep- B"
A client has contractions every 3 minutes lasting 60 seconds. What phase of labor is this?
What is "active phase"
Meconium-stained amniotic fluid indicates:
What is "fetal distress"
The nurse finds a boggy uterus. What is the FIRST action?
A bladder scan shows 350 mL after voiding. What should the nurse do?
What is "perform catherterzation"
A client’s LMP was July 8. What is the estimated due date using Naegele’s rule?
What is "April 15th"
Which are considered the “4 P’s” of labor?
What is "passanger, passageway, powers, psyche"
A nurse is assessing a client in the third stage of labor. Which findings indicate placental separation?
What is "Umbilical cord lengthens, Uterus becomes firm and globular, Vaginal trickle of blood"
Normal EBL after vaginal delivery?
What is "250-500ml"
The nurse is verifying placement of a newly inserted nasogastric (NG) tube. Which methods are appropriate?
what is an
"X-ray: gold standard
Aspritation pH and color "
At 28 weeks, which screening is the nurse anticipating?
What is a "glucose tolerance test"
Fetal bradycardia suddenly occurs during labor. What is the nurse’s priority concern?
What is "Uterine rupture"
A nurse is monitoring a laboring client. The fetal heart rate tracing shows minimal variability and recurrent late decelerations. What is the nurse’s priority action?
What is "Reposition the client to side-lying"
Postpartum assessments include:
what is " BUBBLE- HE"
Breast, uterus, Bladder, Bowel, Lochia, Episiotomy, Homans Sign, Emotion
A nurse is initiating a blood transfusion. After 10 minutes, the client reports chills, back pain, and shortness of breath. What reaction is suspected, and what is the nurse’s FIRST action?
What is a "acute hemolytic reaction and Action- Stop transfusion immediatly"
Which prenatal teaching is MOST important?
Report decreased fetal movement
(bonus 100 if you can state how many / 2 hours)
A laboring client experiences sudden fetal bradycardia immediately after rupture of membranes. On vaginal exam, the nurse palpates the umbilical cord. Which actions should the nurse take? (Select all that apply)
What is "Place the client in knee-chest position, Apply oxygen via nonrebreather mask, Manually lift the presenting part off the cord, Prepare for emergency cesarean delivery"
A client in labor has the following assessment findings:
What is the nurse’s priority concern?
What is "Intrauterine infection"
A postpartum client has heavy bleeding and tachycardia. What complication is suspected?
What is Post Partum Hemorrhage
(Bonus 100 if you say the two phases and timeframe)
An IV site is cool, swollen, and painful. What is the nurse’s FIRST action?
What is "stopping the infusion"