Fetal Well-Being
What is the purpose of fetal kick counts?
Assess fetal oxygenation and neurologic status
What is the purpose of hemoglobin and hematocrit testing during pregnancy?
Screen for anemia
High blood pressure with proteinuria or organ dysfunction during pregnancy is called?
Preeclampsia
Infection of breast tissue often presenting with redness, warmth, fever, and pain.
Mastitis
Green frothy vaginal discharge with a “strawberry” cervix indicates which infection?
It's tricky-tricky-tricky-trichomoniasis
A non-stress test (NST) is considered reactive when there are how many accelerations in 20 minutes?
≥2 accelerations
What does a negative Coombs test indicate?
Mother has no Rh antibodies (no risk for fetal hemolysis)
What medication is used to prevent seizures in preeclampsia & its antidote?
Magnesium sulfate & Calcium gluconate
Name one nursing intervention for mastitis.
Continue breastfeeding, apply warm compresses, administer antibiotics
Thin grey vaginal discharge with fishy odor is indicative of?
Bacterial vaginosis
Name two indications for performing a non-stress test.
High-risk pregnancy (diabetes, hypertension, decreased fetal movement, post-dates)
Name one purpose of maternal serum alpha-fetoprotein (MSAFP).
Screen for neural tube defects or Down syndrome
Name two signs of magnesium toxicity.
Absent reflexes, RR <12, decreased urinary output, somnolence
Systemic infection after birth, presenting with fever, tachycardia, hypotension, and confusion.
Sepsis
Thick “cottage cheese” vaginal discharge with itching is characteristic of?
Vulvovaginal candidiasis
Name the five components assessed in a biophysical profile (BPP).
NST, fetal breathing movements, gross body movements, fetal tone, amniotic fluid volume
What is the purpose of amniocentesis?
Genetic testing, lung maturity, infection detection, neural tube defect assessment
What does HELLP syndrome stand for?
Hemolysis, Elevated Liver enzymes, Low Platelets
Infection of the uterine lining after delivery with fever and foul-smelling lochia.
Endometritis
What is the treatment for trichomoniasis in pregnancy?
Metronidazole
(avoid alcohol)
What BPP score is considered abnormal and may require delivery?
4 or less
What is the quadruple screen used for?
Maternal blood test for genetic screening (Down syndrome, Trisomy 18, NTD)
What is the first nursing priority during an eclamptic seizure?
Maintain airway and safety
Name two nursing interventions for postpartum sepsis.
Administer broad-spectrum antibiotics, monitor vital signs, provide fluids, oxygen as needed
What is the purpose of screening for Group B Streptococcus (GBS) at 36–37 weeks?
Prevent neonatal sepsis, pneumonia, or meningitis