Newborn
The creamy cheese like substance covering the baby after birth.
What is the vernix caseosa?
A nurse is preparing to administer Cervidil (Dinoprostine) to a client who is pregnant. The client asks the nurse about the purpose of the medication. Which of the following responses should the nurse make?
Dinoprostone promotes softening of the cervix.
Rationale: Dinoprostone is used to prepare or soften the cervix for the induction of labor in pregnant clients who are at or near term.
A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?
The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 1 cm above the ischial spines.
Rationale: Dilation of the cervix is measured from closed to 10 cm; effacement, or thinning and shortening of the cervix, is measured from 0% to 100%; and station is the relation of the presenting part to the ischial spines of the maternal pelvis and is measured in centimeters above, below, or at the level of the spines. If the station is -1, then the presenting part is 1 cm above the ischial spine.
nurse is preparing to administer methylergonovine IM for a client who had a vaginal delivery earlier that day. The nurse should explain to the client that this medication will help prevent which of the following?
Rationale: Methylergonovine is an oxytocic. It causes uterine contractions to help control postpartum bleeding.
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn’s mouth and nose. Which of the following actions should the nurse take first?
Rationale: The nurse should first suction the newborn’s mouth with a bulb syringe, followed by the nares. Suctioning the mouth first helps prevent aspiration of mucus into the newborn’s airway.
The rationale for administering Vitamen K 1 mg IM for a term newborn after birth.
What is it takes about 1 week for the baby to be able to synthesize his or her own vitamin K. The gut, at birth is sterile. (Neonate is deficient in intestinal flora)
The triad of symptoms associated with preeclampsia
What is proteinuria, edema (sacral, face, and perineum), and hypertension?
The drug given to stimulate fetal surfactant production in a preterm labor.
What is Betamethasone?
Preventing heat loss is important in the newborn to prevent this.
What is cold stress?
A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn’s mouth and nose. Which of the following actions should the nurse take first?
Suction the newborn’s mouth with a bulb syringe.
Rationale: The nurse should first suction the newborn’s mouth with a bulb syringe, followed by the nares. Suctioning the mouth first helps prevent aspiration of mucus into the newborn’s airway.
Symptoms that progress from preeclampsia to eclampsia.
What is all previous symptoms of preeclamsia plus visual disturbances, RUQ pain, hyperreflexia, headaches, seizures, coma?
A nurse is assisting with the monitoring of a client who is in the first stage of labor, with an external fetal monitor in place and IV fluids infusing. Which of the following factors will cause variable decelerations in the fetal heart rate?
Rationale: Variable decelerations are drops in the fetal heart rate with an abrupt onset followed by a return to baseline. Variable decelerations coincide with cord compression.
6
A nurse is assisting with the care of a newborn following a vaginal delivery. Which of the following actions should the nurse perform first?
Clear the respiratory tract.
Rationale: Using the airway, breathing, circulation (ABC) priority-setting framework, the first action the nurse should take is to open the airway of a newborn who was just delivered.
The physiological change of highest priority in the newborn.
What is spontaneous respirations.
A nurse is assisting with the care of a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Respiratory rate of 16/min
Rationale: The client’s respiratory rate should be at least 12/min as a precaution against excessive depression of impulses at the myoneural junction. Based on this finding, the nurse can continue the infusion.
A nurse is assisting in the care of a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?
Rationale: The nurse’s priority action is to check the fetal heart rate pattern before and immediately after the amniotomy to detect any changes in fetal status.
A nurse is assisting with the care of a client who is in labor. Immediately after delivery of a newborn, which of the following actions should the nurse take first?
Dry the newborn.
Rationale: Using the urgent vs nonurgent framework for nursing care, the nurse should first dry the newborn. Failing to dry and keep the newborn warm can cause cold stress, which results in unnecessary use of oxygen by the newborn, resulting in respiratory distress and decreased PaO2.
Blood glucose instability
Rationale: Decreased glycogen storage and less gluconeogenesis put newborns who are SGA at high risk for hypoglycemia.
The only definitive treatment for HELLP.
What is delivery?
Drug that may cause respiratory depression so not used as first line treatment for stopping contractions in preterm labor.
What is Magnesium Sulfate?
Cyanosis of the hands and feet in the newborn.
What is acrocyanosis?