Maternity Final 2

A

100

How is an IUD placed?

It is inserted vaginally, then through the cervix and into the uterus by a health care provider

200

What are some risks for shoulder dystocia?

Large baby (macrosomia)
Extended pushing (2nd stage > 3 hours)

300

Why would the TDAP vaccine be administered after birth?

To help protect the mom and baby. (protects baby from pertussis and mom from TDAP)

400

Postpartum client with calf tenderness/pain, inflammation of their leg, leg swelling and warm to touch. What are we concerned about?

DVT (Deep Vein Thrombosis)

500

What are the benefits for tocolytic medications?

-To delay labor (slow contractions and prolong labor)

-Allow time to administer corticosteroids to enhance lung function
-To allow time to transfer to appropriate facility (ex: if at birthing center time to go to hospital with NICU )

B

100

Postpartum client 3 days post-delivery.
Which of the following findings related to lochia should the nurse report to the healthcare provider?

1. Lochia rubra with a moderate amount of blood and small clots.
2. Lochia serosa with a pinkish-brown color and a scant amount.
3. Lochia alba with a white or yellowish color and a light amount.
4. Lochia rubra with a foul odor and large clots.

D - loca rubra with foul odor and large clots

200

A client in preterm labor membranes have not ruptured. Why would the vaginal exam be avoided. Name 3 reasons

1. To prevent infection
2. To avoid premature rupture of membranes
3. To reduce the risk of cord prolapse

300

WHich of the following should be reported?

1. The fundus is firm and located at the level of the umbilicus.
2. The fundus is boggy and located above the umbilicus.
3. The fundus is firm and located below the umbilicus.
4. E. The patient reports moderate cramping.

B - fundus is boggy and above the umbilicus

400

A client has foul smelling ammonitic fluid. What is the expected diagnosis?

Chorioamnionitis

500

A nurse is caring for a postpartum client who has had epistaxis, increased bleeding, and bruising on their arms and legs. Which of the following laboratory results should the nurse identify as the possible cause of these manifestations?

1. Decreased hemoglobin level
2. Elevated creatinine level
3. Decreased platelet count 
4. Elevated sodium level

C - decreased plts

C

100

Yes or no:
A client is 8 hours postpartum and has an increased in WBC on their labs. All other values and findings are within range. Is this an expected finding?

YES

200

What is the corticosteroid commonly given to help with fetal lung development for a client at risk for preterm labor?

Betamethasone

300

A practical nurse is caring for a newborn who has meconium-stained amniotic fluid. Which of the following interventions should the nurse prioritize immediately after birth to prevent meconium aspiration syndrome?

suction! 

400

What are symptoms a newborn would exhibit indicating respiratory distress?

Nasal flaring

Grunting

Tachypnea

Tachycadia

500

A practical nurse is assessing a newborn's Apgar score at 1 minute after birth. The newborn has a heart rate of 110 beats per minute, a strong cry, active motion, a pink body with blue extremities, and regular respirations. What is the Apgar score?

9

D

100

A nurse is collecting data for a client who has a fever and erythema on one breast. Which of the following should be the nurse's first response?

1. Ask the client if the infant latches well.
2. Ask to see the infant latch with the next feeding. 
3. Encourage the client to increase fluids.
4. Encourage the client to alternate breastfeeding with bottle feeding.

B - ask to see the infant latch with the next feeding

200

A nurse is preparing to assist with the augmentation of labor for a client at 40 weeks of gestation. Which of the following interventions is commonly used to augment labor?

1. Administering magnesium sulfate
2. Performing an amniotomy
3. Providing bed rest
4. Applying a fetal scalp electrode

B - performing an amniotomy

300

Name 2 modifiable risk factors and 2 nonmodifiable risk factors for breast cancer?

Modifiable:
Smoking
Weight/BMI
Diet (such as low fiber intake)

Nonmodifiable:
Genetics (BRCA1orBRCA2)
Family history

400

What is the normal range for FHR?

110-160bpm

500

WHat is the difference between augmentation of labor and induction of labor?

Induction: To start Labor
Augmentation: To speed up labor/help labor progress

E

100

A practical nurse is caring for a postpartum patient who delivered vaginally 2 hours ago. The nurse notes that the patient is pale, diaphoretic, and has a rapid pulse. Which of the following actions should the nurse take immediately?

1. Encourage the patient to ambulate.
2. Check the uterine fundus for firmness. 
3. Offer the patient fluids to drink.
4. Administer pain medication as prescribed.

B - check the uterine fundus

200

Yes or no: Does corticosteroids prevent preterm labor?

NO! It helps with fetal lung development

300

Name 4 foods a nurse should teacher their pregnant client to avoid

1. Undercooked meat (such as rare steak)
2. Soft cheeses
3. Unpasteurized milk/cider
4. Raw sushi
5. Deli Meat

400

What is the primary reason for using uterotonic agents POSTPARTUM?

To manage PPH

500

Why should the laboring client avoid the supine position? Give 3 reasons

1. Reduced Blood Flow: The supine position can compress major blood vessels, reducing blood flow to the uterus and potentially causing low maternal blood pressure

2. Fetal Heart Rate: This position can lead to more frequent abnormal fetal heart rates due to decreased oxygen supply

3. Labor Progress: Upright positions, such as squatting or kneeling, can help speed up labor and make contractions more effective 

4. Pain Management: Alternative positions can reduce back pain and discomfort during pushing