A
What type of data collection would you do while a newborn is sleeping/question?
Auscultation! (heart, lungs, bowel)
What intervention is recommended for client experiencing pregnancy loss?
Grief counseling
Support groups
Active listening
Ask open ended questions and allow them to speak openly about their emotions
Therapeutic communication
Allow expression of feelings
How can a pregnant client monitor their baby at home?
Fetal kick counts
A client in active labor has trace protein in her urine sample. Her vital signs are stable. What follow up would the nurse do for this finding?
Explain the urinalysis to the client. This is a normal/expected finding
What would be the expected outcome of a client receiving oxytocin during the 2nd stage of labor?
Increase in strength of uterine contractions
What are clinical manifestations are associated with Transient Tachypnea of the Newborn (TTN)?
Nasal Flaring, Grunting, Tachypnea, Tachycardia
Fetal head is on left side of abdomen and fetal buttocks are on the right side. What type of position is the baby in?
Transverse Lie
What nonpharmacological intervention can the nurse use to minimize a newborns pain during a heel stick ?
Offering feeding or facilitating suckling
Which newborn is the priority?
A newborn born 5 min ago with extremities flexed
A newborn born 20 min ago with heart rate of 145/min
A newborn born 30 min ago who is having difficulty breastfeeding
A newborn born 15 min ago with cyanotic lips
D - A newborn born 15 min ago with cyanotic lips
What nursing intervention is done for a newborn of a mother who has DM?
Heel stick - glucose monitoring
Following birth, a client asked why her medical provider prescribed her an oral contraceptive. What would be your response?
To avoid accidently becoming pregnant
WHat medication would you anticipate administering for a client who is GBS +?
Antibiotic (such as Penicillin)
Ectopic pregnancy
Name 4 positions that can help with discomfort during labor
Squatting
High Fowlers
Kneeling
Hands and Knees
What is the priority intervention for a boggy fundus?
Massaging of the fundus
What is mastitis and What are 4 things that can be done to prevent mastitis?
Infection of the breast(s)
Interventions:
Fully empty breast used at each feeding
Proper latch
Hygiene (wash hands, breast/nipples)
Treat sore nipples
Give me 3 reasons tocolytics would be used for a 30 week client experiencing preterm labor
To delay labor and allow for administration of corticosteroids to enhance fetal lung maturity.
To prevent or slow uterine contractions and prolong pregnancy.
To allow time for maternal transfer to a facility with neonatal intensive care capabilities (NICU)
What intervention would a nurse do for a client who is experiencing recurring variable decelerations of the FHR?
Repositioning
What would be regularly monitored for a client with HG?
Electrolyte lab values
What fetal station is that baby at during crowning?
+5
What is a nursing intervention that can be done when a client is feeling nauseous or vomiting between contractions?
Offer ice chips
The nurse notices abrupt decelerations of the FHR lasting less than 1 min each and recovering quickly. The decelerations recur at various points across the fetal monitor strip and occur at varying times, not all in direct correlation with uterine contractions.
Variable decelerations
What are the benefits of breastfeeding?
Breastfeeding helps protect my baby from infections.
Breastfeeding will help the mom lose weight faster.
Breastfeeding can improve baby's cognitive development.
helps facilitate bonding with the mom
Follow up question: Is there a timeframe on how long the benefits last?
When caring for a newborn with a cleft lip and palate who is unable to breastfeed effectively, the nurse initiates bottle feeding with an assisted nipple device. What essential nursing intervention should the nurse implement during these feedings?
Bulb syringe and suction readily available
What should you expect when auscultating bowel sounds for a healthy newborn?
Presence of bowel sounds every 10 to 15 minutes