Maternal-Newborn and Women's Health Nursing Flashcards
6 cards from real BSN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Maternal-Newborn and Women's Health Nursing flashcards as text
Which assessment is most important for a nurse to perform before administering RhoGAM (Rh immunoglobulin) to a postpartum patient?
Answer: Confirm the mother is Rh-negative and the newborn is Rh-positive
RhoGAM is only indicated when an Rh-negative mother delivers an Rh-positive infant; confirming both blood types is essential before administration.
A nurse is assessing a patient for postpartum depression (PPD). Which symptom most distinguishes PPD from normal 'baby blues'?
Answer: Persistent feelings of worthlessness and inability to care for the infant lasting beyond 2 weeks
Baby blues resolve within 2 weeks; PPD is characterized by persistent, impairing symptoms including impaired infant bonding and feelings of worthlessness.
A patient at 28 weeks' gestation reports decreased fetal movement. The nurse instructs the patient to perform kick counts. Which finding should prompt the patient to contact the provider immediately?
Answer: Fewer than 10 movements in 2 hours
Fewer than 10 movements in a 2-hour window is the threshold that indicates decreased fetal activity and requires urgent provider evaluation.
Which position should the nurse place a laboring patient in to maximize placental perfusion and prevent supine hypotensive syndrome?
Answer: Left lateral (left side-lying) position
The left lateral position displaces the uterus off the inferior vena cava, maintaining venous return and preventing supine hypotensive syndrome.
A nurse is assessing a 1-day-old newborn and notes jaundice extending to the chest and abdomen. The nurse is aware that jaundice appearing before 24 hours of life is:
Answer: Pathological and requires immediate investigation
Jaundice appearing in the first 24 hours of life is always pathological (commonly hemolytic disease) and requires urgent evaluation to prevent kernicterus.
A pregnant patient in her first trimester asks about taking over-the-counter medications for a headache. Which medication should the nurse advise the patient to avoid?
Answer: Ibuprofen (Advil)
NSAIDs like ibuprofen are contraindicated in pregnancy, especially the first and third trimesters, because they can affect fetal development and cause premature closure of the ductus arteriosus.