Maternal and Newborn Care Flashcards
6 cards from real CPNRE 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 and Newborn Care flashcards as text
A woman at 32 weeks gestation reports painless, bright red vaginal bleeding. Which condition does this presentation most suggest?
Answer: Placenta previa
Painless bright red vaginal bleeding in the third trimester is the classic presentation of placenta previa.
A newborn receives a 1-minute Apgar score of 5. Which interpretation and action is correct?
Answer: Score of 5 indicates mild to moderate depression requiring stimulation and supplemental oxygen
Apgar 4-6 indicates mild to moderate depression requiring stimulation (drying, rubbing back) and supplemental oxygen.
A nursing mother reports breast engorgement on postpartum day 2. Which advice should the practical nurse provide?
Answer: Feed frequently on demand, ensure proper latch, and apply warm compress before feedings
Frequent, effective breastfeeding with proper latch resolves engorgement; warm compresses before feeding stimulate let-down.
During oxytocin infusion, the fetal heart rate drops from 140 to 80 bpm coinciding with each contraction and returning to baseline quickly. How should this be interpreted?
Answer: Early decelerations indicating head compression, normal finding
Decelerations that begin with contraction onset and return to baseline quickly (mirror contractions) are early decelerations from head compression, a benign finding.
A client who delivered vaginally 6 hours ago has a fundal height at the umbilicus, deviated to the right, and a boggy uterus. What should the practical nurse suspect?
Answer: Bladder distension causing uterine displacement and atony
A boggy uterus deviated to the right 6 hours postpartum typically indicates bladder distension preventing effective uterine contraction.
A term newborn has not voided in the first 24 hours after birth. What is the priority nursing action?
Answer: Assess for bladder distension, ensure adequate feeding, and notify the physician
Failure to void within 24 hours is abnormal and requires assessment for bladder distension, feeding adequacy, and physician notification to rule out urinary obstruction.
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