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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

  1. A client at 36 weeks gestation reports decreased fetal movement over 24 hours. Which action should the practical nurse prioritize?

    Answer: Instruct to perform a kick count and go to the nearest obstetrical unit if fewer than 6 movements in 2 hours

    Decreased fetal movement can indicate fetal compromise and requires immediate evaluation using kick count monitoring and assessment if movement is reduced.

  2. A client experiencing severe postpartum depression expresses thoughts of harming herself. What is the priority action?

    Answer: Ensure client safety, stay with the client, notify the physician immediately, and initiate crisis protocols

    Active thoughts of self-harm require immediate safety intervention: stay with the client, notify the physician, and initiate crisis protocols.

  3. A newborn has flat affect, poor muscle tone, rooting reflex but won't latch, and the mother used methadone during pregnancy. Which condition should the nurse suspect?

    Answer: Neonatal abstinence syndrome (NAS)

    Infants born to mothers on methadone or other opioids may develop neonatal abstinence syndrome, characterized by poor feeding, tone abnormalities, and withdrawal signs.

  4. A newborn is receiving phototherapy for hyperbilirubinemia. Which nursing intervention is essential?

    Answer: Cover eyes with phototherapy shields, ensure adequate hydration, and monitor bilirubin levels

    Eye protection (shields) prevents retinal damage, adequate hydration promotes bilirubin excretion, and bilirubin monitoring guides therapy effectiveness.

  5. A pregnant client at 28 weeks gestation has Rh-negative blood type and her partner is Rh-positive. What preventive treatment should she receive?

    Answer: Rho(D) immune globulin (RhIG/WinRho) at 28 weeks and again after delivery if the infant is Rh-positive

    RhIG (WinRho) is given at 28 weeks as antepartum prophylaxis and again postpartum if the newborn is Rh-positive.

  6. A client at 38 weeks gestation is GBS positive. Which intervention is expected?

    Answer: Administering IV prophylactic penicillin G during labour

    GBS-positive mothers receive IV penicillin G during active labour to prevent vertical transmission to the newborn.

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