Maternal & Newborn Nursing Flashcards
7 cards from real LVN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Maternal & Newborn Nursing flashcards as text
A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which condition does the nurse suspect first?
Answer: Placenta previa
Painless, bright red bleeding in the third trimester is the classic presentation of placenta previa.
The nurse is caring for a client with severe preeclampsia receiving magnesium sulfate. Which finding requires immediate intervention?
Answer: Respiratory rate of 10 breaths/min
A respiratory rate below 12 breaths/min indicates magnesium toxicity and requires immediate intervention.
When assessing a postpartum client's fundus 12 hours after delivery, the nurse notes it is deviated to the right. What is the priority action?
Answer: Ask the client to void or catheterize
A deviated uterus is most commonly caused by a full bladder, which must be emptied to allow the uterus to contract midline.
A newborn has an Apgar score of 4 at 1 minute. What is the priority nursing action?
Answer: Begin positive pressure ventilation
An Apgar score of 4–6 indicates moderate distress and requires stimulation and positive pressure ventilation if breathing is inadequate.
Which intervention is most appropriate for a client in the latent phase of labor experiencing back pain?
Answer: Apply counterpressure to the sacral area
Sacral counterpressure is a non-pharmacologic comfort measure that relieves back pain commonly associated with occiput posterior positioning.
A breastfeeding mother asks the nurse why her infant feeds every 1.5 to 2 hours. What is the best response?
Answer: Breast milk digests quickly and the stomach empties faster than formula
Breast milk is more easily digested than formula, causing the stomach to empty faster and prompting more frequent feeding.
A client at 38 weeks reports decreased fetal movement. After a biophysical profile score of 6/10, what does the nurse anticipate?
Answer: Repeat BPP in 24 hours
A BPP score of 6/10 is equivocal and typically prompts repeat testing within 24 hours or further evaluation.