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 nurse is monitoring a client in active labor on continuous electronic fetal monitoring. Late decelerations are noted with every contraction. What is the priority intervention?
Answer: Increase IV fluid rate and reposition the client
Late decelerations indicate uteroplacental insufficiency; repositioning and IV fluid bolus are first-line interventions to improve placental perfusion.
A nurse assesses a newborn and notes a soft, fluctuant swelling that crosses the suture lines on the scalp. This finding is most consistent with:
Answer: Caput succedaneum
Caput succedaneum is edema of the scalp soft tissue that crosses suture lines and resolves within a few days.
Which laboratory value indicates HELLP syndrome in a pregnant client with hypertension?
Answer: AST of 80 units/L
Elevated liver enzymes (AST/ALT) are part of the HELLP syndrome triad: Hemolysis, Elevated Liver enzymes, Low Platelets.
A postpartum nurse notes a client has a temperature of 38.4°C on day 2 after a vaginal delivery. What is the most likely cause?
Answer: Endometritis
Fever after 24 hours postpartum is most commonly caused by endometritis, especially after vaginal delivery with prolonged labor or rupture of membranes.
A nurse is teaching a new mother about newborn jaundice. Which statement indicates correct understanding?
Answer: Phototherapy converts bilirubin into a water-soluble form for excretion
Phototherapy converts unconjugated bilirubin into lumirubin, a water-soluble isomer that can be excreted without liver conjugation.
A client at 36 weeks gestation is diagnosed with gestational diabetes mellitus (GDM). Which teaching point is most important?
Answer: Blood glucose monitoring and dietary management are the first-line interventions
Medical nutrition therapy and blood glucose self-monitoring are the foundations of GDM management; insulin is added only if glycemic targets are not met.
When administering erythromycin ophthalmic ointment to a newborn, which is the correct technique?
Answer: Apply to the inner lower conjunctival sac from inner to outer canthus
Erythromycin is applied to the lower conjunctival sac from the inner to outer canthus to prevent ophthalmia neonatorum.