Maternal and Newborn Nursing Flashcards
7 cards from real NCLEX 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 and Newborn Nursing flashcards as text
A laboring client at 6 cm dilation suddenly reports a strong urge to push. What should the nurse do first?
Answer: Assess cervical dilation
A vaginal exam confirms whether the client is fully dilated before any pushing to prevent cervical edema or laceration.
Which finding in a postpartum client 12 hours after delivery requires immediate intervention?
Answer: Saturating one pad in 15 minutes
Saturating a pad within 15 minutes signals postpartum hemorrhage requiring immediate assessment and intervention.
A newborn's Apgar score at 1 minute is 6. What is the priority nursing action?
Answer: Stimulate and provide respiratory support
A 1-minute Apgar of 6 indicates moderate distress, so stimulation and respiratory support are the priority.
A pregnant client at 28 weeks has a glucose challenge test result of 150 mg/dL. What does the nurse anticipate next?
Answer: A 3-hour glucose tolerance test
A 1-hour value of 140 mg/dL or higher requires a 3-hour glucose tolerance test to confirm gestational diabetes.
Which sign indicates a positive Homans sign in a postpartum client?
Answer: Pain with dorsiflexion of the foot
A positive Homans sign is calf pain with dorsiflexion, suggesting possible deep vein thrombosis.
A breastfeeding mother reports cracked, sore nipples. What is the best nursing recommendation?
Answer: Ensure proper latch and positioning
Improper latch is the most common cause of sore nipples, so correcting positioning resolves the problem.
A newborn is diagnosed with physiologic jaundice. When does this typically appear?
Answer: After 24 hours of life
Physiologic jaundice appears after 24 hours, whereas jaundice within the first 24 hours is pathologic.