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 client at 35 weeks presents with painless bright red vaginal bleeding. What condition does the nurse suspect?
Answer: Placenta previa
Painless bright red bleeding in the third trimester is the classic sign of placenta previa.
Which nursing action is contraindicated for a client suspected of having placenta previa?
Answer: Performing a vaginal exam
A vaginal exam can dislodge the placenta and cause severe hemorrhage, so it is contraindicated.
A newborn receives an injection of vitamin K after birth. What is the purpose?
Answer: Prevent hemorrhagic disease
Newborns lack gut bacteria to produce vitamin K, so the injection prevents hemorrhagic disease of the newborn.
A client in labor receives an order for oxytocin augmentation. Which finding requires the nurse to stop the infusion?
Answer: Contractions lasting over 90 seconds
Contractions lasting over 90 seconds indicate hyperstimulation, requiring the oxytocin to be stopped.
Which assessment finding in a 2-day-old newborn is an expected normal variation?
Answer: Acrocyanosis of the hands and feet
Acrocyanosis, bluish hands and feet, is a normal finding in newborns due to immature peripheral circulation.
A postpartum client is Rh-negative and her newborn is Rh-positive. What does the nurse anticipate administering?
Answer: Rho(D) immune globulin (RhoGAM)
RhoGAM is given to Rh-negative mothers to prevent sensitization when the newborn is Rh-positive.
A client is being taught about caring for the umbilical cord stump. Which instruction is correct?
Answer: Keep it clean and dry
Keeping the cord stump clean and dry promotes healing and prevents infection until it falls off naturally.