Maternal and Newborn Care Flashcards
7 cards from real RPN 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 Care flashcards as text
A nurse is caring for a client at 38 weeks gestation who reports decreased fetal movement. Which action should the nurse take first?
Answer: Apply external fetal monitor
Applying an external fetal monitor provides immediate assessment of fetal heart rate and activity patterns.
Which finding during a postpartum assessment at 12 hours after delivery indicates a normal finding?
Answer: Uterine fundus at the umbilicus, firm
A firm fundus at the umbilical level is expected within the first 12 hours after delivery.
A newborn is assessed at 1 minute after birth and receives an Apgar score of 6. Which intervention is priority?
Answer: Stimulate and provide supplemental oxygen
An Apgar score of 4–6 indicates moderate depression and requires stimulation and supplemental oxygen.
A breastfeeding mother reports sore, cracked nipples on day 3 postpartum. What is the most appropriate nursing intervention?
Answer: Evaluate the infant's latch and positioning
Sore, cracked nipples are most often caused by improper latch, so assessing and correcting positioning is the priority intervention.
Which maternal vital sign change during active labor is most concerning and requires immediate intervention?
Answer: Blood pressure of 160/110 mmHg
A blood pressure of 160/110 mmHg meets the criteria for severe-range hypertension and indicates risk for eclampsia.
A nurse is teaching a new mother about newborn jaundice. Which statement by the mother indicates understanding?
Answer: 'I will feed my baby frequently to help clear the bilirubin.'
Frequent feedings promote stooling, which eliminates bilirubin and helps reduce physiologic jaundice.
A client is receiving oxytocin (Pitocin) augmentation. The nurse notes uterine contractions every 2 minutes lasting 95 seconds. What is the priority action?
Answer: Discontinue the oxytocin infusion
Contractions lasting more than 90 seconds (tachysystole) can compromise fetal oxygenation, so the oxytocin must be discontinued.
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