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
Which assessment finding in a newborn at 24 hours of age should be reported to the provider immediately?
Answer: Respiratory rate of 68 breaths/min
A respiratory rate above 60 breaths/min (tachypnea) in a newborn may indicate respiratory distress and requires immediate evaluation.
A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which condition does the nurse suspect?
Answer: Placenta previa
Painless, bright red vaginal bleeding in the third trimester is the classic presentation of placenta previa.
When caring for a client with preeclampsia receiving magnesium sulfate, which finding requires the nurse to withhold the next dose?
Answer: Urinary output of 25 mL/hr
Urinary output below 30 mL/hr indicates decreased renal clearance, increasing the risk of magnesium toxicity.
A nurse is assessing a newborn and notes that the anterior fontanelle is bulging and tense. This finding is associated with:
Answer: Increased intracranial pressure
A bulging, tense anterior fontanelle is a sign of increased intracranial pressure and requires immediate evaluation.
Which instruction should a nurse include when teaching a postpartum client about episiotomy care?
Answer: Use sitz baths 3–4 times daily starting after 24 hours
Sitz baths promote healing, reduce edema, and provide comfort; they are recommended beginning 24 hours after delivery.
A nurse is assessing a 2-hour-old newborn's blood glucose and obtains a result of 38 mg/dL. What is the priority nursing action?
Answer: Encourage breastfeeding or provide formula
For a symptomatic or borderline glucose level, the first intervention is oral feeding to raise blood glucose before escalating to IV treatment.
Which finding is consistent with late decelerations on a fetal heart rate monitor?
Answer: Decelerations that begin after the peak of a contraction
Late decelerations are gradual decreases in FHR that begin after the peak of a contraction and return to baseline after the contraction ends, indicating uteroplacental insufficiency.
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