Maternal newborn proctored exam 2024

patient bleeding with placenta previa - avoid vaginal exam during nonstress test, FHR is 130 w/o accelerations - when to use an acoustic stim on abdomen for 3 seconds mom is rubella non-immune positive for beta hemolytic strep blood is type O negative - give client rubella immunization after delivery client with polyhydramnios - baby might have GI anomalies adverse effect of mag sulfate - feeling of warmth throughout the body low back pain during latent phase of labor - apply counter pressure to lower back during contractions first trimester sign/symptom to report to provider - swelling of the face first trimester sono teaching - will need a full bladder for exam mag sulfate clients to report to provider - client that has absent deep tendon reflexes medication for herpes simplex virus type two - Acyclovir possible complications following amniocentesis - hemorrhage how often to increase oxytocin IV during a normal labor - Increase rate every 30-60 minutes client on oxytocin and late decelerations start - move client to lateral position care for HIV client for baby - bathe baby before skin to skin contact client had boggy uterus and BP of 142/92, what nursing actions? - withhold methylergnovine 0.2 mg orally (can raise BP) what labs increase during pregnancy - RBC counts a client that should be able to auscultate FHR - client that has felt quickening for first time placenta previa s/s - painless vaginal bleeding jaundice phototherapy actions before you begin - close newborns eyes under eye shields adverse effect of combined oral contraceptives - depression cytotec/misoprostol uses - ripening/softening/opening cervix how to minimize pain during heel stick on newborns - place baby skin to skin on mother Kleihauer-Betke test - used to detect fetal blood in maternal circulation (may indicate placenta abruption) a cause of abruptio placenta - recent cocaine use s/s of severe pre-eclampsia - blurred vision causes for increase urinary output - gestational diabetes with hyperglycemia amniocentesis complications - leakage of amniotic fluid / preterm labor newborn signs of hypoglycemia - weak high-pitched cry lethargic tremors/jitteriness BG of 40 or less irregular respiratory effort seizures hispanic cultural practices for clients postpartum - protect feet and head from cold air pregnant client with seizure - turn head to side and admin o2 postpartum client with hypovolemic shock - massage fundus to expel clots and promote contractions s/p c-section priorities - watch the amount of lochia, greatest risk is postpartum hemorrhage nonstress test teachings - press the button each time fetal movement is detected postpartum rubella immunization teachings - avoid getting pregnant for at least one month after immunization