COMPREHENSIVE MATERNAL
NEWBORN NURSING EXAM STUDY
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,The active phase is characterized by? cervical dilation from 4 to 7 cm and significant descent of the presenting part.
In this phase, the client has moderate to strong uterine contractions every 3 to 5
minutes that last 40 to 70 seconds
The second stage begins with? complete cervical dilation and ends with the birth of the newborn.
The nurse should identify that clients who have with severe features are at risk for seizures.
preeclampsia?
The nurse should keep the side rails of the client's bed up and ensure oxygen and
suction are readily available.
restrict fluid intake no more 125ml and head up
second stage nursing interventions encourage client to frequently change postilion
nurse should assess vital sign every 5 to 30 min
remain during bed rest
( do not tell patient hold breath while pushing decrease oxygen)
discharge teaching about bathing newborn the face should be washed first before the eye , ears , nose
last genital are last
avoid use cornstarch or baby powder
The parent should wash around the umbilical cord with warm water and avoid
soaking. Soap is not recommended because it causes drying of the cord
The parent should wash the newborn's scalp with a mild shampoo, gently
massaging the scalp before rinsing and drying.
every 2 to 3 days
The client is worried about the health of her fetus "Your baby wasn't susceptible to substances during the first 2 weeks of your
because she drank alcohol and smoked in the first week pregnancy."
of pregnancy, before she knew she was pregnant what
should nurse say?
The period between 15 days and 8 weeks after conception is most critical in the
development of organ systems and external features.
Which of the following reflexes facilitates infant feeding? rooting reflex (making sucking motions with the mouth)
This reflex supports effective sucking.
Which of the following reflexes facilitates infant walking ? stepping
lower extremities. When the newborn is held vertically, he/she will make leg
movements that look like walking.
, Moro reflex spread out their arm
pull their arms back tight to their chest
start crying
disappears at approximately 3 to 4 months of age
The babinski reflex sole foot
hyper extension of toe or dorsilfexion great toe
The Babinski reflex does not disappear until after 1 year of age.
Nursing Intervention painful third degree peritoneal apply cold ice packs to the client perineum
laceration
encourage client firm surface
( warm sitz bath for first 24hr postpartum)
trichomoniasis Symptoms Clinical findings in women include yellowish to greenish, frothy, mucopurulent,
copious discharge with an unpleasant odor, as well as itching, burning, or redness
of the vulva and vagina
caring for a client who has trichomoniasis following sexually transmitted infection
instruction should nurse ?
both men and women infected
can be treated easily with metronidazole also instruct use condoms during sexual
intercourse
is done without a culture
parent about how to care for his newborn's circumcision loosely applied diaper will minimize pressure circumcision
site
clean site gently with warm water only
formation yellow exudate in the glands is expect part