Maternal-child Study Guide Games and activities

Maternal-child Study Guide A 2-hour-old infant has ruddy skin and delayed capillary refill. What laboratory value best correlates with this condition? - Hematocrit is 72% A 21-year-old pregnant woman smokes 8 to 10 cigarettes per day. The clinic nurse reviews the patient's diet with her and notes that she does not eat fruits or vegetables. Which action should the nurse recommend to this patient? - Take an over-the-counter vitamin C supplement A 22-year-old woman is experiencing her third pregnancy. Her obstetrical history includes one first-trimester elective abortion and one first-trimester spontaneous abortion. The patient is a semi-vegetarian who drinks milk and eats yogurt and fish as part of her daily intake. Which of the following should the nurse include in the patient's dietary teaching plan? - Eating foods high in zinc Taking an iron supplement A 22-year-old woman presents to the emergency department with abdominal pain and vaginal bleeding. Her blood pressure is 90/58 mm Hg, her pulse is 120 beats/minute, and she complains of dizziness - Start two large-bore IVs for fluid replacement A 24-year-old pregnant woman at 26 weeks' gestation is experiencing her third pregnancy. The patient's obstetric history includes one full-term birth and one preterm birth; both children are alive and well. Today, the patient arrives at the clinic with complaints of fatigue, insomnia, and continuous backache. She reports that she is a nurse on an oncology unit and is worried about continuing to work her 12-hour shifts. What advice by the nurse would be most appropriate? - "With your previous premature birth, you might need to reduce your working hours." A 40-year old primigravida has undergone nuchal translucency screening. The results show a finding of 3.3 mm. What information should the nurse provide the parents? - The fetus has an increased risk for genetic disorders A baby has just been born with anencephaly. Which action by the labor and delivery charge nurse takes priority? - Consult the palliative care team A baby is admitted with a long-bone fracture. What nursing actions are appropriate in the care of this baby? - Elevation of the extremity Frequent neurovascular checks Immobilization while healing A baby is being discharged home to await surgery to correct a cleft palate. What information do the parents need as the priority? - Feeding techniques and special nipples A baby was born 4 days ago at 34 weeks' gestation and is receiving phototherapy for neonatal jaundice. The baby has symptoms of temperature instability, dry skin, poor feeding, lethargy, and irritability. What are the nurse's priority nursing interventions? - Assess the baby's temperature to check for hypothermia Verify laboratory results to check for hypoglycemia A baby with brachial plexus injury is being discharged home. What information should the nurse include on the teaching plan? - Perform passive range-of-motion exercises to affected extremity. A birthing unit has a new manager who plans to implement policies to facilitate family bonding after birth. Which of the following possible policies would be most helpful? - Allow 3-4 hours of uninterrupted family time after birth. Delay noncritical procedures during the initial family time. Encourage and support breastfeeding practices. Initiate primary nursing to provide continuity of care. A child diagnosed with congenital hypothyroidism is being dismissed from the NICU. What information should the nurse plan to teach the parents? - The correct dose of levothyroxine (Synthroid) is 10-15 mg/kg/day. A diabetic patient is 1 day postpartum after an uncomplicated vaginal birth. She wants to know why her blood sugar levels are so much lower than usual. What explanation by the nurse is best? - "The levels of hormones that cause an anti-insulin effect are decreased." A diabetic woman had a cesarean delivery and her baby is noted to have a respiratory rate of 82 breaths/minute with retractions. The baby's blood gas analyses are as follows: pH, 7.20; PCO2, 52 mm Hg; PaO2, 80 mm Hg; PHCO3-, 21 mEq/L. What is an important safety measure the nurse should plan to implement when caring for this infant? - Ensure the CPAP pressures do not exceed 6 cm H2O A faculty member explains to a nursing student that the best way to prevent hemorrhage from injuries in a neonate is which of the following? - Administer vitamin K1 phytonadione (AquaMEPHYTON) A faculty member is supervising a student who is preparing to administer vitamin K1 phytonadione (AquaMEPHYTON) to an infant. What action by the student prompts the faculty member to intervene? - Draws up 0.5 mg/kg A father accompanies his partner to her OB clinic visit. The woman is near term. The father confides to the nurse that the patient is cranky, irritable, and yells at him for no reason. Which action by the nurse is best? - Explain why the woman needs emotional support A G2 TPAL 2002 patient experienced a precipitous birth 90 minutes ago. Her infant weighed 4,200 g, and a repair of a second-degree laceration was needed following the birth. The nurse assesses that the patient's uterus is boggy and deviated to the right. The patient's vaginal bleeding has increased. Which action by the nurse takes priority? - Massage the uterine fundus with continual lower-segment support A G2P1 woman wishes to have a trial of labor after a previous low-transverse cesarean delivery. What factors would permit the woman to be allowed this trial of labor? - Adequate pelvis size related to fetal size