32 weeks gestation fundal measuring - ANS+/- 2 cm so should be 30-34 cm only or
report to provider
a cause of abruptio placenta - ANSrecent cocaine use
a client that should be able to auscultate FHR - ANSclient that has felt quickening for
first time
adverse effect of combined oral contraceptives - ANSdepression
adverse effect of mag sulfate - ANSfeeling of warmth throughout the body
amniocentesis complications - ANSleakage of amniotic fluid / preterm labor
amniocentesis purposes - ANSgenetic or congenital disorders (not just sex of baby)
Babinski reflex - ANSrun your finger from heel to toe and baby's toes will fan out
care for HIV client for baby - ANSbathe baby before skin to skin contact
causes for increase urinary output - ANSgestational diabetes with hyperglycemia
client had boggy uterus and BP of 142/92, what nursing actions? - ANSwithhold
methylergnovine 0.2 mg orally (can raise BP)
client on mag sulfate, what is an adverse reaction? - ANS20 ml/hour urine output
(normal is 30 ml/hour)
client on oxytocin and late decelerations start - ANSmove client to lateral position
client s/p epidural and has hypotension - ANSturn client to her side
client with polyhydramnios - ANSbaby might have GI anomalies
cytomegalovirus infection can cause newborn to have what - ANShearing loss
cytomegalovirus teachings - ANSdroplet, transmission through newborn saliva and
urine
cytotec/misoprostol uses - ANSripening/softening/opening cervix
d/c breastfeeding instructions - ANSfeeds 15-20 mins per breast
feeds at least every 3 hours
Dinoprostone (Cervidil) - ANS-cervical ripening; produces contractions, dilation &
effacement of cervix, and verify informed consent was obtained before giving
,during nonstress test, FHR is 130 w/o accelerations - ANSwhen to use an acoustic stim
on abdomen for 3 seconds
expected finding on newborn after nuchal cord - ANSpetechiae (tiny red spots)
first action after delivery - ANSID band before vit K, eye ointment and weight
first trimester sign/symptom to report to provider - ANSswelling of the face
first trimester sono teaching - ANSwill need a full bladder for exam
first trimester vomiting and nausea - ANSeat foods that are served at cool temps
food to increased vitamin B12 - ANSfortified soy milk
hispanic cultural practices for clients postpartum - ANSprotect feet and head from cold
air
how often to increase oxytocin IV during a normal labor - ANSIncrease rate every 30-60
minutes
how to minimize pain during heel stick on newborns - ANSplace baby skin to skin on
mother
jaundice phototherapy actions before you begin - ANSclose newborns eyes under eye
shields
Kleihauer-Betke test - ANSused to detect fetal blood in maternal circulation (may
indicate placenta abruption)
low back pain during latent phase of labor - ANSapply counter pressure to lower back
during contractions
mag sulfate can prevent what - ANSseizures
mag sulfate clients to report to provider - ANSclient that has absent deep tendon
reflexes
maternal cholelithiasis (gallstones) nutritional teachings - ANSbaked chicken - not fried
foods
maternal labs during mag sulfate administration - ANSserum medication levels
medication for herpes simplex virus type two - ANSAcyclovir
, Medoxyprogesterone for conception teachings - ANSincrease calcium intake
mom is rubella non-immune
positive for beta hemolytic strep
blood is type O negative - ANSgive client rubella immunization after delivery
newborn signs of hypoglycemia - ANSweak high-pitched cry
lethargic
tremors/jitteriness
BG of 40 or less
irregular respiratory effort
seizures
nonstress test teachings - ANSpress the button each time fetal movement is detected
one possible cause of postpartum hemorrhage - ANSretained placental fragments
patient bleeding with placenta previa - ANSavoid vaginal exam
placenta previa s/s - ANSpainless vaginal bleeding
possible complications following amniocentesis - ANShemorrhage
postpartum client with hypovolemic shock - ANSmassage fundus to expel clots and
promote contractions
postpartum fundal massage steps - ANSlie on back with knees flexed
hand on top of fundus, and symphysis pubis
upper hand to compress fundus downward
postpartum hypovolemic shock s/s - ANScool and clammy
postpartum risk for infection - ANSepisiotomy is a risk for infection
postpartum rubella immunization teachings - ANSavoid getting pregnant for at least one
month after immunization
precipitus labor - ANSless than 3 hours of labor can cause postpartum hemorrhage
pregnant client with seizure - ANSturn head to side and admin o2
s/p c-section priorities - ANSwatch the amount of lochia, greatest risk is postpartum
hemorrhage
s/s of severe pre-eclampsia - ANSblurred vision
report to provider
a cause of abruptio placenta - ANSrecent cocaine use
a client that should be able to auscultate FHR - ANSclient that has felt quickening for
first time
adverse effect of combined oral contraceptives - ANSdepression
adverse effect of mag sulfate - ANSfeeling of warmth throughout the body
amniocentesis complications - ANSleakage of amniotic fluid / preterm labor
amniocentesis purposes - ANSgenetic or congenital disorders (not just sex of baby)
Babinski reflex - ANSrun your finger from heel to toe and baby's toes will fan out
care for HIV client for baby - ANSbathe baby before skin to skin contact
causes for increase urinary output - ANSgestational diabetes with hyperglycemia
client had boggy uterus and BP of 142/92, what nursing actions? - ANSwithhold
methylergnovine 0.2 mg orally (can raise BP)
client on mag sulfate, what is an adverse reaction? - ANS20 ml/hour urine output
(normal is 30 ml/hour)
client on oxytocin and late decelerations start - ANSmove client to lateral position
client s/p epidural and has hypotension - ANSturn client to her side
client with polyhydramnios - ANSbaby might have GI anomalies
cytomegalovirus infection can cause newborn to have what - ANShearing loss
cytomegalovirus teachings - ANSdroplet, transmission through newborn saliva and
urine
cytotec/misoprostol uses - ANSripening/softening/opening cervix
d/c breastfeeding instructions - ANSfeeds 15-20 mins per breast
feeds at least every 3 hours
Dinoprostone (Cervidil) - ANS-cervical ripening; produces contractions, dilation &
effacement of cervix, and verify informed consent was obtained before giving
,during nonstress test, FHR is 130 w/o accelerations - ANSwhen to use an acoustic stim
on abdomen for 3 seconds
expected finding on newborn after nuchal cord - ANSpetechiae (tiny red spots)
first action after delivery - ANSID band before vit K, eye ointment and weight
first trimester sign/symptom to report to provider - ANSswelling of the face
first trimester sono teaching - ANSwill need a full bladder for exam
first trimester vomiting and nausea - ANSeat foods that are served at cool temps
food to increased vitamin B12 - ANSfortified soy milk
hispanic cultural practices for clients postpartum - ANSprotect feet and head from cold
air
how often to increase oxytocin IV during a normal labor - ANSIncrease rate every 30-60
minutes
how to minimize pain during heel stick on newborns - ANSplace baby skin to skin on
mother
jaundice phototherapy actions before you begin - ANSclose newborns eyes under eye
shields
Kleihauer-Betke test - ANSused to detect fetal blood in maternal circulation (may
indicate placenta abruption)
low back pain during latent phase of labor - ANSapply counter pressure to lower back
during contractions
mag sulfate can prevent what - ANSseizures
mag sulfate clients to report to provider - ANSclient that has absent deep tendon
reflexes
maternal cholelithiasis (gallstones) nutritional teachings - ANSbaked chicken - not fried
foods
maternal labs during mag sulfate administration - ANSserum medication levels
medication for herpes simplex virus type two - ANSAcyclovir
, Medoxyprogesterone for conception teachings - ANSincrease calcium intake
mom is rubella non-immune
positive for beta hemolytic strep
blood is type O negative - ANSgive client rubella immunization after delivery
newborn signs of hypoglycemia - ANSweak high-pitched cry
lethargic
tremors/jitteriness
BG of 40 or less
irregular respiratory effort
seizures
nonstress test teachings - ANSpress the button each time fetal movement is detected
one possible cause of postpartum hemorrhage - ANSretained placental fragments
patient bleeding with placenta previa - ANSavoid vaginal exam
placenta previa s/s - ANSpainless vaginal bleeding
possible complications following amniocentesis - ANShemorrhage
postpartum client with hypovolemic shock - ANSmassage fundus to expel clots and
promote contractions
postpartum fundal massage steps - ANSlie on back with knees flexed
hand on top of fundus, and symphysis pubis
upper hand to compress fundus downward
postpartum hypovolemic shock s/s - ANScool and clammy
postpartum risk for infection - ANSepisiotomy is a risk for infection
postpartum rubella immunization teachings - ANSavoid getting pregnant for at least one
month after immunization
precipitus labor - ANSless than 3 hours of labor can cause postpartum hemorrhage
pregnant client with seizure - ANSturn head to side and admin o2
s/p c-section priorities - ANSwatch the amount of lochia, greatest risk is postpartum
hemorrhage
s/s of severe pre-eclampsia - ANSblurred vision
