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Exam (elaborations)

OB Nursing Capstone: Critical Assessments and Interventions in Maternal–Newborn Care

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This capstone study note focuses on essential critical assessments and nursing interventions in obstetric (OB) and maternal–newborn nursing care. It highlights the nurse’s role in monitoring maternal and fetal well-being during pregnancy, labor, and the postpartum period. Key assessments include vital signs, uterine activity, fetal heart rate patterns, fundal tone, lochia, and newborn adaptation. The study also reviews priority interventions such as managing labor complications, promoting safe deliveries, supporting breastfeeding, and preventing postpartum hemorrhage or neonatal distress. Emphasis is placed on clinical judgment, timely intervention, and patient-centered care, ensuring optimal outcomes for both mother and baby. Understanding these core concepts equips nursing students with the critical thinking and hands-on skills necessary for effective practice in obstetric settings.

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OB Capstone Notes


b. Use a cotton swab to clean under the
A nurse is reviewing the laboratory re- foreskin.
sults for a client who is at 29 weeks of c. Apply petroleum jelly to the foreskin.
gestation. Which of the following results
should the nurse report to the provider?
A. WBC count 11,000/mm³.
B. Hgb 11.2 g/dL.
C. Hct 34%.
D. Platelets 140,000/mm³.
A nurse is admitting a client who is at 33
weeks of gestation and has preeclamp-
sia with severe features. Which of the
following actions should the nurse take?
a. Restrict protein intake to less than 40
g/day.
b. Initiate seizure precautions for the
client.
c. Initiate an infusion of 0.9% sodium
chloride at 150 mL/hr.
d. Encourage the client to ambulate twice
per day.
A nurse is caring for a client who is in
the transition phase of labor. Which of the
following actions should the nurse take?
A. Assist the client to void every 3 hr.
B. Monitor contractions every 30 min.
C. Place the client into a lithotomy posi-
tion.
D. Encourage the client to use a
pant-blow breathing pattern.
A nurse is teaching the parents of a new-
born how to care for their child's uncir-
cumcised penis. Which of the following
instructions should the nurse include?
a. Retract the foreskin until you feel resis-
tance.

, D. Platelets 140,000/mm³.




b. Initiate seizure precautions for the
client.




D. Encourage the client to use
a pant-blow breathing
pattern.




d. Wash the penis once per day with
soup and water.

, uterus.


d. Wash the penis once per day with soup
and water.
After teaching a pregnant woman about D. Human chorionic gonadotropin (hCG).
the hormones produced by the placenta,
the nurse determines that the teaching
was successful when the woman identi-
fies which hormone produced as being
the basis for pregnancy tests?
A. Human placental lactogen (hPL).
B. Estrogen (estriol). Excreted by the placenta and promotes
C. Progesterone (progestin). the excretion of progesterone and estro-
D. Human chorionic gonadotropin (hCG). gen.

Human Chorionic Gonadotropin (hCG)
d. Blurred vision
A nurse is assessing a client who is at
31 weeks of gestation. Which of the fol-
lowing findings show potential prenatal
complication?
a. Periodic tingling of fingers
b. Absence of clonus
c. Leg cramps
d. Blurred vision
A 36-year-old woman has been given
a diagnosis of uterine fibroids. When
planning care for this patient, the nurse c. menorrhagia is a common finding.
should know that:
a. fibroids are malignant tumors of
the uterus that require radiation or
chemotherapy.
b. fibroids increase in size during the per-
imenopausal period.
c. menorrhagia is a common finding.
d. the woman is unlikely to become preg-
nant as long as the fibroids are in her

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