A pregnant client at 28 weeks' gestation is diagnosed with gestational diabetes. Which of the following is the initial treatment of choice?
Rnc Ob Maternal Factors
Question · Easy
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A nurse is evaluating a fetal heart rate (FHR) tracing. The baseline is 140 bpm, and there are accelerations to 160 bpm lasting for 20 seconds. What is the correct interpretation of this finding?
Rnc Ob Fetal Assessment
Question · Medium
Placenta ___: the placenta lies low in the uterus and may partly or completely cover the cervix, often causing painless bleeding.
Pregnancy complications
Guess the Term
Chapter 1: Antepartum Assessment and Management
1.1 Antepartum Maternal Medical Conditions & Assessment
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A client is admitted with a suspected placental abruption. Which of the following signs and symptoms would the nurse expect to find?
Rnc Ob Labor And Birth
Question · Hard
Read the clue and guess the term in 6 tries.
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A nurse is assessing a client 24 hours postpartum. The fundus is firm, at the level of the umbilicus, and midline. What is the appropriate nursing action?
Rnc Ob Postpartum Care
Life-threatening disorder related to preeclampsia that destroys red blood cells, interferes with clotting, and can cause chest or abdominal pain.
What is the normal range for a newborn's respiratory rate?
Rnc Ob Newborn Care
A client with preeclampsia is receiving magnesium sulfate. The nurse should monitor for which of the following signs of magnesium toxicity?
Leakage of amniotic fluid before uterine contractions start.
1.2 Antepartum Obstetric Complications & High-Risk Conditions
A non-stress test (NST) is performed on a high-risk pregnant client. The result is reactive. What does this indicate?
Swap tiles to line up three of the same term.
Term Match
Which of the following is a positive sign of pregnancy?
Clotting disorder in which excessive thrombin and fibrin formation consumes platelets and clotting factors, so rapid cases cause bleeding.
A client is in the active phase of labor. The nurse notes a pattern of late decelerations on the fetal monitor. What is the priority nursing action?
A nurse is teaching a new mother about breastfeeding. Which of the following is a sign that the infant is latched on correctly?
Glucose intolerance that first appears during pregnancy and is one of the most common medical complications of pregnancy.
1.3 Fetal Assessment, Antenatal Testing & Prenatal Diagnosis
A newborn is receiving phototherapy for hyperbilirubinemia. Which of the following is an important nursing consideration?
Flip two cards at a time to find matching terms.
Term Pairs
A pregnant client is experiencing morning sickness. Which of the following should the nurse recommend?
Recording of the fetus's heart rate for a set period, usually 20 minutes, with results called reactive or nonreactive.
Antepartum surveillance
A nurse is caring for a client who is receiving an epidural anesthetic. Which of the following is a common side effect of epidural anesthesia?
A nurse is assessing a postpartum client for lochia. Which of the following is a normal finding on day 3 postpartum?
Score of five fetal observations, each worth 0 or 2 points, used when other monitoring results are nonreassuring.
1.4 Psychological, Substance-Use & Environmental Factors
A newborn has a positive Ortolani's sign. What does this indicate?
Find five hidden terms in a grid of letters.
Term Search
A pregnant client has a history of herpes simplex virus (HSV). The nurse should be aware of which of the following?
In US practice, continuous recording of the baby's heartbeat and uterine contractions by instruments during labor.
A nurse is administering vitamin K to a newborn. What is the purpose of this medication?
A client is in the transition phase of labor. Which of the following behaviors would the nurse expect to see?
Substance made by the fetus and found in amniotic fluid and blood during pregnancy; its second-trimester level is used to screen for open fetal defects.
1.5 Multiple Gestation: Chorionicity, Surveillance & Complications
A nurse is caring for a client who has just had a cesarean delivery. Which of the following is a priority nursing assessment?
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A newborn is born with a caput succedaneum. The nurse should explain to the parents that this is:
Attempt at vaginal delivery by someone who has a uterine scar from an earlier delivery.
Intrapartum care
A pregnant client at 32 weeks' gestation is diagnosed with placenta previa. Which of the following should the nurse include in the client's plan of care?
A nurse is assessing a newborn's Apgar score. The newborn has a heart rate of 110 bpm, a good cry, some flexion of the extremities, a grimace in response to stimulation, and is pink with blue extremities. What is the Apgar score?
___ score rates cervical readiness for induction from 0 to 13; a value below 6 suggests the cervix may not be ready.
Chapter 2: Intrapartum Labor Physiology & Fetal Monitoring
2.1 Labor Physiology, Mechanics & Progress Assessment
A client is in active labor and is requesting pain medication. The nurse should be aware of which of the following?
A nurse is teaching a new mother about postpartum blues. Which of the following should the nurse include in the teaching?
US obstetric data definition: cumulative blood loss of at least 1,000 mL, or any loss with signs of hypovolemia, within 24 hours of birth.
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