maternal-newborn Nursing Flashcards

Terms Definitions
Wharton's jelly
Yellow-white gelatinous material surrounding the vessels of the umbilical cord.
Gestation
Period of intrauterine development from conception through birth; pregnancy.
Morula
Developmental stage of the fertilized ovum in which there is a solid mass of cells.
Nulligravida
A woman who has never been pregnant.
30 weeks
For several months, the umbilical cord has been the baby's lifeline to the mother. Nourishment is transferred from the mother's blood, through the placenta, and into the umbilical cord to the fetus. If the mother ingests any toxic substances, such as drugs or alcohol, the baby receives these as well.
Umbilical cord
The structure connecting the placenta to the umbilicus of the fetus and through which nutrients from the woman are exchanged for wastes from the fetus.
Diagonal conjugate
Distance from the lower posterior border of the symphysis pubis to the sacral promontory; may be obtained by manual measurement.
Fetus
The child in utero from about the seventh to ninth week of gestation until birth.
Nagele's rule
A method of determining the estimated date of birth (EDB): after obtaining the first day of the last menstrual period, subtract 3 months and add 7 days.
12 weeks
Vocal chords are complete, and the child can and does sometimes cry (silently). The brain is fully formed, and the child can feel pain. The fetus may even suck his thumb. The eyelids now cover the eyes, and will remain shut until the seventh month to protect the delicate optical nerve fibers.
Amnion
The inner of the two membranes that form the sac containing the fetus and the amniotic fluid.
Fetus
The child in utero from about the seventh to ninth week of gestation until birth.
Multipara
Woman who has had more than one pregnancy in which the fetus was viable.
Amnion
The inner of the two membranes that form the sac containing the fetus and the amniotic fluid.
3 weeks
Once in the uterus, the developing embryo, called a blastocyst, searches for a nice place to implant, where it actually burrows beneath the surface of the uterus. The yolk sac, shown on the left, produces blood cells during the early weeks of life. The unborn child is only one-sixth of an inch long, but is rapidly developing. The backbone, spinal column, and nervous system are forming. The kidneys, liver, and intestines are taking shape.
30 weeks
For several months, the umbilical cord has been the baby's lifeline to the mother. Nourishment is transferred from the mother's blood, through the placenta, and into the umbilical cord to the fetus. If the mother ingests any toxic substances, such as drugs or alcohol, the baby receives these as well.
Multigravida
Woman who has been pregnant more than once.
8 weeks
The unborn child, called a fetus at this stage, is about half an inch long. The tiny person is protected by the amnionic sac, filled with fluid. Inside, the child swims and moves gracefully. The arms and legs have lengthened, and fingers can be seen. The toes will develop in the next few days. Brain waves can be measured.
20 Weeks
The child can hear and recognize her mother's voice. Though still small and fragile, the baby is growing rapidly and could possibly survive if born at this stage. Fingernails and fingerprints appear. Sex organs are visible. Using an ultrasound device, the doctor can tell if the child is a girl or a boy. The one on the left is a baby girl. Continue to
32 weeks
The fetus sleeps 90-95% of the day, and sometimes experiences REM sleep, an indication of dreaming.
Butorphanol tartrate (Stadol) has been ordered for pain for a laboring client. What should be the nurse's initial action prior to administering the medication?
Prior to administering butorphanol tartrate (Stadol) for pain, the nurse should assess for allergies. Monitoring fetal heart rate, assessing cervical dilation and monitoring maternal vital signs are appropriate interventions, but not as the initial action.
Postpartum
After childbirth or delivery.
Postpartum
After childbirth or delivery.
32 weeks
The fetus sleeps 90-95% of the day, and sometimes experiences REM sleep, an indication of dreaming.
Intrapartum
The time from the onset of true labor until the birth of the infant and delivery of the placenta.
5 weeks
Embryo is the size of a raisin. By day twenty-one, the embryo's tiny heart has begun beating. The neural tube enlarges into three parts, soon to become a very complex brain. The placenta begins functioning. The spine and spinal cord grows faster than the rest of the body at this stage and give the appearance of a tail. This disappears as the child continues to grow. Embryo is the size of a raisin. By day twenty-one, the embryo's tiny heart has begun beating. The neural tube enlarges into three parts, soon to become a very complex brain. The placenta begins functioning. The spine and spinal cord grows faster than the rest of the body at this stage and give the appearance of a tail. This disappears as the child continues to grow.
The nurse is administering Benadryl per standing order to treat which commonly occurring side effect during epidural infusion?
Benadryl, an antihistamine, treats pruritus, a common epidural side effect. Hypotension, nausea and vomiting and general sedation are common side effects of epidural infusion, but Benadryl will not treat them.
38 - 40 weeks
The baby, now approximately seven and a half pounds, is ready for life outside its mother's womb. At birth the placenta will detach from the side of the uterus and the umbilical cord will cease working as the child takes his first breaths of air. The child's breathing will trigger changes in the structure of the heart and bypass arteries which will force all blood to now travel through the lungs.
Butorphanol tartrate (Stadol) has been ordered for pain for a laboring client. What should be the nurse's initial action prior to administering the medication?
Prior to administering butorphanol tartrate (Stadol) for pain, the nurse should assess for allergies. Monitoring fetal heart rate, assessing cervical dilation and monitoring maternal vital signs are appropriate interventions, but not as the initial action.
A prenatal client in her first trimester tells the nurse that she read that hot tubs and saunas are bad for pregnant women. The nurse explains that this is a true statement. Why?
The hyperthermia associated with these activities during the first trimester increases the risk of neural tube defect and mental deficiencies in the neonate. Bacteria in the water are not introduced into the cervix because the mucous plug protects bacteria from entering. There is no relationship between hot tubs and shortness of breath in the mother or causing uterine contractions with preterm labor.
laboring client in the birthing center has a hematocrit of 49. The nurse should anticipate that this finding is related to:
Dehydration is indicated by a hemotocrit of 49% resulting from hemoconcentration. Anemia & hemorrhage are indicated by low hemoglobin. Infection is indicated by a high white blood cell count.
The nurse is to administer naloxone (Narcan) intravenously. Which medication order would be the most appropriate initial dose to counteract a narcotic-induced maternal respiratory depression?
For reversal of respiratory depression in a laboring woman, the initial recommended dosage of Narcan is 0.4 mg to 2.0 mg intravenously. Dosages of Narcan 0.125-0.25 mg and 0.2-0.4 mg are too low, whereas 3.0-4.0 mg is too high.
14 Weeks

Muscles lengthen and become organized. The mother will soon start feeling the first flutters of the unborn child kicking and moving within.
14 Weeks

Muscles lengthen and become organized. The mother will soon start feeling the first flutters of the unborn child kicking and moving within.
A laboring client complains of numbness of nose, fingers, and toes, and spots before her eyes. What should be the initial action by the nurse?
Encourage slow shallow breaths should be the initial action by the nurse for a laboring client who complains of symptoms of hyperventilation (hypocarbia). Slow, shallow breathing will help her build up her CO2 level to balance out her excessive oxygen levels. Implementing seizure precautions, administering oxygen and notifying the physician or midwife are not appropriate nursing actions for hyperventilation.
A nurse is reviewing the factors important in the process of labor. Which two pelvic types are favorable for labor and vaginal delivery?
Gynecoid and Anthropoid pelvis types are favorable for labor or delivery, whereas Android and Platypelloid pelvis types are not favorable.
The fetal monitor has shown several late decelerations over the past 10 minutes. What does this pattern indicate?
A pattern of late decelerations indicates fetal hypoxia, caused primarily by uteroplacental insufficiency. Variable decelerations are caused by umbilical cord compression. Early decelerations are caused by head compression. Maternal fever may contribute to fetal tachycardia.
8 . Immediately after a cesarean section birth, the anesthesiologist plans to inject a narcotic into the epidural space to provide analgesia for approximately 24 hours. Which opiod should the nurse anticipate that the physician would use?
Duramorph, a form of morphine sulfate, is usually injected into the epidural space after a cesarean section birth to ease the post-operative pain for up to 24 hrs. Narcan is an opiate antagonist used to reverse mild respiratory depression, sedation, and hypotension following small doses of opiates. Nubain and Stadol are narcotic agonists, but are not used in conjunction with an epidural.
A nurse assesses four clients in the prenatal clinic. Which client will present with the most accurate fundal height related to gestational age?
The client presenting with hypertension has the most accurate fundal height related to gestation. There may be difficulty accurately palpating the fundus in a client who develops hydramnios (extra amniotic fluid). The uterine size may be distorted in a client who develops uterine fibroids. There may be difficulty accurately palpating the fundus in the client with obesity.
A laboring client complains to the nurse about intense pain located primarily in her back. Which fetal presentation should the nurse expect to see written on the client's chart?
Either occiput-posterior (LOP or ROP) position of the fetus is one that would cause a woman to complain of intense backache as the fetal head presents a larger diameter in the posterior position. The anterior positions or transverse positions do not place additional pressure on the sacrum and are not associated with intense backache.
The nurse is to administer naloxone (Narcan) intravenously. Which medication order would be the most appropriate initial dose to counteract a narcotic-induced maternal respiratory depression?
For reversal of respiratory depression in a laboring woman, the initial recommended dosage of Narcan is 0.4 mg to 2.0 mg intravenously. Dosages of Narcan 0.125-0.25 mg and 0.2-0.4 mg are too low, whereas 3.0-4.0 mg is too high.
laboring client in the birthing center has a hematocrit of 49. The nurse should anticipate that this finding is related to:
Dehydration is indicated by a hemotocrit of 49% resulting from hemoconcentration. Anemia & hemorrhage are indicated by low hemoglobin. Infection is indicated by a high white blood cell count.
A nurse assesses four clients in the prenatal clinic. Which client will present with the most accurate fundal height related to gestational age?
The client presenting with hypertension has the most accurate fundal height related to gestation. There may be difficulty accurately palpating the fundus in a client who develops hydramnios (extra amniotic fluid). The uterine size may be distorted in a client who develops uterine fibroids. There may be difficulty accurately palpating the fundus in the client with obesity.
The physician orders internal fetal monitoring for a laboring client. What criteria must the client meet prior to this procedure?
The membranes must be ruptured for internal fetal monitoring to be used for a laboring client. The fetal part must be accessible by vaginal exam but does not have to be engaged. The cervix needs to be dilated at least 2 cm. Any presentation is acceptable.
A nurse is reviewing the factors important in the process of labor. Which two pelvic types are favorable for labor and vaginal delivery?
Gynecoid and Anthropoid pelvis types are favorable for labor or delivery, whereas Android and Platypelloid pelvis types are not favorable.
A nurse is caring for a client during the fourth stage of labor. What are the expected assessment findings at this time?
Decreased blood pressure and increased pulse are the expected assessment findings during the fourth stage of labor.
A client in the prenatal clinic complains of nausea and vomiting. Which intervention should the nurse suggest?
Eating dry crackers or toast before arising in the morning is a good intervention for a client complaining of prenatal nausea. Foods high in fiber help with constipation problems, not nausea. Brushing teeth after meals may trigger vomiting. Taking liquids separate from solids may help by reducing overdistention of the stomach.
A low-risk client's vaginal exam reveals that her cervix is dilated to 8 cm with 75% effacement. How frequently should the nurse assess this client's vital signs?
The client is in the transition phase of the first stage of labor. The nurse should assess vital signs every 30 minutes. More frequent assessment of vital signs is appropriate during the second and third stages and following anesthesia.
A nurse is teaching a group of prenatal clients about hazards in the workplace during pregnancy. The nurse correctly teaches that pregnant women who have jobs requiring long periods of standing have a higher incidence of:
Preterm birth is an occupational hazard for women who work standing up for prolonged periods, as there is more uterine stimulation while standing than while sitting or lying down. Neither prolapsed cord, placenta previa nor abruptio placentae are related to prolonged standing.
Primigravida A woman who is pregnant for the first time.
Primigravida A woman who is pregnant for the first time.
A G1P0 client at 39 weeks' gestation arrives at the birthing center with contractions 10-30 minutes apart. Assessment data reveals 1-2 cm cervical dilation, membranes intact, and a thick cervix. What would be the most appropriate nursing action at this t
A client with contractions 10-30 minutes apart and 1-2 cm cervical dilation, membranes intact, and a thick cervix is in the latent phase of early labor. Send the client home to ambulate. The client will be admitted only when she begins active labor. Beginning to hydrate the client with IV fluids is not appropriate; there is no dehydration status or preterm labor. Monitoring the client with pelvic checks every hour is not appropriate until active labor and progress has been made.
A nurse is assessing a prenatal client's cardiovascular function. At what week should the nurse expect this client's cardiac output (CO) to peak?
Cardiac output (CO) peaks at 20-24 weeks. Thus, 8-10 weeks and 12-18 weeks are too early and 34-38 weeks is too late.
A nurse is auscultating the heart rate of a fetus in a cephalic presentation. In which location would the nurse hear the heart rate most clearly?
The lower quadrant of the maternal abdomen is where the nurse should hear the fetal heart rate (FHR) in a cephalic presentation. Hearing the FHR at the level of the maternal umbilicus is expected of the fetus in a transverse presentation. Hearing the FHR in the upper quadrant of the maternal abdomen is appropriate for a breech presentation. FHR is heard most clearly along the back of the fetus, not at the apex of the fetal heart.
A client who is 8 weeks' pregnant gives the following pregnancy history to the nurse: This is her fourth pregnancy; she had one abortion at 12 weeks, she had a girl born at home at 35 weeks, and she gave birth to a stillborn at 38 weeks. Which of the foll
The TPAL approach provides more detailed information about a woman's pregnancy history. Gravida 4 para 1111 is in her fourth pregnancy; she had one abortion at 12 weeks, she had a girl born at home at 35 weeks (who is still living), and she gave birth to a stillborn at 38 weeks. Gravida 3 para 0110 is a woman who has been pregnant 3 times. She had no babies born at term, had 1 preterm baby, had 1 abortion, and has no living children. She is currently pregnant. Gravida 3 para 1111 is a woman who has been pregnant 3 times. She had 1 term baby, had 1 preterm baby, had 1 abortion, and has 1 living child. Gravida 4 para 2102 is a woman who has been pregnant 4 times. She had 2 babies born at term (who are currently living) and 1 preterm baby who died. She has had no abortions. She is currently pregnant.
A nurse is teaching a group of prenatal clients about the importance of exercise during pregnancy. Which client would be the best candidate to continue with her exercise regime?
Exercise would be therapeutic in helping a client with diagnosis of diabetes control her glucose utilization. However, it would be contraindicated in a client with an incompetent cervix and cerclage, in a client with a diagnosis of preeclampsia or in a client with placenta previa.
A nurse is completing an assessment on a first trimester antepartal client with a hemoglobin level of 10.8 g/dL. What is the priority nursing action at this time?
Obtaining an order for iron supplementation is the priority nursing action on a first trimester antepartal client with a hemoglobin level of 10.8 g/dL. Refer the client for nutritional counseling is an important intervention at 12.0 g/dL but is not the priority at this time. Obtaining an order for type and cross match is not needed at this time. Transfusions may be given at levels below 6.0-8.0 g/dL. Evaluating the client for signs of infection is the appropriate action for an elevated white blood cell.
Nullipara
A woman who has not delivered a viable fetus.
Nullipara
A woman who has not delivered a viable fetus.
A client in the prenatal clinic asks the nurse how she can toughen her nipples for breastfeeding. Which of the following is the nurse's best response?
Having your partner orally stimulate the nipple is one way to toughen nipples for breastfeeding. Breast shields are effective for women with inverted nipples. Going braless and exposing nipples to sun and air may be helpful. Rolling, not rubbing, the nipples may be helpful.
8 . Immediately after a cesarean section birth, the anesthesiologist plans to inject a narcotic into the epidural space to provide analgesia for approximately 24 hours. Which opiod should the nurse anticipate that the physician would use?
Duramorph, a form of morphine sulfate, is usually injected into the epidural space after a cesarean section birth to ease the post-operative pain for up to 24 hrs. Narcan is an opiate antagonist used to reverse mild respiratory depression, sedation, and hypotension following small doses of opiates. Nubain and Stadol are narcotic agonists, but are not used in conjunction with an epidural.
A nurse is caring for a laboring client who just received an epidural block. What is the major adverse effect that the nurse should observe for?
Hypotension, due to vasodilation from the initial effects of the epidural, may be prevented with a pre-load bolus of 500cc IV solution. Unilateral block and pruritus are less common adverse effects. Hypertension may be a complication of pregnancy-induced hypertension and oxytocin inductions.
A laboring client has received naloxone (Narcan) intravenously. When should the nurse anticipate the peak effect?
Onset of action for Narcan occurs in two minutes, with its peak effect in 5 to 15 minutes. The duration may be as short as 45 minutes.
Primigravida
A woman who is pregnant for the first time.
Primigravida
A woman who is pregnant for the first time.
The nurse in the prenatal clinic is planning care for a pregnant 15-year-old client. The nurse knows that this adolescent is at risk for which maternal complication? Postpartum hemorrhage Hypoglycemia Cesarean birth Preeclampsi
Adolescents are at increased risk for preeclampsia. Postpartum hemorrhage is a complication of multiparity. Hypoglycemia is a complication of diabetes. Cesarean birth is a high-risk factor for clients over 35 years of age.
A nurse is assessing a prenatal client at 26 weeks' gestation. The nurse anticipates measuring the fundal height at:
26 cm is the anticipated the fundal height in a prenatal client at 26 weeks' gestation (1 cm/wk between 20-36 wks). A fundal height of 20 cm correlates with a 20 wks gestation, 24 cm with 24 wks gestation, and 30 cm with 30 wks gestation.
A nurse is teaching a prenatal client about cardiovascular changes during pregnancy. The client asks the nurse why she becomes dizzy when getting out of a chair or out of bed. What rationale should the nurse provide as to the cause of postural hypotensio
Increased blood volume in the lower extremities is the rationale the nurse should provide for the cause of postural hypotension during pregnancy. Hormones, fibrinogen, plasma production and hemoglobin are not related to orthostatic hypotension.
The nurse is caring for four laboring clients. Which client would be an appropriate candidate for an epidural block?
When used in active labor, the epidural block may be administered as soon as active labor is established (nullipara is 5 to 6 cm dilated, multipara is 3 to 4 cm ) and the fetal vertex is engaged (zero station), which would be the G3P2 client dilated to 3-4 cm. In a grand-multipara (G5P4) dilated 7-8 cm, there would be insufficient time to place the epidural, as birth is imminent.
A laboring client is lying supine with a blood pressure of 88/60. What should be the initial nursing action?
Position client on the left side will correct the supine hypotension (88/60) due to aortocaval compression. Administration of oxygen, notifying the physician or nurse-midwife, or increasing the intravenous drip rate are not initial actions because they will not correct aortocaval compression.
A Hmong client has just given birth to a five pound baby girl. What culturally sensitive nursing action is appropriate at this time?
Offering the mother a soft-boiled egg to eat is the culturally sensitive nursing action appropriate for the postpartum Hmong client. Commenting on the daintiness of her baby girl and assisting the mother in bathing the baby is not a cultural preference. Warm foods are preferred by this culture at this time so offering cold foods would not be appropriate.
A prenatal client in her third trimester of pregnancy complains of frequent leg cramps. She asks the nurse, "What can I do to prevent these cramps?" Which of the following is the nurse's best response?
Decreasing milk intake to a pint a day and taking calcium carbonate is a good way to prevent leg cramps while in the third trimester of a pregnancy. Increasing milk and dairy servings is not helpful. Changing position and resting often with the feet and legs elevated helps with reduction of venous stasis, not leg cramps.
A nurse is caring for a client during the fourth stage of labor. What are the expected assessment findings at this time?
Decreased blood pressure and increased pulse are the expected assessment findings during the fourth stage of labor.
A nurse assesses a rise in the fundal height and a sudden gush of blood from the vagina of a postpartum client five minutes after birth. The nurse appropriately interprets these finding as:
Separation of the placenta is characterized by a rise in fundal height and sudden gush of blood five minutes after birth. Immediate postpartum hemorrhage is not characterized by a rise in fundal height. Late postpartum hemorrhage occurs 24-48 hours or more after birth. Delivery of the placenta is characterized by a decrease in fundal height.
A laboring client complains of nausea and vomiting and increasing rectal pressure. She states, "I can't take this any more." The nurse correctly assesses that this client is in which phase of labor?
Transition is the phase of labor where clients usually complain of nausea and vomiting and increasing rectal pressure and state, "I can't take any more." A laboring client usually is able to cope in the latent and active phases of labor. Nausea, vomiting, and rectal pressure decrease during the second stage with the birth of the baby.
The nurse in the prenatal clinic is planning care for a pregnant 15-year-old client. The nurse knows that this adolescent is at risk for which maternal complication?
Postpartum hemorrhage
Hypoglycemia
Cesarean birth
Preeclampsia
Adolescents are at increased risk for preeclampsia. Postpartum hemorrhage is a complication of multiparity. Hypoglycemia is a complication of diabetes. Cesarean birth is a high-risk factor for clients over 35 years of age.
The nurse has completed the initial assessment on four prenatal clients. Which client is at greatest risk for a spontaneous preterm birth? [Hint]
A 26-year-old client with a history of diabetes.
A 17-year-old client with a hyperthyroid disorder.
A 19
Twins place a patient at risk for preterm labor because of the over-distension of the uterus relative to the weeks of gestation. Diabetes places the client at risk for preeclampsia and cesarean birth. Hyperthyroid disorders are associated with an increased risk of postpartum hemorrhage. Clients older than 35 are at risk for preeclampsia and cesarean birth.
The nurse is assessing the fundal height of a client at 12 weeks' gestation. The nurse should expect the fundus to be: [Hint]
Level with the umbilicus.
Halfway between symphysis and umbilicus.
Slightly below ensiform cartilage.
Slightly above symph
The fundal height is expected to be slightly above the symphysis pubis for a client at 12 weeks' gestation. At the level of the umbilicus is expected at 20-22 weeks' gestation. Halfway between the symphysis and umbilicus is expected at 16 weeks' gestation. Slightly below the ensiform cartilage is expected at 36 weeks' gestation.
The nurse is taking an intake history of a prenatal client. Which of the following, if detected by the nurse practitioner, would indicate a positive, or diagnostic, sign of pregnancy?
If the nurse practitioner hears the fetal heartbeat with a fetoscope between 17 to 20 weeks' gestation, that would indicate a positive, or diagnostic, sign of pregnancy. The examiner can detect fetal movement at 20 weeks' gestation. Fetal heart movement can be seen as early as eight weeks' gestation with ultrasound. Fetal heartbeat can be detected with the electronic Doppler at 10-12 weeks' gestation.
The nurse is teaching a group of prenatal clients about nipple stimulation in preparation for breastfeeding. For which client is this procedure contraindicated?
A client with a history of preterm labor is not an appropriate candidate for nipple stimulation, as it might trigger uterine contractions. Appropriate clients are the client with enlarged Montgomery's tubercles, the client with active herpetic lesions, or the client with gestational diabetes.
Primipara A woman who has given birth to her first child (past the point of viability),whether or not that child is living or was alive at birth.
Primipara A woman who has given birth to her first child (past the point of viability),whether or not that child is living or was alive at birth.
The nurse is researching the topic of uteroplacental blood flow. Which of the following accurately describes funic souffle?
Funic souffle is a soft blowing sound of blood that is at the same rate as the fetal heart rate. Increased blood pulsating through the placenta, a soft blowing sound of blood that is at the same rate as the maternal pulse and increased blood pulsating through the uterine arteries relate to uterine souffle.
A prenatal client in the third trimester of pregnancy is diagnosed with varicosities in the vulva and perineum. Which self-care strategy should the nurse teach?
The hips, as well as the feet and legs, must be elevated to promote venous drainage into the trunk. Supportive hose need to be applied in the morning, rather than starting in the afternoon or evening. Changing shoes may help with back pain but not varicosities.
A prenatal client in her third trimester of pregnancy complains of frequent leg cramps. She asks the nurse, "What can I do to prevent these cramps?" Which of the following is the nurse's best response?
Decreasing milk intake to a pint a day and taking calcium carbonate is a good way to prevent leg cramps while in the third trimester of a pregnancy. Increasing milk and dairy servings is not helpful. Changing position and resting often with the feet and legs elevated helps with reduction of venous stasis, not leg cramps.
A laboring client is lying supine with a blood pressure of 88/60. What should be the initial nursing action?
Position client on the left side will correct the supine hypotension (88/60) due to aortocaval compression. Administration of oxygen, notifying the physician or nurse-midwife, or increasing the intravenous drip rate are not initial actions because they will not correct aortocaval compression.
Para
A woman who has borne offspring who reached the age of viability
Para
A woman who has borne offspring who reached the age of viability
A Hmong client has just given birth to a five pound baby girl. What culturally sensitive nursing action is appropriate at this time?
Offering the mother a soft-boiled egg to eat is the culturally sensitive nursing action appropriate for the postpartum Hmong client. Commenting on the daintiness of her baby girl and assisting the mother in bathing the baby is not a cultural preference. Warm foods are preferred by this culture at this time so offering cold foods would not be appropriate.
The nurse is teaching a group of prenatal clients about nipple stimulation in preparation for breastfeeding. For which client is this procedure contraindicated?
A client with a history of preterm labor is not an appropriate candidate for nipple stimulation, as it might trigger uterine contractions. Appropriate clients are the client with enlarged Montgomery's tubercles, the client with active herpetic lesions, or the client with gestational diabetes.
The nurse in the prenatal clinic is taking a history from a prenatal client at seven weeks' gestation. The client states, "I don't know if I want this baby. How will I know if I'll be a good mother?" What is the most appropriate response by the
Not knowing if she wants the baby and wondering if she'll be a good mother is a normal reaction to parenthood in the first trimester. Asking a newly pregnant woman to consider an abortion or adoption.is a nontherapeutic response. The client did not introduce the topic of not wanting her baby. Not knowing if she wants the baby and wondering if she'll be a good mother is a normal reaction to parenthood and not necessarily a sign of depression and does not warrant a referral.
The nurse in the prenatal clinic is taking a history from a prenatal client at seven weeks' gestation. The client states, "I don't know if I want this baby. How will I know if I'll be a good mother?" What is the most appropriate response by the
Not knowing if she wants the baby and wondering if she'll be a good mother is a normal reaction to parenthood in the first trimester. Asking a newly pregnant woman to consider an abortion or adoption.is a nontherapeutic response. The client did not introduce the topic of not wanting her baby. Not knowing if she wants the baby and wondering if she'll be a good mother is a normal reaction to parenthood and not necessarily a sign of depression and does not warrant a referral.
A nurse is receiving a report on four clients in the birthing center. Which client should the nurse anticipate giving birth first?
He client who is G5P4, 5 cm dilated, and 40% effaced would probably be the first to deliver. Multiparas usually progress faster than nulliparas. A gravida 6 with only one prior delivery would probably not progress as rapidly as the woman who is gravida 5 para 4.
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