Maternal and Neonatal Nursing Flashcards
7 cards from real LPN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Maternal and Neonatal Nursing flashcards as text
A nurse is assessing a postpartum client 2 hours after delivery. The fundus is firm, located 2 cm above the umbilicus, and deviated to the right. What is the most likely cause?
Answer: Urinary bladder distension
A deviated uterus, especially to the right, typically indicates a full bladder that is displacing the uterus.
Which assessment finding in a newborn at 24 hours of life requires immediate nursing intervention?
Answer: Blood glucose of 38 mg/dL
A blood glucose below 40–45 mg/dL in a neonate indicates hypoglycemia and requires immediate feeding or IV dextrose.
A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which condition should the nurse suspect first?
Answer: Placenta previa
Painless, bright red vaginal bleeding in the third trimester is the classic presentation of placenta previa.
When performing a fundal assessment on a postpartum client, the nurse finds the fundus is boggy. What is the priority nursing action?
Answer: Perform uterine massage
A boggy fundus indicates uterine atony, and the first intervention is uterine fundal massage to stimulate contraction.
The nurse is teaching a new mother about newborn care. Which statement about umbilical cord care is most accurate?
Answer: Keep the cord dry and expose it to air to promote drying
Keeping the cord dry and exposed to air promotes drying and separation, and current guidelines recommend dry care rather than antiseptic application.
A nurse is caring for a client in active labor. The fetal heart rate tracing shows late decelerations with minimal variability. What is the priority nursing action?
Answer: Reposition the mother to the left lateral position
Repositioning to the left lateral position relieves aortocaval compression and is the first intervention for late decelerations.
A neonate born at 38 weeks gestation has a Ballard score assessment. Which physical characteristic indicates greater gestational maturity?
Answer: Well-curved ear pinna with firm recoil
A well-curved ear pinna with firm, instant recoil indicates greater neuromuscular maturity associated with full-term gestation.