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 caring for a client with preeclampsia who is receiving magnesium sulfate. Which assessment finding requires the nurse to hold the medication and notify the provider?
Answer: Respiratory rate of 10 breaths/min
A respiratory rate below 12 breaths/min indicates magnesium toxicity, which can cause respiratory depression and arrest.
Which breastfeeding position is most beneficial for a mother who delivered by cesarean section to avoid incision discomfort?
Answer: Football (clutch) hold
The football hold keeps the infant away from the abdominal incision, making it the most comfortable position after a cesarean delivery.
A newborn's APGAR score at 1 minute is 5. What is the most appropriate nursing action?
Answer: Provide stimulation and supplemental oxygen, then reassess at 5 minutes
An APGAR score of 4–6 indicates moderate depression requiring stimulation and supplemental oxygen, with reassessment at 5 minutes.
A nurse is teaching a pregnant client about warning signs. Which symptom should the client report immediately during the third trimester?
Answer: Sudden decrease in fetal movement
A sudden decrease in fetal movement may indicate fetal distress and requires immediate evaluation.
The nurse is assessing a newborn and notes jaundice visible on the face and chest at 18 hours of life. Which action is most appropriate?
Answer: Encourage frequent breastfeeding and obtain a serum bilirubin level
Jaundice appearing before 24 hours of life is pathological and requires a serum bilirubin level along with frequent feeding to promote bilirubin excretion.
A client in the third trimester reports right upper quadrant pain, headache, and visual disturbances. The nurse measures a BP of 158/106 mmHg. Which condition does the nurse suspect?
Answer: HELLP syndrome
HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) presents with RUQ pain, headache, visual changes, and severe hypertension.
Which action by the nurse best promotes successful breastfeeding in the first hour after delivery?
Answer: Place the newborn skin-to-skin on the mother's chest
Skin-to-skin contact in the first hour promotes the newborn's rooting reflex and facilitates early latching and successful breastfeeding initiation.