Maternity Nursing: Antepartum Flashcards
7 cards from real Maternal Newborn Nursing Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Maternity Nursing: Antepartum flashcards as text
A pregnant client at 28 weeks gestation is prescribed the Rh immunoglobulin (RhoGAM) injection. The nurse knows this is indicated because the client is:
Answer: Rh-negative with an Rh-positive fetus
RhoGAM is given to Rh-negative mothers who may be carrying an Rh-positive fetus to prevent isoimmunization.
Which laboratory finding is most concerning in a client at 34 weeks gestation with suspected preeclampsia?
Answer: Platelet count of 85,000/mm³
A platelet count below 100,000/mm³ suggests HELLP syndrome, a severe complication of preeclampsia requiring immediate intervention.
A client at 20 weeks gestation reports painful leg cramps at night. The nurse's best recommendation is to:
Answer: Dorsiflex the foot during the cramp
Dorsiflexing the foot stretches the gastrocnemius muscle and relieves the cramp; plantarflexion worsens it.
A client with gestational diabetes is being taught about diet management. Which meal plan choice is MOST appropriate?
Answer: Distribute carbohydrates evenly across three meals and two to three snacks
Distributing carbohydrates evenly helps maintain stable blood glucose levels and prevents postprandial hyperglycemia.
During a routine 16-week prenatal visit, the nurse assesses fundal height. The fundus should be palpable at approximately:
Answer: Halfway between the symphysis pubis and umbilicus
At 16 weeks, the fundus is midway between the symphysis pubis and umbilicus, consistent with McDonald's rule.
A nurse is reviewing a client's prenatal labs. Which finding requires immediate follow-up?
Answer: Rubella titer non-immune
A non-immune rubella titer means the client is susceptible to rubella infection, which can cause serious fetal harm; vaccination is scheduled postpartum.
A client at 32 weeks gestation reports decreased fetal movement. The nurse instructs her to perform a kick count. Which response indicates a need for further evaluation?
Answer: Fewer than ten movements in 2 hours
Fewer than ten fetal movements in a 2-hour period is a warning sign of fetal compromise requiring further assessment.