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 client at 26 weeks gestation is diagnosed with placenta previa. The nurse should prioritize which assessment?
Answer: Amount and characteristics of vaginal bleeding
Painless, bright-red vaginal bleeding is the hallmark of placenta previa and its amount must be monitored to assess maternal and fetal stability.
A nurse is caring for a client with hyperemesis gravidarum at 10 weeks gestation. Which laboratory result is MOST likely to be abnormal?
Answer: Serum potassium 2.9 mEq/L
Persistent vomiting in hyperemesis gravidarum causes loss of hydrogen and chloride ions, leading to hypokalemia and metabolic alkalosis.
Which assessment finding in a client at 38 weeks gestation is MOST consistent with lightening?
Answer: Increased urinary frequency and easier breathing
Lightening (engagement of the fetal head into the pelvis) relieves diaphragmatic pressure, easing breathing, but increases bladder pressure, causing urinary frequency.
A client at 24 weeks gestation with no prior history of diabetes has a 1-hour glucose challenge test result of 152 mg/dL. The nurse explains that the next step is:
Answer: Perform a 3-hour oral glucose tolerance test
A 1-hour GCT value ≥140 mg/dL is a positive screen that requires confirmation with a 3-hour 100-g OGTT for gestational diabetes diagnosis.
A primigravida at 36 weeks asks the nurse about warning signs to report immediately. Which symptom is MOST urgent?
Answer: Sudden severe headache and visual disturbances
Sudden severe headache and visual changes (scotoma, blurring) are signs of severe preeclampsia or impending eclampsia requiring emergency evaluation.
The nurse is reviewing fetal development with a client at 12 weeks gestation. Which statement about fetal status at 12 weeks is ACCURATE?
Answer: External genitalia are distinguishable
By 12 weeks gestation, external genitalia differentiate enough to be distinguishable on ultrasound, though fine details may vary.
A client at 30 weeks gestation is scheduled for a nonstress test (NST). The nurse explains the test is REACTIVE (normal) when:
Answer: Two or more fetal heart rate accelerations of 15 bpm lasting 15 seconds occur within 20 minutes
A reactive NST requires at least two FHR accelerations of ≥15 bpm above baseline lasting ≥15 seconds within 20 minutes, indicating fetal well-being.