Maternity Nursing (OB Maternal & Newborn) 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 (OB Maternal & Newborn) flashcards as text
A client at 32 weeks gestation presents with painless, bright red vaginal bleeding. Which condition does the nurse suspect first?
Answer: Placenta previa
Painless bright red vaginal bleeding in the third trimester is the hallmark presentation of placenta previa due to abnormal placental implantation.
The nurse is teaching a client about the Leopold maneuvers. Which maneuver determines fetal lie and what part of the fetus is in the uterine fundus?
Answer: First maneuver
The first Leopold maneuver is performed by palpating the fundus to identify which fetal part (head or buttocks) occupies the upper uterus.
A newborn at 36 hours of life has a total serum bilirubin of 14 mg/dL and is receiving phototherapy. Which nursing action is most important during phototherapy?
Answer: Cover the infant's eyes with phototherapy shields at all times
Eye shields must be applied during phototherapy to protect the retina from damage caused by the high-intensity light.
A client in active labor has an external fetal monitor showing late decelerations with each contraction. The nurse's priority action is to:
Answer: Reposition the client to the left lateral position and apply oxygen
Late decelerations indicate uteroplacental insufficiency; repositioning to the left lateral position and applying oxygen are the initial nursing interventions to improve placental perfusion.
Which maternal lab value is most concerning in a client with HELLP syndrome?
Answer: Platelet count of 80,000/mm³
HELLP syndrome is characterized by hemolysis, elevated liver enzymes, and low platelets; a platelet count of 80,000/mm³ is critically low and indicates severe disease with bleeding risk.
A nurse is performing a gestational age assessment using the Ballard score on a newborn. Which physical finding suggests a gestational age of approximately 40 weeks?
Answer: Plantar creases covering the entire sole
Full-term newborns (40 weeks) have plantar creases extending across the entire sole of the foot, reflecting mature skin development.
A postpartum client is diagnosed with deep vein thrombosis (DVT) of the left leg. Which nursing action is contraindicated?
Answer: Massaging the affected calf to relieve discomfort
Massaging a leg with suspected or confirmed DVT is contraindicated because it can dislodge the thrombus and cause a pulmonary embolism.