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 41 weeks gestation undergoes a biophysical profile (BPP). A score of 6 out of 10 is obtained. What is the nurse's understanding of this result?
Answer: Equivocal — further evaluation or delivery may be indicated
A BPP score of 6/10 is equivocal and requires further evaluation, possible repeat testing, or consideration of delivery depending on gestational age.
A nurse is teaching a client about signs of preterm labor. Which symptom should the client report immediately?
Answer: A low backache that comes and goes every 10 minutes at 32 weeks
Regular low backaches occurring every 10 minutes at 32 weeks may indicate preterm labor contractions and require immediate medical evaluation.
Which newborn reflex disappears by 3–4 months of age and, if still present after 6 months, may indicate neurological damage?
Answer: Moro reflex
The Moro (startle) reflex normally disappears by 3–4 months; persistence beyond 6 months can indicate central nervous system dysfunction.
A nurse is preparing to administer vitamin K (phytonadione) to a newborn. Which site and route are correct?
Answer: Vastus lateralis, intramuscular
Vitamin K is administered intramuscularly into the vastus lateralis (anterolateral thigh) muscle in newborns, as it is the preferred IM site.
A client at 36 weeks gestation presents with sudden, severe abdominal pain, a rigid board-like abdomen, and dark red vaginal bleeding. Fetal heart tones are difficult to auscultate. The nurse suspects:
Answer: Severe abruptio placentae
Sudden severe abdominal pain, board-like uterine rigidity, dark red vaginal bleeding, and compromised fetal heart tones are classic signs of severe abruptio placentae.
A nurse is assessing lochia in a client on postpartum day 5. Which finding is expected?
Answer: Lochia serosa — pinkish-brown, serosanguineous discharge
By postpartum day 3–10, lochia transitions from rubra to serosa, which is pinkish-brown and serosanguineous in character.
A pregnant client at 28 weeks is Rh-negative with an Rh-positive partner. Her indirect Coombs test is negative. Which intervention is indicated?
Answer: Administer Rho(D) immune globulin (RhoGAM) now
RhoGAM is given at 28 weeks to Rh-negative, unsensitized mothers to prevent isoimmunization in the current and future pregnancies.