5. #1 priority for LGA with mom with DM: check for HYPOGLYCEMIA
6. How do you help a client from pushing prematurely (before cervix fullydilated): Fast
panting, shallow breathing
7. Rooting reflex: rubbing infant cheeks = infant turns head and makes suckingmotion
- initiates sucking
8. heartburn in pregnancy is d/t: increased progesterone production causesrelaxation of
cardiac sphincter and delayed gastric emptying
9. hyperbilirubinemia and Rh factor incompatibility: clients blood doesnt have Rh factor
causing production of anti-rh antibodies --- which cross placenta causinghemolysis
10. if breastfeeding, moms should increase diet with.: protein about 25gmoreper day
11. NST performed, FHR 130-150, but no fetal movement, what should thenurse do?: Offer
snack OJ & crackers
NST depends on fetal movement, fetus most likely asleep. Thus fetuses are more active during
meals due to increase of mom BS, thus snack should promote mvmt
12. DDH developmental dysplasia of the hip, what should the nurse expect: -
asymmetric glute/thigh folds, with more or deeper folds on affected side
13. what lab do you expect w/ abruptio placentae: prolonged PTT
, 14. active labor, reports bright red bleeding since contractions started, nurseassess VS @ freq
intervals, what primary purpose is it to assess?: hemorrhage
-- needs to be assessed due to impending shock
15. A nurse is caring for a client in labor with spontaneous rupture of mem-branes.
Meconium stained amniotic fluid is noted. The fetal heart rate and variability remain normal.
The nurse in the labor room should:
prepare the client for an ultrasound examination. prepare the client for an emergency cesarean
birth.perform vaginal exams more frequently.
suction the airway as soon as the fetal head is delivered.: suction the airway assoon as the fetal
head is delivered.
meconim staining can occur with breeched presentation w/ hypoxia that can't beprevented
however can be prevented if clearing and suctioning resp tract immediate after birth
/ before 1st breath
16. 1st tri warning sign: vaginal bleeding
17. expected signs during 1st tri: urine freqN&V
18. when does urinary freq occur and end? when does it begin again?: occurduring 1st tri,
typically ends during end of 1st tri
begins again late 3rd tri, d/t increasing uterus size and pressure against bladder
19. cerclage what is it?
important education to give: reinforces weakened cervix by using sutures aroundthe cervix to
hold it closed.
very important to go to hospital when noticing 1st signs of labor so that sutures canwe
removed so cervix can dilate
20. important education prior to U/S examinations: Must have FULL bladder formost
accurate exam
21. best position for preggo to sleep: Lateral recumbent ( LEFT)LEFT side lying
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