Download Exam 2: NUR202/ NUR 202 (New 2025/ 2026 Update) Maternal Newborn Nursing Review | Q&As and more Exams Nursing in PDF only on Docsity!
Exam 2: NUR202/ NUR 202 (New 2025/ 2026
Update) Maternal Newborn Nursing Review |
Questions and Verified Answers| 100%
Correct| A Grade– Fortis
QUESTION
What is oligohydramnios? Answer: amniotic fluid volume that is less than exprected for gestational age.
QUESTION
what are Oligohydramnios complications? Answer:
- cord compression (will see variable decel) resulting in hypoxemia
- increases risk for meconium aspiration
QUESTION
what is terbutaline? whats the side effect? when shouldn't we give this med? Answer: a medication that relaxes the smooth muscle of the uterus.
- SE: tachycardia
- don't give if pt has an infection
QUESTION
What is chorioamnionitis?
Answer: bacterial infection of the amniotic cavity, is a major cause of complications for mothers and newborns at any gestational age. this is the most common maternal complication of PROM
QUESTION
what are signs of chorioamnionitis? Answer: maternal fever, increased heart rate in mom and baby
QUESTION
what is preterm labor? what are signs and symptoms of preterm labor? what to give if pt has a hx of preterm labor? Answer:
- labor before 37 weeks, after 20 weeks
- S&S: pelvic pressure, dull backache, uterine tightening
- give progesterone if hx of preterm
QUESTION
what is cervical ripening? what meds can do this? Answer: softening and thinning of the cervix
- cytotec, cervidil, and prostaglandin gel
QUESTION
what is a prolapsed cord? what to do during this? Answer:
- cord is lying below the presenting part of the fetus
QUESTION
what does prostaglandin gel do? Answer: softens and thins the cervix
QUESTION
how to prevent hemorrhage? Answer:
- massage the fundus
- eliminate bladder distention
- give IV fluids
- always have 2 IV sites
QUESTION
what is involution? Answer: the return of the uterus to a non pregnant state after birth
QUESTION
What is subinvolution? Answer: failure of uterus to return to non-pregnant state
- bc of retained placental fragments or infection
QUESTION
What is lochia?
Answer: postbirth uterine discharge
- rubra is mild bright red first
- serosa is pink or brown
- alba is yellow or white
QUESTION
patient teaching for lacerations? Answer: avoid suppositories and avoid straining and constipation
QUESTION
when should breastfeeding be initiated after birth? Answer: 1 - 2 hours after birth
QUESTION
What do kegel exercises do? Answer: increase muscle tone and aid in voluntary control of bladder.
QUESTION
What can a boggy uterus indicate? Answer: postpartum hemorrhage
Answer: hyper-reflexive: increases risk for seizures
- check deep tendon reflexes
- check clonus (lift up foot, if it twitches when it falls, the amount of twitches is the amount of clonus)
QUESTION
what is eclampsia? Answer: the seizure or coma in preeclampsia
- starts with tonic contraction of all body muscles then tonic-clonic convulsions
QUESTION
nursing considerations during eclampsia? Answer: keep mom safe, protect the airway, don't leave her bedside
QUESTION
What is HELLP syndrome? Answer: hemolysis, elevated liver enzymes, low platelets
- pt will have RUQ pain and low fibrinogen
QUESTION
what is placenta Previa? Answer: the placenta implants lower in the uterus, pt will have painless bright red bleeding.
- need an ultrasound to diagnose
- pt will need a C-section bc placenta is in the way
QUESTION
what is magnesium sulfate used for? Answer:
- to prevent seizure activity
- to suppress uterine activity
QUESTION
signs and symptoms of magnesium toxicity Answer: absent deep tendon reflexes, respiratory depression, blurred vision, slurred speech, urine output less than 30 mL/hr, severe muscle weakness, cardiac arrest
QUESTION
What is hyperemesis gravidarum? Answer: excessive vomiting during pregnancy that results in weight loss, electrolyte imbalance, nutritional deficiency, and ketonuria
QUESTION
pt teaching for hyperemesis gravidarum Answer:
- eat small frequent meals
- eat dry, bland, and high in protein
- eat cold foods/drinks rather than warm
Answer: vaginal: greater than 500 mL C-section: greater than 1,000 mL
QUESTION
what is the number 1 cause of postpartum hemorrhage? Answer: uterine atony (we should massage the fundus)
QUESTION
what is a vulvar hematoma? Answer: the second leading cause of postpartum hemorrhage, pain is the most common symptom, there will be bruising and swelling, the blood collects under the tissue
QUESTION
when should postpartum blues resolve? Answer: by day 10 after labor
QUESTION
what indicates postpartum depression? Answer: mood swings, difficulty sleeping, loss of appetite, thoughts of self harm
- lasts more than 2 weeks this is concerning
QUESTION
what indicated postpartum psychosis? Answer: rapid onset bizarre behavior, hallucinations, paranoid, impulsivity with risk of suicide
QUESTION
what do babies use glucose for? Answer: they need it to grow, they use it as fuel
QUESTION
which test is best to determine how well a pregnant women is controlling her glucose? Answer: a blood glucose test (this is better than A1C)
QUESTION
what can poor glycemic control in pregnancy cause? Answer: macrosomia, preterm labor, and increases risk for shoulder dystocia
QUESTION
what is macrosomia? Answer: growth of the fetus beyond a specific threshold
