Maternal Newborn: FINAL EXAM review - PART ONE!

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Test your knowledge of Maternal Newborn nursing with this comprehensive review! This review covers the following topics: Antepartum, Postpartum, Newborn, Neurologic/Neuromuscular/Musculoskeletal disorders.

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Fill in the Blanks Maternal Newborn: FINAL EXAM review - PART ONE!Online version Test your knowledge of Maternal Newborn nursing with this comprehensive review! This review covers the following topics: Antepartum, Postpartum, Newborn, Neurologic/Neuromuscular/Musculoskeletal disorders. by Kayla Meyers 1 non-organic organic improper The nurse understands that a child who is experiencing failure to thrive will present with : inability to suck / swallow correctly , malabsorption , GERD , cardiac or metabolic disease , vomiting / diarrhea , etc . 2 osteomyelitis Duchenne's muscular dystrophy growing pains The RN is assessing a child in the clinic who reports unilateral pain and warmth in their joints during movement . The nurse recognizes these symptoms as being related to . 3 sleeping aura ictal jerking secondary prodromal aura postictal initial postictal There are four stages of a tonic - clonic seizure . These consist of the stage ( period before the seizure in which a person may experience subtle changes in behavior , mood , or sensation - acting as a warning sign ) , next is the stage ( distinct sensation or feeling that immediately precedes the seizure - often experienced as a smell , taste , or visual perception ) , next is the stage ( active seizure - includes both tonic / stiffening & clonic / movements ) , the final stage is the stage ( recovery period following the seizure - the person may be confused , tired , and experience headaches while gradually returning to normal ) 4 increased urination at nighttime bedwetting A nurse is caring for a child who often experiences enuresis at bedtime . The parents review the notes in their childs chart and ask what enuresis means , to which the nurse responds , " Enuresis is the medical term for . " 5 enuresis nocturia A nurse on a geriatric unit is caring for a patient who complains of a frequent urge to urinate during the night . The nurse educates the patient that he is most likely experiencing . 6 nephrotic acute glomerulonephritis syndrome A nurse on a pediatric unit is caring for a 2 year old patient and discovers the following : proteinuria , blood pressure of 101 / 60 , hyperlipidemia , and hypoalbuminemia . The nurse suspects as being the cause of these findings . 7 Gross urine output spleen Decreased kidney liver edema Mild hematuria is usually the first sign associated with acute glomerulonephritis . Acute glomerulonephritis is most often caused by untreated / poorly treated group A beta - hemolytic streptococcus bacterial infection . If left untreated , acute glomerulonephritis can lead to chronic disorder . 8 syndrome decreased glomerulonephritis increased acute nephrotic Signs & symptoms of include : gross hematuria , hypoalbuminemia , hyperalbuminuria , mild / moderate edema , oliguria , and BP = headaches . 9 acute nephrotic syndrome glomerulonephritis Signs & symptoms of ( an autoimmune process ) include : hyperalbuminuria ( proteinuria ) , hypoalbuminemia , and hyperlipidemia . 10 low low high high A diet in protein and in sodium is best for patients with nephrotic syndrom e 11 infection vomiting corticosteroids NSAIDs antibiotics diarrhea Treatment for nephrotic syndrome may include . The nurse should educate the patient about an increased risk for while taking this medication . 12 prone semi-fowlers supine An infant who was born with a meningocele is returning from surgery . The nurse understands that the infant must remain in the position . 13 Muscular dystrophy Talipes Kawasaki's Crucial nursing assessments of a child with disorder ( clubfoot ) who must wear a cast often include : neuro checks , capillary refill checks , and thorough skin monitoring . 14 6 2 12 weeks hours The nurse is providing education to the parents of a toddler who must wear a Pavlik harness for developmental hip dysplasia . The nurse explains to the parents that the harness must be worn for and must not be removed even during bathing . 15 Galyer's Gower's sign is typically observed with muscular dystrophy . 16 25 casein 15 1 6 dystrophin Duchenne's disorder is typically diagnosed between the ages of - years . With this disorder , the Achille's tendon tightens up and the muscles cannot produce , a protein which absorbs shock . 17 increased decreased increased increased decreased The nurse is caring for a patient who was recently diagnosed with Duchenne's muscular dystrophy . The nurse understands that this patient requires a diet consisting of calories , protein , and fiber . 18 FALSE TRU True or False : Patients diagnosed with cerebral palsy should avoid tub baths for 4 weeks and avoid twisting or bending . 19 FALSE TRU True or False : There are three types of cerebral palsy . 20 wide scissor Spastic cerebral palsy accounts for 70 - 80% of these cases . The nurse understands that a child with spastic cerebral palsy will have a gait . 21 Ataxic Dyskinetic Spastic cerebral palsy affects the cerebellum . 22 Ataxic Spastic Dyskinetic cerebral palsy , also called " Athetoid " , is known for involuntary worm - like movements , speech impairment , cognitive impairment , dysphagia , and drooling . 23 replaced refilled refilled replaced The RN is caring for a child with spastic cerebral palsy . The nurse educates the child and their parents about a baclofen pump . The nurse explains that the baclofen pump should be every 2 to 6 months and the pump should be every 5 to 7 years . 24 Functional Structural scoliosis is caused by slouching . 25 40 20% cast brace Spinal curvature of or greater indicates the need for a corrective . 26 maternal vital signs uterus lochia Involution is when the returns to its pre - pregnancy state . 27 TRU FALSE True or False : The " taking - in phase " of Reva Rubin's three phases recognizes the time immediately after birth when the patient needs others to meet her needs and relives the birth process . 28 FALSE TRU True or False : The " taking - hold phase " of Reva Rubin's three phases is the second phase which is characterized by dependent and independent maternal behavior . 29 FALSE TRU True or False : The " letting go phase " of Reva Rubin's three phases is the third phase in which the woman reestablishes relationships with others . 30 less abruption of the placenta hemorrhage greater respiratory distress A nurse on the postpartum unit is assessing a patient and obtains a pulse reading of 118 . The nurse understands that a pulse than 100 may indicate that the patient is experiencing . 31 scant moderate light The RN is assessing the lochia of a patient . The blood on the patients perineal pad measures greater than 6 inches . The nurse documents this finding as a amount of lochia . 32 TRU FALSE True or False : A patient on the postpartum unit has a decreased pulse and her WBC count is 25 , 000 . The nurse would document this as a normal finding . 33 Terbutaline Indomethacin Oxytocin enhances uterine contractility , which decreases vaginal bleeding . 34 Lochia Alba COCA Serosa Serosa Alba Rubra Rubra is the blood from a placental wound as well as the uterine lining . Around 1 - 3 days postpartum , the lochia is red / brown . The term for red / brown lochia is . From approximately days 3 - 10 postpartum , the lochia is pink and watery , or serosanguineous . The term for serosanguineous lochia is known as . After 6 weeks postpartum , the lochia is usually white . The term for white lochia is . 35 preeclampsia placenta previa seizures Headaches unrelieved by analgesia may indicate . 36 greater less A patient experienced a precipitous delivery . The nurse documents this as being than three hours . 37 TONE TRAUMA TONE THROMBIN TISSUE TISSUE TRAUMA THROMBIN Choose the proper term that is associated with each key word ( s ) relative to assessment of the 4 T's . 1 . Uterine atony = . 2 . Retained placenta = . 3 . Laceration = . 4 . Coagulopathy = . 38 Oxytocin Prolactin Albumin is a hormone that causes the release of breastmilk in the breasts . 39 Full Term PreTerm The following characteristics would be expected of a infant : Abundant lanugo all over body , Hypotonia / relaxed posture , Few heel creases present on the feet , Abundant vernix caseosa covering the skin . 40 30 160 60 120 20 110 80 100 Normal vital signs for a newborn are : Temp 97 . 7 - 99 . 5 , Heart rate - , Respiratory rate - 60 , Blood pressure 50 / 75 . 41 200 800 300 Pregnant women should increase their caloric intake by calories . If breastfeeding , they should consume an extra 500 calories . 42 alkalosis respiratory metabolic acidosis A newborn experiencing cold stress is at risk for developing . 43 intramuscularly subcutaneously When administering injections to an infant , the nurse should administer them into the vastus lateralis .

Fill in the Blanks

Maternal Newborn: FINAL EXAM review - PART ONE!Online version

by Kayla Meyers

non-organic organic improper

The nurse understands that a child who is experiencing failure to thrive will present with : inability to suck / swallow correctly , malabsorption , GERD , cardiac or metabolic disease , vomiting / diarrhea , etc .

osteomyelitis Duchenne's muscular dystrophy growing pains

The RN is assessing a child in the clinic who reports unilateral pain and warmth in their joints during movement . The nurse recognizes these symptoms as being related to .

sleeping aura ictal jerking secondary prodromal aura postictal initial postictal

There are four stages of a tonic - clonic seizure . These consist of the stage ( period before the seizure in which a person may experience subtle changes in behavior , mood , or sensation - acting as a warning sign ) , next is the stage ( distinct sensation or feeling that immediately precedes the seizure - often experienced as a smell , taste , or visual perception ) , next is the stage ( active seizure - includes both tonic / stiffening & clonic / movements ) , the final stage is the stage ( recovery period following the seizure - the person may be confused , tired , and experience headaches while gradually returning to normal )

increased urination at nighttime bedwetting

A nurse is caring for a child who often experiences enuresis at bedtime . The parents review the notes in their childs chart and ask what enuresis means , to which the nurse responds , " Enuresis is the medical term for . "

enuresis nocturia

A nurse on a geriatric unit is caring for a patient who complains of a frequent urge to urinate during the night . The nurse educates the patient that he is most likely experiencing .

nephrotic acute glomerulonephritis syndrome

A nurse on a pediatric unit is caring for a 2 year old patient and discovers the following : proteinuria , blood pressure of 101 / 60 , hyperlipidemia , and hypoalbuminemia . The nurse suspects as being the cause of these findings .

Gross urine output spleen Decreased kidney liver edema Mild hematuria

is usually the first sign associated with acute glomerulonephritis . Acute glomerulonephritis is most often caused by untreated / poorly treated group A beta - hemolytic streptococcus bacterial infection . If left untreated , acute glomerulonephritis can lead to chronic disorder .

syndrome decreased glomerulonephritis increased acute nephrotic

Signs & symptoms of include : gross hematuria , hypoalbuminemia , hyperalbuminuria , mild / moderate edema , oliguria , and BP = headaches .

acute nephrotic syndrome glomerulonephritis

Signs & symptoms of ( an autoimmune process ) include : hyperalbuminuria ( proteinuria ) , hypoalbuminemia , and hyperlipidemia .

low low high high

A diet in protein and in sodium is best for patients with nephrotic syndrom e

infection vomiting corticosteroids NSAIDs antibiotics diarrhea

Treatment for nephrotic syndrome may include . The nurse should educate the patient about an increased risk for while taking this medication .

prone semi-fowlers supine

An infant who was born with a meningocele is returning from surgery . The nurse understands that the infant must remain in the position .

Muscular dystrophy Talipes Kawasaki's

Crucial nursing assessments of a child with disorder ( clubfoot ) who must wear a cast often include : neuro checks , capillary refill checks , and thorough skin monitoring .

6 2 12 weeks hours

The nurse is providing education to the parents of a toddler who must wear a Pavlik harness for developmental hip dysplasia . The nurse explains to the parents that the harness must be worn for and must not be removed even during bathing .

Galyer's Gower's

sign is typically observed with muscular dystrophy .

25 casein 15 1 6 dystrophin

Duchenne's disorder is typically diagnosed between the ages of - years . With this disorder , the Achille's tendon tightens up and the muscles cannot produce , a protein which absorbs shock .

increased decreased increased increased decreased

The nurse is caring for a patient who was recently diagnosed with Duchenne's muscular dystrophy . The nurse understands that this patient requires a diet consisting of calories , protein , and fiber .

FALSE TRU

True or False : Patients diagnosed with cerebral palsy should avoid tub baths for 4 weeks and avoid twisting or bending .

FALSE TRU

True or False : There are three types of cerebral palsy .

wide scissor

Spastic cerebral palsy accounts for 70 - 80% of these cases . The nurse understands that a child with spastic cerebral palsy will have a gait .

Ataxic Dyskinetic Spastic

cerebral palsy affects the cerebellum .

Ataxic Spastic Dyskinetic

cerebral palsy , also called " Athetoid " , is known for involuntary worm - like movements , speech impairment , cognitive impairment , dysphagia , and drooling .

replaced refilled refilled replaced

The RN is caring for a child with spastic cerebral palsy . The nurse educates the child and their parents about a baclofen pump . The nurse explains that the baclofen pump should be every 2 to 6 months and the pump should be every 5 to 7 years .

Functional Structural

scoliosis is caused by slouching .

40 20% cast brace

Spinal curvature of or greater indicates the need for a corrective .

maternal vital signs uterus lochia

Involution is when the returns to its pre - pregnancy state .

TRU FALSE

True or False : The " taking - in phase " of Reva Rubin's three phases recognizes the time immediately after birth when the patient needs others to meet her needs and relives the birth process .

FALSE TRU

True or False : The " taking - hold phase " of Reva Rubin's three phases is the second phase which is characterized by dependent and independent maternal behavior .

FALSE TRU

True or False : The " letting go phase " of Reva Rubin's three phases is the third phase in which the woman reestablishes relationships with others .

less abruption of the placenta hemorrhage greater respiratory distress

A nurse on the postpartum unit is assessing a patient and obtains a pulse reading of 118 . The nurse understands that a pulse than 100 may indicate that the patient is experiencing .

scant moderate light

The RN is assessing the lochia of a patient . The blood on the patients perineal pad measures greater than 6 inches . The nurse documents this finding as a amount of lochia .

TRU FALSE

True or False : A patient on the postpartum unit has a decreased pulse and her WBC count is 25 , 000 . The nurse would document this as a normal finding .

Terbutaline Indomethacin Oxytocin

enhances uterine contractility , which decreases vaginal bleeding .

Lochia Alba COCA Serosa Serosa Alba Rubra Rubra

is the blood from a placental wound as well as the uterine lining . Around 1 - 3 days postpartum , the lochia is red / brown . The term for red / brown lochia is . From approximately days 3 - 10 postpartum , the lochia is pink and watery , or serosanguineous . The term for serosanguineous lochia is known as . After 6 weeks postpartum , the lochia is usually white . The term for white lochia is .

preeclampsia placenta previa seizures

Headaches unrelieved by analgesia may indicate .

greater less

A patient experienced a precipitous delivery . The nurse documents this as being than three hours .

TONE TRAUMA TONE THROMBIN TISSUE TISSUE TRAUMA THROMBIN

Choose the proper term that is associated with each key word ( s ) relative to assessment of the 4 T's . 1 . Uterine atony = . 2 . Retained placenta = . 3 . Laceration = . 4 . Coagulopathy = .

Oxytocin Prolactin Albumin

is a hormone that causes the release of breastmilk in the breasts .

Full Term PreTerm

The following characteristics would be expected of a infant : Abundant lanugo all over body , Hypotonia / relaxed posture , Few heel creases present on the feet , Abundant vernix caseosa covering the skin .

30 160 60 120 20 110 80 100

Normal vital signs for a newborn are : Temp 97 . 7 - 99 . 5 , Heart rate - , Respiratory rate - 60 , Blood pressure 50 / 75 .

200 800 300

Pregnant women should increase their caloric intake by calories . If breastfeeding , they should consume an extra 500 calories .

alkalosis respiratory metabolic acidosis

A newborn experiencing cold stress is at risk for developing .

intramuscularly subcutaneously

When administering injections to an infant , the nurse should administer them into the vastus lateralis .

Maternal Newborn: FINAL EXAM review - PART ONE!

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