Priority after birth - airway
Which patient should the pediatrician attending stay with during birth? - 37 weeks gestation with group B strep.
... [Show More] IV
penicillin is given
Question about conceiving and trouble with fertility. Factors that affects this? - tight undies, lube, hot tub use,
biking, long-distance running, irregular periods. Check this.
A new mother asks the nurse administering erythromycin ophthalmic ointment to her newborn why her
baby must be subjected to this procedure. What is the best response by the nurse?
a. "It will keep your baby from going blind."
b. "This ointment will protect your baby from bright lights."
c. "There is a law that newborns must be given this medicine."
d. "This antibiotic helps keep babies from contracting eye infections."
Risk factors for pre-rupture of membranes- Alcohol, smoking- can cause the baby to be born with immature lungs.
P-PROM Lippincott pg.
A nurse discusses with parents the procedures that will be performed on their neonate immediately after birth. The
nurse determines that the instructions have been understood when the parent states that which procedure will be
done to the neonate first? Lippincott pg. 1045
A. The neonate will be suctioned 2nd
B. The neonate will be dried and stimulated to cry. 1st
C. The neonate will be given oxygen
D. The neonate’s umbilical cord will be cut
What woman is at greatest risk for early postpartum hemorrhage?
A. A primiparous woman (G 2 P 1 0 0 1) being prepared for an emergency cesarean birth for fetal distress
B. A woman with severe preeclampsia on magnesium sulfate whose labor is being induced
C. A multiparous woman (G 3 P 2 0 0 2) with an 8-hour labor
D. A primigravida in spontaneous labor with preterm twins
Medications used to manage postpartum hemorrhage include (choose all that apply):
A. Pitocin
B. Methergine (not for HTN)
C. Terbutaline
D. Hemabate (not for asthma)
E. Magnesium sulfate
F. Cytotec
A nurse is monitoring a new mother in the PP period for signs of hemorrhage. Which of the following signs, if noted
in the mother, would be an early sign of excessive blood loss?
A) A temperature of 100.4*F
B) An increase in the pulse from 88 to 102 BPM
C) An increase in the respiratory rate from 18 to 22 breaths per minute
D) A blood pressure change from 130/88 to 124/80 mm Hg
Downloaded by Simon Kamau ([email protected])
lOMoARcPSD|25111999
Rationale: During the 4th stage of labor, the maternal blood pressure, pulse, and respiration should be checked
every 15 minutes during the first hour. A rising pulse is an early sign of excessive blood loss because the heart
pumps faster to compensate for reduced blood volume. The blood pressure will fall as the blood volume diminishes,
but a decreased blood pressure would not be the earliest sign of hemorrhage. A slight rise in temperature is normal.
The respiratory rate is increased slightly.
Methergine or pitocin is prescribed for a woman to treat PP hemorrhage. Before administration of these medications,
the priority nursing assessment is to check the:
A) Amount of lochia
B) Blood pressure
C) Deep tendon reflexes
D) Uterine tone
Rationale: Methergine and pitocin are agents that are used to prevent or control postpartum hemorrhage by
contracting the uterus. They cause continuous uterine contractions and may elevate blood pressure. A priority
nursing intervention is to check blood [Show Less]