NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
This is broken up into areas that you may see the questions in. Some of the material you may see
repeated. Coordinate the study guide as you need to.
Please complete this study guide --- find the answers to all the topics, then upload to the
gradebook &
Basic Care and Comfort
Client education: lactation suppression (how to prevent lactation) & engorgement (breast
& bottle)
• Wear a firm and supportive bra
• Relieve pain and swelling with cold/gel packs in your bra
• Cabbage leaves can be used as cold compresses
Hyperemesis gravidarum: lab work associated with this
• Urinalysis for ketones and specific gravity
Nutrition during pregnancy: iron, folic acid, protein, vitamin & minerals: know values &
why need
• 1000mg for iron: helps transfer o2 to baby
• Folic acid: 600g of folic acid a day and prevents neuro tube defects
• Protein: 70-100g a day: good source of iron
Pain management during labor: pharmacological and nonpharmacological
(counterpressure, hypnosis) actions to reduce pain
• Epidural anesthesia for pharmacological
• Distraction, deep breathing exercises, music for non-pharmacological
Postpartum assessment findings physiological adaptations
• Emotion for postpartum depression
• LOCHIA: crucial to see if the fluid is infected or not
• Fundus placement and if firm or boggy
• Make sure the bladder is working, help pt to restroom
NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
,NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
Pain Control for Heel stick for infant
• Swaddling
• Warm heel using heel warmers
• Skin to skin
Postpartum Physiological Adaptations: Contraindications for Postpartum Medication
Administration
Methergine is contraindicated to high blood pressure
Early Onset of Labor: Laboratory Values During Tocolytic Therapy (Magnesium sulfate)
Magnesium sulfate lab values are 4-8
Medical Conditions: Reportable Findings for Magnesium Sulfate (BURP)
• B: decreased bp
• U: decreased urine output
• R: decreased respirations
• P: patella deep tendon reflexes absent
Medications Affecting Labor and Delivery: Contraindications for Receiving Terbutaline
• Diabetes
• Ketoacidosis
• HBP
Safety and Infection Control
Priority for client having a seizure (safety protocols)
• Padding on bed rails
• If on magnesium keep calcium gluconate near
• Suction at bedside as well as o2
• Never leave patient alone
• Turn on side
Newborn home safety & security within hospital (ex. do not leave infant unattended)
• Make sure baby has band on at all times in hospital
• Never leave baby alone
• No weapons in reach for baby
• Medicine cabinet locked
NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
,NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
• Soft edges on furniture and cabinets
• Lay baby on back when sleeping
NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
, NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
Safe medication administration (Rights)
• Make sure right patient 2 patient identifiers
• Check for allergies
• Double check the right medication
• Make sure gag reflex is intact, if needed
Discharge Instructions: Instructions for car seat safety
• Make sure center clip on nipple line
• Place car seat in middle seat of car
• Position newborn in rear facing car seat until 2 years old
• 4-7 years keep the child forward facing with a harness
•
Nursing Care of Newborns: Ensure Identification of newborns, car seat safety
• Identification (using two different identifiers) is applied to the newborn immediately
after birth by the nursing
• Baby, mom, and dad are identified by plastic identification wristband with
permanent locks that must be cut to be removed. Newborns name, sex, date, time of
birth, and mothers health record number.
• Each time the baby is taken to parent always verified mother and baby
• All nurses or staff are required to wear photo identification badges
• The newborn is not to be given to anyone who does not have a photo identification badge
that distinguishes that person as a staff member of the facility maternal newborn unit
• The newborn should have one band placed on the ankle and one on the wrist; the
newborn’s footprints and mothers thumb prints are taken.
• Many facilities have locked maternal newborn units that required staff to permit
entrance or exit. Some have sensor device on the ID band or umbilical cord clamp that
alarm if baby is being removed from the facility.
NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
Maternal-Newborn Final Study Guide
latest update 2022/2023
This is broken up into areas that you may see the questions in. Some of the material you may see
repeated. Coordinate the study guide as you need to.
Please complete this study guide --- find the answers to all the topics, then upload to the
gradebook &
Basic Care and Comfort
Client education: lactation suppression (how to prevent lactation) & engorgement (breast
& bottle)
• Wear a firm and supportive bra
• Relieve pain and swelling with cold/gel packs in your bra
• Cabbage leaves can be used as cold compresses
Hyperemesis gravidarum: lab work associated with this
• Urinalysis for ketones and specific gravity
Nutrition during pregnancy: iron, folic acid, protein, vitamin & minerals: know values &
why need
• 1000mg for iron: helps transfer o2 to baby
• Folic acid: 600g of folic acid a day and prevents neuro tube defects
• Protein: 70-100g a day: good source of iron
Pain management during labor: pharmacological and nonpharmacological
(counterpressure, hypnosis) actions to reduce pain
• Epidural anesthesia for pharmacological
• Distraction, deep breathing exercises, music for non-pharmacological
Postpartum assessment findings physiological adaptations
• Emotion for postpartum depression
• LOCHIA: crucial to see if the fluid is infected or not
• Fundus placement and if firm or boggy
• Make sure the bladder is working, help pt to restroom
NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
,NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
Pain Control for Heel stick for infant
• Swaddling
• Warm heel using heel warmers
• Skin to skin
Postpartum Physiological Adaptations: Contraindications for Postpartum Medication
Administration
Methergine is contraindicated to high blood pressure
Early Onset of Labor: Laboratory Values During Tocolytic Therapy (Magnesium sulfate)
Magnesium sulfate lab values are 4-8
Medical Conditions: Reportable Findings for Magnesium Sulfate (BURP)
• B: decreased bp
• U: decreased urine output
• R: decreased respirations
• P: patella deep tendon reflexes absent
Medications Affecting Labor and Delivery: Contraindications for Receiving Terbutaline
• Diabetes
• Ketoacidosis
• HBP
Safety and Infection Control
Priority for client having a seizure (safety protocols)
• Padding on bed rails
• If on magnesium keep calcium gluconate near
• Suction at bedside as well as o2
• Never leave patient alone
• Turn on side
Newborn home safety & security within hospital (ex. do not leave infant unattended)
• Make sure baby has band on at all times in hospital
• Never leave baby alone
• No weapons in reach for baby
• Medicine cabinet locked
NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
,NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
• Soft edges on furniture and cabinets
• Lay baby on back when sleeping
NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
, NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
Safe medication administration (Rights)
• Make sure right patient 2 patient identifiers
• Check for allergies
• Double check the right medication
• Make sure gag reflex is intact, if needed
Discharge Instructions: Instructions for car seat safety
• Make sure center clip on nipple line
• Place car seat in middle seat of car
• Position newborn in rear facing car seat until 2 years old
• 4-7 years keep the child forward facing with a harness
•
Nursing Care of Newborns: Ensure Identification of newborns, car seat safety
• Identification (using two different identifiers) is applied to the newborn immediately
after birth by the nursing
• Baby, mom, and dad are identified by plastic identification wristband with
permanent locks that must be cut to be removed. Newborns name, sex, date, time of
birth, and mothers health record number.
• Each time the baby is taken to parent always verified mother and baby
• All nurses or staff are required to wear photo identification badges
• The newborn is not to be given to anyone who does not have a photo identification badge
that distinguishes that person as a staff member of the facility maternal newborn unit
• The newborn should have one band placed on the ankle and one on the wrist; the
newborn’s footprints and mothers thumb prints are taken.
• Many facilities have locked maternal newborn units that required staff to permit
entrance or exit. Some have sensor device on the ID band or umbilical cord clamp that
alarm if baby is being removed from the facility.
NR327Chamberlain College of Nursing
Maternal-Newborn Final Study Guide
latest update 2022/2023
