lOMoARcPSD|21646696
RN Maternal Newborn 2019 Proctored Focused
Review
, lOMoARcPSD|21646696
Management of Care
Establishing Priorities
Medical Conditions: Prioritizing Client Assessment
1. Hyperemesis gravidrum: excessive nausea and vomiting (possible related to
elevated hcG levels. Can cause weight loss
2. Iron deficiency anemia: due to inadequacy in maternal iron stores and
consuming insufficient amounts of dietary iron.
3. Gestational diabetes mellitus GDM, impaired tolerance to glucose.
4. Gestational hypertension: vasospasm contributing to poor tissue perfusion. .
Safety and Infection Control
Accident/Error/Injury Prevention
Caring for a client who has eclampsia
1. Monitor vital signs with careful attention to blood pressures measurement.
2. Daily dose of aspirin therapy can be initiated late in the first trimester for clients
who have a history of early onset preeclapsia.
3. Monitor for manifestations of magnesium sulfate toxicity.
4. Report transient headaches along with episodes of irritability and edema.
5. Magnesium sulfate is medication of choice for prophylaxis/treatment to depress the
CNS and prevent seizures
6. Maintain patent airway in even of seizure
7. Remain in bed rest and side lying position
Health Promotion and
Maintenance Ante/Intra/Postpartum and Newborn Care
Fetal Assessment During Labor: Monitoring fetal heartrate
1. Fetal bradycardia: 110/min for 10 min or more
a. Uteroplacental insufficiency
b. Anesthetic medication
c. Umbilical cord prolapse
2. Fetal tachycardia: Greater than 160/min for 10 min or more
a. Infection, choriamnionitis
b. Fetal anemia
c. Dehydration
d. Maternal hyperthyroidism
3. Decreased/loss FHR variability
a. Congenital abnormalities
b. Meds that depress the CNS
RN Maternal Newborn 2019 Proctored Focused
Review
, lOMoARcPSD|21646696
Management of Care
Establishing Priorities
Medical Conditions: Prioritizing Client Assessment
1. Hyperemesis gravidrum: excessive nausea and vomiting (possible related to
elevated hcG levels. Can cause weight loss
2. Iron deficiency anemia: due to inadequacy in maternal iron stores and
consuming insufficient amounts of dietary iron.
3. Gestational diabetes mellitus GDM, impaired tolerance to glucose.
4. Gestational hypertension: vasospasm contributing to poor tissue perfusion. .
Safety and Infection Control
Accident/Error/Injury Prevention
Caring for a client who has eclampsia
1. Monitor vital signs with careful attention to blood pressures measurement.
2. Daily dose of aspirin therapy can be initiated late in the first trimester for clients
who have a history of early onset preeclapsia.
3. Monitor for manifestations of magnesium sulfate toxicity.
4. Report transient headaches along with episodes of irritability and edema.
5. Magnesium sulfate is medication of choice for prophylaxis/treatment to depress the
CNS and prevent seizures
6. Maintain patent airway in even of seizure
7. Remain in bed rest and side lying position
Health Promotion and
Maintenance Ante/Intra/Postpartum and Newborn Care
Fetal Assessment During Labor: Monitoring fetal heartrate
1. Fetal bradycardia: 110/min for 10 min or more
a. Uteroplacental insufficiency
b. Anesthetic medication
c. Umbilical cord prolapse
2. Fetal tachycardia: Greater than 160/min for 10 min or more
a. Infection, choriamnionitis
b. Fetal anemia
c. Dehydration
d. Maternal hyperthyroidism
3. Decreased/loss FHR variability
a. Congenital abnormalities
b. Meds that depress the CNS
