RN MATERNAL FETAL STUDY GUIDE

RN MATERNAL FETAL STUDY GUIDE What are risks/possible complications/contraindications for the use of intrauterine contraceptive devices? Risks/Possible complications May cause irregular menstrual bleeding. A risk of bacterial vaginosis, uterine perforation, or uterine expulsion. Must be removed in the event of pregnancy. Contraindications Women who have not had at least one child or are not in a monogamous relationship. A nurse is caring for a client undergoing infertility testing. The client asks why a hysterosalpingography has been ordered. What is the nurse's best response? A hysterosalpingography is used to assess the potency of the fallopian tubes. What behaviors are observed by the nurse in the client during the latent phase of the first stage of labor? In stage 1, latent phase, the cervix dilates from 0 to 3 cm and contraction duration ranges from 30 to 45 seconds. A nurse is providing education to a new mother regarding storage of breast milk. Identify five (5) teaching points to discuss with the new mother regarding storage of breast milk. 1. Breast milk can be stored at room temperature under very clean conditions for up to 8 hrs. 2. It may be refrigerated in sterile bottles for use within 8 days. 3. It may be frozen in sterile containers for up to 6 months. 4. It may be stored in a deep freezer for up to 12 months. 5. Do not refreeze thawed milk. A nurse is providing care for an uncircumcised male newborn and his mother. What information should be provided during discharge regarding bathing of the penile area of the newborn male? -Wash the penis with soap and water and rinse. -The foreskin should not be forced back or constriction may result. A nurse is providing discharge teaching to a new parent regarding cord care. What information should be provided? 1. Wash your hands. Use soap and water. Wash your hands before and after you clean his stump. 2. Clean the cord stump. Gently wash the cord stump and the skin around it with mild soap and warm water during every bath. Gently pat the stump dry after your baby's bath. 3. Use rubbing alcohol or water. Your baby's healthcare provider may suggest you use rubbing alcohol or water and a cotton swab to clean the stump. Gently wipe from the base to the top of the stump with a cotton swab dampened with rubbing alcohol or water. Clean the stump with each diaper change. 4. Clean urine or bowel movement off the stump. If your baby's stump gets dirty from urine or bowel movement, wash it off right away with water. Gently pat the stump dry after you clean it. 5. Let the cord air dry. After diaper changes or stump cleaning, fold the front of the diaper down below the cord stump to let it air dry. 6. Dress your baby in loose clothing. Loose-fitting clothes will help the stump dry out faster. 7. Do not pull or tug at the cord stump. The stump will fall off on its own. 8. Do not cover the cord stump. If you want to use a bellyband on your baby, use only clean, dry gauze. A nurse is caring for a client in the third stage of labor. What nursing interventions should be taken during this stage? 1. -Palpate the uterus to determine the risk upward as well as characteristic change in shape 2. -If 30 minutes passes and there is no placental discharge, it is considered "retained". 3. -Oxytocic medication is administered to deliver placenta. 4. -Monitor for signs of placental separation (globular shaped uterus, uterine volume shrinks, protrusion umbilical cord) A nurse is caring for a client in the transition stage of labor. What interventions should the nurse include when caring for this client? 1. -Continue to encourage voiding every 2 hr. 2. -Continue to monitor and support the client and fetus. 3. -Encourage a rapid pant-pant-blow breathing pattern if the client has not learned a particular breathing pattern prenatally. 4. -Discourage pushing efforts until the cervix is fully dilated. 5. -Listen for client statements expressing the need to have a bowel movement. This sensation is a sign of complete dilation and fetal descent. 6. -Prepare the client for the birth. 7. -Observe for perineal bulging or crowning (appearance of the fetal head at the perineum). 8. -Encourage the client to begin bearing down with contractions once the cervix is fully dilated