MATERNAL NEWBORN PROCTORED STUDY GUIDE

MATERNAL NEWBORN PROCTORED STUDY GUIDE

1.      There are 4 newborns in the NICU, which patient do you assess first? – Newborn that has a temperature of 96.7 and is 17 inches long.

2.      Nursing interventions after birth with pain in perineum area. SATA – cold sitz bath, have patient lay on her side, administer Ibuprofen, as ordered.

3.      New grad nurse, assessing the fundus, which is the proper way? – Support the lower uterine portion while the other hand is palpating the fundus.

4.      Patient who gave birth 48 hours ago, which level is the fundus? – 2 Finger breadth below the umbilicus.

5.      Upon assessment of fundus, nurse noted that it is shifted to the right side, what is the next nursing action? – Have the patient void.

6.      Patient experiencing engorgement of breasts but has decided that she wants her baby bottle fed, which nursing action should be done? – Apply an ice pack to breast

7.      Patient just gave birth and complaining of being cold and shaking – Provide a warm blanket

8.      Postpartum patient with fever of 99.8 – Increase fluids and continue to monitor.

9.      Patient is not immune to Rubella, when can she get the Rubella vaccine? – After delivery.

10.  Patient is breastfeeding, went to the bathroom 3x with 800 mL of urine output but feeling dizzy upon getting up, which nursing diagnosis should the nurse include in the plan of care? – Risk for injury.

11.  Patient is concerned about diuresis after giving birth, which hormone is decreased and is responsible for the diuresis? – Estrogen

12.  Patient’s pad was saturated after 15 minutes of assessment, what is the next step - Assess the patient’s fundus.