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Study Guide

Maternal Newborn
1. Discuss the impact of cultural factors on the woman’s birth experience. What is the
difference between cultural sensitivity and cultural competence?

2. Discuss the importance of a quality family focused experience for each patient.

3. If you have a question about your scope of practice, which agency would you contact for
more information?

4. Why might wearing tight fitting undergarments interfere with a man’s ability to produce
quality sperm?

5. What teaching points might you include for a group of 9 - 12 year old girls? What is the
first sign of puberty? At what time of the female’s life cycle are ova formed?

6. What is the purpose of testosterone?
7. Discuss benefits of breast feeding. What impact does breast size have on a woman’s
ability to breast feed? What hormone is responsible for making milk? What hormone is
responsible for let down? Prolactin and then oxytocin

8. Discuss birth control measures that are not effective (withdrawal, douching, etc.) What is
the safest and most effective method?

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probable & positive signs of pregnancy. What is the impact of pregnancy on an adolescent woman. When will the woman begin to feel fetal movement? Discuss supine hypotension. What is the normal schedule of prenatal office visits? How do you calculate a due date using Nagele’s rule? What is the normal fetal heart rate? What are good sources of calcium besides milk? How can a woman manage morning sickness at home? 16. Discuss gravida and para. What drugs might be used to enhance fertility? How does Clomid work? Works by helping a women ovulate. Review the A&P of the placenta. Which hormone is responsible for a positive pregnancy test? HCG Which hormones cause relaxation of the joints late in pregnancy. Discuss exercise during pregnancy. 10. Folic acid is important in the prevention of which type of birth defect? Neural tube defect 15. 13. Differentiate between presumptive. How does blood get to the fetus and return to the mother? Which is the vein and which are the arteries? Where in the uterus does the placenta usually implant? What is the chorion and the amnion? Which side (chorion or amnion) would have fingerlike projections? 11.9. and what might the woman experience related to the relaxation of her joints? What might the new mother and father experience in relation to acceptance of the pregnancy? What aspects of care do nurses provide to the prenatal woman? 14. At what week does the fetal heart begin to beat? What is a normal fetal heart rate? What is a normal heart rate for a newborn? 12. 2 | Page . Compare and contrast monozygotic and dizygotic twins.

Discuss teaching of prevention of preterm labor in women who are at risk for PTL. and what is the benefit of non-pharmacological methods? 23.17. What is the purpose of amniotic fluid? 20. Why should the nurse encourage a woman not to bear down before the cervix is completely dilated? 24. How does the nurse relieve bruising and edema? What is the name of the chemical substance that relieves pain? What is sacral pressure? At what phase of labor can narcotic analgesics no longer be used? What narcotic agonist is commonly used for respiratory depression due to narcotics given during labor? What is the gate control theory of pain? What are contraindications to epidural anesthesia during labor? What are signs that a woman is experiencing pain even though she might not complain? What are some nonpharmacological methods of pain relief. What medication might be ordered to help mature the lungs? 18. Discuss cervical ripening. What are the differences between hospitals and birthing centers? 19. Why is relaxation of the uterus so important between contractions? What is the significance of meconium staining? 21. What should the nurse do if a woman is receiving a pitocin induction and the contractions are closer together than two to three minutes apart? 3 | Page . 22.

What might the nurse anticipate the physician or CNM do to improve the labor pattern of a woman in hypotonic labor? 26. What are side effects of Brethine? What are side effects of Magnesium sulfate? 31. What might the nurse feel if he or she checks a woman who has a prolapsed cord? What action should he or she take? 4 | Page . and how is it managed in labor? 27. What are symptoms of hyperventilation. why does the nurse monitor temperature every two hours? 30. A woman presents to the L&D unit at 9 cm dilated.25. What are some complications that might occur with either vacuum or forceps delivery? What are some complications that might occur with cesarean section? (include emotional needs) 28. After rupture of membranes. Compare and contrast hypotonic labor and hypertonic labor. How should the nurse prioritize care? (hint: don’t walk away) 29. but the woman continues to have a trickle of bright red blood? How should the nurse assess the fundus of a cesarean section? What should the nurse do if the fundus is boggy? 32. What is a normal finding for the fundus of the uterus after delivery? What if the fundus is well contracted.

is supplementation ever necessary? (hint: no).33. What is needed for a woman who is not rubella immune? 37. and what color are they? 35. Discuss teaching for a mother who wishes to breast feed. What is the minimum acceptable level of blood glucose in a full term infant? 41. what are signs that the baby is hungry. 36. How often should she feed the baby. What is the name of the bleeding post partum? What are the three different types. How will the nurse know if the infant is latched on correctly? Which side should the mother start on at the next feeding? How many extra calories will the mother need each day? When will menstruation resume? How should she manage cramping? How should breast milk be stored? How long can it be stored? How should it be thawed? How much should be put into each container? (hint: one feeding per container) 34. Discuss safety and infant identification 40. about how long will the baby feed at each feeding? What is foremilk and hind milk. when will menses return? What teaching should be done to help prevent or reduce engorgement? How often should she burp? How should she warm the artificial baby milk? How can she prevent extra air from getting into the infant’s stomach? Is propping a bottle ever OK? (hint: no) What teaching does the new mother need related to formula preparation? 38. how long do the last. Discuss perineal care. How should the new mother care for the cord? 39. What is the first sign of hypovolemic shock in any patient? 5 | Page . If a mother is bottle feeding (artificial baby milk).

47. What assessment findings lead the nurse to believe the infant is pre-term? 48. What are the normal reflexes seen in the newborn? Do babies recognize their mother’s voice? How does the nurse use a bulb syringe? Do babies experience pain? Are there any tools for monitoring pain? How can the nurse manage pain in the infant? What teaching will the nurse do for circumcision care? 49. when do they close and how should they feel? The new mother asks when will her baby double his birth weight? When will the baby triple his birth weight? 50.42. What symptoms might make the nurse suspect a pulmonary embolus? 45. Discuss signs of respiratory distress in the term or preterm infant. Differentiate between post partum blues and post partum depression 44. What is normal for infant sleep patterns? 6 | Page . What is normal? When would the nurse suspect an infection? 46. how are they shaped. Discuss the WBC of the laboring and post partum woman. What are the fontanels. and teaching for the parents. How will the nurse manage mastitis? What teaching will he or she do? 43. Discuss molding of the fetal head during labor. Compare and contrast caput succedaneum versus cephalohematoma.

57. 7 | Page . Discuss management of the infant born with hydrocephalus. How can the nurse prevent retinopathy of prematurity? When do preterm infants catch up with their peers? 53. 55. What might the infant be at risk for if the bilirubin from jaundice goes too high? 52.51. When is the infant screening test “PKU” done? 56. What types of diseases or abuse are nurses obligated to report? 58. Discuss preventive measures for osteoporosis. Discuss thermal management of the preterm infant. What are the common findings of a post term infant? 54. What are important factors to teach pre-pubescent girls about the menstruation? 59.