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Maternal-Newborn Nursing Flashcards
NCLEX RN Flashcards
Study our Maternal-Newborn Nursing flashcards for the NCLEX RN exam with 21+ flashcards. View as flashcards, a searchable table, or as a fun matching game.
| Front | Back |
| Define lochia and describe its progression | Vaginal discharge after birth; Lochia rubra: bright red (days 1-3); Lochia serosa: pinkish-brown (days 4-10); Lochia alba: yellowish-white (days 11-21) |
| Describe fundal height measurement and its significance | Distance from symphysis pubis to top of uterine fundus in centimeters; Should approximately equal gestational weeks between 20-36 weeks; Discrepancies may indicate IUGR, macrosomia, multiple gestation, or incorrect dates |
| Describe Leopold's maneuvers and their purpose | Four-step abdominal palpation technique to determine fetal presentation, position, and engagement; First: fundal grip; Second: umbilical grip; Third: pawlik grip; Fourth: pelvic grip |
| How is pregnancy-induced hypertension managed? | Bed rest, Frequent monitoring of BP, Proteinuria assessment, Antihypertensive medications, Magnesium sulfate for seizure prophylaxis, Possible early delivery |
| List the cardinal movements of labor | Engagement → Descent → Flexion → Internal rotation → Extension → External rotation → Expulsion |
| What are common causes of postpartum depression? | Hormonal changes, History of depression, Poor social support, Traumatic birth experience, Sleep deprivation, Unrealistic expectations |
| What are the 6 Ps of labor assessment? | Powers (contractions), Passage (pelvis), Passenger (fetus), Placenta, Psyche (maternal psychology), Position (maternal) |
| What are the components of a complete newborn assessment? | Vital signs, Apgar score, Physical examination, Reflexes, Weight/length/head circumference, Gestational age assessment |
| What are the indications for cesarean delivery? | Previous classical cesarean section, Placenta previa, Active genital herpes, Transverse fetal lie, Failed labor progress, Fetal distress, Certain maternal medical conditions |
| What are the normal vital sign parameters for a newborn? | Heart rate: 120-160 bpm; Respiratory rate: 30-60 breaths/min; Blood pressure: 65-95/30-60 mmHg; Temperature: 36.5-37.5°C (97.7-99.5°F) |
| What are the risk factors for gestational diabetes? | Advanced maternal age (>35), Obesity (BMI >30), Family history of diabetes, Previous GDM, Previous macrosomic infant, Certain ethnicities (Hispanic, African, Native American, South Asian) |
| What are the signs of effective breastfeeding? | Audible swallowing, Rhythmic sucking, Proper latch (lips flanged), Relaxed arms and hands, 8-12 feedings per day, 6-8 wet diapers daily |
| What are the stages of fetal development during the first trimester? | Weeks 1-4: Implantation and formation of embryonic disk; Weeks 5-8: Major organs begin to form; Weeks 9-12: Fetus begins to move and has detectable heartbeat. |
| What are the three stages of labor? | First stage: Dilation and effacement; Second stage: Birth of baby; Third stage: Delivery of placenta |
| What are the warning signs of preeclampsia? | Elevated blood pressure (≥140/90), Proteinuria, Edema, Headache, Visual disturbances, Epigastric pain, Decreased urinary output |
| What interventions should be implemented for postpartum hemorrhage? | Fundal massage, IV access, Fluid replacement, Oxytocin administration, Blood products as needed, Possible surgical intervention |
| What is APGAR scoring used for and when is it performed? | Used to evaluate newborn's physical condition; Performed at 1 minute and 5 minutes after birth; Assesses Appearance, Pulse, Grimace, Activity, and Respiration on a scale of 0-2 each |
| What is the Bishop score used for? | To assess cervical readiness for labor induction; Evaluates dilation, effacement, station, consistency, and position |
| What is the normal range for fetal heart rate during labor? | 110-160 beats per minute |
| What is the normal weight gain recommendation during pregnancy for women with normal pre-pregnancy BMI? | 25-35 pounds (11.5-16 kg) |
| What is the significance of meconium-stained amniotic fluid? | May indicate fetal distress; Increases risk of meconium aspiration syndrome; Requires careful suctioning of infant's mouth and nose before first breath |
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About the Flashcards
Flashcards for the NCLEX RN exam present concise prompts and answers to help students review pregnancy, labor, and newborn terminology, normal ranges, and immediate clinical actions. Cards focus on essentials such as fetal development timelines, fetal heart rate norms, stages of labor, and APGAR and newborn vital sign criteria.
Students can quickly drill assessment techniques and management concepts tested on the exam, including the 6 Ps, Bishop score, Leopold's maneuvers, fundal height measurement, interventions for postpartum hemorrhage, indications for cesarean delivery, and common maternal complications like preeclampsia, pregnancy-induced hypertension, gestational diabetes, and postpartum depression.
Topics covered in this flashcard deck:
- Fetal development timeline
- APGAR and newborn vitals
- Stages and movements of labor
- Labor assessment techniques
- Maternal complications management
- Postpartum care and breastfeeding