NCLEX-RN Maternity Nursing Flashcards

Using Naegele's Rule, calculate the Estimated Date of Delivery (EDD) for a client whose Last Menstrual Period (LMP) began on June 10.

Select the correct definition for the TPAL components of the GTPAL system:

Name two of the three classic diagnostic signs/symptoms associated with preeclampsia.

A client with preeclampsia begins to seize (eclampsia). What is the priority nursing action?

A client presents with painless bright red vaginal bleeding. What assessment is absolutely contraindicated?

What are the two hallmark physical assessment findings of Abruptio Placentae?

Distinguish between True and False labor:

Order the phases of the First Stage of Labor from start to finish.

Match the FHR pattern to its cause using VEAL CHOP:

Name two priority nursing interventions for Late Decelerations (LION protocol).

A nurse discovers a prolapsed umbilical cord. What is the priority positioning for the client?

What is the primary adverse hemodynamic effect to monitor for immediately after epidural administration?

A client is Group B Streptococcus (GBS) positive. When should prophylactic antibiotics be administered?

A pregnant client feels dizzy and clammy while lying on her back. What is the priority nursing intervention?

Which mother-baby combination requires Rho(D) immune globulin (RhoGAM) administration postpartum?

At how many weeks gestation is the routine 1-hour glucose challenge test performed?

Name two distinct signs of Magnesium Sulfate toxicity.

What is the primary therapeutic purpose of administering Betamethasone to a client in preterm labor?

Complete the definitions for membrane rupture:

What symptom should a client report immediately following an amniocentesis?

What criteria must be met for a Non-Stress Test (NST) to be interpreted as 'Reactive'?

Identify the components of HELLP Syndrome:

Which finding indicates a ruptured ectopic pregnancy requiring emergency surgery?

What is the cause of Variable Decelerations and the priority nursing intervention?

Which assessment finding requires the nurse to immediately discontinue an Oxytocin (Pitocin) infusion?

Define the end point of Labor Stages 2 and 3:

What specific finding in a urinalysis suggests a client has Hyperemesis Gravidarum rather than normal morning sickness?

What is the most critical discharge instruction for a client post-evacuation of a Hydatidiform Mole?

Name three of the five variables assessed in a Biophysical Profile (BPP).

What Lecithin/Sphingomyelin (L/S) ratio indicates fetal lung maturity?

A nurse assesses a client 2 hours postpartum and notes the uterus is boggy and displaced to the right. Which action is the priority?

At what rate should the fundus descend (involute) per day following childbirth?

A breastfeeding client is diagnosed with mastitis in the right breast. What is the appropriate instruction regarding breastfeeding?

Select the correct components for the APGAR score acronym:

The nurse bumps the infant's crib, and the infant extends their arms and legs, extending the fingers to form a 'C'. Which reflex is this?

What are the primary clinical signs of cold stress in a newborn?

Differentiate between physiologic and pathologic jaundice based on timing:

Why is Vitamin K (phytonadione) administered to newborns?

What is the primary purpose of administering Erythromycin ophthalmic ointment to a newborn?

A newborn exhibits jitteriness, hypotonia, and a weak cry. What is the nurse's priority action?

Name one key component of 'Safe Sleep' teaching to prevent SIDS.

Which instruction is correct regarding umbilical cord care?

List three non-pharmacologic comfort measures for a newborn with Neonatal Abstinence Syndrome (NAS).

Identify the progression of lochia types by color and timeline:

What is the primary purpose of teaching a postpartum client to perform Kegel exercises?

Name one component of the BUBBLE-HE postpartum assessment acronym.

Which finding is most indicative of a postpartum infection (puerperal infection)?

Distinguish between Baby Blues and Postpartum Depression (PPD):

By day 4 of life, how many wet diapers per day indicate adequate breastfeeding intake?

When should the Newborn Metabolic Screening (e.g., PKU) be performed for accurate results?

Which nursing intervention is essential for a newborn receiving phototherapy for hyperbilirubinemia?

Name one of the '4 Ts' that represent the causes of Postpartum Hemorrhage.

A parent is concerned about a yellow crust forming on their son's circumcision site 2 days post-op. What is the nurse's best response?

Select the normal resting vital sign ranges for a healthy newborn:

A client with postpartum hemorrhage is prescribed methylergonovine (Methergine). Which condition in the client's history is a contraindication?