Maternity/Newborn Midterm
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Preterm characteristics - ANSWERAbundant lanugo is noted in abundant
amounts with a premature newborn.
Prominent clitoris and labia minora are seen
with prematurity. Large amounts of vernix
are noted with prematurity.
Variable decelerations - ANSWER-Cord
compression (usually a change in mother's
position helps)
Early decels - ANSWER-Head compression
(decels mirror the contractions; this is not a
sign of fetal problems)
No intervention
Accelerations - ANSWER-=> O2 (baby is well
oxygenated-this is good)
Late decels - ANSWER-=> Placental utero
insufficiency (this is bad and means there is
decreased perfusion of
blood/oxygen/nutrients to the baby).
Change position, administer O2
Assessing FHT - ANSWER-To assess fetal
heart tones, use a handheld Doppler
ultrasound and place it in an area
corresponding to uterine height. For
example, for a client who's less than 20
weeks' pregnant, the most likely area to
find fetal heart tones is at the pubic hairline
or the symphysis pubis. For a client whose
pregnancy is more advanced, such as at 24
weeks, the fetal heart rate can most
probably be heard midline between the
symphysis pubis and the umbilicus. As the
pregnancy advances in weeks, fetal heart
tones can be heard closer to and possibly
above the umbilicus.
Prior to an amniocentesis, what action by
the client will need to be completed? -
ANSWER-Prior to the amniocentesis
procedure the nurse will instruct the client
to empty her bladder prior to the procedure
to reduce its size and reduce the risk of
inadvertent puncture.
How to promote bonding between the
newborn and mother - ANSWER-Put the
baby up to the mother's face for direct eye
to eye contact
Skin-to-skin contact right after birth
Private time for breastfeeding (depending
on how comfortable the mother is)
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