NCLEX-RN Antepartum & Intrapartum Flashcards
Master 30 antepartum & intrapartum concepts for the NCLEX-RN.
Question
Using Naegele's Rule, calculate the Estimated Date of Delivery (EDD) for a client whose Last Menstrual Period (LMP) began on June 10.
Question
Select the correct definition for the TPAL components of the GTPAL system:
Question
Name two of the three classic diagnostic signs/symptoms associated with preeclampsia.
Think about BP, urine, and swelling.
Question
A client with preeclampsia begins to seize (eclampsia). What is the priority nursing action?
Question
A client presents with painless bright red vaginal bleeding. What assessment is absolutely contraindicated?
Question
What are the two hallmark physical assessment findings of Abruptio Placentae?
Question
Distinguish between True and False labor:
Question
Order the phases of the First Stage of Labor from start to finish.
Question
Match the FHR pattern to its cause using VEAL CHOP:
Question
Name two priority nursing interventions for Late Decelerations (LION protocol).
Think 'LION'.
Question
A nurse discovers a prolapsed umbilical cord. What is the priority positioning for the client?
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What is the primary adverse hemodynamic effect to monitor for immediately after epidural administration?
Question
A client is Group B Streptococcus (GBS) positive. When should prophylactic antibiotics be administered?
Question
A pregnant client feels dizzy and clammy while lying on her back. What is the priority nursing intervention?
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Which mother-baby combination requires Rho(D) immune globulin (RhoGAM) administration postpartum?
Question
At how many weeks gestation is the routine 1-hour glucose challenge test performed?
Question
Name two distinct signs of Magnesium Sulfate toxicity.
Check reflexes, breathing, and urine.
Question
What is the primary therapeutic purpose of administering Betamethasone to a client in preterm labor?
Question
Complete the definitions for membrane rupture:
Question
What symptom should a client report immediately following an amniocentesis?
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What criteria must be met for a Non-Stress Test (NST) to be interpreted as 'Reactive'?
Question
Identify the components of HELLP Syndrome:
Question
Which finding indicates a ruptured ectopic pregnancy requiring emergency surgery?
Question
What is the cause of Variable Decelerations and the priority nursing intervention?
Question
Which assessment finding requires the nurse to immediately discontinue an Oxytocin (Pitocin) infusion?
Question
Define the end point of Labor Stages 2 and 3:
Question
What specific finding in a urinalysis suggests a client has Hyperemesis Gravidarum rather than normal morning sickness?
Question
What is the most critical discharge instruction for a client post-evacuation of a Hydatidiform Mole?
Question
Name three of the five variables assessed in a Biophysical Profile (BPP).
Think of ultrasound findings + NST.
Question
What Lecithin/Sphingomyelin (L/S) ratio indicates fetal lung maturity?