Nclexrn Flashcards: Prenatal Education And Warning Signs

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This deck focuses on Prenatal Education And Warning Signs, giving you a quick way to review the definitions, rules, and examples that matter most for Nclexrn.

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Work through these flashcards in short sessions. Try to answer each prompt before flipping the card, then revisit any cards you miss until the explanation feels automatic.

Flashcard 1: What abdominal pain location is a preeclampsia warning sign that requires urgent evaluation?

Answer: Right upper quadrant or epigastric pain. This location suggests hepatic involvement, potentially indicating HELLP syndrome or severe preeclampsia.

Flashcard 2: What total gestational weight gain is recommended for an overweight BMI ($25.0$–$29.9$)?

Answer: $15$–$25$ lb (about $7$–$11.5$ kg). Limited gain reduces risks of hypertension and cesarean delivery associated with excessive weight in overweight pregnancies.

Flashcard 3: Which daily supplement is recommended in pregnancy to reduce neural tube defect risk?

Answer: Folic acid (prenatal vitamin containing folate). Recommended to prevent neural tube defects like spina bifida by supporting early fetal neural development during organogenesis.

Flashcard 4: Which warning sign in pregnancy requires immediate evaluation: vaginal bleeding or mild nausea?

Answer: Vaginal bleeding. Any vaginal bleeding may indicate serious conditions like miscarriage, placenta previa, or abruption requiring prompt assessment.

Flashcard 5: Which uterine activity before term is a warning sign: regular contractions or occasional Braxton Hicks?

Answer: Regular contractions before $37$ weeks. Regular preterm contractions may indicate preterm labor, requiring tocolysis or evaluation to prevent early birth.

Flashcard 6: What change in fetal movement should be reported immediately after viability is established?

Answer: Decreased or absent fetal movement. Reduced movement post-viability may indicate fetal hypoxia or distress necessitating immediate evaluation.

Flashcard 7: What is the standard instruction for counting fetal movements used in prenatal education?

Answer: Report fewer than $10$ movements in $2$ hours. Fetal kick counting assesses well-being; fewer than 10 in 2 hours prompts further monitoring for potential compromise.

Flashcard 8: Which food should be avoided in pregnancy due to toxoplasmosis risk: undercooked meat or cooked poultry?

Answer: Undercooked meat. Undercooked meat can contain Toxoplasma gondii parasites, causing congenital toxoplasmosis with neurological damage.

Flashcard 9: Which food should be avoided to reduce listeriosis risk: unpasteurized soft cheese or pasteurized yogurt?

Answer: Unpasteurized soft cheeses. Unpasteurized cheeses may harbor Listeria monocytogenes, leading to severe fetal infections or miscarriage.

Flashcard 10: What total gestational weight gain is recommended for an underweight BMI (less than $18.5$)?

Answer: $28$–$40$ lb (about $12.5$–$18$ kg). Higher gain allows for maternal weight normalization and adequate fetal nutrition in underweight individuals.

Flashcard 11: What total gestational weight gain is recommended for a normal BMI ($18.5$–$24.9$)?

Answer: $25$–$35$ lb (about $11.5$–$16$ kg). Institute of Medicine guidelines recommend this range to support fetal growth while minimizing complications like gestational diabetes.

Flashcard 12: Which medication class should be avoided in pregnancy due to fetal harm: ACE inhibitors or acetaminophen?

Answer: ACE inhibitors. ACE inhibitors are teratogenic, causing fetal renal dysplasia and oligohydramnios when used in pregnancy.

Flashcard 13: What is the recommended vaccine during each pregnancy to protect the newborn from pertussis?

Answer: Tdap during $27$–$36$ weeks (each pregnancy). Administered in third trimester to maximize maternal antibodies transferred to newborn for pertussis protection.

Flashcard 14: What is the recommended daily elemental iron supplementation in uncomplicated pregnancy?

Answer: Elemental iron $30$ mg per day. Supplementation prevents maternal anemia due to increased blood volume and fetal iron demands in pregnancy.

Flashcard 15: What infection-related warning sign in pregnancy requires prompt evaluation?

Answer: Fever at least $38$°C ($100.4$°F). Elevated temperature may signal intrauterine infection like chorioamnionitis, risking maternal and fetal sepsis.

Flashcard 16: What is the recommended position to reduce supine hypotensive syndrome in late pregnancy?

Answer: Left lateral (side-lying) position. This position alleviates inferior vena cava compression, improving cardiac output and uterine perfusion.

Flashcard 17: What total gestational weight gain is recommended for an obese BMI (at least $30.0$)?

Answer: $11$–$20$ lb (about $5$–$9$ kg). Minimal gain helps mitigate obesity-related complications like preeclampsia and macrosomia.

Flashcard 18: Which symptom suggests preeclampsia and should be reported immediately: severe headache or mild fatigue?

Answer: Severe headache. Persistent severe headache can signal hypertensive disorders like preeclampsia with cerebral involvement.

Flashcard 19: What cat-related prevention teaching reduces toxoplasmosis risk during pregnancy?

Answer: Avoid changing litter; if necessary, use gloves and hand hygiene. Cat litter may contain Toxoplasma oocysts; avoidance or precautions prevent maternal infection and fetal transmission.

Flashcard 20: Which urinary symptom in pregnancy should be reported as a possible UTI warning sign?

Answer: Dysuria, urgency, or flank pain. These symptoms suggest urinary tract infection, which can progress to pyelonephritis and trigger preterm labor.

Flashcard 21: Which edema pattern is a pregnancy warning sign: sudden face/hand swelling or mild ankle swelling?

Answer: Sudden swelling of face or hands. Sudden non-dependent edema can signify preeclampsia due to capillary leak and endothelial dysfunction.

Flashcard 22: What visual symptom is a key warning sign of preeclampsia that must be reported promptly?

Answer: Visual changes (blurred vision or scotomata). Such changes may indicate cerebral edema or ischemia associated with severe preeclampsia.

Flashcard 23: What is the key warning sign of ruptured membranes that should be reported promptly?

Answer: Gush or continuous leakage of fluid from vagina. Suggests premature rupture of membranes, increasing risks of infection and preterm delivery.

Flashcard 24: Which vaccine is contraindicated during pregnancy because it is live: MMR or inactivated influenza?

Answer: MMR (live vaccine is contraindicated in pregnancy). Live attenuated vaccines like MMR pose theoretical risks of fetal infection and congenital anomalies.

Flashcard 25: Identify the urgent action if a pregnant client has heavy bleeding with abdominal pain.

Answer: Seek emergency care immediately (possible abruption/ectopic). Heavy bleeding with pain may indicate life-threatening conditions like placental abruption or ruptured ectopic pregnancy.