ANALYZED MATERNAL ATI QUESTIONS AND ANSWERS

ANALYZED MATERNAL ATI QUESTIONS AND ANSWERS What are some physiologic changes preceding labor (premonitory signs)? - CORRECT ANSWER -1. Backache 2. Weight loss (1-3lbs) 3. Lightening 4. Contractions 5. Bloody show 6. Energy burst (sometimes called nesting response) 7. GI changes 8. Rupture of the membranes What is lightening - CORRECT ANSWER -When the fetal head descends into true pelvis about 14 days before labor Once the membranes rupture when does labor usually occur - CORRECT ANSWER -Within 24 hours Prolonged rupture of membranes greater than 24 hours before delivery may lead to - CORRECT ANSWER -An infection What should a nurse assess immediately following the rupture of membranes - CORRECT ANSWER -The FHR for abrupt decelerations, which are indicative of fetal distress to rule out umbilical cord prolapse Assessment of amniotic fluid is completed once the membranes ruptured. How should the amniotic fluid appear? - CORRECT ANSWER -1. Should be watery, clear and pale to straw yellow in color 2. Odor should not be foul 3. Volume is between 500 and 1200 ML Nitrazine paper should be used by a nurse to confirm that amniotic fluid is present. How does this work? - CORRECT ANSWER -Amniotic fluid is alkaline: Nitrazine paper should be deep blue Urine is slightly acidic: nitrazine remains yellow What are the five p's - CORRECT ANSWER -Passenger Passageway Powers Position Psychological response Passenger consists of the fetus and the placenta. It is determined by - CORRECT ANSWER -1. The size of the fetal head 2. Fetal presentation 3. Lie 4. Attitude 5. Position The presentation is the part of the fetus that is entering the pelvic inlet first. It can be - CORRECT ANSWER -1. Occiput 2. Mentum 3. Shoulder 4. Breach What is the lie - CORRECT ANSWER -The relationship of the maternal longitudinal axis to the fetal longitudinal axis (spine) The attitude is the relationship of fetal body parts to one another such as blank and blank - CORRECT ANSWER -1. Fetal flexion: chin flexed to chest, extremities flexed into torso 2. Fetal extension: chin extended away from chest, extremities extended Fetopelvic or fetal position is the relationship of the presenting part of the fetus in reference to its directional position as it relates to one of the four maternal pelvic quadrants. It is labeled with three letters. What does each letter represent? - CORRECT ANSWER -1. The first letter references either the right or left side of the maternal pelvis 2. The second letter references the presenting part of the fetus such as M for mentum 3. The third letter references either the anterior (A), posterior (P) or transverse (T) part of the maternal pelvis The passageway is the birth canal that is composed of the bony pelvis, cervix, pelvic floor, vagina and introitus (vaginal opening). The size and shape of the bony pelvis must be adequate to allow - CORRECT ANSWER -The fetus to pass through What are powers? - CORRECT ANSWER -Uterine contractions cause effacement and dilation of the cervix and descent of the fetus Position refers to the woman who is in labor. The patient should engage in frequent position changes during labor to - CORRECT ANSWER -Increase comfort, relieve fatigue and promote circulation Psychological response refers to - CORRECT ANSWER -Maternal stress, tension and anxiety that can produce physiological changes that impair the progress of labor Station is the measurement of fetal descent in centimeters with Station zero being at the level of an imaginary line at the level of the ischial spines. What are the minus stations and plus stations? - CORRECT ANSWER -Minus stations superior to the ischial spines Plus stations inferior to the ischial spine What is an external electronic monitoring device (tocotransducer)? - CORRECT ANSWER -Separate transducer applied to the maternal abdomen over the fundus that measures uterine activity When does a patient normally get screened for group B strep - CORRECT ANSWER -Week 36 to 37 Proteinuria can be indicative of - CORRECT ANSWER -Gestational hypertension