Maternal Newborn ATI Final REVIEW.pdf file:///C:/Users/HP/Desktop/eewwww/Maternal%20Newborn%20AT
ATI MATERNAL/NEWBORN FINAL REVIEW
1. What is the fourth stage of labor and when does it start?
ANS Postpartum period-starts after the delivery of the placenta
2. What are the greatest risks during the postpartum period?
ANS HemorrhageShock
Infection
3. When is RH immune globulin (RhoGAM) administered to post partum women?
ANS Administered 72 hours for women who are Rh-negative and gave birthto infants who are
Rh-positive
This prevents sensitization to Rh in future pregnancies
4. What is included in the postpartum nursing assessment?
ANS Monitoring vitalsigns
Assessing uterine firmness & location in relation to umbilicus
Uterine position in relation to midline (if deviated, assist mom in emptying bladder)Amount of
vaginal bleeding (lochia)
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5. How often should vitals be monitored after delivery?
ANS Every 15 min for thefirst hour
Every 30 minutes for second hour
Every 4-8 hr depending on remaining medication regimen
6. This occurs with contractions of the uterine smooth muscle, whereby theuterus
returns to its pre-pregnant state
ANS Involution
7. Defined as blood flow from the uterus during postpartum period
ANS Lochia
8. This type of lochia is bright red in color, bloody consistency, fleshy odor,may contain
small clots
ANS Lochia rubra
9. This type of lochia is pinkish brown in color & serosanguineous consisten-cy
ANS Lochia serosa
10. This type of lochia is yellowish, white creamy color, fleshy odor
ANS Lochia alba
11. When is colostrum present in the new mother's breasts?
ANS During pregnancyand 2-3 days immediately after birth
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12. Defined as an infection in a milk duct of the breast with concurrent flulikesymptoms
ANS Mastitis
13. What are therapeutic and approved holding positions when breast feed-ing?
ANS Cradle hold
Side-lying hold
Football hold
14. What does breast feeding cause the release of?What does this prevent?
ANS -Breast feeding causes the release of oxytocin which stimulates uterine contractions(will
prevent hemorrhage)
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15. What are normal lab values in the post partum period?
ANS Increased Hct & Hgbup to 72 hours
Leukocytosis (WBC count up to 20,000-25,000 for the first 10-14 days, withoutpresence of
infection)
Increased coagulation factors
Increased fibrinogen
16. A medical condition during pregnancy defined as excessive nausea and vomiting that
is prolonged past 12 weeks of gestation. Results in weight loss& electrolyte imbalance
ANS Hyperemesis gravidarum
17. What are nursing responsibilities when caring for a patient diagnosed with
hyperemesis gravidarum?
ANS Monitor client's I&O
Assess client's skin turgor/mucous membranes
Monitor vital signs
Monitor client's weight
Have client remain NPO for 24-48 hours
18. This medical condition occurs during pregnancy due to inadequacy in ma-ternal iron
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