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ATI RN maternal newborn nursing REVIEW questions and answers graded A+ 2024/2025
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ATI RN maternal newborn nursing REVIEW questions and answers graded A+ 2024/2025
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ATI RN maternal newborn nursingREVIEW
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Chadwick's signal - ANSBlueish-red coloration of vagina and cervix
-A likely signal of being pregnant
Hegar's sign - ANSSoftening of decrease uterus
-A likely sign of pregnancy
Ballottment - ANSLight tap of the examiner's arms on cervix causes the fetus to upward
thrust inside the amniotic fluid, then rebound to it is unique position (rebound of unengaged
fetus); occurs at 16-18 wks
-A in all likelihood sign of being pregnant
Quickening - ANSA female's first consciousness of fetal motion; flutter actions of fetus,
occurs around sixteen-20 wks
-*Presumptive signal* of pregnancy (located by woman that makes her suspicious of being
preg.)
What IV answer must the nurse plan to provide previous to administering a ache anesthetic
strategy to a affected person in hard work? - ANSThe nurse must plan to administer
500-1,000 mL of LR's or 0.Nine% NS at 15 to 30 minutes prior to admin. Of the primary dose
of anesthetic technique to lower the risk of maternal hypotension. The nurse need to NOT
admin. Dextrose 5% (or any %) due to the fact it may reason maternal hyperglycemia and
neonatal hypoglycemia
A nurse is worrying for a pt. Who is at 15 wks gestation, is rh-negative, and simply had an
Amniocentesis. Which of the subsequent interventions is the nurse's precedence following
the process?
A.) Check Pt.'s temp.
B.) Observe for UC's
C.) Admin. Rho-Immunoglobulin
D.) Monitor the FHR - ANSAnswer= D- greatest risk to pt. And fetus is fetal loss of life.
Rationale=
C- the nurse must admin. Rho-immunoglobulin to prevent sensitization. However, this isn't
the PRIORITY nursing intervention
, A nurse is supplying care for a pt. Who's at 32 wks gestation & has Placenta Previa. The
nurse notes that the pt. Is actively bleeding. Which of the subsequent medications must the
nurse anticipate could be prescribed?
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine - ANS*A.) Betamethasone: Given to sell lung adulthood if transport is
expected*
B.) Indomethacin is given to pt. In preterm hard work
C.) Nifedipine is given to pt.'s in preterm exertions
D.) Methylergonovine is prescribed to pt. Experiencing postpartum hemorrhage
A nurse at a health facility is worrying for a pt. Who is at 4 months of gestation. The pt.
Reviews endured N/V & scant, prune-coloured discharge. She has no wt. Loss and has a
fundal peak more than anticipated. Which of the subsequent headaches have to the nurse
expect?
A. Hyperemesis Gravidarum
B. Threatened Abortion
C. Hydatiform mole
D. Preterm labor - ANSAnswer= C Hydatiform mole.
Pt.'s with Hydatiform mole exhibits multiplied fundal height is is inconsistent with wk. Of
gestation, and excessive N/V due to ↑↑ hCG stages. Scant, dark discharge occurs inside the
2nd trimester.
A nurse is worrying for a pt. Who has a Dx of ruptured ectopic pregnancy. Which of the
following findings is visible with this condition?
A. No alteration in menses
B. Transvaginal US indicates a fetus in uterus
C. ↑↑ serum progesterone degrees greater than expected range
D. Report of intense shoulder pain - ANSAnswer= D. Report of intense shoulder ache
Ectopic Pregnancy- Expected findings? - ANS-Lower unilateral stomach ache and
tenderness
-Delayed, lighter than regular, or abnormal menses
-*Referred shoulder ache*
-Report of s/s of shock (faintness, dizziness)
-S/S of hemorrhage and shock (↓ BP, ↑ HR)
What is Methotrexate used for in an Ectopic Pregnancy? - ANSMethotrexate is a remedy
that dissolves being pregnant
PT. EDUCATION= keep away from alcohol intake and nutrients containing folic acid
Gestational Trophoblastic Disease (Hydatiform Mole) Expected findings? - ANS#1=
Excessive N/V d/t ↑ hCG degrees
-Rapid uterine boom and fundal peak more than predicted for gestational age
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