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ATI MATERNAL STUDY GUIDE ( UPDATED 2024 ) COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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ATI MATERNAL STUDY GUIDE ( UPDATED 2024 ) COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
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ATI MATERNAL STUDY GUIDE ( UPDATED 2024 )COMPLETE QUESTIONS & ANSWERS (SOLVED) 100% CORRECT
1. priority for soft/boggy uterus: massage the fundus until it is firm and toexpress clots that
may have accumulated in the uterus
-do not push on an uncontracted uterus, it can cause the uterus to become inverted,leading to
massive hemorrhage
2. opioid administration: obtain a medication hx before the administration of anopioid
analgesic.
-some medications may be contraindicated if the client has a hx of opioid dependency because
these medications can precipitate withdrawal sx in pt and NB
3. Ergot alkaloid *PRIORITY* NI: check BP prior to administering
-can cause severe HTN and are contraindicated in a pt with HTN
4. Preterm Labor NI (Chp 10): -focusing on stopping uterine contractions.
*Activity restriction*
-Instruct the client on ways to modify her environment to allow for modified bed rest,yet have
the ability to fulfill role responsibilities. Strict bed rest has been found to have adverse effects.
-Encourage the client to rest in the left lateral position to increase blood flow to theuterus and
decrease uterine activity.
-Tell the client to avoid sexual intercourse.
*Ensure hydration*
-Dehydration stimulates the pituitary gland to secrete an antidiuretic hormone and oxytocin.
Preventing dehydration prevents the release of oxytocin, which stimulatesuterine contractions.
-Have the client report any vaginal discharge, noting color, consistency, and odor.
-Monitor vital signs and temperature.
5. Mitral Valve Stenosis (Chp 15): Class III
-marked limitation in activity d/t sx, even during less=than-ordinary activity
6. Class I: no sx and no limitations in ordinary physical activity
7. Class II: mild sx and slight limitation with activity
8. Class IV: severe limitations with sx at rest
9. Hypoglycemia (Chp 27): -Serum glucose less than 40 mg/dl
-Bilirubin levels increase more than 0.5 mg/dl/hr, peaks at greater than 13 mg/dl oris
associated with anemia or hepatosplenomegaly
, -Kernicterus: bilirubin levels at or higher than 25 mg/dl
10. Managing preeclampsia (Chp 9): clinical subsets of the disease based on end-organ
effects and progresses along a continuum from mild gestational hyper-tension, mild and
severe preeclampsia, eclampsia, and hemolysis, elevated liver
enzymes, and low platelets (HELLP) syndrome.
-monitor I&O
11. Mild preeclampsia: proteinuria of greater than 1+. Report of transient headaches may or
may not occur along with episodes of irritability. Edema may bepresent.
12. Severe preeclampsia: - blood pressure that is 160/100 mm Hg or greater
- proteinuria greater than 3+
- oliguria
- elevated serum creatinine greater than 1.2 mg/dL
- cerebral or visual disturbances (headache and blurred vision), hyperreflexia with possible
ankle clonus, pulmonary or cardiac involvement, extensive peripheral edema, hepatic
dysfunction, epigastric and right upper-quadrant pain, and thrombocytopenia.
13. Magnesium Sulfate toxicity (Chp 9): -Absence of patellar deep tendon reflexes
-Urine output less than 30 mL/hr
-Respirations less than 12/min
-Decreased level of consciousness
-Cardiac dysrhythmias
If magnesium toxicity is suspected:
-Immediately discontinue infusion.
-Administer antidote calcium gluconate.
-Prepare for actions to prevent respiratory or cardiac arrest.
14. Prolapsed Umbilical Cord NI (Chp 16): •Call for assistance immediately
• Notify the provider
•Use sterile-gloved hand, insert two fingers, apply finger pressure on either side ofthe cord to
the fetal presenting part to elevate it off of the cord.
•Reposition client: knee-chest, Trendelenburg, or a (either) side-lying position withrolled
towel under hip to relieve pressure on the cord.
•Apply a warm, sterile, saline-soaked towel to the visible cord to prevent drying andto
maintain blood flow.
•Provide continuous electronic monitoring of FHR for variable decelerations, whichindicate
fetal asphyxia and hypoxia.
• Administer oxygen at 8-10 L/min via a face mask to improve fetal oxygenation.
• Initiate IV access, administer IV fluid bolus.
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