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ATI Maternity final Exam|156 Questions with Accurate Answers
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ATI Maternity final Exam|156 Questionswith Accurate Answers
What is an amniocentesis used for? - -To determine lung maturity, detect
congenital anomalies, and diagnose fetal hemolytic disease
-What is a cordocentisis used for? - -To identify fetal blood type and RBC
when there is a risk of isoimmune hemolytic anemia
-What is the Kleihauer-Betke test used for? - -To determine the amount of
fetal blood In the maternal circulation when there is a risk of Rh
isoimmunization
-Abdominal cramping at 11 weeks indicates what? - -It can indicate ectopic
pregnancy or manifestations of spontaneous abortion. This would be a
priority action.
-Blood nose (epistaxis) at 8 weeks gestation.. - -Is a normal sign
-5 steps in bathing a newborn - -1. Wipe eyes from inner canthus outwards
2. Wash neck by lifting chin
3. Cleanse skin around umbilical cord stump
4. wash legs/feet
5. clean diaper area
-Swelling in the face of a pregnant woman is indicative of what? Is it
emergent? - -Swelling of the face, scaral area, and hands indicate
gestational HTN or preeclampsia. Reduction in renal perfusion leads to water
and sodium retention. Fluid moves out of the intravascular compartment into
the tissues, causing edema. This patient should be addressed immediately.
-Acrocyanosis - -blueish discoloration of the hands and feet and is an
expected finding in a newborn 12 hr after birth.
-Transient strabimus - -Normal variation in the newborn's eyes that can
persist until 4 months of age
-Jaundice - -Occurring within the first 24hr of birth is associated with ABO
incompatibility, hemolysis, or Rh-isoimmunization and should be reported to
the provider immediately.
-Caput succedaneum - -benign, edematous area of the scalp and is
commonly found on the occiput
, -Diaphragm teaching - --Replace every 2years
-Keep the diaphragm in place for at least 6hr after intercourse to provide
protection against pregnancy.
-Avoid using oil-based lubricant because they can weaken the rubber
-The client should have an empty bladder prior to inserting the diaphragm.
-How much should a pregnant patient increase her protein intake daily
during the second and third trimesters? - -Increase to 71g.
-How many liters of water should a pregnant client consume each day? - -3L
-A client who is pregnant should increase her caloric intake by how much
during the second trimester? Third trimester? - -Second: 340cal, third:
452cal
-How much should a pregnant client increase her folic acid intake? - -
600mcg daily.
-Naegele's rule - -Subtract 3 months from the first day the clients last
menstrual period, dd 7 days.
Ex: Last cycle started Nov 27th. Minus 3 months equals August 27th, plus 7
days equals Sept 3rd.
-Phototherapy - -Used for hyperbilirubinemia. Do not apply lotion or creams,
they can absorb heat and lead to burns. Do not discontinue therapy if a baby
develops a rash because this is normal during therapy. DO remove all
clothing except diaper while under phototherapy.
-What is epigastric pain a clinical manifestation of? - -Preeclampsia and
indicates hepatic involvement, which is an urgent finding.
-Terbutaline - -Helps slow and control contractions in preterm labor.
Admininistered Sc Q4hr, for no longer than 24 hours. Adverse effect is
hyperglycemia, hypokalemia, and hypotension.
-Parvovirus B19 (fifth disease) - -There are no antiviral meds that treat this.
The nurse should schedule a serial ultrasound examination to monitor the
fetus during the pregnancy to detect the possible development of fetal
hydrops.
-Betamethasone - -Glucocorticoid that is given to stimulate fetal lung
maturity and prevent respiratory distress.
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