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Maternal Newborn ATI, Maternal Newborn Proctor ATI 2024/206 Qs and A’s
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Maternal Newborn ATI, MaternalNewborn Proctor ATI 2024/206 Qs and
A’s
FHR can be heard by Doppler at: - -10-12 weeks GA
-Between 18 and 30 weeks the fundal height should measure what? - -It
should equal the week of gestation
-MSAFP screening is done: - -15-22 weeks of gestation
maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as part of a set
of tests, which screen for genetic problems, called the quad screen.
AFP is a substance made in the liver of an unborn baby (fetus).
-Smoking tobacco during pregnancy is associated with : - -Low Birth Weight
-Pregnant mothers should consume how much water each day? - -2 to 3
Liters of water from food and beverage sources.
-Regarding kick counts, what are signs that a woman needs further
evaluation? - -Fetal movements of less than 3 in one hour
No fetal movement for 12 hours
-The recommended weight gain during pregnancy is usually: - -25-35lbs
3-4 lb in first trimester
1 lb per week in the last two trimesters
-Foods high in folic acid are: - -Leafy vegetables
Dried peas
Dried beans
Seeds
Orange juice
-It is recommended that _____ mcg of folic acid be taken during pregnancy. -
-600
-It is recommended that clients who are lactating consume ____ mcg of folic
acid. - -500
-What vitamin aids in the absorption of Iron? - -Vitamin C
-The clients bladder needs to be _____ before an ultrasound. - -Full
,-biophysical profile (BPP) normal score is - -A biophysical profile (BPP) test
measures the health of your baby (fetus) during pregnancy.
8-10
-BPP abnormal score is - -<4
-If a BPP comes back as 6..... - -It should be retested
-BPP assess for - -Fetal well being
-non-stress test ( NST) - -most widely used technique for antepartum
evaluation of fetal well being performed during the third trimester.
-Reactive NST - -FHR is a normal baseline rate with moderate variablity
Two accelerations to 15 bpm for at least 15 secs in 20 min period
-A non reactive NST would indicate what about the fetus? - -The fetal heart
rate does not accelerate adequately with fetal movement.
-A BPP or CST will need to be done now
-Positive CST is normal or abnormal - -abnormal
The contraction stress test — also called a stress test or an oxytocin
challenge test — may be done during pregnancy to measure the baby's
heart rate during uterine contractions. Its purpose is to make sure the baby
can get the oxygen he needs from the placenta during labor.
-Positive CST is indicated when: - -Persistent and consistent late decels on
more than half of the contractions.
-An amniocentesis may be performed when? - -After 14 weeks gestation
-AFP can be measured from the amniotic fluid between: - -16 and 18 weeks
alpha-fetoprotein
-Presence of PG on a fetal lung test is associated with: - -Respiratory
distress
-CVS can be done at - -10-12 weeks
Chorionic villus sampling (CVS) is a prenatal test that diagnoses
chromosomal abnormalities such as Down syndrome, as well as a host of
other genetic disorders. The doctor takes cells from tiny fingerlike
, projections on your placenta called the chorionic villi and sends them to a lab
for genetic analysis.
-First stage of labor: - -1-1.5 cm (onset of labor)
-Latent phase of labor: - -0-3 cm
mild to moderate contractions
irregular
q 5-30 min
lasts 30-40 sec
-Active phase of labor: - -4-7 cm
moderate to strong contractions
regular
q 3-5 min
lasts 40-70 sec
-Transition phase of labor - -8-10 cm
strong to very strong contractions
q 2-3 min
lasts 45-90 sec
-Second stage of labor: - -Full dilation
Intense contractions
BIRTH!!
-Third stage of labor: - -Delivery of placenta
-Fourth stage: - -Maternal stabilization of vital signs
-First stage pain: - -internal visceral
may be felt as back/leg pain
-Second stage pain: - -somatic
occurs with fetal descent and expulsion
-Third stage pain: - -similar to first stage pain
-Pain S&S: - -Increased BP
Tachycardia
Hyperventilation
-Absent or undetectable variability is considered: - -Non-reasurring
-Minimal variability: - -> undetectable but <5/min
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