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NGN ATI-RN Maternal Newborn Proctored Study Guide Questions and Answers 2024 / 2025 (Verified Answers by Expert) $15.99
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NGN ATI-RN Maternal Newborn Proctored Study Guide Questions and Answers 2024 / 2025 (Verified Answers by Expert)
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NGN ATI-RN Maternal Newborn Proctored Study Guide Questions and Answers 2024 / 2025 (Verified Answers by Expert)

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  • August 2, 2024
  • 171
  • 2024/2025
  • Exam (elaborations)
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ATI-RN Maternal Newborn Study Guide.pdf file:///C:/Users/HP/Desktop/eewwww/ATI-RN%20Maternal%20New




ATI-RN Maternal Newborn Study Guide



1. Newborn Septic Shock

Answer The nurse should monitor the blood pressure of a newborn who is at risk for septic

shock and should identify decreased blood pres- sure as an indication of this complication.

Other manifestations include tachypnea, tachycardia, mottled or gray-colored skin, cool

extremities, and a rapid pulse.



2. Early PostPartum Period

Answer Dark Red Lochia will pool in the vagina when the client is lying in bed and will flow

out of the vagina when the client stands up. After initial gush, the bleeding will slow to a trickle

of bright red lochia.



3. retained placental fragments

Answer -excessive vaginal bleeding that does not stop.

-Can cause early PPH, but most common cause of late PPH






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-Inspect placenta

-Treatment

uterine exploration (Sterile, Pain management, Antibiotics post, Sonog- raphy, Curettage (D&C)



4. Damaged Blood Vessel

Answer Blood will spurt out of the vagina, and the flow will not slow.



5. Lochia Flow

Answer will steadily decrease during postpartum period.



6. Gomco Clamp Circumcision

Answer -Pressure of clamp for 3-5 minutes, then slit/cut away excess skin


-Petroleum gauze strips to site after to prevent sticking to diaper


-Apply petroleum jelly to the penis with each diaper change to protect incision from contact with

urine and feces.


- No towelettes







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- Do not remove and yellow exudate (can cause pain and bleeding - part of healing process)


- Do not wrap penis with dry gauze (can adhere and cause pain and bleeding at removal).




7. Psychological Task

Answer Accepting the Pregnancy - First Trimester


Accepting the baby

- Second Trimester


Preparing for Parenthood & Preparing for End of Pregnancy

-Third Trimester



8. Terbutaline (Brethine)

Answer Uses to relax uterine smooth muscle to inhibit uterine activity.









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- Involves bronchodilation

Adverse Reaction



Tachycardia (if pulse is greater than 130/min, the medication needs to be held until HCP is

notified.)


Terbutaline is a tocolytic medication that causes uterine relaxation and is used to treat preterm

labor. It is not an appropriate medication to treat uterine atony.

9. Postpartum Care Client w/Cardiac Disease

Answer Weight the Client Daily for Fluid Overload


Monitor I/O (blood flow to and from heart increases for atleast the first 24 hours after delivery)

this places the client at high risk of cardiac decompensation and fluid overload.


Follow a high-fiber diet to prevent straining with bowl movements because the pushing effort

(valsalva maneuver) can result in cardiac stress.


Initiate bedrest with the hob elevated to promote rest and decrease the clients oxygen

consumption.

10. Preventing Mastitis





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