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2024 VALID MATERNAL/NEWBORN ATI FINAL REVIEW EXAM WITH CORRECT ANSWERS
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2024 VALID MATERNAL/NEWBORN ATI FINAL REVIEW EXAM WITH CORRECT ANSWERS
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2024 VALID MATERNAL/NEWBORNATI FINAL REVIEW EXAM WITH
CORRECT ANSWERS
What is the fourth stage of labor and when does it start? -
CORRECT ANSWERS- Postpartum period- starts after the delivery
of the placenta
What are the greatest risks during the postpartum period? -
CORRECT ANSWERS- Hemorrhage
Shock
Infection
When is RH immune globulin (RhoGAM) administered to post
partum women? - CORRECT ANSWERS- Administered 72 hours for
women who are Rh-negative and gave birth to infants who are Rh-
positive
This prevents sensitization to Rh in future pregnancies
What is included in the postpartum nursing assessment? -
CORRECT ANSWERS- Monitoring vital signs
Assessing uterine firmness & location in relation to umbilicus
,Uterine position in relation to midline (if deviated, assist mom in
emptying bladder)
Amount of vaginal bleeding (lochia)
What does a feeling of tightness following an amniocentesis
indicate? - CORRECT ANSWERS- Onset of uterine contractions
What does dull, intermittent back pain indicate? - CORRECT
ANSWERS- Preterm labor, needs to be reported to provider
What is a non-pharmacological method for lactation suppression?
- CORRECT ANSWERS- Cabbage leaves:
Plant sterols and salicylates from cabbage leaves can help relieve
swelling
What are sub-sternal retractions in a newborn a sign of? -
CORRECT ANSWERS- Respiratory distress
During the immediate postpartum period, what is the new mom at
greatest risk for? - CORRECT ANSWERS- Post partum hemorrhage
What does a mom's subjective report of "tingling fingers" during
labor indicate? - CORRECT ANSWERS- Hyperventilation
How often should vitals be monitored after delivery? - CORRECT
ANSWERS- Every 15 min for the first hour
,Every 30 minutes for second hour
Every 4-8 hr depending on remaining medication regimen
This occurs with contractions of the uterine smooth muscle,
whereby the uterus returns to its pre-pregnant state - CORRECT
ANSWERS- Involution
Defined as blood flow from the uterus during postpartum period -
CORRECT ANSWERS- Lochia
This type of lochia is bright red in color, bloody consistency, fleshy
odor, may contain small clots - CORRECT ANSWERS- Lochia rubra
This type of lochia is pinkish brown in color & serosanguineous
consistency - CORRECT ANSWERS- Lochia serosa
This type of lochia is yellowish, white creamy color, fleshy odor -
CORRECT ANSWERS- Lochia alba
When is colostrum present in the new mother's breasts? -
CORRECT ANSWERS- During pregnancy and 2-3 days
immediately after birth
Defined as an infection in a milk duct of the breast with
concurrent flulike symptoms - CORRECT ANSWERS- Mastitis
, What are therapeutic and approved holding positions when breast
feeding? - CORRECT ANSWERS- Cradle hold
Side-lying hold
Football hold
What does breast feeding cause the release of? What does this
prevent? - CORRECT ANSWERS- Breast feeding causes the
release of oxytocin which stimulates uterine contractions (will
prevent hemorrhage)
What are normal lab values in the post partum period? - CORRECT
ANSWERS- Increased Hct & Hgb up to 72 hours
Leukocytosis (WBC count up to 20,000-25,000 for the first 10-14
days, without presence of infection)
Increased coagulation factors
Increased fibrinogen
A medical condition during pregnancy defined as excessive
nausea and vomiting that is prolonged past 12 weeks of
gestation. Results in weight loss & electrolyte imbalance -
CORRECT ANSWERS- Hyperemesis gravidarum
What are nursing responsibilities when caring for a patient
diagnosed with hyperemesis gravidarum? - CORRECT ANSWERS-
Monitor client's I&O
Assess client's skin turgor/mucous membranes
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