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Maternity ATI Review exam with complete solutions
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Maternity ATI Review exam withcomplete solutions
Cord compression during pregnancy is a risk for: - ANSWER- fetal anoxia
Maternal hypertension usually results in a baby with: - ANSWER- no
complications
Alcohol use during pregnancy can result in: - ANSWER- fetal alcohol syndrome,
developmental delay, birth defects.
Prematurity is a risk factor for: - ANSWER- RDS: Respiratory distress syndrome.
a premature newborn has inadequate surfactant production, which can lead to
RDS.
What food is a good source of folate? - ANSWER- cooked spinach. 1 cup contains
262 mcg folate.
newborn has an obstructed airway and needs nasopharyngeal suctioning with a
mechanical suction. ID the sequence of actions the nurse should take in order. -
ANSWER- 1. Adjust pressure of wall suction to below 80 mm Hg.
2. Lubricate tip of catheter in sterile water.
3. Insert cath nasally, up and back into the nares.
4. Create suction by placing thumb over the control.
5. Suction for 5 sec while rotating and withdrawing the cath.
Discussing a vasectomy with a male client, what statement indicates the client
understands: - ANSWER- "after, we will need to use alternative contraception
temporarily" : Residual sperm may remain in the sperm ducts following the
procedure and can result in pregnancy. Use alternative birth control until 2
consecutive sperm counts are 0.
Instruction to new mothers re: formula feeding: - ANSWER- Allow 20-30min for
feeding, so the newborn does not eat too fast and swallow too much air.
,What postpartum issue should be reported to MD? - ANSWER- Leg soreness 24
hours post C-Section: Clotting factors remain elevated in the first days
postpartum, inc risk for thrombophlebitis. Pain and tenderness are clinical
findings of thrombophlebitis, as well as heat, redness, swelling.
Expected findings in postpartum mothers: - ANSWER- Diaphoresis occurs as the
body rids itself of excess fluids; Bowel movements may not occur for 2-3 days
after birth; Diastasis recti abdominis, a seperation of abdominal muscles, is also
expected.
A pt with an incompetent cervix is scheduled for cerclage and should be taught: -
ANSWER- after the procedure the pt should remain on bed rest, an elevated
temperature indicates infection and should be reported, and The cerclage will be
removed @ 37 wks gestation
Reinforcing teaching in a client who wants to use jet hydrotherapy to promote
comfort/relaxation during labor: - ANSWER- "You should be in the active phase of
the first stage of labor to use the tub." : Starting jet hydrotherapy BEFORE pt is in
active stage of labor can slow down contractions and delay the progression of
labor.
Reviewing pregnant pts prenatal record, what is a desired outcome? - ANSWER-
Reactive nonstress test indicates fetal well being.
What is a complication related to the birth of a newborn who is LGA: large for
gestational age? - ANSWER- Hemorrhage; birthing a LGA newborn inc risk for
hemorrhage due to risk for uterine atony.
Premature rupture of membranes puts client at risk for: - ANSWER- Umbilical
cord prolapse. Fetal heart rate should be evaluated.
Fundal height should be measured - ANSWER- between 18-32 wks of gestation
Obtaining a blood sample for Maternal Serum Alpha-Fetoprotein (MSAFP) screen
- ANSWER- between 16-18 wks gestation
A vaginal and anal specimen for Group B Streptococcus should be collected -
ANSWER- between 35-37 wks gestation
, An ultrasound stethoscope should be used to listen to fetal heart tones at: -
ANSWER- 12 weeks/ end of the first trimester.
Care for a postpartum Pt with a second degree perineal laceration - ANSWER-
during first 24 hours apply an icepack to the perineum, it decreases perineal
edema and reduces discomfort; avoid aspirin it interferes with blood clotting;
avoid soft pillows and donuts, they cause seperation of the buttocks and
decrease blood flow, increasing perineal discomfort; encourage pt to use a sitz
bath for 20 mins 2-3xday.
Baby should be in a rear facing car seat until - ANSWER- atleast 1 year old and
20+ lbs, or the max height/weight for the car seat.
At a Pts 1st prenatal appt, reinforcing teaching re: blood draw for a hemoglobin
electrophoresis. This statement indicates pt understands: - ANSWER- "I am
having this test to see if I have thalassemia.": Hemoglobin electrophoresis
detects hemoglobinopathies such as sickle cell anemia, thalassemia.
During the first 10-12 days after birth the clients WBC count and increase up to: -
ANSWER- 25,000/mm3. Any higher can indicate infection.
Teaching re: phytonadione - ANSWER- Phytonadione/Vitamin K should be
administered within 2 hours of birth to the newborn to assist with blood clotting.
methylergonovine - ANSWER- a uterine stimulant that works by increasing
uterine contractions, which helps reduce blood loss after the baby is delivered.
Adverse effect is hypertension.
nifedipine - ANSWER- stops uterine contractions in preterm labor by relaxing the
smooth muscle of the uterus.
metoclopramide - ANSWER- decreases maternal nausea, which can be caused by
hyperemesis gravidarum
dexamethasone - ANSWER- a glucocorticoid which promotes fetal lung maturity
carboprost - ANSWER- medication that treats postpartum hemorrhage
what should be done for a prenatal patients lab result: serum creatinine 2.1mg/dL
- ANSWER- this is an elevated level and should be reported to provider
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