ATI Comp Maternal Newborn Practice Question Guide With 100% Accurate Guaranteed Solutions.

Nagele's Rule - correct answer Subtract 3 months, add 7 days Non-stress Test - correct answer Monitors response of the fetal heart rate to fetal movement Biophysical Profile - correct answer Fetal breathing movements Gross body movements Fetal tone Reactive FHR Amniotic fluid volume FHR - correct answer Normal: 110-160 Gravidity - correct answer Number of pregnancies Parity - correct answer Number of pregnancies that reach viability (20 weeks) GTPAL - correct answer Gravidity (# of pregnancies including this one) Term births (38 weeks or more) Preterm births (from 20 weeks up to 37 weeks) Abortions/miscarriages Living children Pregnancy 16-22 weeks - correct answer Screen for NTDs with maternal serum alpha fetoprotein Pregnancy 28 weeks - correct answer Screen for diabetes mellitus Administer Rhogam if Rh-negative Begin NST testing Pregnancy 35 weeks - correct answer Test for group B strep Hyperemesis Gravidarum - correct answer Acupressure Eat small, frequent meals Increase fluid intake Placenta Previa - correct answer Bright red bleeding No pain Partial previa=bed rest Abruptio Placentae - correct answer Dark red bleeding Abdomen "boardlike" and tender Immediate c/s Transfusions True Labor - correct answer Contractions become regular & stronger Walking can increase intensity Cervical dilation Bloody show Presenting part engages in pelvis Labor: First stage - correct answer Cervix dilates from 0-10cm Contractions become regular and strong Labor: Second stage - correct answer Pushing stage From complete dilation through delivery of baby *Assess FHR every 15 min Labor: Third stage - correct answer After delivery of baby until delivery of placenta *Assess vs, bleeding, fungus *Immediate care of newborn Labor: Fourth stage - correct answer 1-2 hr after delivery of placenta *Vital signs *Breastfeeding/bonding *Hemorrhage is priority concern FHR Changes - correct answer Variable Cord compression Move client Early Head compression Identify labor progress Acceleration Other(okay) No action needed Late Placental insufficiency Execute actions immediately Oxytocin - correct answer Stimulate uterine contractions Methylergonovine - correct answer Stimulate uterine contractions after delivery Treat postpartum hemorrhage Calcium gluconate - correct answer Antidote for magnesium sulfate toxicity Terbutaline - correct answer Tocolytic used for preterm labor Magnesium sulfate - correct answer Tocolytic used for preterm labor Prevent seizures in preeclampsia Betamethasone - correct answer Stimulates production/release of lung surfactant in preterm fetus Misoprostol - correct answer Preinduction cervical ripening Epidural - correct answer Give 1 liter IV fluid bolus before epidural Assist in sitting or side-lying position Forceps - correct answer Assess neonate for intracranial hemorrhage, facial bruising, facial palsy Lacerations to cervix or vagina Low transverse c/s - correct answer Decrease chance of uterine rupture with future pregnancies Less bleeding after delivery Fetal distress - correct answer Stop oxytocin O2 at 8-10 L/min by nonrebreather Reposition client Increase IV fluids Notify provider Perform fetal scalp stimulation Prolapsed cord - correct answer 1. Call for assistance 2. Notify provider 3. Use sterile-gloved hand, apply finger pressure on either side of cord to the fetal presenting part to elevate it off of the cord 4. Reposition in knee-chest or Trendelenburg 5. O2 6. If cord is protruding from vagina, wrap it loosely in sterile saline-soaked towel 7. Monitor FHR 8. Prepare for immediate birth Cord compression - correct answer 1. Position change is priority 2. Administer O2 8-10 L 3. Prepare to assist with amnioinfusion Amniotic fluid emboli s/s - correct answer Respiratory distress Circulatory collapse Hemorrhage Seizure activity Postpartum bleeding - correct answer Saturation of one perineal pad in 15 min or less, numerous large clots, or pooling of blood are indicators of excessive blood loss Give Rhogam - correct answer Mom: Rh- Baby: Rh+ Maternal Coombs: Negative Umbilical cord - correct answer 2 Arteries 1 Vein Newborn vitals - correct answer HR: 100-160 RR: 40-60 Temp: 97.7-98.9 BP: 60-80 systolic, 40-50 diastolic APGAR - correct answer Assess at 1 & 5 min Mastitis - correct answer Usually unilateral Symptoms include chills, fever, malaise, local breast tenderness & erythema *Continue breastfeeding Sucking & rooting reflex - correct answer Birth to 4 months Palmar grasp reflex - correct answer Present at birth & until 3-6 months Plantar grasp reflex - correct answer Touch sole of newborn's foot, newborn curls toes downward Birth to 8 months Moro reflex (startle) - correct answer Birth to 4 months Tonic neck reflex - correct answer Newborn will extend arm & leg on the side when the head is turned to that side Birth to 3-4 months Babinski - correct answer Stroke outer edge of sole of foot toward toes, toes fan upward and out