Download ATI MATERNAL SCRIPT 2026 FULL SOLVED CONTENT and more Exams Nursing in PDF only on Docsity!
ATI MATERNAL SCRIPT 2026 FULL SOLVED
CONTENT
◉When is amniocentesis usually done?. Answer: 14 wks ◉What does amniocentesis test for?. Answer: genetic abnormalities ◉What is looked at for amniocentesis?. Answer: AFP (alpha fetoprotein) LS Ratio (lecithin sphingomyelin ratio) ◉If levels of afp are high, then it is associated with:. Answer: neural tube defects ◉If levels of afp are low, then it is associated with:. Answer: chromosomal disorders (Down syndrome) ◉What does LS ratio test for?. Answer: fetal lung maturity
◉Risks associated with amniocentesis:. Answer: amniotic fluid embolism, hemorrhage, infection, laking of amniotic fluid, ruptured membranes, or miscarriage ◉When can Chorionic villus sampling be done?. Answer: 10-12 wks ◉What does chorionic villus sampling test for?. Answer: genetic abnormalities ◉Advantage of chorionic villus sampling as opposed to amniocentesis. Answer: can be done early to detect the genetic abnormalities ◉Ectopic pregnancy. Answer: ovum is planted outside the uterus (often in fallopian tube) ◉Main symptom of an ectopic pregnancy:. Answer: unilateral stabbing pain and abdominal tenderness in LLQ ◉Molar pregnancy. Answer: proliferation and degeneration of trophoblastic villi in the placenta ◉Main symptom of molar pregnancy. Answer: bleeding that resembles prune juice (dark brown)
◉main symptom of abruptio placenta is:. Answer: sudden onset of intense localized uterine pain with dark red vaginal bleeding ◉What infection is common for pregnant women?. Answer: yeast infection ◉s/s of yeast infection. Answer: cottage cheese looking discharge, vulvar redness, white patches on the vaginal wall ◉Incompetent cervix. Answer: recurrent premature dilation of the cervix ◉If woman has incompetent cervix, then what will she get?. Answer: cervical cerclage (keep cervix closed) ◉When is cervical cerclage removed?. Answer: 37 wks gestation or when spontaneous labor occurs ◉Hyperemesis gravidarum. Answer: excessive n/v past the first 12 wks of pregnancy ◉Interventions for hyperemesis gravidarum. Answer: - IV fluids
- administration of B
- antiemetic medications (Reglan, Zofran)
◉What should a client take with iron supplements?. Answer: food that is rich in vitamin C ◉Foods high in vitamin C. Answer: orange juice ◉What is woman at higher risk for if she has gestational diabetes?. Answer: diabetes after pregnancy ◉Tests that will be done if mother is diagnosed with gestational diabetes. Answer: non stress test, biophyiscal profile ◉What will be used to control sugar levels during gestational diabetes. Answer: insulin (oral antidiabetics are contraindicated during pregnancy) ◉When does test to diagnosed gestational diabetes occur?. Answer: 24 - 28 wks gestation ◉What is done to test for gestational diabetes. Answer: - start with 1 hour glucose tolerance test
- if blood sugar from tolerance test is above 130-140, then oral glucose tolerance test is done.
◉s/s mild pre-eclampsia. Answer: bp over 140/90 after 28 wks of pregnancy recorded at least twice 4-6 hours apart within 1 week period, protein in urine at level of 1+ ◉Severe pre-eclampia s/s. Answer: bp over 160/100, protein in urine at level of 3+, creatinine level greater than 1.2, headache, blurred vision, hyperreflexia, peripheral edema, epigastric pain. ◉s/s of eclampsia. Answer: bp over 160/100, protein in urine at level of 3+, creatinine level greater than 1.2, headache, blurred vision, hyperreflexia, peripheral edema, epigastric pain, seizures ◉HELLP syndrome. Answer: H-hemolysis EL-elevated liver enzymes (ALT & AST) LP- low platelets (levels below 100,000) ◉hemolysis can result in ___. Answer: anemia ◉What meds are given for gestational HTN, mild pre eclampia, and severe pre-eclampsia. Answer: antihypertensives (methyldopa, nifedipine, hydralazine, labetalol ◉What meds are given for eclampsia. Answer: anticonvulsant (magnsium sulfate)
antihypertensives (methyldopa, nifedipine, hydralazine, lebetalol) ◉Important point for magnesium sulfate. Answer: monitor patient for magnesium toxicity ◉s/s of mag toxicity. Answer: no reflexes, low urine output, low respirations, decreased LOC, dysrhythmias ◉Antidote for magnesium sulfate toxicity. Answer: calcium gluconate ◉Tests to determine if mother is in preterm labor. Answer: - swab of vaginal secretions ◉What does swab of vaginal secretions determine?. Answer: if there is fetal fibronectin ◉Meds for preterm contractions. Answer: - nifedipine (calcium channel blocker)
- Magnesium (relaxes smooth muscle of uterus)
- indomethacin (NSAID)
- betamethasone
braxton hicks contractions are irregular ◉When is GBS usually done?. Answer: 36-37 weeks gestation ◉1st stage of labor time frame. Answer: the onset of labor until complete dilation of the cervix (10 cm) ◉2nd stage of labor time frame. Answer: full dilation of cervix to birth of baby ◉3rd stage of labor time frame. Answer: birth of the baby to delivery of placenta ◉4th stage of labor time frame. Answer: delivery of placenta until mother's vital signs are WNL ◉Phases of labor within the 1st stage of labor. Answer: latent phase, active phase, and transition phase ◉Latent phase of labor. Answer: - 0 - 3 cm dilation
- mother is talkative and eager. ◉Active phase of labor. Answer: - over 3 cm to 7 cm dilation
- mother is anxious, restless, and is feeling helpless ◉Transition phase of labor. Answer: - over 7 cm to 10 cm dilation
- mother has feelings of not being able to go on; "I can't continue"
- has urge to push
- has increased rectal pressure; may feel like she needs to have bowel movement ◉Nonpharmacological pain management methods. Answer: Effleurage, sacral counter pressure, music, distraction, aromatherapy, imagery ◉Effleurage. Answer: light gentle circular stroking on client's abdomen ◉Sacral counter pressure. Answer: using heel of hand or fist to push against client's sacral area to offer counter pressure against pain in low back ◉If client receives a sedative or opioid analgesic, then there is a risk of ____ in the baby.. Answer: respiratory depression
◉Where does spinal block provide lack of sensation to?. Answer: nipples to feet ◉Side effects of spinal block. Answer: maternal hypotension, fetal bradycardia, potential headache from leakage of CSF, higher incidence of bladder and uterine atony ◉Normal fetal heart rate. Answer: 110-160 bpm ◉What do you want to see in fetal heart monitoring?. Answer: moderate variability, accelerations (early decelerations are okay too, nothing is done when we see them) ◉What don't you want to see in fetal heart monitoring?. Answer: late decelerations and variable decelerations ◉If fetal bradycardia (late decelerations) is seen on monitor, what is done:. Answer: discontinue oxytocin, put patient on their side, give patient more O2, notify provider ◉late decelerations are related to:. Answer: uteroplacental insufficiency (lack of fetal oxygenation)
◉If fetal tachycardia (HR over 160) is seen, what can that mean:. Answer: maternal infection ◉If fetal tachycardia is seen, what is done:. Answer: - check if infection is present
- administer antipyretics if there is fever
- give O ◉early decelerations. Answer: compression of fetal head during a contraction ◉interventions for late decelerations. Answer: - assist mother to side lying position
- increase IV fluids
- discontinue oxytocin
- administer O
- notify provider ◉variable decelerations. Answer: umbilical cord compression ◉interventions for variable decelerations. Answer: - reposition client from side to side OR knee to chest position
- discontinue oxytocin
◉every 24 hours after the 12 hour mark post partum, the fundus should:. Answer: descends 1-2 cm per day ◉By 6th postpartum day, where should fundus be?. Answer: half way between umbilicus and symphasis pubis ◉True or false: by 10th day postpartum, the fundus should not be able to be palpated.. Answer: true ◉3 types of lochia. Answer: lochia rubra, lochia serosa, lochia alba ◉lochia rubra. Answer: bright red bleeding that occurs during day 1 - 3 after woman gives birth
- has fleshy odor, may see blood clots (but not excessive clots) ◉lochia serosa. Answer: - from day 4- 10
- serosanguinous (pinkish brown) ◉lochia alba. Answer: - from day 11 to 6 weeks postpartum
- yellowish-white creamy color
- fleshy odor
◉During lochia rubra time period, it is important that bleeding should not be excessive. What is considered excessive bleeding?. Answer: saturating a pad within 15 minutes ◉If lochia rubra extends past 3 days, there is a concern with ___ and ___. Answer: uterine atony and retained placental fragments ◉Interventions for post vaginal birth for perineum pain. Answer: ice packs sitz bath ◉When does milk start to come in?. Answer: 2-3 days after birth ◉Colostrum. Answer: thick, yellow substance that is excreted from breasts prior to milk; is full of antibodies and nutrients; high fat content ◉Average blood loss for vaginal birth. Answer: 500 mL ◉Average blood loss for C section. Answer: 1,000 mL ◉What happens when a mother is retaining urine?. Answer: bladder will be distended, causing the uterus to be displaced
- cold cabbage leaves
- mild analgesics ◉Discharge teaching for breast engorgement for client who is not breastfeeding. Answer: - cold compresses
- tight bra
- mild analgesics ◉Postpartum complications. Answer: DVT, pulmonary embolism, hemorrhage ◉s/s of DVT. Answer: unilateral area of swelling, warmth, and redness in one leg, calf tenderness ◉s/s of pulmonary embolism. Answer: chest pain, difficulty breathing ◉s/s of maternal hemorrhage. Answer: tachycardia, hypotension, soaking a lot of pads in small amount of time ◉Meds used for hemorrhaging or uterine atony. Answer: pitocin (oxytocin), methylergonovine (methergine), misoprostol (Cytotec)
◉s/s of mastitis. Answer: painful/tender localized hard mass, reddened area usually on one breast, fever, chills, fatigue ◉Education on breast hygiene in preventing mastitis. Answer: - washing hands prior to breast feeding
- keeping breasts clean
- allow nipples to air dry
- when breast feeding, ensure the newborn is taking in both the nipple and areola in their mouth
- attempt to empty both breasts when feeding ◉postpartum blues. Answer: - last up to 10 days
- very common
- if last more than 10 days or s/s become worse, it is important to test for postpartum depression ◉postpartum blues s/s. Answer: tearfulness, insomnia, lack of appetite, feeling of let down ◉postpartum depression. Answer: - occurs within 6 months of delivery ◉s/s of postpartum depression. Answer: persistent feelings of sadness, intense mood swings
