Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complet, Exams of Nursing

Download Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complet and more Exams Nursing in PDF only on Docsity! Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) FHR can be heard by Doppler at: - CORRECT ANSWERS 10-12 weeks GA Between 18 and 30 weeks the fundal height should measure what? - CORRECT ANSWERS It should equal the week of gestation MSAFP screening is done: - CORRECT ANSWERS 15-22 weeks of gestation maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as part of a set of tests, which screen for genetic problems, called the quad screen. AFP is a substance made in the liver of an unborn baby (fetus). Smoking tobacco during pregnancy is associated with : - CORRECT ANSWERS Low Birth Weight Pregnant mothers should consume how much water each day? - CORRECT ANSWERS 2 to 3 Liters of water from food and beverage sources. Regarding kick counts, what are signs that a woman needs further evaluation? - CORRECT ANSWERS Fetal movements of less than 3 in one hour No fetal movement for 12 hours The recommended weight gain during pregnancy is usually: - CORRECT ANSWERS 25-35lbs 3-4 lb in first trimester 1 lb per week in the last two trimesters Foods high in folic acid are: - CORRECT ANSWERS Leafy vegetables Dried peas Dried beans Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) Seeds Orange juice It is recommended that _____ mcg of folic acid be taken during pregnancy. - CORRECT ANSWERS 600 It is recommended that clients who are lactating consume ____ mcg of folic acid. - CORRECT ANSWERS 500 What vitamin aids in the absorption of Iron? - CORRECT ANSWERS Vitamin C The clients bladder needs to be _____ before an ultrasound. - CORRECT ANSWERS Full biophysical profile (BPP) normal score is - CORRECT ANSWERS A biophysical profile (BPP) test measures the health of your baby (fetus) during pregnancy. 8-10 BPP abnormal score is - CORRECT ANSWERS <4 If a BPP comes back as 6..... - CORRECT ANSWERS It should be retested BPP assess for - CORRECT ANSWERS Fetal well being non-stress test ( NST) - CORRECT ANSWERS most widely used technique for antepartum evaluation of fetal well being performed during the third trimester. Reactive NST - CORRECT ANSWERS FHR is a normal baseline rate with moderate variablity Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) First stage pain: - CORRECT ANSWERS internal visceral may be felt as back/leg pain Second stage pain: - CORRECT ANSWERS somatic occurs with fetal descent and expulsion Third stage pain: - CORRECT ANSWERS similar to first stage pain Pain S&S: - CORRECT ANSWERS Increased BP Tachycardia Hyperventilation Absent or undetectable variability is considered: - CORRECT ANSWERS Non- reasurring Minimal variability: - CORRECT ANSWERS > undetectable but <5/min Moderate variability: - CORRECT ANSWERS 6-25/min Marked variability: - CORRECT ANSWERS >25/min Accelerations mean: - CORRECT ANSWERS Healthy fetal/placental exchange Fetal bradycardia means (less than 60) - CORRECT ANSWERS Uteroplacental insufficiency Umbilical cord prolapse Maternal hypotension Prolonged umbilical cord compression Fetal congenital heart block Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) Anesthetic meds Fetal tachycardia means: - CORRECT ANSWERS Maternal infection Fetal anemia Fetal heart failure Fetal cardiac dysrythmias Maternal use of cocaine or meth Maternal dehydration Decrease or loss of variability means: - CORRECT ANSWERS Meds that depress the CNS Fetal hypoxemia w/resulting acidosis Fetal sleep cycle congenital abnormalities Early decels mean: - CORRECT ANSWERS Compression of the fetal head resulting from uterine contraction Vaginal exam Fundal pressure Late decels mean: - CORRECT ANSWERS UPI causing inadequate fetal oxygenation Maternal hypotension placental abruption Uterine hyperstimulation w/pitocin Variable decels mean: - CORRECT ANSWERS Umbilical cord compression Short cord Prolapsed cord Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) Nuchal cord Oligohydraminos Fetal descent and cervical dilation are caused by - CORRECT ANSWERS Frequency, duration, and strength of contractions What is the sensation the patient will feel when completion of dilation and fetal descent? - CORRECT ANSWERS She will feel like she needs to take a big ole poooo! First degree laceration extends through: - CORRECT ANSWERS skin of perineum Second degree laceration extends through: - CORRECT ANSWERS skin of perineum muscles of perineum Third degree laceration extends through: - CORRECT ANSWERS skin of perineum muscles of perineum anal sphincter Fourth degree laceration extends through: - CORRECT ANSWERS skin of perineum muscles of perineum anal sphincter anterior rectal wall Third stage: Signs of placental separation from the uterus are indicated by: - CORRECT ANSWERS fundus firmly contracting Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) Teach the clent to avoid sexual intercourse until: - CORRECT ANSWERS episiotomy/laceration is healed & vaginal discharge has turned white Postpartum disorders are: - CORRECT ANSWERS unexpected events or occurrences that may happen during the PP period Deep Vein Thrombosis S&S - CORRECT ANSWERS Leg pain Chills Unilateral swelling, warmth, redness Warm extremity Calf tenderness Elevated temp Cough Tachycardia Thrombophlebitis: position arm: - CORRECT ANSWERS Above the lever of the heart Thrombosis tx drugs: - CORRECT ANSWERS Heparin Warfarin (coumadin) Pulmonary Embolus S&S - CORRECT ANSWERS Chills Apprehension Pleruitic Chest pain Dyspnea tachypnea Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) hemoptysis heart murmurs peripheral edema distended neck veins elevated temp hypotension hypoxia DIC risk factors - CORRECT ANSWERS abruptio placenta AFE missed abortion fetal death in utero Severe preeclampsia or eclampsia (GHTN) Septicemia cardiopulmonary arrest hemorrhage hydatiform mole Post partum hemorrhage is considered to occur if the client loses how much blood? - CORRECT ANSWERS more than 500 mL after vaginal birth more than 1000 mL after c/s Two complications that can occur following PP hemorrhage include: - CORRECT ANSWERS hypovolemic shock anemia PP hemorrhage VS findings: - CORRECT ANSWERS Tachycardia Hypotension Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) Meds given to tx PP hemorrhage - CORRECT ANSWERS Oxytocin Methergine Cytotec Hemabate Subinvolution is when: - CORRECT ANSWERS The uterus remains enlarged with continued lochial discharge and may result in PP hemorrhage Subinvolution s&s - CORRECT ANSWERS increased vag bleeding uterus enlarged and higher than normal in the abd relative to umbilicus boggy uterus prolonged lochia d/c with irregular or excessive bleeding Risk factors for subinvolution of uterus: - CORRECT ANSWERS Pelvic infection and endometritis Retained placental fragments not completely expelled from the uterus Inversion of the uterus - CORRECT ANSWERS Retained placenta Uterine atony Excessive fundal pressure Abnormally adherent placental tissue Multiparity Fundal implantation of the placenta Extremem traction applied to the umbilical cord Leiomyomas Inversion of uterus s&s - CORRECT ANSWERS pain in lower abd vag bleeding dizziness Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) Newborn temp should be - CORRECT ANSWERS 97.7-98.9 Milia - CORRECT ANSWERS small raised white spots on nose, chin, and forehead mongolian spots - CORRECT ANSWERS bluish purple spots of pigmentation telangectiatic nevi - CORRECT ANSWERS flat pink or red marks that easily blanch and are found on the newborns back of the neck, nose, upper eye lids, and middle of the forehead nevus flammues (port wine stains) - CORRECT ANSWERS a capillary angioma below the surface of the skin that is purple or red, varies in size and shape, is commonly seen on face and does not blanch or disappear. erythema toxicum - CORRECT ANSWERS pink rash that appears suddenly anywhere on the body of a term newborn during the first 3 weeks. caput succadaneum - CORRECT ANSWERS localized swelling of the soft tissues of the scalp caused by pressure on the head during labor.........normal finding......crosses suture line cephalhematoma - CORRECT ANSWERS collection of blood between periosteum and skull bone that it covers does not cross suture line results from trauma during birth normal newborn RR - CORRECT ANSWERS 30-60 When can bathing by immersion be done? - CORRECT ANSWERS When the newborn's umbilical cord has fallen off and the circumcision has healed on males Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) How long should the newborn nurse? - CORRECT ANSWERS 15-20 minutes (but don't educate the mother on the timing) Newborns who are formula fed should be burped: - CORRECT ANSWERS every 15-30 mLs Newborns should have how many diapers a day? - CORRECT ANSWERS 6-8 wet diapers 3-4 stools per day Cord infection s&s: - CORRECT ANSWERS moist and red foul odor purulent drainage Chlamydia s&s - CORRECT ANSWERS Vulvar itching Vag spotting White, watery vaginal discharge Gonorrhea S&S - CORRECT ANSWERS Urethral discharge Painful urination Frequency Yellowish-green vag discharge Reddended vulava & vag walls GBS can be tested when? - CORRECT ANSWERS 35-37 week GA Candida Albicans S&S - CORRECT ANSWERS Vulvar itching Thick, creamy white vag discharge Vulvar redness Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) White patches on vag walls Gray white patches on tongue and gums Terbutaline (Brethine) - CORRECT ANSWERS Uses to relax uterine smooth muscle to inhibit uterine activity Indomethacin - CORRECT ANSWERS is an NSAID that suppresses preterm labor & uterine contraction. Betamethoasone - CORRECT ANSWERS Glucocorticoid given to enhance fetal lung maturity and surfactant production. MSAFP screening done when? - CORRECT ANSWERS 15-22 weeks Calendar method - CORRECT ANSWERS ovulation occurs 14 days before onset of next menstrual cycle and avoids intercourse during that period, days 8-19 is fertile period spinnbarkeit sign - CORRECT ANSWERS the ability for the mucus to stretch between the fingers is greatest during ovulation Basal Body temp - CORRECT ANSWERS temp drops during ovulation diagphragm - CORRECT ANSWERS inserted up to 6 hours before and stay in 6 hours after refitted every 2 years cervical cap - CORRECT ANSWERS guidelines are the same as diaphragm, 6 hours before and leave in 6 hours after replaced every 2 years Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) folic acid intake for pregnant women - CORRECT ANSWERS 600 mg calories per day for pregnant women - CORRECT ANSWERS 500 calories how soon can a amniocentesis be performed? - CORRECT ANSWERS 14 weeks Kelihauer-Betke Test - CORRECT ANSWERS used to measure the amount of fetal hemoglobin transferred from a fetus to a mother's bloodstream this is done to make sure there is not too much blood from infant in mothers bloodstream what is the ratio for lecithin sphingomyelin - CORRECT ANSWERS 2:1 indicates fetal lung maturity What is the advantage of chorionic villus sampling versus amniocentesis - CORRECT ANSWERS you are able to do it earlier it assesses the portion of developing placenta high levels of afp - CORRECT ANSWERS neural tube defects low levels of afp - CORRECT ANSWERS down syndrome when is the Maternal Serum alpha fetoprotein test performed? - CORRECT ANSWERS to detect neural tube defects and is done between 16-18 weeks of gestation cvs versus amniocentesis bladder difference - CORRECT ANSWERS cvs is full bladder and amnio is empty spontaneous abortion - CORRECT ANSWERS less than 20 weeks Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) Ectopic pregnancy - CORRECT ANSWERS referred shoulder pain IUD usage history stabbing pain and tenderness in lower abdominal quadrant HCG rules out ectopic if elevated methotrexate - CORRECT ANSWERS disolves pregnancy Abrutpio placentae - CORRECT ANSWERS premature separation of placenta from uterus dark red bleeding pain boardlike uterus fetal distress hgb and hctz decreased DIC risk kleihauer betke test to detect fetal blood in marternal circulation get ready for blood transfusion risk factors for abruptio placentae - CORRECT ANSWERS smoking cocaine blunt abdominal trauma medication for syphillis - CORRECT ANSWERS penicillin G IM single dose med choice for gonorrhea - CORRECT ANSWERS ceftriaxone erthromycin - CORRECT ANSWERS administered for infant to prevent gonorrhea and chlamydia Maternal Newborn ATI, Maternal Newborn Proctor ATI 206 Questions and Answers with complete solution Covers(2024/2025Graded A+) med for HIV positive - CORRECT ANSWERS retrovir which immunization is contraindicated for pregnant women? - CORRECT ANSWERS Rubella hyperglycemia - CORRECT ANSWERS the 5 P's polydipsia, polyphagia, polyuria, nausea positive blood glucose screening reading - CORRECT ANSWERS 130-140 mg/dl mild preeclampsia - CORRECT ANSWERS proteinuria plus 1 severe preeclampsia - CORRECT ANSWERS 160/110 mg/dl proteinuria greater than 3+ Eclampsia - CORRECT ANSWERS seizure or coma onset HELLP - CORRECT ANSWERS variant of gestational hypertension Hemolysis Elevated liver Low platelets Nitrazine paper - CORRECT ANSWERS to test for amniotic fluid to indicate rupture of membranes positive is blue when does menses resume after birth? - CORRECT ANSWERS 4-6 weeks postpartum