Maternal Newborn ATI, Maternal Newborn Proctor ATI 207questions with 100% verified answers, Exams of Nursing

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FHR can be heard by Doppler at: - CORRECT ANSWERS 10-12 weeks GA When should you start measuring a woman's fundal height? - CORRECT ANSWERS After > 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

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Dried peas Dried beans 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- BPP abnormal score is - CORRECT ANSWERS < 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.

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The doctor takes cells from tiny fingerlike projections on your placenta called the chorionic villi and sends them to a lab for genetic analysis. First stage of labor: - CORRECT ANSWERS 1-1.5 cm (onset of labor) Latent phase of labor: - CORRECT ANSWERS 0-3 cm mild to moderate contractions irregular q 5-30 min lasts 30-40 sec Active phase of labor: - CORRECT ANSWERS 4-7 cm moderate to strong contractions regular q 3-5 min lasts 40-70 sec Transition phase of labor - CORRECT ANSWERS 8-10 cm strong to very strong contractions q 2-3 min lasts 45-90 sec Second stage of labor: - CORRECT ANSWERS Full dilation Intense contractions BIRTH!! Third stage of labor: - CORRECT ANSWERS Delivery of placenta Fourth stage: - CORRECT ANSWERS Maternal stabilization of vital signs

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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

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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 swift gush from introitus of dark blood umbilical cord appears to lengthen as placenta descends

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vaginal fullness of exam There is a high risk of _________ surrounding external cephalic version. - CORRECT ANSWERS Cord prolapse Regarding BISHOP scoring, when is a woman ready for labor? - CORRECT ANSWERS A score of 9 for nulliparas 5 or more for multiparas Mechanical methods to ripen cervix: - CORRECT ANSWERS balloon caths hydroscopic dilators and sponges laminara tents synthetic dilators and sponges Methods of induction - CORRECT ANSWERS prostaglandins applied cervically admin of IV oxytocin amniotomy stripping of membranes nipple stimulation Dystocia - CORRECT ANSWERS prolonged, difficult labor Before administering pitocin, where should the fetus be? - CORRECT ANSWERS engaged in the birth canal at a minimum of 0 station. Discontinue oxytocin if: - CORRECT ANSWERS contraction frequency more often than every 2 mins contraction duration longer than 90 seconds no relaxation of uterus between contractions

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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 hemoptysis heart murmurs peripheral edema distended neck veins elevated temp

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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 Meds given to tx PP hemorrhage - CORRECT ANSWERS Oxytocin Methergine Cytotec Hemabate

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Med given: oxytocin....if unsuccessful then tocolytic for d&c APGAR scoring is: - CORRECT ANSWERS a brief physical exam done immediately following birth to rule out abnormalities. APGAR of 0-3 indicates - CORRECT ANSWERS severe distress APGAR or 4-6 indicates - CORRECT ANSWERS moderate distress APGAR of 7-10 indicates - CORRECT ANSWERS no distres APGAR Heart rate scoring - CORRECT ANSWERS 0= absent 1= < 2= > APGAR RR scoring - CORRECT ANSWERS 0= absent 1= slow, weak cry 2= good cry APGAR Muscle tone scoring - CORRECT ANSWERS 0= Flaccid 1= some flexion 2= well-flexed APGAR Reflex irritability - CORRECT ANSWERS 0= none

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2= grimace 3= cry APGAR Color scoring - CORRECT ANSWERS 0= Blue, pale 1= pink body, cyanotic hands and feet (acrocyanosis) 2= Completely pink Normal newborn weight range: - CORRECT ANSWERS 2500-4000 grams Low birth weight - CORRECT ANSWERS less than 2500 grams Term birth - CORRECT ANSWERS between 38 weeks and 42 weeks Grunting and nasal flaring are: - CORRECT ANSWERS signs of respiratory distress crackles and wheezing are signs of - CORRECT ANSWERS fluid or infection in the lungs Newborn BP should be - CORRECT ANSWERS 60-80 systolic and 40- diastolic Newborn temp should be - CORRECT ANSWERS 97.7-98. Milia - CORRECT ANSWERS small raised white spots on nose, chin, and forehead mongolian spots - CORRECT ANSWERS bluish purple spots of pigmentation

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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 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.

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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- 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 contraceptive sponge - CORRECT ANSWERS leave in for 6 hours after intercourse progestin pills - CORRECT ANSWERS are safe for breast feeding mothers nuva ring - CORRECT ANSWERS replace ring every 3 weeks insertion same day of every month can be removed up to 3 hours how soon can pregnancy be detected? - CORRECT ANSWERS HCG beings production detected as early as 7-8 days

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Ballottment - CORRECT ANSWERS positioning of fetus its a presumptive sign of pregnancy prenatal assessment - CORRECT ANSWERS 16-28 weeks monthly 29-36 every 2 weeks 36 weeks until birth is every week when can fundal height be measured? - CORRECT ANSWERS 2nd trimester GBS testing - CORRECT ANSWERS 35-27 weeks gest fetal movement - CORRECT ANSWERS less than 3 per hour or movements cease for 12 hours needs further eval usually it's 2-3 times a day for 2 hours after meals or bedtime iron intake for pregnant women - CORRECT ANSWERS 27 mg/dl calcium intake for pregnant women - CORRECT ANSWERS 1000 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

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what is the ratio for lecithin sphingomyelin - CORRECT ANSWERS 2: 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 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