RN ATI Capstone Maternal Newborn and Women's Health Accurately Defined., Exams of Nursing

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Health Accurately Defined.

the relationship of the presenting part to the maternal ischial spines that measures the degree of descent of the fetus - Answer station the amount of time from the beginning of one contraction to the beginning of the next contraction - Answer frequency the amount of consistency in the frequency and intensity of contractions - Answer regularity include cephalic, breech, shoulder - Answer presentation the fetal long axis is parallel to the mother's long axis. The fetus is either in a breech or vertex presentation - Answer longitudinal lie the amount of time elapsed from the beginning of one contraction to the end of the same contraction - Answer duration the long axis of the fetus is at a right angle to the mother's long axis. This is incompatible with a vaginal delivery if the fetus remains in this position - Answer transverse lie

Health Accurately Defined.

the strength of the uterine contraction - Answer intensity When the fetus has a head size, shape or position that does not allow for passage through the pelvis - Answer cephalopelvic disproportion Raloxiphine is used to treat - Answer Osteoporosis A client will receive RhoGAM after the birth if blood tests are - Answer Mother Rh negative Coombs positive Baby Rh positive What information should the nurse include regarding the cause of indigestion and heartburn - Answer Progesterone causes relaxation of the cardiac sphincter allowing acid to reflux Cleft lip: nursing care plan (postop) "CLEFT LIP" - Answer crying, minimize logan bow

Health Accurately Defined.

elbow restraints feed with brecht feeder teach feeding techniques: two months of age (average age at repair) liquid (sterile water), rinse after feeding Impaired feeding (no sucking) position-never on abdomen complication of severed preeclampsia "HELLP" syndrome - Answer Hemolysis Elevated Liver Enzymes Low Platelet Count Dystocia: general aspects (maternal) "4Ps" - Answer Powers Passageway Passenger Psych Infections during preganancy "TORCH" - Answer Toxoplasmosis Other (hepatitis B, syphilis, group B beta strep)

Health Accurately Defined.

Rubella Cytomegalovirus Herpes simplex virus IUD: potential problems with use "PAINS" - Answer Period (menstrual: late, spotting, bleeding) Abdominal pain, dyspareunia Infection (abnormal vaginal discharge) Not feeling well, fevers or chills String missing Newborn assessment components "APGAR" - Answer Appearance Pulse Grimace Activity Respiratory efforts Obstetric (maternity) history- "GTPAL" - Answer Gravida Term

Health Accurately Defined.

Preterm Abortions (SAB, TAB) Living children Oral contraceptives: Signs of potential problems "ACHES" - Answer Abdominal pain (possible liver or gallbladder problem) Chest pain or shortness of breath (possible pulmonary embolus) Headache (possible hypertension, brain attack) Eye problems (possible hypertension or vascular accident) Severe leg pain (possible thromboembolic process) Preterm infant: Anticipated problems "TRIES" - Answer Temperature regulation (poor) Resistance to infections (poor) Immature liver Elimination problems (necrotizinng enterocolitis) Sensory-perceptual functions (retinopathy or prematurity)

Health Accurately Defined.

VEAL CHOP which relates to fetal heart rate - Answer Variable decels = cord compression (usually a change in mother's position helps) Early decels = head compression (decels mirror the contractions; this is not a sign of fetal problems) Accelerations = O2 (baby is well oxygenated-this is good) Late decels = placental utero insufficiency (this is bad and meas there is decreased perfusion of blood/oxygen/nutrients to the baby) Nine-point postpartum assessment BUBBLEHER - Answer B-breasts U-uterus B-bladder B-bowel function L-lochia E-episiotomy H-hemorrhoids E-emotional status R-respiratory system Presumptive signs - Answer *amenorrhea

Health Accurately Defined.

*fatigue *nausea/vomiting *urinary frequency *breast changes-darkened areolae, enlarged montgomery's glands *quickening- slight fluttering movements of the fetus felt by a woman, usually between 16-20 weeks of gestation *uterine enlargement Probable signs - Answer *abdominal enlargement related to changes in uterine size, shape, mucosa *Hegar's sign-softening and compressibility of lower uterus *Chadwick's sign-deepened violet bluish color of cervix and vaginal mucosa *Goodell's sign-softening of cervical tip *Ballottement- rebound of unengaged fetus *Braxton Hicks contraction- false contractions; painless, irregular, usually relieved by walking *Positive pregnancy test *Fetal outline felt by examiner

Health Accurately Defined.

Positive signs - Answer *fetal heart sounds *visualization of fetus by ultrasound *fetal movement palpated by an experienced examiner When do you administer RhO(D) immune globulin (RhoGAM) and what for? - Answer 28 weeks for clients who are Rh-negative Iron is best absorbed between meals and when given with a source of what? - Answer Vitamin C Indications for a CST - Answer *decreased fetal movement *IUGR *Postmaturity *Advanced maternal age How do you take ferrous sulfate? - Answer *On an empty stomach *encourage diet rich in Vitamin C to increase absorption Antihypertensive medications - Answer Methyldopa

Health Accurately Defined.

Nifedipine Hydralazine Labetalol hydrochloride risk factors for hyperemesis gravidarum - Answer *obesity *multifetal pregnancy *migraine headache Magnesium toxicity - Answer *respiratory rate 12/min *urinary output <30mL/hr *decreased LOC