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ATI Maternal Newborn Nursing Capstone With Answers (146 Solved Questions) - Document preview page 1

ATI Maternal Newborn Nursing Capstone With Answers (146 Solved Questions) - Page 1

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ATI Maternal Newborn Nursing Capstone With Answers (146 Solved Questions)

Study stress-free with ATI Maternal Newborn Nursing Capstone With Answers, a valuable collection of past test papers.

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ATI Maternal Newborn Nursing Capstone With Answers (146 Solved Questions) - Page 1 preview imageATI Capstone Maternal Newborn AssessmentWhat hormone is the basis for pregnancy testing? - ANSWER==Human chorionicgonadotropinExcreted by the placenta and promotes the excretion of progesterone and estrogen.Uterine fibroid - ANSWER==Can increase the risk for postpartum hemorrhage due tothe increase in blood supply to the uterus, which supports the fibroid.Will undergo serial US examinations during pregnancy to monitor because they arelikely to grow during pregnancy in response to the increased circulating estrogen.Can have a vaginal delivery if it is small and not near the cervical os.Hydatidiform mole - ANSWER==AKA a molar pregnancy.A benign proliferative growth of the chorionic villi, which gives rise to multiple cysts.The products of conception transform into a large number of edematous, fluid-filledvesicles.As cells slough off the uterine wall, vaginal discharge is usually dark brown and cancontain grape-like clusters.Alleviating lower back pain during the latent phase of labor - ANSWER==Counter-pressure applied to the client's sacral area during contractions.This lifts the fetal head away from the sacral nerves, which decreases pain.Preterm labor - which medication should the nurse plan to administer? - ANSWER==Betamethasone IMA glucocorticoid that stimulates fetal lung maturity and thereby prevents respiratorydepression.Methylergonovine - ANSWER==An ergot alkaloid.For patients experiencing postpartum hemorrhage.Stimulates uterine contractions.Poractant alfa - ANSWER==A synthetic lung surfactant.Administer to a preterm newborn who is experiencing respiratory distress.lOMoARcPSD|13778330
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ATI Maternal Newborn Nursing Capstone With Answers (146 Solved Questions) - Page 2 preview image
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ATI Maternal Newborn Nursing Capstone With Answers (146 Solved Questions) - Page 3 preview imageMisoprostol - ANSWER==Stimulates uterine contractions for a client who isundergoing labor induction.Oligohydramnios - ANSWER==A volume of amniotic fluid less than 300 mL duringthe third trimester.Occurs when there is a renal system dysfunction or obstructive uropathy.Absence of fetal kidneys will cause this.What causes late decelerations? - ANSWER==Fetal hypoxemia due to insufficientplacental perfusion.Treatment of late decelerations - ANSWER==Reposition the client, initiate oxygen,and increase the infusion rate of IVF to enhance placental perfusion.What causes early decelerations? - ANSWER==Fetal head compression.What causes variable decelerations? - ANSWER==Compression of the umbilicalcord.Often occurs after ROM.Nagele's rule - ANSWER==Count back 3 months from the first day of the LMP, thenadd 7 days.Most accurate means of obtaining client's F&E status? - ANSWER==Daily weights!Placenta previa - ANSWER==The placenta implants in the lower part of uterus andobstructs the cervical os.Avoid vaginal examinations, which can cause tearing of the placenta and increasedbleeding.What should you do if a client that is in labor has moderate bright red vaginal bleeding?- ANSWER==Obtain blood samples for baseline laboratory values (Hgb and Hct).The patient should be on strict pelvic rest (no vaginal exams or ultrasounds).Early manifestation of gestation HTN or pre-eclampsia - ANSWER==Blurred ordouble visionSwollen faceDecreased urinary outputlOMoARcPSD|13778330
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ATI Maternal Newborn Nursing Capstone With Answers (146 Solved Questions) - Page 4 preview imageProteinuriaDecreased fetal activityShould a pregnant patient be concerned about increased white vaginal discharge? -ANSWER==No.An increase in vaginal discharge can occur due to the cervix becoming hyper-stimulatedfrom an increase in hormones.Probable signs of pregnancy - ANSWER==- Chadwick's sign- Positive pregnancy testPresumptive signs of pregnancy - ANSWER==AmenorrheaCan also occur due to stress, endocrine disorders, and significant weight lossQuickening (client's report of fetal movement)Chadwick's sign - ANSWER==A bluish discoloration in the cervix, vagina, and vulvathat occurs at 6-8 weeks.Probable sign of pregnancy.After first pregnancy, the discoloration can remain, making it of little value as anindicator in subsequent pregnancies.Positive signs of pregnancy - ANSWER==- Palpable fetal movementsOther causes of positive pregnancy test - ANSWER==- Menopause- Choriocarcinoma- Hydatidiform moleHIV positive mother - ANSWER==Continue to take zidovudine throughout pregnancyto decrease the risk of transmission to the newborn.Use a condom during sexual intercourse.NO BREASTFEEDING!Bladder during abdominal US? - ANSWER==Needs to be full to help lift the graviduterus out of the pelvis during the exam.Determining the length of the cervix? - ANSWER==Transvaginal US.Second and third trimesters to assess for preterm labor.lOMoARcPSD|13778330
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ATI Maternal Newborn Nursing Capstone With Answers (146 Solved Questions) - Page 5 preview imageNon-stress test:FHR = 130/minNo accelerations for 10 minsNursing action? - ANSWER==Use vibroacoustic stimulation on the client's abdomenfor 3 seconds to elicit fetal activity because the fetus is most likely sleeping.Fetal movement should cause accelerations in the FHR.When is a non-stress test determined to be non-reactive? - ANSWER==After 40minutes of continuous monitoring without accelerations in the FHR despite vibroacousticstimulation.Pre-eclampsia treatment - ANSWER==Magnesium sulfateCan expect feeling warmth all over body and sedation while infusing.Have calcium gluconate at bedside!!When should the nurse report BP in a patient with pre-eclampsia? - ANSWER==>160/110Signs of magnesium toxicity - ANSWER==Loss of deep tendon reflexesRespiratory rate <12 breaths/minuteMuscle weaknessUrine output and pre-eclampsia... - ANSWER==If output is <20 mL/hr, it can indicateinadequate renal perfusion. If patient is receiving magnesium sulfate, this increases therisk for toxicity developing.A decreased urinary output can also indicate a decrease in renal perfusion s/tworsening of the client's pre-eclampsia.How often should the client feel the fetus move each hour? - ANSWER==At least 3times per hourNursing instruction for client reporting constipation - ANSWER==Moderate physicalactivity, such as walking at least 30 minutes every day or swimming.Increases intestinal peristalsis, which can help alleviate constipation.lOMoARcPSD|13778330
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ATI Maternal Newborn Nursing Capstone With Answers (146 Solved Questions) - Page 6 preview imageDO NOT consume mineral oil because it can lead to severe cramping, diarrhea, fluidloss, and preterm contractions.Decrease red meat consumption because it is high in iron and contributes toconstipation.Cervical cerclage - ANSWER==Used for incompetent cervixPrevents premature opening of the cervix during pregnancy.Can expect spotting for 1-2 days after placement.Do not resume sexual intercourse until provider gives approval at postop visit.Immediately go to a facility for evaluation if experience any manifestations of labor whilein place.Administration of Rho(D) immune globulin - ANSWER==At 28 weeks of gestation andagain within 72h if the newborn is Rh-positive.Mother is not immune against rubella... - ANSWER==Receive immunization afterdeliveryPolyhydramnios - ANSWER==The presence of excessive amniotic fluid surroundingthe unborn fetus.Expected findings: GI malformations and neurologic disorders in the fetus.Can be detected by a fundal height greater than expected for gestational age &increased weight gain in mother.Gestational HTN can cause...(re: amniotic fluid) - ANSWER==OligohydramniosPlacental abruption - ANSWER==The placenta separates from the wall of the uterusbefore birth.Mild - can expect minimal dark red vaginal bleeding.Meconium staining - ANSWER==Ensure that all supplies and equipment needed forresuscitation are readily available for every delivery.Endotracheal suctioning is recommended in cases where the newborn has poorrespiratory effort, decreased muscle tone, and bradycardia after delivery.Peds should be present.lOMoARcPSD|13778330
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