Ati N Maternal Proctored Exam 2023-2027 With
NGN (70 RQuestiONS WITH ( NCLEX
QUESTIONS AND ANSWERS
,- .
Psychological Task:
Accepting the Pregnancy - First Trimester
Accepting the baby
- Second Trimester
Preparing for Parenthood & Preparing for End of Pregnancy
-Third Trimester
Terbutaline (Brethine)
Uses to relax uterine smooth muscle to inhibit uterine activity.
- Involves bronchodilation
Adverse Reaction:
Tachycardia (if pulse is greater than 130/min, the medication
needs to be held until HCP is notified.)
Terbutaline is a tocolytic medication that causes uterine relaxation
and is used to treat preterm labor. It is not an appropriate
medication to treat uterine atony.
,Postpartum Care Client w/Cardiac Disease:
Weight the Client Daily for Fluid Overload
Monitor I/O (blood flow to and from heart increases for atleast the
first 24 hours after delivery) this places the client at high risk of
cardiac decompensation and fluid overload.
Follow a high-fiber diet to prevent straining with bowl movements
because the pushing effort (valsalva maneuver) can result in
cardiac stress.
Initiate bedrest with the hob elevated to promote rest and
decrease the clients oxygen consumption.
Preventing Mastitis:
Use finger to release suction on nipple after feeding.
Galactagogue Medications and Herbs can increase the clients
milk supply. This INCREASES the risk of mastitis, if the infant
does not empty the breast.
Waiting too long between feedings can result in clogging or
plugging of nipples, this can INCREASE the risk of mastitis.
Wearing underwire bra is associated with increased risk for
mastitis due to blocking the breast from emptying completely.
Development of Hyperbilirubinemia in Newborns:
Blood Group Incompatibilities
Maternal Infection
Maternal Diabetes
, Administration of Oxytocin during Labor Delivery
of a Stillborn Child:
-Unrestricted Access to Childs Body. (process traumatic event)
If the parents express a desire to see an anomaly, the nurse
should allow it and explain what they are viewing.
Allow Privacy and Holding of Child.
Physical Assessment of Newborn following Vaginal Birth:
Report small, pinpoint, reddish-purple spots on the chest
(petechiae) - commonly found above the neck if the umbilical cord
was around the newborns neck at birth. This can indicate
Infection or Low Platelet Count.
Bluish Feet and hands (acrocyanosis) - often present in newborns
is an expected finding.
Overlapping Suture Lines (Cranial Bones Overlap) also called
molding. - this helps the fetal head move through the canal and is
an expected finding.
After 35 weeks a White, cheese-like substance covering skin
(vernix caseosa) - helps hydrate and protect newborns skin after
birth. This is an expected finding.
Milia are whiteheads on the face and forehead and are a normal
variation.
Epstein pearls are white nodules on the gums and are a normal
variation.
Meconium stools are an expected finding within the first 12 to 48
hours after birth. (Meconium is a newborn's first poop. This
sticky, thick, dark green poop is made up of cells, protein, fats,
and intestinal secretions, like bile. Babies typically pass
meconium (mih-KOH-nee-em) in the first few hours and days after
birth.)
NGN (70 RQuestiONS WITH ( NCLEX
QUESTIONS AND ANSWERS
,- .
Psychological Task:
Accepting the Pregnancy - First Trimester
Accepting the baby
- Second Trimester
Preparing for Parenthood & Preparing for End of Pregnancy
-Third Trimester
Terbutaline (Brethine)
Uses to relax uterine smooth muscle to inhibit uterine activity.
- Involves bronchodilation
Adverse Reaction:
Tachycardia (if pulse is greater than 130/min, the medication
needs to be held until HCP is notified.)
Terbutaline is a tocolytic medication that causes uterine relaxation
and is used to treat preterm labor. It is not an appropriate
medication to treat uterine atony.
,Postpartum Care Client w/Cardiac Disease:
Weight the Client Daily for Fluid Overload
Monitor I/O (blood flow to and from heart increases for atleast the
first 24 hours after delivery) this places the client at high risk of
cardiac decompensation and fluid overload.
Follow a high-fiber diet to prevent straining with bowl movements
because the pushing effort (valsalva maneuver) can result in
cardiac stress.
Initiate bedrest with the hob elevated to promote rest and
decrease the clients oxygen consumption.
Preventing Mastitis:
Use finger to release suction on nipple after feeding.
Galactagogue Medications and Herbs can increase the clients
milk supply. This INCREASES the risk of mastitis, if the infant
does not empty the breast.
Waiting too long between feedings can result in clogging or
plugging of nipples, this can INCREASE the risk of mastitis.
Wearing underwire bra is associated with increased risk for
mastitis due to blocking the breast from emptying completely.
Development of Hyperbilirubinemia in Newborns:
Blood Group Incompatibilities
Maternal Infection
Maternal Diabetes
, Administration of Oxytocin during Labor Delivery
of a Stillborn Child:
-Unrestricted Access to Childs Body. (process traumatic event)
If the parents express a desire to see an anomaly, the nurse
should allow it and explain what they are viewing.
Allow Privacy and Holding of Child.
Physical Assessment of Newborn following Vaginal Birth:
Report small, pinpoint, reddish-purple spots on the chest
(petechiae) - commonly found above the neck if the umbilical cord
was around the newborns neck at birth. This can indicate
Infection or Low Platelet Count.
Bluish Feet and hands (acrocyanosis) - often present in newborns
is an expected finding.
Overlapping Suture Lines (Cranial Bones Overlap) also called
molding. - this helps the fetal head move through the canal and is
an expected finding.
After 35 weeks a White, cheese-like substance covering skin
(vernix caseosa) - helps hydrate and protect newborns skin after
birth. This is an expected finding.
Milia are whiteheads on the face and forehead and are a normal
variation.
Epstein pearls are white nodules on the gums and are a normal
variation.
Meconium stools are an expected finding within the first 12 to 48
hours after birth. (Meconium is a newborn's first poop. This
sticky, thick, dark green poop is made up of cells, protein, fats,
and intestinal secretions, like bile. Babies typically pass
meconium (mih-KOH-nee-em) in the first few hours and days after
birth.)
