RN ATI Capstone Maternal Newborn and Women's Health

RN ATI Capstone Maternal Newborn and Women's Health the relationship of the presenting part to the maternal ischial spines that measures the degree of descent of the fetus Ans- station the amount of time from the beginning of one contraction to the beginning of the next contraction Ansfrequency the amount of consistency in the frequency and intensity of contractions Ans- regularity include cephalic, breech, shoulder Ans- presentation the fetal long axis is parallel to the mother's long axis. The fetus is either in a breech or vertex presentation Ans- longitudinal lie the amount of time elapsed from the beginning of one contraction to the end of the same contraction Ansduration 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 Ans- transverse lie the strength of the uterine contraction Ans- intensity When the fetus has a head size, shape or position that does not allow for passage through the pelvis Anscephalopelvic disproportion Raloxiphine is used to treat Ans- Osteoporosis A client will receive RhoGAM after the birth if blood tests are Ans- Mother Rh negative Coombs positive Baby Rh positive What information should the nurse include regarding the cause of indigestion and heartburn AnsProgesterone causes relaxation of the cardiac sphincter allowing acid to reflux Cleft lip: nursing care plan (postop) "CLEFT LIP" Ans- crying, minimize logan bow 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 Ans- Hemolysis Elevated Liver Enzymes Low Platelet Count Dystocia: general aspects (maternal) "4Ps" Ans- Powers Passageway Passenger Psych Infections during preganancy "TORCH" Ans- Toxoplasmosis Other (hepatitis B, syphilis, group B beta strep) Rubella Cytomegalovirus Herpes simplex virus IUD: potential problems with use "PAINS" Ans- Period (menstrual: late, spotting, bleeding) Abdominal pain, dyspareunia Infection (abnormal vaginal discharge) Not feeling well, fevers or chills String missing Newborn assessment components "APGAR" Ans- Appearance Pulse Grimace Activity Respiratory efforts Obstetric (maternity) history- "GTPAL" Ans- Gravida Term Preterm Abortions (SAB, TAB) Living children Oral contraceptives: Signs of potential problems "ACHES" Ans- 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" Ans- Temperature regulation (poor) Resistance to infections (poor) Immature liver Elimination problems (necrotizinng enterocolitis