Maternal Newborn ATI Proctored Easy to undertand Study Set
2023
Planning care for a patient who has cholelithiasis -: Inflammation of gall-bladder wall
Most often caused by gall stones
Give pain medications as prescribed
Patients that would receive Rho(D) immune globulin during pregnancy period -:
Pregnant women who are RH negative and exposed to RH positive blood.
Presumptive signs of pregnancy -: Amenorrhea, fatigue, nausea and vomiting, urinary
frequency, breast changes, quickening, uterine enlargement
Probable signs of pregnancy -: + pregnancy test, Abdominal enlargement, Hegars
sign, Chadwicks sign, Goodell's sign, ballottement, Braxton Hicks, fetal outline felt
Positive signs of pregnancy -: Fetal heart sound, visualization on ultrasound, fetal
movement palpated by an experienced Examiner.
Fetal heart rate (FHR) -: 110-160
Hegar's sign -: Softening in compressibility of lower uterus
Chadwick sign -: Defend Violet bluish color of cervix and vaginal mucosa
Goodell's sign -: Softening of cervical tip
Ballottement -: Rebound of unengaged fetus
Quickening -: Slight fluttering movements of the fetus felt by a woman usually between
16 to 20 weeks of gestation
Chloasma -: Facial hyperpigmentation
Striae gravidarum -: Stretch marks of abdomen and thighs
1st stage of Labor -: Last 12.5 hours
Latent phase:0-3cm
active phase:4-7cm
transition:8-10cm
, 2nd stage of Labor -: The birth of the infant
pushing stage
contractions every 1 to 2 minutes
3rd stage of Labor -: Ends with the delivery of the placenta
4th stage of Labor -: Mother's recovery after birth of baby and placenta
Tocolytic therapy/ Vifedipine used -: Premature labor
Stop contractions in premature labor and decreases BP
If late decelerations occur during labor -: Discontinue oxytocin, Pt sidelying position,
administer 02 8-10L/min
Nursing interventions for prolapsed umbilical cord -: Place gloved hand into vagina and
hold the presenting part the umbilical cord until delivery.
Lochia rubra -: Bright red color, bloody consistency, fluffy older, may contain small
clots, transient flow increase during breastfeeding and upon Rising.
1-3days
Lochia serosa -: Pinkish brown color, fleshy odor, last 11 to 6 weeks
Lochia Alba -: Yellowish white creamy color, fleshy odor, 11 days to 6 weeks
Oligohydraminos -: Decreased amniotic fluid
Apgar scoring -: 7-10 =no distress
2 score:
HR: >100
RR: good cry
Muscle tone: well flexed
Reflex: cry
Color: completely pink
Circumcision care -: Sponge bath until healed. Change diaper every 4 hours clean
penis with warm water. Apply petroleum jelly to penis does not stick to diaper.
Contraindications for CST -: 1. Placenta previa
2. Preterm labor
3. Multiple gestations
Indications of true labor -: 1. Energy burst
2. Rupture of membranes
3. Bloody show
2023
Planning care for a patient who has cholelithiasis -: Inflammation of gall-bladder wall
Most often caused by gall stones
Give pain medications as prescribed
Patients that would receive Rho(D) immune globulin during pregnancy period -:
Pregnant women who are RH negative and exposed to RH positive blood.
Presumptive signs of pregnancy -: Amenorrhea, fatigue, nausea and vomiting, urinary
frequency, breast changes, quickening, uterine enlargement
Probable signs of pregnancy -: + pregnancy test, Abdominal enlargement, Hegars
sign, Chadwicks sign, Goodell's sign, ballottement, Braxton Hicks, fetal outline felt
Positive signs of pregnancy -: Fetal heart sound, visualization on ultrasound, fetal
movement palpated by an experienced Examiner.
Fetal heart rate (FHR) -: 110-160
Hegar's sign -: Softening in compressibility of lower uterus
Chadwick sign -: Defend Violet bluish color of cervix and vaginal mucosa
Goodell's sign -: Softening of cervical tip
Ballottement -: Rebound of unengaged fetus
Quickening -: Slight fluttering movements of the fetus felt by a woman usually between
16 to 20 weeks of gestation
Chloasma -: Facial hyperpigmentation
Striae gravidarum -: Stretch marks of abdomen and thighs
1st stage of Labor -: Last 12.5 hours
Latent phase:0-3cm
active phase:4-7cm
transition:8-10cm
, 2nd stage of Labor -: The birth of the infant
pushing stage
contractions every 1 to 2 minutes
3rd stage of Labor -: Ends with the delivery of the placenta
4th stage of Labor -: Mother's recovery after birth of baby and placenta
Tocolytic therapy/ Vifedipine used -: Premature labor
Stop contractions in premature labor and decreases BP
If late decelerations occur during labor -: Discontinue oxytocin, Pt sidelying position,
administer 02 8-10L/min
Nursing interventions for prolapsed umbilical cord -: Place gloved hand into vagina and
hold the presenting part the umbilical cord until delivery.
Lochia rubra -: Bright red color, bloody consistency, fluffy older, may contain small
clots, transient flow increase during breastfeeding and upon Rising.
1-3days
Lochia serosa -: Pinkish brown color, fleshy odor, last 11 to 6 weeks
Lochia Alba -: Yellowish white creamy color, fleshy odor, 11 days to 6 weeks
Oligohydraminos -: Decreased amniotic fluid
Apgar scoring -: 7-10 =no distress
2 score:
HR: >100
RR: good cry
Muscle tone: well flexed
Reflex: cry
Color: completely pink
Circumcision care -: Sponge bath until healed. Change diaper every 4 hours clean
penis with warm water. Apply petroleum jelly to penis does not stick to diaper.
Contraindications for CST -: 1. Placenta previa
2. Preterm labor
3. Multiple gestations
Indications of true labor -: 1. Energy burst
2. Rupture of membranes
3. Bloody show
