Maternal ATI Exam 2023 -2024With
Complete Updated Solution
Immunizations During Pregnancy (Chp 4) - answer-Rhogam given at 28 weeks
-Rubella vaccine given postpartum and should not become pregnant for 1-3 months
-->live attenuated virus may cross the placenta a present a risk to the developing fetus
-rubella given at the same time of Rhogam will not be effective
-A woman is advised to avoid prenancy for at least 1 month following and MMR immunization.
HIV (Chp 8) - answer-Provide counseling prior to and after testing
-Refer client for a mental health consultation, legal assistance, and financial resources
-administer antiviral prophylaxis, triple-drug antiviral, or highly active antiretroviral therapy (HAART)
as prescribed
-encourage vaccination against hepatitis B, pneumococcal infection, Haemophilius influenzae type B
and viral influenza
-Infant should be bathed after birth before remaining with mother
-monitor NB for manifestations because they are usually asymptomatic at birth
*Medical Conditions: Priority Postpartum Client (Chp 9)* - answer
Hemorrhage - answer500mL or more after delivery
*CAUSES*
-uterine atony
-laceration of the cervix or vagina
-hematoma development in the cervix, perineum, or labia
-retained placental fragments
PPH Risk Factors - answer-hx of PPH, placenta previa, abruptio placentae, over distention of the
uterus from polyhydramnios, multiple gestation, a large neonate, multiparty, dystocia or labor that
is prolonged, operative delivery (c-section or forceps delivery) and intrauterine manipulation
*multiparous pt who delivered a large fetus after oxytocin induction has more risk factors associated
with PPH than any other client*
,Maternal ATI Exam 2023 -2024With
Complete Updated Solution
Early sign of excessive blood loss - answer-increase in HR
-->4th stage of labor, monitor BP, HR, RR Q15 min for 1st hour
mastitis - answerinfection of the lactating breast d/t an organism that enters through an injured area
of the nipples, such as a crack or blister
*Educate on*
-resting during acute phase
-maintaining a fluid intake of at least 3000 mL/day (if not contraindicated)
-taking analgesics to relieve discomfort
-ATB complete entire regimen and not stop when soreness subsides
-moist heat or ice packs]-supportive bra
-continue to decompress the breast by feeding or pumping, making sure to empty the breast and
prevent the formation of an abscess, feeding Q2-3hr
-prevent by changing nursing pads when they are wet and avoid continuous pressure on breast
-avoid soap on nipples
-strict hand washing
Thrombosis of superficial veins - answeraccompanied by signs and symptoms of inflammation,
including swelling, redness, tenderness, and warmth of the involved extremity. It also may be
possible to palpate the enlarged, hard vein. Clients sometimes experience pain when they walk.
Palpable dorsalis pedis pulses is a normal finding.
Pulmonary embolism NI - answer-oxygen should be administered, 8 to 10 L/minute, by face mask. --
>Oxygen is used to decrease hypoxia.
-The client also is kept on bed rest with the head of the bed slightly elevated to reduce dyspnea.
-Morphine sulfate may be prescribed for the client, but this would not be the initial nursing action.
-An intravenous line also will be required, and vital signs need to be monitored
*The priority to the administration of oxygen*
Excessive bleeding priority - answerNotify HCP
cystitis - answerinfection of the bladder
, Maternal ATI Exam 2023 -2024With
Complete Updated Solution
-3000mL/day
-sitz baths and ice
epidural - answer-cannot feel pain, pressure, or tearing sensation
-changes in VS indicate hypovolemia
-cause maternal BP to decrease rather than increase because of CNS depression
-most effective in active labor, where there will be vervain changes occurring at least every 5-7
minutes that last between 45-50sec, and contractions will be moderately strong in intensity
-can cause bradycardia in fetus
-bolus mother with 500ml of IV fluids prior to epidural
-giving prior to active stage of labor can slow the progression, taking longer to dilate and efface
hematoma - answerlocalized collection of blood into the tissues of the reproductive sac after
delivery.
-vulvar hematoma most common
-application of ice reduces swelling caused by hematoma formation in vulvar area
priority for soft/boggy uterus - answermassage the fundus until it it is firm and to express clots that
may have accumulated in the uterus
-do not push on an uncontracted uterus, it can cause the uterus to become inverted, leading to
massive hemorrhage
opioid administration - answerobtain a medication hx before the administration of an opioid
analgesic.
-some medications may be contraindicated if the client has a hx of opioid dependency because these
medications can precipitate withdrawal sx in pt and NB
Ergot alkaloid *PRIORITY* NI - answercheck BP prior to administering
-can cause severe HTN and are contraindicated in a pt with HTN
Preterm Labor NI (Chp 10) - answer-focusing on stopping uterine contractions.
Complete Updated Solution
Immunizations During Pregnancy (Chp 4) - answer-Rhogam given at 28 weeks
-Rubella vaccine given postpartum and should not become pregnant for 1-3 months
-->live attenuated virus may cross the placenta a present a risk to the developing fetus
-rubella given at the same time of Rhogam will not be effective
-A woman is advised to avoid prenancy for at least 1 month following and MMR immunization.
HIV (Chp 8) - answer-Provide counseling prior to and after testing
-Refer client for a mental health consultation, legal assistance, and financial resources
-administer antiviral prophylaxis, triple-drug antiviral, or highly active antiretroviral therapy (HAART)
as prescribed
-encourage vaccination against hepatitis B, pneumococcal infection, Haemophilius influenzae type B
and viral influenza
-Infant should be bathed after birth before remaining with mother
-monitor NB for manifestations because they are usually asymptomatic at birth
*Medical Conditions: Priority Postpartum Client (Chp 9)* - answer
Hemorrhage - answer500mL or more after delivery
*CAUSES*
-uterine atony
-laceration of the cervix or vagina
-hematoma development in the cervix, perineum, or labia
-retained placental fragments
PPH Risk Factors - answer-hx of PPH, placenta previa, abruptio placentae, over distention of the
uterus from polyhydramnios, multiple gestation, a large neonate, multiparty, dystocia or labor that
is prolonged, operative delivery (c-section or forceps delivery) and intrauterine manipulation
*multiparous pt who delivered a large fetus after oxytocin induction has more risk factors associated
with PPH than any other client*
,Maternal ATI Exam 2023 -2024With
Complete Updated Solution
Early sign of excessive blood loss - answer-increase in HR
-->4th stage of labor, monitor BP, HR, RR Q15 min for 1st hour
mastitis - answerinfection of the lactating breast d/t an organism that enters through an injured area
of the nipples, such as a crack or blister
*Educate on*
-resting during acute phase
-maintaining a fluid intake of at least 3000 mL/day (if not contraindicated)
-taking analgesics to relieve discomfort
-ATB complete entire regimen and not stop when soreness subsides
-moist heat or ice packs]-supportive bra
-continue to decompress the breast by feeding or pumping, making sure to empty the breast and
prevent the formation of an abscess, feeding Q2-3hr
-prevent by changing nursing pads when they are wet and avoid continuous pressure on breast
-avoid soap on nipples
-strict hand washing
Thrombosis of superficial veins - answeraccompanied by signs and symptoms of inflammation,
including swelling, redness, tenderness, and warmth of the involved extremity. It also may be
possible to palpate the enlarged, hard vein. Clients sometimes experience pain when they walk.
Palpable dorsalis pedis pulses is a normal finding.
Pulmonary embolism NI - answer-oxygen should be administered, 8 to 10 L/minute, by face mask. --
>Oxygen is used to decrease hypoxia.
-The client also is kept on bed rest with the head of the bed slightly elevated to reduce dyspnea.
-Morphine sulfate may be prescribed for the client, but this would not be the initial nursing action.
-An intravenous line also will be required, and vital signs need to be monitored
*The priority to the administration of oxygen*
Excessive bleeding priority - answerNotify HCP
cystitis - answerinfection of the bladder
, Maternal ATI Exam 2023 -2024With
Complete Updated Solution
-3000mL/day
-sitz baths and ice
epidural - answer-cannot feel pain, pressure, or tearing sensation
-changes in VS indicate hypovolemia
-cause maternal BP to decrease rather than increase because of CNS depression
-most effective in active labor, where there will be vervain changes occurring at least every 5-7
minutes that last between 45-50sec, and contractions will be moderately strong in intensity
-can cause bradycardia in fetus
-bolus mother with 500ml of IV fluids prior to epidural
-giving prior to active stage of labor can slow the progression, taking longer to dilate and efface
hematoma - answerlocalized collection of blood into the tissues of the reproductive sac after
delivery.
-vulvar hematoma most common
-application of ice reduces swelling caused by hematoma formation in vulvar area
priority for soft/boggy uterus - answermassage the fundus until it it is firm and to express clots that
may have accumulated in the uterus
-do not push on an uncontracted uterus, it can cause the uterus to become inverted, leading to
massive hemorrhage
opioid administration - answerobtain a medication hx before the administration of an opioid
analgesic.
-some medications may be contraindicated if the client has a hx of opioid dependency because these
medications can precipitate withdrawal sx in pt and NB
Ergot alkaloid *PRIORITY* NI - answercheck BP prior to administering
-can cause severe HTN and are contraindicated in a pt with HTN
Preterm Labor NI (Chp 10) - answer-focusing on stopping uterine contractions.
