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ATI MATERNAI NEWBORN NURSING NEWEST EXAM WITH QUESTIONS AND CORRECT ANSWERS ALRADY GRADED A+

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ATI MATERNAI NEWBORN NURSING NEWEST EXAM WITH QUESTIONS AND CORRECT ANSWERS ALRADY GRADED A+ Diaphragm - ANSWER-Spermicide must be applied with each act of sexual intercourse and should remain in place 6 hrs after. Empty bladder prior to coitus Transdermal contraceptive patch - ANSWER-Patch applied to dry skin overlying subQ tissue, excluding breast Depo-Provera - ANSWER-IM injection given every 11-13 weeks (start should be during first 5 days of clients menstrual cycle) Essure - ANSWER-Insertion of agent resulting in development of scar tissue in Fallopian tubes. Not reversible Female sterilization - ANSWER-Burning or blocking the Fallopian tubes. Not reversible Vasectomy - ANSWER-Ligation and severance of vas deferens. Need alternate form of birth control for 20 ejaculations RhoGAM - ANSWER-Administered at 28 weeks gestation to a mother who is Rh-negative and gives birth to an Rh-positive infant. Recommended following an amniocentesis

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ATI MATERNAI NEWBORN NURSING NEWEST EXAM WITH QUESTIONS AND CORRECT ANSWERS ALRADY
GRADED A+

Diaphragm - ANSWER-Spermicide must be applied with each act of sexual intercourse and should
remain in place 6 hrs after. Empty bladder prior to coitus



Transdermal contraceptive patch - ANSWER-Patch applied to dry skin overlying subQ tissue, excluding
breast



Depo-Provera - ANSWER-IM injection given every 11-13 weeks (start should be during first 5 days of
clients menstrual cycle)



Essure - ANSWER-Insertion of agent resulting in development of scar tissue in Fallopian tubes. Not
reversible



Female sterilization - ANSWER-Burning or blocking the Fallopian tubes. Not reversible



Vasectomy - ANSWER-Ligation and severance of vas deferens. Need alternate form of birth control for
20 ejaculations



RhoGAM - ANSWER-Administered at 28 weeks gestation to a mother who is Rh-negative and gives birth
to an Rh-positive infant. Recommended following an amniocentesis



Oxytocin (Pitocin) - ANSWER-Monitor for water intoxication (lightheaded, n/v, headache, malaise) which
can lead to cerebral edema, seizures, coma, and death. Contraindicated based on late decelerations



3 hour glucose tolerance test - ANSWER-Screens for gestational diabetes and is done at 28 weeks of
gestation



Rubella titer - ANSWER-Obtained at initial prenatal visit (about 6 weeks gestation)



Betamethasone (Celestone) - ANSWER-Glucocorticoid administered IM in 2 injections 24 hr apart, given
to stimulate fetal lung maturity if early delivery is anticipated and to prevent respiratory distress. Can
cause pulmonary edema (crackles, chest pain, SOB)

,ATI MATERNAI NEWBORN NURSING NEWEST EXAM WITH QUESTIONS AND CORRECT ANSWERS ALRADY
GRADED A+

Leopold Maneuver - ANSWER-Abdominal palpation of fetus, lie, attitude, helps nurse assess the position
of the fetus to determine the optimal placement of the fetal monitoring transducer. Empty bladder
beforehand, supine positioning



Steps of Leopold Maneuver - ANSWER-Palpate client's fundus, determine location of fetal back, palpate
fetal part presenting at the inlet, and palpate the cephalic prominence to identify the attitude of the
head



Ferning test - ANSWER-If positive, indicates rupture of membranes



Expected newborn temp - ANSWER-36.5-37.2



Expected newborn HR - ANSWER-120-160



Expected newborn RR - ANSWER-30-60



Expected newborn BP - ANSWER-60-80 S, 40-50 D



Expected newborn length - ANSWER-45-55 cm



Expected newborn weight - ANSWER-2,500-4,000 g



What is effleurage? - ANSWER-Client strokes abdomen using circular motion during contractions



Maternal Serum Alpha-Fetoprotein - ANSWER-Screening tool for neural tube defects that is effective
between 15 and 22 weeks. levels above indicate the need for an ultrasound



Position for transvaginal ultrasound - ANSWER-Lithotomy position



Biophysical profile assesses? - ANSWER-Fetal

, ATI MATERNAI NEWBORN NURSING NEWEST EXAM WITH QUESTIONS AND CORRECT ANSWERS ALRADY
GRADED A+

HR, breathing, body movements, fetal tone, and qualitative amniotic fluid volume



What does biophysical profile indicate? - ANSWER-The risk of asphyxia



Nonstress test - ANSWER-Client presses a button whenever they feel fetal movement which allows
nurse to assess FHR in relationship to the fetal movement



Reactive stress test - ANSWER-FHR has moderate variability, accelerated to 15 beats/min for at least 15
seconds and occurs two or more times during a 20 minute period



Nonreactive stress test - ANSWER-FHR does not accelerate adequately with fetal movement. Does not
meet criteria after 40 minutes. Contraction stress test or biophysical profile is indicated



Contraction stress test - ANSWER-FHR in response to contractions which decreases placental blood flow



Amniocentesis - ANSWER-Performed after 14 weeks gestation, empty bladder beforehand, client in
supine position



High levels of AFP - ANSWER-Alpha-Fetoprotein is measured between 16 and 18 weeks and is used to
detect neural tube defects (anencephaly), spina bifida, and omphalocele



Low levels AFP - ANSWER-Chromosomal disorders (Down syndrome)



Fetal lung tests - ANSWER-Lecithin/sphingomyelin ratio- 2:1 indicating lung maturity or 3:1 for diabetes
mellitus



Percutaneous blood sampling - ANSWER-Obtains fetal blood from umbilical cord which evaluates
isoimmune fetal hemolytic anemia and assesses need for fetal blood transfusion



Chorionic Villus sampling - ANSWER-Alternative to amniocentesis (10-12 weeks gestation)

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