Maternal newborn ati proctored exam Study Guide 2024

A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the nurse? - answersA. Acrocyanosis of the extremities B. Murmur at the left sternal border C. Substernal chest retractions while sleeping D. Positive Babinski reflex Answer: Substernal chest retractions while sleeping A. Acrocyanosis of the extremities Acrocyanosis of the extremities is an expected manifestation in newborns. Acrocyanosis is a bluish discoloration of the newborn's hands and feet. B. Murmur at the left sternal border An audible murmur heard at the left sternal border is an expected manifestation in newborns. C. Substernal chest retractions while sleeping Substernal chest retractions can indicate respiratory distress syndrome in the newborn. This manifestation requires further assessment and intervention by the nurse. D. Positive Babinski reflex A positive Babinski reflex is an expected manifestation in newborns. This reflex is elicited when a newborn's sole is stroked with a finger upward along the lateral aspect of the sole and then across the ball of the foot and, in response, the t FHR can be heard by a doppler at - answers10-12 weeks gestation when should a nurse start measuring a woman's fundal height? - answersafter 12 weeks gestation between 18-30 weeks the fundal height should measure what? - answersit should equal the week of gestation MSAFP screening is done at - answers15-22 weeks gestation smoking tobacco during pregnancy is associated with - answerslow birth weight pregnant women should consume how much water each day? - answers2-3 liters of water each day regarding kick counts what are the signs the woman needs further evaluation? - answersthere are less than 3 kicks in one hour or there are no signs of fetal movement for 12 hours recommended weight gain during pregnancy - answers25-30 pounds, 3-4 pounds first trimester and 1 pound per week last two trimesters foods high in folic acid - answersleafy greens, dried peas, dried beans, seeds, orange juice recommended amount of folic acid intake during pregnancy - answers600 mcg recommended folic acid intake for lactating pregnant women - answers500 mcg what vitamin increases absorption of iron - answersvitamin c client's bladder needs to be ____ before an ultrasound - answersfull BPP normal score - answers8-10 BPP abnormal score - answersless than 4 if a BPP comes back as a 6 - answersit should be retested BPP assesses for - answersfetal well being non stress test (NST) - answersassesses fetal well being during third trimester reactive NST - answersnormal FHR baseline with moderate variability and two accelerations 15 beats per minute for at least 15 seconds over 20 minute period non reactive NST indicates - answersFHR did not accelerate adequately with fetal movement positive contraction stress test (CST) is - answersabnormal and indicates late decelerations on more than half of the contractions when is amniocentesis is performed - answersafter 14 weeks gestation AFP can be measured from amniotic fluid between - answers16-18 weeks PG on fetal lung test indicates - answersrespiratory distress CVS can be done at - answers10-12 weeks gestation when can a quad screen be done - answers15-20 weeks gestation MSAFP can be done when - answers16-18 weeks gestation amniocentesis requires the bladder to be - answersempty labor occurs ___ hours after ROM - answers24 hours first stage of labor - answers1-1.5 cm latent phase of labor - answers0-3 cm, mild to moderate contractions q5-30 min lasting 30-40 seconds active phase of labor - answers4-7 cm, moderate to strong contractions q3-5 min lasting 40-70 seconds transition phase of labor - answers8-10 cm, strong contractions q2-3 min lasting 45-90 seconds second stage of labor - answersbirth third stage of labor - answersdelivery of placenta fourth stage of labor - answersstabilization of vital signs first four hours postpartum minimal variability - answersless than 5 contractions per min moderate variability - answers6-25 contractions per min, normal marked variability - answersmore than 25 contractions per min fetal bradycardia - answersless than 60 beats per min fetal tachycardia - answersmore than 110 beats per min first degree laceration - answersskin of perineum second degree laceration - answersskin and muscles of perineum third degree laceration - answersskin and muscles of perineum and anal sphincter fourth degree laceration - answersskin and muscles of perineum and anal sphincter and anterior rectal wall high risk of ____ with external cephalic version - answerscord prolapse BISHOP score when ready for labor - answersnuliparas 9 multipara greater than 5 dystocia - answersprolonged and difficult labor before administering pictocin where should the fetus be? - answers0 station discontinue oxytocin if - answerscontraction frequency more than every 2 min and last longer than 90 seconds with no relaxation period between contractions amnioinfusion used to - answersreduce variable decelerations and dilute meconium stained amniotic fluid cold cabbage leaves - answersdecreases swelling and relieves breast soreness postpartum mother should not lift anything heavier than - answersthe newborn postpartum mother should consume ___ mL of water each day - answers mL postpartum lactating women should consume additional ___ calories per day - answers500 calories avoid sexual intercourse until - answerslaceration has healed and vaginal discharge has turned white thrombophlebitis arm positioning - answersabove the level of the heart postpartum hemorrhage blood loss - answersvaginal more than 500 mL and c-section more than 1000 mL complications of postpartum hemorrhage - answershypovolemic shock and anemia postpartum hemorrhage vital signs - answershypotension and tachycardia meds given for postpartum hemorrhage - answersoxytocin, methergen, cytotec, hembate subinvolution - answersuterus fails to return to normal size APGAR score less than 3 - answerssevere distress APGAR score 4-6 - answersmoderate distress APGAR score greater than 7 - answersstable newborn normal newborn weight - answersg low birth weight - answersless than 2500g signs of respiratory distress - answersgrunting, nasal flaring, chest retractions normal newborn BP - answers60-80/40-50 normal newborn temp - answers97.7-98;9 milia - answersraised white spots (normal) mongolian spots - answerspurple spots of pigmentation telangectiatic nevi - answersflat pink or red marks that easily blanch nevus flamues (port wine stains) - answerscapillary angioma purple or red on newborns face that does not go away erythema toxicum - answersnewborn rash during first 3 weeks normal newborn respiratory rate - answers30-60 breaths per minute when can bathing immersion be done? - answerswhen the umbilical cord has fallen off and the circumcision site has completely healed how long should the newborn nurse? - answers15-20 min formula fed newborns should be burped - answersevery 15-30 mL newborns should have how many wet diapers per day? - answers6-8 wet diapers and 3-4 stools per day GBS can be tested when? - answers35-37 weeks gestation terbutaline (brethine) - answersrelaxes uterine smooth muscle to stop uterine contractions Indomethacin - answersNSAID that suppresses preterm labor and uterine contractions betamethasone - answersglucocorticosteroid given to enhance fetal lung maturity