Maternal Newborn ATI CAPSTONE - Exam Questions and Answers, Latest Updated 2024/2025 | 100% CORRECT

performing external palpations of the maternal uterus through the abdominal wall to determine the number of fetuses, the presenting part, fetal lie, fetal attitude, degree of descent of the presenting part into the pelvis, and the location of the fetus's back to assess the fetal heart tones ANS: leopold maneuvers 2. Fetal heart tones should be assessed below the mother's umbilicus in either the right or left lower quadrant of the abdomen ANS: vertex presentation 3. Fetal heart tones should be assessed above the mother's umbilicus in either the right- or left-upper quadrant of the abdomen. ANS: breech presentation 4. - ask the client to empty the bladder before beginning the assessment - place client in supine position with a pillow under the head, and have both knees flexed Maternal Newborn ATI CAPSTONE Questions and Answers (Verified Answers) 2024/2025 | 100% CORRECT 2 / 15 - place a small , rolled towel under the client's right or left hip to displace the uterus off the major blood vessels to prevent supine hypotensive syndromeANS: considerations 5. - every 30-60 minutes ANS: intermittently auscultate during the latent phase 6. - every 15-30 minutes ANS: intermittently auscultate during the active phase 7. - every 5-15 minutes ANS: intermittently auscultate during the second stage 8. - determine active labor - rupture of membranes spontaneously or artificially - preceding and subsequent to ambulation - prior to following administration of or a change in medication analgesia - at peak action of anesthesia - following vaginal examination - following expulsion of an enema - after urinary catheterization - abnormal or excessive uterine contractions ANS: indications for leopold maneu- vers 9. 110-160 w/ increases and decreases from baseline ANS: normal FHR 3 / 15 10. - accomplished by securing an ultrasound transducer over the clients abdomen, which records the FHR pattern and a tocotransducer on the fundus that records the uterine contraindications ANS: continuous electronic fetal monitoring 11. - multiple gestations - oxytocin infusion - placenta previa 4 / 15 - fetal bradycardia - maternal complications - intrauterine growth restriction - post-date gestation - active labor - meconium stained amniotic fluid - abruptio placentae - abnormal nonstress test or contraction stress test - abnormal uterine contractions - fetal distress ANS: indications for electronic fetal monitoring 12. - fetal monitoring system with FHR interpretation system ANS: Three Tier Sys- tem 13. - baseline FHR of 110-160 /min - baseline FHR variability ANS: moderate - accelerations present or absent - early decelerations ANS: present or absent - variable/late decelerations ANS: absent ANS: - category 1 14. - tracings include all FHR tracings not categorized as category 1 or 3. - baseline rate (tachycardia, bradycardia not accompanied by absent baseline variability) - baseline FHR variability (minimal baseline variability, absent baseline variability not accompanied by recurrent decelerations, marked baseline variability) 5 / 15 - episodic or periodic decelerations ( prolonged FHR decel equal or greater than 2 min but less than 10 min, recurrent late decelerations w/ moderate baseline variability, recurrent variable decels w/ minimal or moderate baseline variability - variable decels w/ additional characteristics including overshoots, shoulders, or slow return to baseline FHR ANS: Category 2 15. - FHR tracings include either sinusoidal pattern, absent baseline FHR variability (recurrent late/variable decels, bradycardia) - increment, acme, decrement ANS: category 3 16. - beginning of the contraction as intensity is increasing ANS: increment uterine contractions 17. - peak intensity of the contraction ANS: adme uterine contractions 18. - the decline of the contraction intensity as contraction is ending ANS: - decre- ment uterine contractions 6 / 15 19. - Variable transitory increase in the FHR above baseline ANS: accelerations 20. - healthy fetal/placental exchange - vaginal exam - fundal pressure - intact CNS response to fetal movement - uterine contractions - fetal scalp stimulation ANS: causes of accelerations 21. - be reassuring - no interventions required - indicate reactive nonstress test ANS: nursing interventions for accelerations 22. - FHR less than 110/min for 10 min or more ANS: fetal bradycardia 23. - uteroplacental insufficiency - umbilical cord prolapse - materanl hypotension - prolonged umbilical cord compression - anesthetic medications - fetal congenital heart block - viral infections - maternal hypoglycemia - fetal heart failure EMAIL ME: For help with report, Assignment, Essay and thesis writing 7 / 15 - maternal hypothermia ANS: causes of fetal bradycardia 24. - discontinue oxytocin if being administered - assist the client to a side-lying position - administer oxygen by mask at 10 L/min via non-rebreather face mask - insert IV catheter if one is not in place and administer maintenance IV fluids - administer tocolytics - notify HCP ANS: nursing interventions for fetal bradycardia 25. - FHR greater than 160/min for 10 minutes or more ANS: Fetal tachycardia 26. - maternal infection - fetal anemia - fetal cardiac dysrhythmias - maternal use of cocaine or meth - maternal dehydration - maternal or fetal infection - maternal hyperthyroidism ANS: causes of fetal tachycardia 8 / 15 27. - administer prescribed antipyretics for maternal fever if present - administer O2 by mask at 10 L/min via nonrebreather mask - admin IV fluid bolus ANS: nursing interventions for fetal tachycardia 28. - slowing of FHR at start of contraction w/ return of FHR to baseline at end of contraction ANS: early decels of FHR 29. - compression of fetal head resulting from uterine contraction - uterine contractions - vaginal exam - fundal pressure ANS: - causes of early decels of FHR 30. - no interventions required ANS: nursing interventions for early decels of FHR 31. - slowing of FHR after contraction has started w/ return of FHR to baseline well after contraction has ended ANS: late decels of FHR 32. - uteroplacental insufficiency causing inadequate fetal oxygenation - insert an IV catheter if not in place, and increase rate of IV fluid admin - discontinue oxytocin - admin oxygen by mask at 8 L/min via nonrebreather face mask - elevate client's legs - notify HCP - prep for assisted vaginal vaginal birth or c-section ANS: - causes of late decels of FHR 33. - transitory, abrupt slowing of FHR 15/min or more below baseline for at least 15 seconds, variable in duration, intensity, and timing in relation to uterine contractions ANS: variable decels of FHR 9 / 15 34. - umbilical cord prolapse - short cord - prolapsed cord - nuchal cord (around fetal neck) ANS: causes of variable decels of FHR 35. - reposition client from side to side or into knee-chest - discontinue oxytocin - admin oxygen by mask at 8 L/min via nonrebreather face mask - perform or assist w/ vaginal exam - assist w/ amnioinfusion if prescribed ANS: nursing interventions for variable decels of FHR 36. - with scalp electrode is performed by attaching a small spiral electrode to the presenting part of fetus to monitor the FHR