ATI RN Maternal Newborn Online P B Exam Study Guide

Clavicle Fracture or Erb-Duchenne - When analyzing cues the nurse should identify that clavicle fracture is associated with the birth of a large for gestational age newborn who had a vacuum assisted birth. Manifestations of a clavicle fracture include the presence of crepitus over the fractured bone with decreased movement and an absent moro reflex in the affected arm. The newborn retains the presence of a palmar grasp reflex. When analyzing cues the nurse should identify that Erb-Duchenne paralysis is the result of mechanical trauma to the spinal cord during a difficult birth. This complication is more likely to occur during the birth of a large for gestational age newborn and during a forceps or vacuum assisted birth. Manifestations of Erb-Duchenne paralysis include a limp arm with absent spontaneous movement and absent moro reflex. The affected shoulder and arm are adducted and internally rotated with the wrist and fingers flexed. This results in a characteristic upwards positioning of the palm towards the back. The palmar grasp reflex is present because the paralysis is limited to the muscles in the upper arm. Who is pregnant 4 actions - -Administer a bolus of IV fluids is correct. -Reposition the client to their side is correct. -Apply oxygen at 10 to 12 L/min by nonrebreather mask is correct. -Elevate the client's legs is correct. 36 Weeks Positive Contraction Test - Biophysical profile 24 Weeks gestation 1 hr glucose tolerance test - "A blood glucose of 130 to 140 is considered a positive screening result." Recent Cocaine use - Abruptio placenta last menstrual cycle on November 27th - September 3rd Pree and is receiving mag sulfate - Monitor the FHR continuously. Umbilical cord protruding from the vagina - Insert two gloved fingers into the vagina and apply upward pressure to the presenting part 10 weeks gestation - "I will likely need to use alternative positions for sexual intercourse." Diaphragm - "You should leave the diaphragm in place for at least 6 hours after intercourse." Manifestation should nurse instruct to monitor and report - Unilateral breast pain 38 weeks gestation during a weekly during a weekly prenatal visit - Weight gain of 2.2 kg (4.8 lb) 36 weeks of gestation - Report of visual disturbances 24 hr old - Blood glucose 30 mg/dL (30 to 60 mg/dL) 29 weeks of gestation - "This medication stimulates fetal lung maturity." parvovirus B19 - Schedule an ultrasound examination. 2 Hr postpartum - Demonstrate to the client how to perform a newborn bath. 12 hr old - Substernal chest retractions while sleeping 35 weeks gestation - Initiate continuous external fetal monitoring. Severe Preeclampsia - Blurred vision Bulb Syringe to suction - Stop suctioning when the newborn's cry sounds clear. Adheres to traditional hispanic cultural beliefs - Protect the client's head and feet from cold air. 22 weeks gestation Blotchy hyperpigment - Explain to the client this is an expected occurrence. PP and has pree - Platelets 50,000/mm3 28 years of age 3 findings - -Abdomen assessment is correct. -Vaginal spotting is correct. -Menstrual period is correct. 28 years - -Ectopic pregnancy is correct. -Right lower quadrant abdominal tenderness is correct. 28 years - -Heart rate is correct. -Vaginal spotting is correct. 28 years - -Transvaginal ultrasound is indicated. -Meperidine IM is contraindicated. -Repeat quantitative β-hCG level is anticipated. -Methotrexate IM is anticipated. -Blood typing is anticipated.