Maternity ATI | Questions and Answers
Questions in this set (58)
> greater than 30
UC relaxation time- when is it seconds - Dangerous:
dangerous, prolonged/resting Prolonged 90 sec
phase Resting phase: <30 seconds
After a cesarean delivery due "It sounds like you are feeling sad that things didn't go as planned."
to dysfunctional labor, a client
and her partner express their With this response, the nurse is using the therapeutic
disappointment to the nurse that communication technique of restating to encourage the couple to
they did not have natural continue to communicate their feelings.
childbirth. Which of the
following is an appropriate
nursing response?
Herbal supplement that decreases St. John's Wort
effect of oral contraceptives
Apply EFM (ext. fetal monitor)
Assessment for suspected
placenta previa. What 3 things DO NOT:
should you NOT do? vag exam, rectal exam, or apply ice to peri area
After 12 hours post-vag after 12 hours - level of umbilicus; then recede 1-2 cm each day
delivery, where should fundus
be? How about following
days?
What meds are given if suspect Tocolytics i.e.
PRETERM labor? Mg Sulfate & Indocin
ABC assessment for respiratory distress.
Priority newborn assessment post- - during vag delivery, pressure through canal helps release AF
C section, why? in lungs and stimulates resp. with C-section, they don't go through
canal thus increased risk for resp. issues.
, A nurse is caring for a client in Assist to breathe in paper bag.
the first stage of labor who is
using pattern-paced breathing. Rationale: pt exp resp alkalosis d/t hyperventilation. She needs to
The client says she feels rebreathe CO2 to replace Bicarb ions by breathing in paper
lightheaded and her fingers are back or her cupped hands.
tingling. Which of the following
actions should the nurse take?
Why?
L/S ratio = 2:1
Finding that indicates mature fetal
lungs Presence of PG
VEAL (variables, early / late decels, acceleration)
Values that assess FHR, which
indicates fetal potential distress,
Potential fetal distress = variables & late decels = worst! early decels = typical.
which is the worst?
May cause PROFOUND bleeding = NO vag exams, intercourse. --
Placenta previa, why can't you do any pressure on placenta could cause premature separation or
internal exams? life threatening hemorrhage
"Pelvic rest" = ESSENTIAL for placenta previa.
May indicate Placenta Previa ( placenta is implanted low in uterus -
38 wks gestation, heavy red
when cervix effaces pt begins to bleed
spontaneous vag bleeding w/ NO
contractions -- what could this
U/S ordered to see location of placenta - to determine type of
indicate?
delivery and how emmergent it is
An U/S was ordered, WHY?
Basic umbilical cord care Sponge bath til falls off
dry, cracked parchment paper skin
Post term findings of infant
- little subq fat; NO vernix, lots of scalp hair
disappears 12 weeks, then returns near end of preg when uterus
Urinary freq disappears/returns
when? puts pressure on bladder
Amniocentesis screens for: NTD, chromosome abnormalities, and fetal gender
Most common cause for back labor Posterior occiput position
when can you hear baby's HR by 12 weeks
doppler steth?
1) Falls off on its own in 1 week
Plastibell circumcision care (3) 2) call MD if bleeding
3) diaper loose in front
Temp control mechanism is immature.
34 weeks, 1,550 gm newborn s/s
nasal flaring, retractions, grunting, preterm newborns have poor body control of temp, needs
cyanosis --- why put in neutral immediate attention from losing heat.
thermal environment.
newborn heat loss d/t little subq fat, poor insulation, large body
describe newborn heat loss surface for weight, immature temp control, lack of activity
where should you listen to fetal listen directly over FETAL BACK aka RUQ
heart tones when doing leopald
manuvers
Questions in this set (58)
> greater than 30
UC relaxation time- when is it seconds - Dangerous:
dangerous, prolonged/resting Prolonged 90 sec
phase Resting phase: <30 seconds
After a cesarean delivery due "It sounds like you are feeling sad that things didn't go as planned."
to dysfunctional labor, a client
and her partner express their With this response, the nurse is using the therapeutic
disappointment to the nurse that communication technique of restating to encourage the couple to
they did not have natural continue to communicate their feelings.
childbirth. Which of the
following is an appropriate
nursing response?
Herbal supplement that decreases St. John's Wort
effect of oral contraceptives
Apply EFM (ext. fetal monitor)
Assessment for suspected
placenta previa. What 3 things DO NOT:
should you NOT do? vag exam, rectal exam, or apply ice to peri area
After 12 hours post-vag after 12 hours - level of umbilicus; then recede 1-2 cm each day
delivery, where should fundus
be? How about following
days?
What meds are given if suspect Tocolytics i.e.
PRETERM labor? Mg Sulfate & Indocin
ABC assessment for respiratory distress.
Priority newborn assessment post- - during vag delivery, pressure through canal helps release AF
C section, why? in lungs and stimulates resp. with C-section, they don't go through
canal thus increased risk for resp. issues.
, A nurse is caring for a client in Assist to breathe in paper bag.
the first stage of labor who is
using pattern-paced breathing. Rationale: pt exp resp alkalosis d/t hyperventilation. She needs to
The client says she feels rebreathe CO2 to replace Bicarb ions by breathing in paper
lightheaded and her fingers are back or her cupped hands.
tingling. Which of the following
actions should the nurse take?
Why?
L/S ratio = 2:1
Finding that indicates mature fetal
lungs Presence of PG
VEAL (variables, early / late decels, acceleration)
Values that assess FHR, which
indicates fetal potential distress,
Potential fetal distress = variables & late decels = worst! early decels = typical.
which is the worst?
May cause PROFOUND bleeding = NO vag exams, intercourse. --
Placenta previa, why can't you do any pressure on placenta could cause premature separation or
internal exams? life threatening hemorrhage
"Pelvic rest" = ESSENTIAL for placenta previa.
May indicate Placenta Previa ( placenta is implanted low in uterus -
38 wks gestation, heavy red
when cervix effaces pt begins to bleed
spontaneous vag bleeding w/ NO
contractions -- what could this
U/S ordered to see location of placenta - to determine type of
indicate?
delivery and how emmergent it is
An U/S was ordered, WHY?
Basic umbilical cord care Sponge bath til falls off
dry, cracked parchment paper skin
Post term findings of infant
- little subq fat; NO vernix, lots of scalp hair
disappears 12 weeks, then returns near end of preg when uterus
Urinary freq disappears/returns
when? puts pressure on bladder
Amniocentesis screens for: NTD, chromosome abnormalities, and fetal gender
Most common cause for back labor Posterior occiput position
when can you hear baby's HR by 12 weeks
doppler steth?
1) Falls off on its own in 1 week
Plastibell circumcision care (3) 2) call MD if bleeding
3) diaper loose in front
Temp control mechanism is immature.
34 weeks, 1,550 gm newborn s/s
nasal flaring, retractions, grunting, preterm newborns have poor body control of temp, needs
cyanosis --- why put in neutral immediate attention from losing heat.
thermal environment.
newborn heat loss d/t little subq fat, poor insulation, large body
describe newborn heat loss surface for weight, immature temp control, lack of activity
where should you listen to fetal listen directly over FETAL BACK aka RUQ
heart tones when doing leopald
manuvers
