Science Medicine Obstetrics
Maternal/Newborn ATI Final REVIEW EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS) |ALREADY GRADED A+
C
Terms in this set (197)
What is the fourth stage of labor and when Postpartum period- starts after the delivery of the placenta
does it start?
What are the greatest risks during the Hemorrhage
postpartum period? Shock
Infection
When is RH immune globulin (RhoGAM) Administered 72 hours for women who are Rh-negative and
administered to post partum women? gave birth to infants who are Rh-positive
This prevents sensitization to Rh in future pregnancies
What is included in the postpartum nursing Monitoring vital signs
assessment? Assessing uterine firmness & location in relation to umbilicus
Uterine position in relation to midline (if deviated, assist mom
in emptying bladder)
Amount of vaginal bleeding (lochia)
How often should vitals be monitored after Every 15 min for the first hour
delivery? Every 30 minutes for second hour
Every 4-8 hr depending on remaining medication regimen
This occurs with contractions of the uterine Involution
smooth muscle, whereby the uterus returns
to its pre-pregnant state
Defined as blood flow from the uterus Lochia
during postpartum period
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This type of lochia is bright red in color, Lochia rubra
bloody consistency, fleshy odor, may
contain small clots
This type of lochia is pinkish brown in color Lochia serosa
& serosanguineous consistency
This type of lochia is yellowish, white creamy Lochia alba
color, fleshy odor
When is colostrum present in the new During pregnancy and 2-3 days immediately after birth
mother's breasts?
Defined as an infection in a milk duct of the Mastitis
breast with concurrent flulike symptoms
What are therapeutic and approved holding Cradle hold
positions when breast feeding? Side-lying hold
Football hold
What does breast feeding cause the release Breast feeding causes the release of oxytocin which
of? What does this prevent? stimulates uterine contractions (will prevent hemorrhage)
What are normal lab values in the post Increased Hct & Hgb up to 72 hours
partum period? Leukocytosis (WBC count up to 20,000-25,000 for the first 10-
14 days, without presence of infection)
Increased coagulation factors
Increased fibrinogen
A medical condition during pregnancy Hyperemesis gravidarum
defined as excessive nausea and vomiting
that is prolonged past 12 weeks of gestation.
Results in weight loss & electrolyte
imbalance
What are nursing responsibilities when Monitor client's I&O
caring for a patient diagnosed with Assess client's skin turgor/mucous membranes
hyperemesis gravidarum? Monitor vital signs
Monitor client's weight
Have client remain NPO for 24-48 hours
This medical condition occurs during Anemia
pregnancy due to inadequacy in maternal
iron stores and consuming insufficient
amounts of dietary iron
This medical condition is defined as an Gestational diabetes mellitus
impaired tolerance to glucose with the first
onset or recognition during pregnancy
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What is the ideal blood glucose level during 70-110mg/dL
pregnancy?
What are the clinical manifestations of Nervousness
hypoglycemia? Headache
Weakness
Irritability
Hunger
Blurred vision
Tingling of mouth/extremities
What are the clinical manifestations of Thirst
hyperglycemia? Nausea
Abdominal pain
Frequent urination (diuresis)
Flushed dry skin
Fruity breath
What are the glucose levels that Blood glucose screening of 130-140mg/dL or greater,
diagnostically, indicate gestational diabetes indicating 3-hr oral glucose test is indicated
mellitus?
This disorder begins after the 20th week of Gestational hypertension (GH)
pregnancy where BP s elevated at 140/90
mm Hg or greater recorded at least twice,
4-6 hours apart within a 1 week period
This disorder is defined as gestational Mild preeclampsia
hypertension with the addition of
proteinuria greater than 1+
This disorder is defined as maternal BP of Severe preeclampsia
160/100 mm Hg or greater, protenuria
greater than 3+, oliguria, elevated Cr greater
than 1.2mg/dLm visual disturbances,
hyperreflexia, pulmonary/cardiac
involvement, extensive peripheral edema,
hepatic dysfunction & thrombocytopenia
This disorder is defined as severe Eclampsia
preeclampsia symptoms along with the
onset of seizure activity or coma
This syndrome of pregnancy is a variant of HELLP syndrome
gestational hypertension in which H- hemolysis (anemia and jaundice)
hematologic conditions coexist with severe EL- elevated liver enzymes (Elevated ALT/AST,
preeclampsia involving hepatic dysfunction nausea/vomiting)
LP- low platelets (thrombocytopenia, DIC)
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