ATI CAPSTONE MATERNAL-NEWBORN POST ASSESSMENT
What are causes of late decelerations of fetal heart rate? What are nursing interventions to take if these
occur?
Causes for late deceleration of fetal heart rate is placental insufficiency, interventions to take in the
case of this will be to stop the Pitocin, turn patient to left side, give oxygen, increase IV fluids, and
alert the physician
A client at 38 weeks of gestation is admitted to Labor and Delivery for the management of preeclampsia
and is placed on a magnesium sulfate IV drip. Explain the signs of magnesium toxicity for which the
nurse should monitor.
Signs of magnesium toxicity include respiratory distress, nausea/vomiting, muscle weakness, low
blood pressure, diarrhea, and urinary retention.
An 8-hour post-partum client complains of abdominal cramping and feeling dizzy. During the assessment
the nurse notes the client’s fundus is soft, deviated to the right and 4 fingerbreadths above the
umbilicus, and there is moderate rubra. What would the nurse’s priority actions be?
The nurse should massage the fundus until firm, replace the perineal pad with a new one and
monitor closely for the saturation amount, and a presence of clots, the nurse should also assist the
patient in voiding. The nurse is assessing a new mother's efforts to bond with her newly born
infant. Identify three (3)factors that can impact effective bonding between mother and infant?
1) Mother’s physical and emotional condition
2) Baby's physical condition
3) Family being prepared for the baby
The client enters the obstetrical clinic for birth control information on using a diaphragm. What five (5)
instructions would be provided by the nurse to explain use of the diaphragm?
1) A client should be properly fitted with a diaphragm by a provider
2) Replaced every 2 years and refitted for a 20% weight fluctuation, after abdominal or pelvic
surgery, and after every pregnancy
3) Requires proper insertion and removal. Prior to coitus, the diaphragm is inserted vaginally over
the cervix with spermicidal jelly or cream that is applied to the cervical side of the dome and
around the rim. The diaphragm can be inserted up to 6 hours before intercourse and must stay in
place 6 hours after intercourse but for no more than 24 hrs
4) Spermicide must be reapplied with each act of coitus
5) A client should empty her bladder prior to insertion of the diaphragm.
This study source was downloaded by 100000831443009 from CourseHero.com on 02-07-2022 08:53:37 GMT -06:00
https://www.coursehero.com/file/37947627/ATI-Capstone-Maternaldocx/
, A nurse is caring for a client who was diagnosed with group B streptococcus during her initial screening.
What effects can this infection have on her pregnancy?
Premature rupture of membranes, preterm labor & delivery, chorioamnioitis, infections of urinary
tract, maternal sepsis.
What are five (5) risk factors that affect female fertility?
1) Age greater than 35
2) Weight
3) Substance use
4) STDs
5) Surgical history
A nurse is providing education to a new mother regarding storage of breast milk. Identify five (5)
teaching points to discuss with the new mother regarding storage of breast milk.
This study source was downloaded by 100000831443009 from CourseHero.com on 02-07-2022 08:53:37 GMT -06:00
https://www.coursehero.com/file/37947627/ATI-Capstone-Maternaldocx/
What are causes of late decelerations of fetal heart rate? What are nursing interventions to take if these
occur?
Causes for late deceleration of fetal heart rate is placental insufficiency, interventions to take in the
case of this will be to stop the Pitocin, turn patient to left side, give oxygen, increase IV fluids, and
alert the physician
A client at 38 weeks of gestation is admitted to Labor and Delivery for the management of preeclampsia
and is placed on a magnesium sulfate IV drip. Explain the signs of magnesium toxicity for which the
nurse should monitor.
Signs of magnesium toxicity include respiratory distress, nausea/vomiting, muscle weakness, low
blood pressure, diarrhea, and urinary retention.
An 8-hour post-partum client complains of abdominal cramping and feeling dizzy. During the assessment
the nurse notes the client’s fundus is soft, deviated to the right and 4 fingerbreadths above the
umbilicus, and there is moderate rubra. What would the nurse’s priority actions be?
The nurse should massage the fundus until firm, replace the perineal pad with a new one and
monitor closely for the saturation amount, and a presence of clots, the nurse should also assist the
patient in voiding. The nurse is assessing a new mother's efforts to bond with her newly born
infant. Identify three (3)factors that can impact effective bonding between mother and infant?
1) Mother’s physical and emotional condition
2) Baby's physical condition
3) Family being prepared for the baby
The client enters the obstetrical clinic for birth control information on using a diaphragm. What five (5)
instructions would be provided by the nurse to explain use of the diaphragm?
1) A client should be properly fitted with a diaphragm by a provider
2) Replaced every 2 years and refitted for a 20% weight fluctuation, after abdominal or pelvic
surgery, and after every pregnancy
3) Requires proper insertion and removal. Prior to coitus, the diaphragm is inserted vaginally over
the cervix with spermicidal jelly or cream that is applied to the cervical side of the dome and
around the rim. The diaphragm can be inserted up to 6 hours before intercourse and must stay in
place 6 hours after intercourse but for no more than 24 hrs
4) Spermicide must be reapplied with each act of coitus
5) A client should empty her bladder prior to insertion of the diaphragm.
This study source was downloaded by 100000831443009 from CourseHero.com on 02-07-2022 08:53:37 GMT -06:00
https://www.coursehero.com/file/37947627/ATI-Capstone-Maternaldocx/
, A nurse is caring for a client who was diagnosed with group B streptococcus during her initial screening.
What effects can this infection have on her pregnancy?
Premature rupture of membranes, preterm labor & delivery, chorioamnioitis, infections of urinary
tract, maternal sepsis.
What are five (5) risk factors that affect female fertility?
1) Age greater than 35
2) Weight
3) Substance use
4) STDs
5) Surgical history
A nurse is providing education to a new mother regarding storage of breast milk. Identify five (5)
teaching points to discuss with the new mother regarding storage of breast milk.
This study source was downloaded by 100000831443009 from CourseHero.com on 02-07-2022 08:53:37 GMT -06:00
https://www.coursehero.com/file/37947627/ATI-Capstone-Maternaldocx/
