Maternal Newborn ATI Practice Questions and Answers Chapter 006 2023 GRADED A+

Acronym for pregnant woman: correct answers GTPAL - gravida - term (38-42 weeks) - preterm (</= 37 weeks) - abortions - living What marks the week of viability: correct answers 20 weeks gestation What is the rule used to determine gestational age: correct answers Nagele's rule - subtract 3 months and add 7 days and a year Serum levels and hCG test: correct answers - hCG can increase in production as early as the day of implantation and can be detected 7-10 days after conception - hCG levels reach peak at 60-70 days gestation and begin to decline after 80 days - high levels of hCG may mean ectopic pregnancy, multifetal pregnancy, or chromosomal problems such as Downs - low levels of hCG likely mean a miscarriage Ectopic pregnancy: correct answers - when ovum implants into the fallopian tubes of abdominal cavity because endometrial tissue is present - if the ovum begins to grow in the fallopian tube, it can lead to a rupture of the fallopian tubes --> fatal hemorrhage - client will report of severe shoulder pain associated with ruptured ectopic pregnancy due to presence of blood in abdominal cavity - unilateral stabbing pain in lower-abdominal quadrant - can give client Methadextrone to stop the production of cells, can also surgically remove ovum supine hypotensive syndrome: correct answers can occur when a pregnant woman is in the supine position and an the fetus in the uterus is pressing against her inferior vena cava. - encourage woman to roll onto her left side or go into semi-fowler's position What does it mean when accelerations are noticed in FHR correct answers it means that their CNS is intact - accelerations are a good thing Prenatal visit frequency: correct answers - monthly for first 7 months - every 2 weeks for the 8th month - then every week for last months Fetal HR can be heard by a _______ device from weeks (?-?) and it can be heard by a _________ at week (?-?) correct answers - Doppler device at weeks 10-12 - ultrasound stethoscope around weeks 16-20 When will you apply RhoGAM correct answers - administer RhoGAM at 28 weeks to moms who are Rh-, also can administer to mothers after delivery, should be within 72 hours