ATI COMPREHENSIVE PREDICTOR VERIFIED QUESTIONS AND ANSWERS RATED A+ APGAR - Appearance (all pink, pink and blue, blue (pale) Pulse (100, 100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong c

ATI COMPREHENSIVE PREDICTOR VERIFIED QUESTIONS AND ANSWERS RATED A+ APGAR - Appearance (all pink, pink and blue, blue (pale) Pulse (100, 100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong cry, weak cry, absent) Woman in labor (un-reassuring FHR) - (late decels, decreased variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV fluids! Infant with Spina Bifida - Prone so that sac does not rupture Prolapsed cord - Knee to chest or Trendelenburg oxygen 8 to 10 L Cleft Lip - position on back or in infant seat to prevent trauma to the suture line. while feeding hold in upright position. FHR patterns for OB - Think VEAL CHOP! V-variable decels; C- cord compression caused E-early decels; H- head compression caused A-accels; O-okay, no problem L- late decels; P- placental insufficiency, can't fill what to check with pregnancy - Never check the monitor or machine as a first action. Always assess the patient first. Ex.. listen to fetal heart tones with stethoscope. Position of the baby by fetal heart sounds - Posterior --heard at sides Anterior---midline by unbilicus and side Breech- high up in the fundus near umbilicus Vertex- by the symphysis pubis. Heroin withdrawal neonate - irritable, poor sucking lead poisoning - test at 12 months of age pt with leukemia may have - epistaxis due to low platelets when a pt comes in and is in active labor - first action of nurse is to listen to fetal heart tones/rate NCLEX answer tips - choose assessment first! (assess, collect, auscultate, monitor, palpate) only choose intervention in an emergency or stress situation. If the answer has an absolute, discard it. Give priority to the answers that deal with the patient's body, not machines, or equipment. 1 tsp - 5 mL 1 oz - 30 mL 1 cup - 8 oz 1 quart - 2 pints 1 pint - 2 cups 1 g (gram) - 1000 mg 1 kg - 2.2 lbs I lb - 16 oz centigrade to Fahrenheit conversion - F= C+40 multiply 5/9 and subtract 40 C=F+40 multiply 9/5 and subtract 40 birth weight - doubles by 6 months triples by 1 year early sign of cystic fibrosis - meconium in ileus at birth hemophilia is x linked - passed from mother to son perform amniocentesis - before 20 weeks to check for cardiac and pulmonary abnormalities Rh mothers receive Rhogam - to protect next baby anterior fontanelle closes by...posterior by.. - 18 months, 6-8 weeks caput succedaneum - diffuse edema of the fetal scalp that crosses the suture lines. reabsorbes within 1 to 3 days pathological jaundice occurs: physiological jaundice occurs: - before 24 hours (lasts 7 days) after 24 hours placenta previa s/s placental abrution s/s - there is no pain, but there is bleeding there is pain, but no bleeding (board like abd)