****ATI RN maternal newborn nursing REVIEW
Study online at https://quizlet.com/_4i28ll
1. Chadwick's sign Blueish-purple coloration of vagina and cervix
-A probable sign of pregnancy
2. Hegar's sign Softening of lower uterus
-A probable sign of pregnancy
3. Ballottment Light tap of the examiner's fingers on cervix causes the fetus
to rise in the amniotic fluid, then rebound to it's original
position (rebound of unengaged fetus); occurs at 16-18
wks
-A probable sign of pregnancy
4. Quickening A woman's first awareness of fetal movement; flutter move-
ments of fetus, occurs around 16-20 wks
-*Presumptive sign* of pregnancy (observed by woman that
makes her suspicious of being preg.)
5. What IV solution should the The nurse should plan to administer 500-1,000 mL of LR's
nurse plan to give prior to ad- or 0.9% NS at 15 to 30 minutes prior to admin. of the first
ministering a pain anesthetic so- dose of anesthetic solution to decrease the risk of maternal
lution to a patient in labor? hypotension. The nurse should NOT admin. Dextrose 5% (or
any %) because it can cause maternal hyperglycemia and
neonatal hypoglycemia
6. A nurse is caring for a pt. who is Answer= D- greatest risk to pt. and fetus is fetal death.
at 15 wks gestation, is rh-nega-
tive, and just had an Amniocen- Rationale=
tesis. Which of the following in- C- the nurse should admin. Rho-immunoglobulin to prevent
terventions is the nurse's priori- sensitization. However, this is not the PRIORITY nursing in-
tervention
, ****ATI RN maternal newborn nursing REVIEW
Study online at https://quizlet.com/_4i28ll
ty following the procedure?
A.) Check Pt.'s temp.
B.) Observe for UC's
C.) Admin. Rho-Immunoglobu-
lin
D.) Monitor the FHR
7. A nurse is providing care for a pt. *A.) Betamethasone: Given to promote lung maturity if de-
who is at 32 wks gestation & has livery is anticipated*
Placenta Previa. The nurse notes
that the pt. is actively bleeding. B.) Indomethacin is given to pt. in preterm labor
Which of the following medica- C.) Nifedipine is given to pt.'s in preterm labor
tions should the nurse antici- D.) Methylergonovine is prescribed to pt. experiencing post-
pate will be prescribed? partum hemorrhage
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine
8. A nurse at a clinic is caring for Answer= C Hydatiform mole.
a pt. who is at 4 months of ges- Pt.'s with Hydatiform mole exhibits increased fundal height
tation. The pt. reports continued is is inconsistent with wk. of gestation, and excessive N/V
N/V & scant, prune-colored dis- due to ‘‘hCG levels. Scant, dark discharge occurs in the 2nd
charge. She has no wt. loss and trimester.
has a fundal height greater than
expected. Which of the following
complications should the nurse
expect?
A. Hyperemesis Gravidarum
B. Threatened Abortion
Study online at https://quizlet.com/_4i28ll
1. Chadwick's sign Blueish-purple coloration of vagina and cervix
-A probable sign of pregnancy
2. Hegar's sign Softening of lower uterus
-A probable sign of pregnancy
3. Ballottment Light tap of the examiner's fingers on cervix causes the fetus
to rise in the amniotic fluid, then rebound to it's original
position (rebound of unengaged fetus); occurs at 16-18
wks
-A probable sign of pregnancy
4. Quickening A woman's first awareness of fetal movement; flutter move-
ments of fetus, occurs around 16-20 wks
-*Presumptive sign* of pregnancy (observed by woman that
makes her suspicious of being preg.)
5. What IV solution should the The nurse should plan to administer 500-1,000 mL of LR's
nurse plan to give prior to ad- or 0.9% NS at 15 to 30 minutes prior to admin. of the first
ministering a pain anesthetic so- dose of anesthetic solution to decrease the risk of maternal
lution to a patient in labor? hypotension. The nurse should NOT admin. Dextrose 5% (or
any %) because it can cause maternal hyperglycemia and
neonatal hypoglycemia
6. A nurse is caring for a pt. who is Answer= D- greatest risk to pt. and fetus is fetal death.
at 15 wks gestation, is rh-nega-
tive, and just had an Amniocen- Rationale=
tesis. Which of the following in- C- the nurse should admin. Rho-immunoglobulin to prevent
terventions is the nurse's priori- sensitization. However, this is not the PRIORITY nursing in-
tervention
, ****ATI RN maternal newborn nursing REVIEW
Study online at https://quizlet.com/_4i28ll
ty following the procedure?
A.) Check Pt.'s temp.
B.) Observe for UC's
C.) Admin. Rho-Immunoglobu-
lin
D.) Monitor the FHR
7. A nurse is providing care for a pt. *A.) Betamethasone: Given to promote lung maturity if de-
who is at 32 wks gestation & has livery is anticipated*
Placenta Previa. The nurse notes
that the pt. is actively bleeding. B.) Indomethacin is given to pt. in preterm labor
Which of the following medica- C.) Nifedipine is given to pt.'s in preterm labor
tions should the nurse antici- D.) Methylergonovine is prescribed to pt. experiencing post-
pate will be prescribed? partum hemorrhage
A. Betamethasone
B. Indomethacin
C. Nifedipine
D. Methylergonovine
8. A nurse at a clinic is caring for Answer= C Hydatiform mole.
a pt. who is at 4 months of ges- Pt.'s with Hydatiform mole exhibits increased fundal height
tation. The pt. reports continued is is inconsistent with wk. of gestation, and excessive N/V
N/V & scant, prune-colored dis- due to ‘‘hCG levels. Scant, dark discharge occurs in the 2nd
charge. She has no wt. loss and trimester.
has a fundal height greater than
expected. Which of the following
complications should the nurse
expect?
A. Hyperemesis Gravidarum
B. Threatened Abortion
