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ATI N MATERNAL PROCTORED EXAM
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2023-2027 WITH NGN (70 RQUESTIONS
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WITH ( NCLEX QUESTIONS AND
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ANSWERS, A+ CHOICE# #
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Newborn Septic Shock: # #
The nurse should monitor the blood pressure of a newborn who is
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at risk for septic shock and should identify decreased blood
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pressure as an indication of this complication. Other
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manifestations include tachypnea, tachycardia, mottled or # # # # #
gray-colored skin, cool extremities, and a rapid pulse. # # # # # # #
Early PostPartum Period:
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Dark Red Lochia will pool in the vagina when the client is lying in
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bed and will flow out of the vagina when the client stands up. After
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initial gush, the bleeding will slow to a trickle of bright red lochia.
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retained placental fragments # #
-excessive vaginal bleeding that does not stop.
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-Can cause early PPH, but most common cause of late PPH
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-Inspect placenta #
-Treatment: uterine exploration (Sterile, Pain management,
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Antibiotics post, Sonography, Curettage (D&C)
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Damaged Blood Vessel # #
Blood will spurt out of the vagina, and the flow will not slow.
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Lochia Flow: #
will steadily decrease during postpartum period.
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Gomco Clamp Circumcision # #
,#
-Pressure of clamp for 3-5 minutes, then slit/cut away excess skin
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-Petroleum gauze strips to site after to prevent sticking to diaper
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-Apply petroleum jelly to the penis with each diaper change to
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protect incision from contact with urine and feces.
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- No towelettes
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- Do not remove and yellow exudate (can cause pain and
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bleeding - part of healing process)
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- Do not wrap penis with dry gauze (can adhere and cause pain
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and bleeding at removal).
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Psychological Task: #
Accepting the Pregnancy - First Trimester
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Accepting the baby # #
- Second Trimester #
Preparing for Parenthood & Preparing for End of Pregnancy
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-Third Trimester#
Terbutaline (Brethine) #
Uses to relax uterine smooth muscle to inhibit uterine activity.
# # # # # # # # #
- Involves bronchodilation #
Adverse Reaction: #
Tachycardia (if pulse is greater than 130/min, the medication
# # # # # # # #
needs to be held until HCP is notified.)
# # # # # # #
Terbutaline is a tocolytic medication that causes uterine relaxation
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and is used to treat preterm labor. It is not an appropriate
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medication to treat uterine atony. # # # #
Postpartum Care Client w/Cardiac Disease: # # # #
,#
Weight the Client Daily for Fluid Overload
# # # # # #
Monitor I/O (blood flow to and from heart increases for atleast the
# # # # # # # # # # #
first 24 hours after delivery) this places the client at high risk of
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cardiac decompensation and fluid overload.
# # # #
Follow a high-fiber diet to prevent straining with bowl movements
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because the pushing effort (valsalva maneuver) can result in
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cardiac stress. #
Initiate bedrest with the hob elevated to promote rest and
# # # # # # # # #
decrease the clients oxygen consumption.
# # # #
Preventing Mastitis: #
Use finger to release suction on nipple after feeding.
# # # # # # # #
Galactagogue Medications and Herbs can increase the clients # # # # # # #
milk supply. This INCREASES the risk of mastitis, if the infant
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does not empty the breast.
# # # #
Waiting too long between feedings can result in clogging or
# # # # # # # # #
plugging of nipples, this can INCREASE the risk of mastitis.
# # # # # # # # #
Wearing underwire bra is associated with increased risk for
# # # # # # # #
mastitis due to blocking the breast from emptying completely.
# # # # # # # #
Development of Hyperbilirubinemia in Newborns: # # # #
Blood Group Incompatibilities
# #
Maternal Infection #
Maternal Diabetes #
Administration of Oxytocin during Labor # # # #
Delivery of a Stillborn Child: # # # #
-Unrestricted Access to Childs Body. (process traumatic event)
# # # # # # #
ATI N MATERNAL PROCTORED EXAM
# # # #
2023-2027 WITH NGN (70 RQUESTIONS
# # # #
WITH ( NCLEX QUESTIONS AND
# # # #
ANSWERS, A+ CHOICE# #
,#
Newborn Septic Shock: # #
The nurse should monitor the blood pressure of a newborn who is
# # # # # # # # # # #
at risk for septic shock and should identify decreased blood
# # # # # # # # #
pressure as an indication of this complication. Other
# # # # # # #
manifestations include tachypnea, tachycardia, mottled or # # # # #
gray-colored skin, cool extremities, and a rapid pulse. # # # # # # #
Early PostPartum Period:
# #
Dark Red Lochia will pool in the vagina when the client is lying in
# # # # # # # # # # # # #
bed and will flow out of the vagina when the client stands up. After
# # # # # # # # # # # # #
initial gush, the bleeding will slow to a trickle of bright red lochia.
# # # # # # # # # # # #
retained placental fragments # #
-excessive vaginal bleeding that does not stop.
# # # # # #
-Can cause early PPH, but most common cause of late PPH
# # # # # # # # # #
-Inspect placenta #
-Treatment: uterine exploration (Sterile, Pain management,
# # # # #
Antibiotics post, Sonography, Curettage (D&C)
# # # #
Damaged Blood Vessel # #
Blood will spurt out of the vagina, and the flow will not slow.
# # # # # # # # # # # #
Lochia Flow: #
will steadily decrease during postpartum period.
# # # # #
Gomco Clamp Circumcision # #
,#
-Pressure of clamp for 3-5 minutes, then slit/cut away excess skin
# # # # # # # # # #
-Petroleum gauze strips to site after to prevent sticking to diaper
# # # # # # # # # #
-Apply petroleum jelly to the penis with each diaper change to
# # # # # # # # # #
protect incision from contact with urine and feces.
# # # # # # #
- No towelettes
#
- Do not remove and yellow exudate (can cause pain and
# # # # # # # # #
bleeding - part of healing process)
# # # # #
- Do not wrap penis with dry gauze (can adhere and cause pain
# # # # # # # # # # #
and bleeding at removal).
# # #
Psychological Task: #
Accepting the Pregnancy - First Trimester
# # # # #
Accepting the baby # #
- Second Trimester #
Preparing for Parenthood & Preparing for End of Pregnancy
# # # # # # # #
-Third Trimester#
Terbutaline (Brethine) #
Uses to relax uterine smooth muscle to inhibit uterine activity.
# # # # # # # # #
- Involves bronchodilation #
Adverse Reaction: #
Tachycardia (if pulse is greater than 130/min, the medication
# # # # # # # #
needs to be held until HCP is notified.)
# # # # # # #
Terbutaline is a tocolytic medication that causes uterine relaxation
# # # # # # # #
and is used to treat preterm labor. It is not an appropriate
# # # # # # # # # # #
medication to treat uterine atony. # # # #
Postpartum Care Client w/Cardiac Disease: # # # #
,#
Weight the Client Daily for Fluid Overload
# # # # # #
Monitor I/O (blood flow to and from heart increases for atleast the
# # # # # # # # # # #
first 24 hours after delivery) this places the client at high risk of
# # # # # # # # # # # #
cardiac decompensation and fluid overload.
# # # #
Follow a high-fiber diet to prevent straining with bowl movements
# # # # # # # # #
because the pushing effort (valsalva maneuver) can result in
# # # # # # # #
cardiac stress. #
Initiate bedrest with the hob elevated to promote rest and
# # # # # # # # #
decrease the clients oxygen consumption.
# # # #
Preventing Mastitis: #
Use finger to release suction on nipple after feeding.
# # # # # # # #
Galactagogue Medications and Herbs can increase the clients # # # # # # #
milk supply. This INCREASES the risk of mastitis, if the infant
# # # # # # # # # #
does not empty the breast.
# # # #
Waiting too long between feedings can result in clogging or
# # # # # # # # #
plugging of nipples, this can INCREASE the risk of mastitis.
# # # # # # # # #
Wearing underwire bra is associated with increased risk for
# # # # # # # #
mastitis due to blocking the breast from emptying completely.
# # # # # # # #
Development of Hyperbilirubinemia in Newborns: # # # #
Blood Group Incompatibilities
# #
Maternal Infection #
Maternal Diabetes #
Administration of Oxytocin during Labor # # # #
Delivery of a Stillborn Child: # # # #
-Unrestricted Access to Childs Body. (process traumatic event)
# # # # # # #
