ATI Maternal Newborn Proctored Exam Study Set 1
-37 weeks of gestation is reached
-spontaneous labor occurs - ANS-If a woman is known to have an incompetent cervix, she will
get a cerclage which helps keep the cervix closed. It is removed when:
-abdominal enlargement
-Haegar's sign (softening & compressability of uterus)
-Chadwick's sign (bluish color of the cervix)
-Goodell's sign (softening of the uterine tip)
-Ballotment (rebound of the unengaged fetus)
-Braxton-Hick's
-positive pregnancy test
-fetal outline felt by examiner - ANS-probable signs of pregnancy:
-air dry nipples
-have baby take in entire nipple and areola
-hand washing/clean breast
-empty breast during each feeding - ANS-prevent mastitis:
-amniotic fluid emboli
-hemorrhaging
-infection
-leaking of amniotic fluid
-rupture of membranes
-miscarriage - ANS-Complications/risks associated w/amniocentesis:
-apply petroleum jelly w/each diaper change for at least 24 hrs after procedure
-no tub bath until completely healed
-yellow mucus film normal-don't rub it off
-acetaminophen for pain
-healed in a couple weeks - ANS-circumcision care, clamp procedure:
-assist to side-lying position
-increase IV fluids
-discontinue oxytocin
-administer oxygen
-notify provider - ANS-Interventions for late decels:
-backache
-1-2 lbs weight loss
-lightening
, -contractions
-bloody show
-energy burst
-GI changes
-rupture of membranes - ANS-changes that precede labor:
-begins on day 2-3 until the next few weeks
-mom focused on baby care and mastering skills - ANS-Taking hold phase
-call for help
-insert sterile gloved hand to push head to take pressure off cord
-saline soaked dressing/towel to cover - ANS-Interventions for prolapsed umbilical cord:
-change in string length (IUD moved)
-foul smelling discharge
-pain w/intercourse
-fever, chills - ANS-Women using an IUD need to be on the lookout for:
-cold compresses between feedings
-warm shower prior to breastfeeding to promote milk
-cold fresh cabbage leaves
-mild analgesics - ANS-Breast engorgement interventions
-dark green leafy veggies
-OJ - ANS-Good sources of dietary folic acid:
-doctor notes fetal heart sounds
-doctor/tech visualizes fetus through ultrasound - ANS-positive signs of pregnancy:
-first 24-48 hrs
-mom is eager to talk about birth experience
-mom relies on others for help - ANS-Dependent taking in phase
-hx of blood clots
-hx of stroke
-hx cardiac problems
-breast or estrogen related cancers
-smoker
-hypertension - ANS-Hormonal oral contraceptives contraindications:
-ice packs on the perineum
-sitz bath - ANS-Pain management after vaginal birth:
-Iv fluids
-37 weeks of gestation is reached
-spontaneous labor occurs - ANS-If a woman is known to have an incompetent cervix, she will
get a cerclage which helps keep the cervix closed. It is removed when:
-abdominal enlargement
-Haegar's sign (softening & compressability of uterus)
-Chadwick's sign (bluish color of the cervix)
-Goodell's sign (softening of the uterine tip)
-Ballotment (rebound of the unengaged fetus)
-Braxton-Hick's
-positive pregnancy test
-fetal outline felt by examiner - ANS-probable signs of pregnancy:
-air dry nipples
-have baby take in entire nipple and areola
-hand washing/clean breast
-empty breast during each feeding - ANS-prevent mastitis:
-amniotic fluid emboli
-hemorrhaging
-infection
-leaking of amniotic fluid
-rupture of membranes
-miscarriage - ANS-Complications/risks associated w/amniocentesis:
-apply petroleum jelly w/each diaper change for at least 24 hrs after procedure
-no tub bath until completely healed
-yellow mucus film normal-don't rub it off
-acetaminophen for pain
-healed in a couple weeks - ANS-circumcision care, clamp procedure:
-assist to side-lying position
-increase IV fluids
-discontinue oxytocin
-administer oxygen
-notify provider - ANS-Interventions for late decels:
-backache
-1-2 lbs weight loss
-lightening
, -contractions
-bloody show
-energy burst
-GI changes
-rupture of membranes - ANS-changes that precede labor:
-begins on day 2-3 until the next few weeks
-mom focused on baby care and mastering skills - ANS-Taking hold phase
-call for help
-insert sterile gloved hand to push head to take pressure off cord
-saline soaked dressing/towel to cover - ANS-Interventions for prolapsed umbilical cord:
-change in string length (IUD moved)
-foul smelling discharge
-pain w/intercourse
-fever, chills - ANS-Women using an IUD need to be on the lookout for:
-cold compresses between feedings
-warm shower prior to breastfeeding to promote milk
-cold fresh cabbage leaves
-mild analgesics - ANS-Breast engorgement interventions
-dark green leafy veggies
-OJ - ANS-Good sources of dietary folic acid:
-doctor notes fetal heart sounds
-doctor/tech visualizes fetus through ultrasound - ANS-positive signs of pregnancy:
-first 24-48 hrs
-mom is eager to talk about birth experience
-mom relies on others for help - ANS-Dependent taking in phase
-hx of blood clots
-hx of stroke
-hx cardiac problems
-breast or estrogen related cancers
-smoker
-hypertension - ANS-Hormonal oral contraceptives contraindications:
-ice packs on the perineum
-sitz bath - ANS-Pain management after vaginal birth:
-Iv fluids
