ATI RN maternal newborn nursing REVIEW

ATI RN maternal newborn nursing REVIEW Chadwick's sign - Answer-Blueish-purple coloration of vagina and cervix -A probable sign of pregnancy Hegar's sign - Answer-Softening of lower uterus -A probable sign of pregnancy Ballottment - Answer-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 Quickening - Answer-A woman's first awareness of fetal movement; flutter movements of fetus, occurs around 16-20 wks -*Presumptive sign* of pregnancy (observed by woman that makes her suspicious of being preg.) What IV solution should the nurse plan to give prior to administering a pain anesthetic solution to a patient in labor? - Answer-The nurse should plan to administer 500-1,000 mL of LR's or 0.9% NS at 15 to 30 minutes prior to admin. of the first dose of anesthetic solution to decrease the risk of maternal hypotension. The nurse should NOT admin. Dextrose 5% (or any %) because it can cause maternal hyperglycemia and neonatal hypoglycemia A nurse is caring for a pt. who is at 15 wks gestation, is rh-negative, and just had an Amniocentesis. Which of the following interventions is the nurse's priority following the procedure? A.) Check Pt.'s temp. B.) Observe for UC's C.) Admin. Rho-Immunoglobulin D.) Monitor the FHR - Answer-Answer= D- greatest risk to pt. and fetus is fetal death. Rationale= C- the nurse should admin. Rho-immunoglobulin to prevent sensitization. However, this is not the PRIORITY nursing intervention A nurse is providing care for a pt. who is at 32 wks gestation & has Placenta Previa. The nurse notes that the pt. is actively bleeding. Which of the following medications should the nurse anticipate will be prescribed? Continues...