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? A. Betamethasone B. Indomethacin C. Nifedipine D. Methylergonovine - Answer-*A.) Betamethasone: Given to promote lung maturity if delivery is anticipated* B.) Indomethacin is given to pt. in preterm labor C.) Nifedipine is given to pt.'s in preterm labor D.) Methylergonovine is prescribed to pt. experiencing postpartum hemorrhage A nurse at a clinic is caring for a pt. who is at 4 months of gestation. The pt. reports continued N/V & scant, prune-colored discharge. She has no wt. loss and has a fundal height greater than expected. Which of the following complications should the nurse expect? A. Hyperemesis Gravidarum B. Threatened Abortion C. Hydatiform mole D. Preterm labor - Answer-Answer= C Hydatiform mole. Pt.'s with Hydatiform mole exhibits increased fundal height is is inconsistent with wk. of gestation, and excessive N/V due to ↑↑ hCG levels. Scant, dark discharge occurs in the 2nd trimester. A nurse is caring for a pt. who has a Dx of ruptured ectopic pregnancy. Which of the following findings is seen with this condition? A. No alteration in menses B. Transvaginal US indicates a fetus in uterus C. ↑↑ serum progesterone levels greater than expected range D. Report of severe shoulder pain - Answer-Answer= D. Report of severe shoulder pain Ectopic Pregnancy- Expected findings? - Answer--Lower unilateral abdominal pain and tenderness -Delayed, lighter than usual, or irregular menses -*Referred shoulder pain* -Report of s/s of shock (faintness, dizziness) -S/S of hemorrhage and shock (↓ BP, ↑ HR) What is Methotrexate used for in an Ectopic Pregnancy? - Answer-Methotrexate is a medication that dissolves pregnancy PT. EDUCATION= avoid alcohol consumption and vitamins containing folic acid Gestational Trophoblastic Disease (Hydatiform Mole) Expected findings? - Continues...