ATI MATERNAL NEWBORN PROCTORED EXAM

ATI MATERNAL NEWBORN PROCTORED EXAM FHR can be heard by Doppler at: - CORRECT ANSWER- 10-12 weeks GA Between 18 and 30 weeks the fundal height should measure what? - CORRECT ANSWER- It should equal the week of gestation MSAFP screening is done: - CORRECT ANSWER- 15-22 weeks of gestation maternal serum alpha-fetoprotein (MSAFP) screen. It's usually as part of a set of tests, which screen for genetic problems, called the quad screen. AFP is a substance made in the liver of an unborn baby (fetus). Smoking tobacco during pregnancy is associated with : - CORRECT ANSWER- Low Birth Weight Pregnant mothers should consume how much water each day? - CORRECT ANSWER- 2 to 3 Liters of water from food and beverage sources. Regarding kick counts, what are signs that a woman needs further evaluation? - CORRECT ANSWER- Fetal movements of less than 3 in one hour No fetal movement for 12 hours The recommended weight gain during pregnancy is usually: - CORRECT ANSWER- 25-35lbs 3-4 lb in first trimester 1 lb per week in the last two trimesters Foods high in folic acid are: - CORRECT ANSWER- Leafy vegetables Dried peas Dried beans Seeds Orange juice It is recommended that _____ mcg of folic acid be taken during pregnancy. - CORRECT ANSWER- 600 It is recommended that clients who are lactating consume ____ mcg of folic acid. - CORRECT ANSWER- 500 What vitamin aids in the absorption of Iron? - CORRECT ANSWER- Vitamin C The clients bladder needs to be _____ before an ultrasound. - CORRECT ANSWER- Full biophysical profile (BPP) normal score is - CORRECT ANSWER- A biophysical profile (BPP) test measures the health of your baby (fetus) during pregnancy. 8-10 BPP abnormal score is - CORRECT ANSWER- 4 If a BPP comes back as 6..... - CORRECT ANSWER- It should be retested BPP assess for - CORRECT ANSWER- Fetal well being non-stress test ( NST) - CORRECT ANSWER- most widely used technique for antepartum evaluation of fetal well being performed during the third trimester. Reactive NST - CORRECT ANSWER- FHR is a normal baseline rate with moderate variablity Two accelerations to 15 bpm for at least 15 secs in 20 min period A non reactive NST would indicate what about the fetus? - CORRECT ANSWER- The fetal heart rate does not accelerate adequately with fetal movement. -A BPP or CST will need to be done now Positive CST is normal or abnormal - CORRECT ANSWER- abnormal The contraction stress test — also called a stress test or an oxytocin challenge test — may be done during pregnancy to measure the baby's heart rate during uterine contractions. Its purpose is to make sure the baby can get the oxygen he needs from the placenta during labor. Positive CST is indicated when: - CORRECT ANSWER- Persistent and consistent late decels on more than half of the contractions. An amniocentesis may be performed when? - CORRECT ANSWER- After 14 weeks gestation AFP can be measured from the amniotic fluid between: - CORRECT ANSWER- 16 and 18 weeks alpha-fetoprotein Presence of PG on a fetal lung test is associated with: - CORRECT ANSWER- Respiratory distress CVS can be done at - CORRECT ANSWER- 10-12 weeks Chorionic villus sampling (CVS) is a prenatal test that diagnoses chromosomal abnormalities such as Down syndrome, as well as a host of other genetic disorders. The doctor takes cells from tiny fingerlike projections on your placenta called the chorionic villi and sends them to a lab for genetic analysis. First stage of labor: - CORRECT ANSWER- 1-1.5 cm (onset of labor) Latent phase of labor: - CORRECT ANSWER- 0-3 cm mild to moderate contractions irregular q 5-30 min lasts 30-40 sec Active phase of labor: - CORRECT ANSWER- 4-7 cm moderate to strong contractions regular q 3-5 min lasts 40-70 sec Transition phase of labor - CORRECT ANSWER- 8-10 cm strong to very strong contractions q 2-3 min lasts 45-90 sec Second stage of labor: - CORRECT ANSWER- Full dilation Intense contractions BIRTH!! Third stage of labor: - CORRECT ANSWER- Delivery of placenta Fourth stage: - CORRECT ANSWER- Maternal stabilization of vital signs First stage pain: - CORRECT ANSWER- internal visceral may be felt as back/leg pain Second stage pain: - CORRECT ANSWER- somatic occurs with fetal descent and expulsion Third stage pain: - CORRECT ANSWER- similar to first stage pain Pain S&