Maternal Newborn ATI CAPSTONE Questions and Answers (Verified Answers) 2024/2025 | 100% CORRECT

Maternal Newborn ATI CAPSTONE Questions and Answers (Verified Answers) 2024/2025 | 100% CORRECT. performing external palpations of the maternal uterus through the abdominal wall to determine the number of fetuses, the presenting part, fetal lie, fetal attitude, degree of descent of the presenting part into the pelvis, and the location of the fetus's back to assess the fetal heart tones ANS: leopold maneuvers 2. Fetal heart tones should be assessed below the mother's umbilicus in either the right or left lower quadrant of the abdomen ANS: vertex presentation 3. Fetal heart tones should be assessed above the mother's umbilicus in either the right- or left-upper quadrant of the abdomen. ANS: breech presentation 4. - ask the client to empty the bladder before beginning the assessment - place client in supine position with a pillow under the head, and have both knees flexed Maternal Newborn ATI CAPSTONE Questions and Answers (Verified Answers) 2024/2025 | 100% CORRECT 2 / 15 - place a small , rolled towel under the client's right or left hip to displace the uterus off the major blood vessels to prevent supine hypotensive syndromeANS: considerations 5. - every 30-60 minutes ANS: intermittently auscultate during the latent phase 6. - every 15-30 minutes ANS: intermittently auscultate during the active phase 7. - every 5-15 minutes ANS: intermittently auscultate during the second stage 8. - determine active labor - rupture of membranes spontaneously or artificially - preceding and subsequent to ambulation - prior to following administration of or a change in medication analgesia - at peak action of anesthesia - following vaginal examination - following expulsion of an enema - after urinary catheterization - abnormal or excessive uterine contractions ANS: indications for leopold maneu- vers 9. 110-160 w/ increases and decreases from baseline ANS: normal FHR 3 / 15 10. - accomplished by securing an ultrasound transducer over the clients abdomen, which records the FHR pattern and a tocotransducer on the fundus that records the uterine contraindications ANS: continuous electronic fetal monitoring 11. - multiple gestations - oxytocin infusion - placenta previa 4 / 15 - fetal bradycardia - maternal complications - intrauterine growth restriction - post-date gestation - active labor - meconium stained amniotic fluid - abruptio placentae - abnormal nonstress test or contraction stress test - abnormal uterine contractions - fetal distress ANS: indications for electronic fetal monitoring 12. - fetal monitoring system with FHR interpretation system ANS: Three Tier Sys- tem 13. - baseline FHR of 110-160 /min - baseline FHR variability ANS: moderate - accelerations present or absent - early decelerations ANS: present or absent - variable/late decelerations ANS: absent ANS: - category 1 14. - tracings include all FHR tracings not categorized as category 1 or 3. - baseline rate (tachycardia, bradycardia not accompanied by absent baseline variability) - baseline FHR variability (minimal baseline variability, absent baseline variability not accompanied by recurrent decelerations, marked baseline variability) 5 / 15 - episodic or periodic decelerations ( prolonged FHR decel equal or greater than 2 min but less than 10 min, recurrent late decelerations w/ moderate baseline variability, recurrent variable decels w/ minimal or moderate baseline variability - variable decels w/ additional characteristics including overshoots, shoulders, or slow return to baseline FHR ANS: Category 2 15. - FHR tracings include either sinusoidal pattern, absent baseline FHR variability (recurrent late/variable decels, bradycardia) - increment, acme, decrement ANS: category 3 16. - beginning of the contraction as intensity is increasing ANS: increment uterine contractions 17. - peak intensity of the contraction ANS: adme uterine contractions 18. - the decline of the contraction intensity as contraction is ending ANS: - decre- ment uterine contractions 6 / 15 19. - Variable transitory increase in the FHR above baseline ANS: accelerations 20. - healthy fetal/placental exchange - vaginal exam - fundal pressure - intact CNS response to fetal movement - uterine contractions - fetal scalp stimulation ANS: causes of accelerations 21. - be reassuring - no interventions required - indicate reactive nonstress test ANS: nursing interventions for accelerations 22. - FHR less than 110/min for 10 min or more ANS: fetal bradycardia 23. - uteroplacental insufficiency