Maternal ATI Exam With Complete Updated Solution

Immunizations During Pregnancy (Chp 4) - answer-Rhogam given at 28 weeks -Rubella vaccine given postpartum and should not become pregnant for 1-3 months -->live attenuated virus may cross the placenta a present a risk to the developing fetus -rubella given at the same time of Rhogam will not be effective -A woman is advised to avoid prenancy for at least 1 month following and MMR immunization. HIV (Chp 8) - answer-Provide counseling prior to and after testing -Refer client for a mental health consultation, legal assistance, and financial resources -administer antiviral prophylaxis, triple-drug antiviral, or highly active antiretroviral therapy (HAART) as prescribed -encourage vaccination against hepatitis B, pneumococcal infection, Haemophilius influenzae type B and viral influenza -Infant should be bathed after birth before remaining with mother -monitor NB for manifestations because they are usually asymptomatic at birth *Medical Conditions: Priority Postpartum Client (Chp 9)* - answer Hemorrhage - answer500mL or more after delivery *CAUSES* -uterine atony -laceration of the cervix or vagina -hematoma development in the cervix, perineum, or labia -retained placental fragments PPH Risk Factors - answer-hx of PPH, placenta previa, abruptio placentae, over distention of the uterus from polyhydramnios, multiple gestation, a large neonate, multiparty, dystocia or labor that is prolonged, operative delivery (c-section or forceps delivery) and intrauterine manipulation *multiparous pt who delivered a large fetus after oxytocin induction has more risk factors associated with PPH than any other client*