ATI MATERNAL NEWBORN NURSING - EXIT EXAM 1 QUESTIONS AND CORRECT ANSWERS 2024/2025

Diaphragm - ANSWER Spermicide must be applied with each act of sexual intercourse and should remain in place 6 hrs after. Empty bladder prior to coitus Transdermal contraceptive patch - ANSWER Patch applied to dry skin overlying subQ tissue, excluding breast Depo-Provera - ANSWER IM injection given every 11-13 weeks (start should be during first 5 days of clients menstrual cycle) Essure - ANSWER Insertion of agent resulting in development of scar tissue in Fallopian tubes. Not reversible Female sterilization - ANSWER Burning or blocking the Fallopian tubes. Not reversible Vasectomy - ANSWER Ligation and severance of vas deferens. Need alternate form of birth control for 20 ejaculations RhoGAM - ANSWER Administered at 28 weeks gestation to a mother who is Rhnegative and gives birth to an Rh-positive infant. Recommended following an amniocentesis Oxytocin (Pitocin) - ANSWER Monitor for water intoxication (lightheaded, n/v, headache, malaise) which can lead to cerebral edema, seizures, coma, and death. Contraindicated based on late decelerations 3 hour glucose tolerance test - ANSWER Screens for gestational diabetes and is done at 28 weeks of gestation Rubella titer - ANSWER Obtained at initial prenatal visit (about 6 weeks gestation) Betamethasone (Celestone) - ANSWER Glucocorticoid administered IM in 2 injections 24 hr apart, given to stimulate fetal lung maturity if early delivery is anticipated and to prevent respiratory distress. Can cause pulmonary edema (crackles, chest pain, SOB) Leopold Maneuver - ANSWER Abdominal palpation of fetus, lie, attitude, helps nurse assess the position of the fetus to determine the optimal placement of the fetal monitoring transducer. Empty bladder beforehand, supine positioning Steps of Leopold Maneuver - ANSWER Palpate client's fundus, determine location of fetal back, palpate fetal part presenting at the inlet, and palpate the cephalic prominence to identify the attitude of the head Ferning test - ANSWER If positive, indicates rupture of membranes Expected newborn temp - ANSWER 36.5-37.2 Expected newborn HR - ANSWER 120-160 Expected newborn RR - ANSWER 30-60 Expected newborn BP - ANSWER 60-80 S, 40-50 D Expected newborn length - ANSWER 45-55 cm Expected newborn weight - ANSWER 2,500-4,000 g What is effleurage? - ANSWER Client strokes abdomen using circular motion during contractions Maternal Serum Alpha-Fetoprotein - ANSWER Screening tool for neural tube defects that is effective between 15 and 22 weeks. levels above indicate the need for an ultrasound Position for transvaginal ultrasound - ANSWER Lithotomy position Biophysical profile assesses? - ANSWER Fetal HR, breathing, body movements, fetal tone, and qualitative amniotic fluid volume What does biophysical profile indicate? - ANSWER The risk of asphyxia Nonstress test - ANSWER Client presses a button whenever they feel fetal movement which allows nurse to assess FHR in relationship to the fetal movement