ATI MATERNAL NEWBORN 1- Momma during Pregnancy Questions with correct answers
Pre-eclampsia Correct Answer - starts after 20 weeks -elevated BP 140/90
-transient headaches
irritability
-changes in vision (blurring/floaters)
-Edema- swelling of hands and face -sudden weight gain of more than 2lbs per day or 5 lbs in a week
-right upper quadrant pain -proteinuria 1+ OR 2+/sx of kidney compromise
pitting edema 2+
preeclampsia************ RISK FACTORS Correct Answer - ---Risk Factors: **very young or older than 35
**autoimmune disease
rheumatoid arthritis
history of preeclampsia w/ other pregnancies
chronic hypertension
obesity
multiple gestation pregnancy
diabetes mellitus
kidney disease
clotting disorders baby conceived via vitro
DIAGNOSTIC- pre-eclampsia Correct Answer - vital signs: high BP
CBC : low platelets
urine : +1 protein
CHP: (liver enzymes)
-AST elevated
-ALT elevated
TX pre eclampsia Correct Answer - monitor vital signs
deep tendon reflexes
encourage lateral positioning to reduce blood procedure
non stress test to monitor fetal distress
monitor I and O
-magnesium sulfate infusion
GTPAL system Correct Answer - gravidity, term, preterm, abortions, living children
patient with preeclampsia in a room with loud noise and bright lights can cause Correct Answer - seizures
Group B streptococcus test for newborn is done at ___weeks Correct Answer - The
nurse should explain to the client that the provider will obtain a rectovaginal culture at 35 to 37 weeks
Heel stick Correct Answer - Method of obtaining blood sample from neonate -Plantar surface of heel, on medial or lateral edge to avoid bone damage (<2.0 mm deep)
-keep infant supine, foot lower than torso
-medial or lateral edge of foot
when doing heel stick on infant nurse should.. Correct Answer - - provide the newborn with a pacifier coated with oral sucrose solution to provide comfort and decrease the pain associated with the heel stick.
-avoid cleaning puncture site with alcohol
-puncture outer heel with automatic lancet not manual
-warm the newborn's foot prior to the procedure by using a heel warmer or a warm washcloth to cause vasodilation.
that 2+ proteinuria is a manifestation of Correct Answer - preeclampsia. Therefore,
the nurse should report this finding to the provider.
Nagele's rule: how do you calculate expected date of birth based on LMP of a patient ? Correct Answer - 1.take their LNMP 2. SUBTRACT 3 months back 4. ADD 7 days
remember (take then give)
first step of the nursing process Correct Answer - Assessment: collection of data
gestational diabetes SIGNS and symptoms Correct Answer - hyperglycemia, including flushed dry skin, fruity breath, rapid breathing, and increased thirst and urination.
-possible ketones in urine
Pre-eclampsia Correct Answer - starts after 20 weeks -elevated BP 140/90
-transient headaches
irritability
-changes in vision (blurring/floaters)
-Edema- swelling of hands and face -sudden weight gain of more than 2lbs per day or 5 lbs in a week
-right upper quadrant pain -proteinuria 1+ OR 2+/sx of kidney compromise
pitting edema 2+
preeclampsia************ RISK FACTORS Correct Answer - ---Risk Factors: **very young or older than 35
**autoimmune disease
rheumatoid arthritis
history of preeclampsia w/ other pregnancies
chronic hypertension
obesity
multiple gestation pregnancy
diabetes mellitus
kidney disease
clotting disorders baby conceived via vitro
DIAGNOSTIC- pre-eclampsia Correct Answer - vital signs: high BP
CBC : low platelets
urine : +1 protein
CHP: (liver enzymes)
-AST elevated
-ALT elevated
TX pre eclampsia Correct Answer - monitor vital signs
deep tendon reflexes
encourage lateral positioning to reduce blood procedure
non stress test to monitor fetal distress
monitor I and O
-magnesium sulfate infusion
GTPAL system Correct Answer - gravidity, term, preterm, abortions, living children
patient with preeclampsia in a room with loud noise and bright lights can cause Correct Answer - seizures
Group B streptococcus test for newborn is done at ___weeks Correct Answer - The
nurse should explain to the client that the provider will obtain a rectovaginal culture at 35 to 37 weeks
Heel stick Correct Answer - Method of obtaining blood sample from neonate -Plantar surface of heel, on medial or lateral edge to avoid bone damage (<2.0 mm deep)
-keep infant supine, foot lower than torso
-medial or lateral edge of foot
when doing heel stick on infant nurse should.. Correct Answer - - provide the newborn with a pacifier coated with oral sucrose solution to provide comfort and decrease the pain associated with the heel stick.
-avoid cleaning puncture site with alcohol
-puncture outer heel with automatic lancet not manual
-warm the newborn's foot prior to the procedure by using a heel warmer or a warm washcloth to cause vasodilation.
that 2+ proteinuria is a manifestation of Correct Answer - preeclampsia. Therefore,
the nurse should report this finding to the provider.
Nagele's rule: how do you calculate expected date of birth based on LMP of a patient ? Correct Answer - 1.take their LNMP 2. SUBTRACT 3 months back 4. ADD 7 days
remember (take then give)
first step of the nursing process Correct Answer - Assessment: collection of data
gestational diabetes SIGNS and symptoms Correct Answer - hyperglycemia, including flushed dry skin, fruity breath, rapid breathing, and increased thirst and urination.
-possible ketones in urine
