ATI Maternal Newborn questions with correct answers How many cm do you need to be dilated to receive epidural? Correct Answer - 4 cm or more
client in labor with contractions 4 minutes apart. what should fetal monitor show Correct Answer - A contraction interval is how often a uterine contraction occurs. The nurse will measure the interval from the beginning of one contraction to the beginning of the next contraction. A contraction lasting 60 seconds with a relaxation period of 3 min is equivalent to contractions every 4 min.
intended action of naloxone on cns Correct Answer - Block effects of narcotics on the CNS
By blocking the effects of narcotics on the CNS, naloxone prevents CNS and respiratory depression in the newborn following delivery.
teaching after removal of hydatidiform mole Correct Answer - Hydatidiform moles
are uncontrolled growths in the uterus arising from placental or fetal tissue in early pregnancy. There is an increased incidence of choriocarcinoma associated with molar pregnancies. Pregnancy must be avoided for 1 year so the client can be closely monitored for manifestations of this condition.
A baseline human chorionic gonadotropin (hCG) level should be obtained following evacuation of the hydatidiform mole and then weekly until levels are normal for 3 consecutive weeks. Additional hCG levels should be obtained every 4
weeks for the next 6 to 12 months.
not genetic When should group B streptococcus ß-hemolytic (GBS) be tested for Correct Answer - The nurse should obtain a vaginal/anal group B streptococcus ß-
hemolytic (GBS) culture at 35 to 37 weeks of gestation to screen for infection. Prophylactic antibiotics should be given during labor to the client who is positive for GBS.
hyperglycemia in mother predisposes baby to Correct Answer - hypoglycemia
-adverse effect of betamethasone (steroids cause hyperglycemia in mother)
-LGA baby born to diabetic mother
side effect of oxygen therapy in newborn Correct Answer - retinopathy
Oxygen therapy can cause retinopathy of prematurity, especially in preterm newborns. It is a disorder of retinal blood vessel development in the premature newborn. In newborns who develop retinopathy of prematurity, the vessels grow abnormally from the retina into the clear gel that fills the back of the eye. It can reduce vision or result in complete blindness.
Interventions for late decelerations Correct Answer - Place mom into side lying position FIRST!
increase IV fluids, d/c oxytocin, administer oxygen & notify provider
What do early decelerations mean? Correct Answer - Compression of the fetal head during contractions
normal
What does late decelerations mean? Correct Answer - Can mean uterio/placental insufficency. Lack of fetal oxygenation. S/E of epidural Correct Answer - Maternal hypotension and fetal bradycardia
epidural anesthesia teaching Correct Answer - Clients who receive anesthesia before the active phase of labor usually find the progression of their labor to slow. The medication depresses the central nervous system. Therefore, it will take longer
for the cervix to dilate and efface.
An epidural will be most effective when the client is in active labor, where there will be uterine contractions occurring at least every 3 to 5 min that last between 40 and 70 seconds, and contractions will be moderately strong in intensity.
Epidural anesthesia will cause the maternal blood pressure to decrease rather than increase because of central nervous system depression.
An adverse effect of epidural anesthesia is maternal hypotension, which can cause bradycardia in the fetus. This adverse effect has nothing to do with the timing of the epidural and is usually prevented by administering a bolus of 500 mL of an IV fluid prior to the insertion of the epidural catheter.
What should a nurse do before administering analgesics during active phase of labor Correct Answer - Check the cervix prior to analgesic administration.
Prior to administering an analgesic during active labor, the nurse must know how many centimeters the cervix is dilated. If administered too close to the time of delivery, the analgesic could cause respiratory depression in the newborn.
A nurse is caring for a client 2 hr postpartum. Clients perineal pad has large amount of lochia rubra and several clots. What should nurse do Correct Answer - Massage the fundus. The primary cause of early postpartum bleeding is uterine atony manifested by a relaxed, boggy uterus. Thus, the greatest risk for the client is hemorrhage. The nurse should massage the client's fundus first.
nursing care of a newborn born to a narcotic using mother Correct Answer - Reduce frequent stimulation
This newborn needs a quiet, calm environment with minimal stimulation to promote rest and reduce stress. A stimulating environment can trigger irritability and hyperactive behaviors.
skin to skin
swaddle
Fetal presentation: breech Correct Answer - bottom part of body closest to birth canal
-Frank: legs are extended straight upward
-Complete: extension of the legs across the anterior surface of the body
-Footling: one or both feet presenting
fetal presentation: vertex (occiput) Correct Answer - head is closest part to birth canal
-LOA
-LOP
-LOT
-ROA
-ROP
client in labor with contractions 4 minutes apart. what should fetal monitor show Correct Answer - A contraction interval is how often a uterine contraction occurs. The nurse will measure the interval from the beginning of one contraction to the beginning of the next contraction. A contraction lasting 60 seconds with a relaxation period of 3 min is equivalent to contractions every 4 min.
intended action of naloxone on cns Correct Answer - Block effects of narcotics on the CNS
By blocking the effects of narcotics on the CNS, naloxone prevents CNS and respiratory depression in the newborn following delivery.
teaching after removal of hydatidiform mole Correct Answer - Hydatidiform moles
are uncontrolled growths in the uterus arising from placental or fetal tissue in early pregnancy. There is an increased incidence of choriocarcinoma associated with molar pregnancies. Pregnancy must be avoided for 1 year so the client can be closely monitored for manifestations of this condition.
A baseline human chorionic gonadotropin (hCG) level should be obtained following evacuation of the hydatidiform mole and then weekly until levels are normal for 3 consecutive weeks. Additional hCG levels should be obtained every 4
weeks for the next 6 to 12 months.
not genetic When should group B streptococcus ß-hemolytic (GBS) be tested for Correct Answer - The nurse should obtain a vaginal/anal group B streptococcus ß-
hemolytic (GBS) culture at 35 to 37 weeks of gestation to screen for infection. Prophylactic antibiotics should be given during labor to the client who is positive for GBS.
hyperglycemia in mother predisposes baby to Correct Answer - hypoglycemia
-adverse effect of betamethasone (steroids cause hyperglycemia in mother)
-LGA baby born to diabetic mother
side effect of oxygen therapy in newborn Correct Answer - retinopathy
Oxygen therapy can cause retinopathy of prematurity, especially in preterm newborns. It is a disorder of retinal blood vessel development in the premature newborn. In newborns who develop retinopathy of prematurity, the vessels grow abnormally from the retina into the clear gel that fills the back of the eye. It can reduce vision or result in complete blindness.
Interventions for late decelerations Correct Answer - Place mom into side lying position FIRST!
increase IV fluids, d/c oxytocin, administer oxygen & notify provider
What do early decelerations mean? Correct Answer - Compression of the fetal head during contractions
normal
What does late decelerations mean? Correct Answer - Can mean uterio/placental insufficency. Lack of fetal oxygenation. S/E of epidural Correct Answer - Maternal hypotension and fetal bradycardia
epidural anesthesia teaching Correct Answer - Clients who receive anesthesia before the active phase of labor usually find the progression of their labor to slow. The medication depresses the central nervous system. Therefore, it will take longer
for the cervix to dilate and efface.
An epidural will be most effective when the client is in active labor, where there will be uterine contractions occurring at least every 3 to 5 min that last between 40 and 70 seconds, and contractions will be moderately strong in intensity.
Epidural anesthesia will cause the maternal blood pressure to decrease rather than increase because of central nervous system depression.
An adverse effect of epidural anesthesia is maternal hypotension, which can cause bradycardia in the fetus. This adverse effect has nothing to do with the timing of the epidural and is usually prevented by administering a bolus of 500 mL of an IV fluid prior to the insertion of the epidural catheter.
What should a nurse do before administering analgesics during active phase of labor Correct Answer - Check the cervix prior to analgesic administration.
Prior to administering an analgesic during active labor, the nurse must know how many centimeters the cervix is dilated. If administered too close to the time of delivery, the analgesic could cause respiratory depression in the newborn.
A nurse is caring for a client 2 hr postpartum. Clients perineal pad has large amount of lochia rubra and several clots. What should nurse do Correct Answer - Massage the fundus. The primary cause of early postpartum bleeding is uterine atony manifested by a relaxed, boggy uterus. Thus, the greatest risk for the client is hemorrhage. The nurse should massage the client's fundus first.
nursing care of a newborn born to a narcotic using mother Correct Answer - Reduce frequent stimulation
This newborn needs a quiet, calm environment with minimal stimulation to promote rest and reduce stress. A stimulating environment can trigger irritability and hyperactive behaviors.
skin to skin
swaddle
Fetal presentation: breech Correct Answer - bottom part of body closest to birth canal
-Frank: legs are extended straight upward
-Complete: extension of the legs across the anterior surface of the body
-Footling: one or both feet presenting
fetal presentation: vertex (occiput) Correct Answer - head is closest part to birth canal
-LOA
-LOP
-LOT
-ROA
-ROP
