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Exam (elaborations)

PN MATERNAL NEWBORN NURSING ATI PROCTORED EXAM STUDYGUIDE QUESTIONS AND ANSWERS

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PN MATERNAL NEWBORN NURSING ATI PROCTORED EXAM STUDYGUIDE QUESTIONS AND ANSWERS

Institution
ATI Maternal Newborn
Course
ATI maternal newborn











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Institution
ATI maternal newborn
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ATI maternal newborn

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Uploaded on
September 27, 2024
Number of pages
188
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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151 Multiple choice questions

Term 1 of 151
a nurse is preparing to administer prophylactic eye ointment to a newborn to prevent
ophthalmia neonatorum. Which medication will the nurse administer

Vancomycin


Clindamycin

Tetracycline

Erythromycin

Term 2 of 151
Fetal heart can be heard when

late in the first trimester

listen at the midline, right above the symphysis pubis, by holding the doppler firmly on
the abdomen

uterine infection


usually 2nd to 5th day postdelivery


meds: clindamycin, cephalosporins, penicilins, gentamicin (all antibiotics)

Placenta or fragments of the placenta remain in the uterus preventing the uterus from
contracting which leads to uterine atony or subinvolution

Med given: oxytocin....if unsuccessful then tocolytic for d&c


3-4 lbs in first trimester
1 lb per week in second (total 12 lb just in 2nd)
25-30 lbs By 3rd trimester

,Term 3 of 151
mongolian spots

inflammation of the nail


bluish purple spots of pigmentation

stretch marks
hyperpigmentation

small red spots usually on face

Term 4 of 151
magnesium sulfate antidote

calcium gluconate

potassium chloride


protamine sulfate

sodium bicarbonate

Term 5 of 151
GTPAL

Gravida,
Term - 38 weeks and more
Preterm - 37 weeks and under
Abortions,
Living

Number of pregnancies which fetus reached 20 weeks ( includes stillborn)
Nullipara: no pregnancy
primipara: one
Multipara: two or more


Pinkish/brown, serosanguineous. Lasts day 4-10 postpartum

Cervical ripening
Oxytocin- monitor vitals 30-60 min, FHR every 15 min. STOP if hyperstimulation occurs

,Term 6 of 151
indomethacin
nifedipine

for the client experiencing postpartum hemorrhage


used to detect fetal blood in maternal circulation

ask the client if she has thoughts of harming herself or her infant

for the client in preterm labor

Term 7 of 151
what test is part of an amniocentesis to determine fetal lung maturity?

Lecithin/sphingomyelin (L/S) ratio

Maternal alpha-fetoprotein (afp)

Indirect coombs' test


Biophysical profile

Term 8 of 151
HIV infection is a contraindication to...

episiotomy forceps, internal fetal monitoring
*blood exposure

this is frequently seen in newborns of african american, asian, or native american origin

measure leg circumferences to monitor changes

uterine contraction intensity

, Term 9 of 151
Retained placenta

1. Notify provider
2. Turn pt on their side
3. Keep IV open and increase fluids 200ml/hr
4. administer O2 face mask
5. administer Tocolytic terbutaline
6. monitor, document, prepare for cesarean

Latent phase dilates 0-3 cm
Active phase dilates 4-7 cm
transition phase dilates 8-10 cm

Placenta or fragments of the placenta remain in the uterus preventing the uterus from
contracting which leads to uterine atony or subinvolution

Med given: oxytocin....if unsuccessful then tocolytic for d&c


late in the first trimester

listen at the midline, right above the symphysis pubis, by holding the doppler firmly on
the abdomen

Term 10 of 151
prenatal visits

monthly until 28 weeks
every 2 weeks until 36 weeks
every week until born

a port wine stain on face or neck that is permanent birthmark of newborn

obtain a vaginal/anal culture at 35-37 weeks to check for group b strep infection

cervix opens too early and expulsion of the products of conception occurs.

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