2024 OB MATERNAL NEWBORN ATI PROCTOR EXAM

2024 OB MATERNAL NEWBORN ATI PROCTOR EXAM What is the largest body part on a newborn? --ANSWER: head What are some non-pharmacological remedies? --ANSWER: - Gait control theory - Cognitive strategies - Sensory stimulation (music, imagery, etc.) - Cutaneous stimulation (Massage, walking, etc.) What is Sacral counterpressure? --ANSWER: Consistent pressure is applied by the support person using the heel of the hand or fist against the client's sacral area to counteract pain in the lower back What is Effleurage? --ANSWER: Light, gentle circular stroking of the patient's abdomen with the fingertips in rhythm with breathing during contractions Postpartum Assessment consists of? --ANSWER: - BUBBLEHE - Hgb - Hct - DVTs - Pulmonary embolism - Shortness of breath - Assess the pad Mastitis Education: --ANSWER: - Unilateral pain (one side) -Administer Antibiotics -Continue to breastfeed/pump every 2 hours -Use ice packs or warm compresses (Only time you can not breastfeed is when there is purulent drainage) Engorgement Education: --ANSWER: -Bilateral pain (both sides) -Continue to breastfeed/pump every to 2 hours -Pain, swelling, redness, fullness Deviated Uterus Education: --ANSWER: Can be right or left side due to bladder being in the way * Priority is to empty the bladder * Polyuria is NORMAL Boggy Uterus Education: --ANSWER: (soft) Priority is to do a vigorous fundal massage -If fundus is firm and midline but there is still bleeding check for tears/lacerations FIND A PROVIDER TO REPAIR Involution of the Uterus: --ANSWER: Uterus involuting back below pelvic bone - Day 0 postpartum fundus should be felt at the umbilicus - Fundus midline and firm is GOOD Perineal care for a postpartum mom: --ANSWER: - Wiping front to back - Sitz bath - Peri bottle - NO sex for 6 weeks - Wash hands before and after Lochia Education: --ANSWER: - Occurs 6-8 weeks postpartum - Correct order: Rubra, Serosa, Alba - If occurring in a different order that could indicate that placenta is left behind and should be told to provider immediately Lochia Rubra: --ANSWER: 1-3 days, bright red with pain, clots normal Lochia Serosa: --ANSWER: 4-10 days, pink and mucousy Lochia Alba: --ANSWER: 10 days - 8 weeks, whitish yellow, has leukocytes in it Determining Decelerations: --ANSWER: Veal, Chop, Mine