Maternal Newborn ATI Study Guide
12 hours after delivery, what should fundus look/feel like? - ANS 1 cm above
umbilicus
ER
1st stage of labor time frame - ANS the onset of labor until complete dilation
H
of the cervix (10 cm)
IG
2nd stage of labor time frame - ANS full dilation of cervix to birth of baby
H
3 types of lochia - ANS lochia rubra, lochia serosa, lochia alba
NG
3rd stage of labor time frame - ANS birth of the baby to delivery of placenta
I
4-6 APGAR score indicates: - ANS moderate distress
LY
4th stage of labor time frame - ANS delivery of placenta until mother's vital
F
signs are WNL
5 areas tested for APGAR - ANS heart rate, respiration rate, muscle tone,
reflex irritability, color
A client must be fitted every ___ years for a diaphragm. - ANS 2
, 2
A diaphragm must remain in place for ___ hours after intercourse. - ANS 6
abruptio placenta - ANS premature separation of placenta from uterus
ER
abruptio placenta has high rate of fetal and maternal: - ANS mortality and
H
morbidity
G
according to new ballard scale ,if baby is full term they will be: - ANS well
I
flexed in arms and legs
GH
Active phase of labor - ANS - over 3 cm to 7 cm dilation
- mother is anxious, restless, and is feeling helpless
IN
Advantage of chorionic villus sampling as opposed to amniocentesis - ANS
Y
can be done early to detect the genetic abnormalities
FL
Anterior fontanels - ANS diamond shaped, 5 cm in size
Antidote for magnesium sulfate toxicity - ANS calcium gluconate
At 6 months, what is the first food introduced? - ANS iron fortified rice
cereal
, 3
Average blood loss for C section - ANS 1,000 mL
Average blood loss for vaginal birth - ANS 500 mL
Babinski reflex -
ER
ANS birth to 1 year
H
Best indicator that baby is getting enough food from mother - ANS diaper
G
output
HI
Biophysical profile (BPP) - ANS -score given between 0-10
G
-measures reactive heart, breathing, body movements, fetal tone, and amniotic
fluid volume
N
- each section is given score of 2 if normal and 0 if not normal
YI
Bronchopulmonary dysplasia - ANS lungs become stiff and noncompliant
FL
Bulging of fontanels could indicate: - ANS
By 6th postpartum day, where should fundus be? -
hemorrhage or infection
ANS half way between
umbilicus and symphasis pubis
Can baby have acetaminophen for pain after circumcision? - ANS yes
, 4
Car safety - ANS rear facing car seat, preferably in middle of backseat until
age 2
R
cause of pathologic jaundice - ANS blood group incompatibility or infection
HE
Cause of physiologic jaundice -
immaturity of baby's liver
ANS breakdown of fetal RBCs and
IG
causes of bilirubin encephalopathy - ANS cerebral palsy, epilepsy, mental
H
retardation
G
Characteristics of full term infant - ANS -thicker skin (if post date baby then
N
skin will look wrinkled and have leather like appearance)
I
-creases on feet
Y
- developed breast buds 5-10mm in width
L
-no lanugo
F
- boys: scrotum like a pendulum with rugae
- female: labia bigger and more developed and clitoris will not be very prominent
Characteristics of preterm infant - ANS -thinner, transparent, sticky skin
-lanugo present
-breast buds much smaller than full term or not developed