ATI Capstone Maternal Newborn QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES ALREADY GRADED A+

ATI Capstone Maternal Newborn QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALES ALREADY GRADED A+ - category 1 - Answer-- baseline FHR of 110-160 /min - baseline FHR variability: moderate - accelerations present or absent - early decelerations: present or absent - variable/late decelerations: absent - causes of early decels of FHR - Answer-- compression of fetal head resulting from uterine contraction - uterine contractions - vaginal exam - fundal pressure - causes of late decels of FHR - Answer-- uteroplacental insufficiency causing inadequate fetal oxygenation - insert an IV catheter if not in place, and increase rate of IV fluid admin - discontinue oxytocin - admin oxygen by mask at 8 L/min via nonrebreather face mask - elevate client's legs - notify HCP - prep for assisted vaginal vaginal birth or c-section - decrement uterine contractions - Answer-- the decline of the contraction intensity as contraction is ending - football hold - Answer-- Support half of the newborn's body in the holder's forearm with the newborn's head and neck resting in the palm of the hand - This is a good position for breastfeeding and when shampooing the newborn's hair 2 day method - Answer-- a symptom based method that involves checking for vaginal secretions daily, w/ no analysis of secretions - after 2 days w/o presence of secretions, the fertile period has passed - if vaginal secretions are present 2 days in a row, avoid unprotected intercourse to prevent pregnancy accelerations - Answer-- Variable transitory increase in the FHR above baseline active phase of labor - Answer-- contractions are more regular, moderate-strong - frequency of 3-5 minutes - duration of 40-70 seconds - dilation of 4-7 cm adme uterine contractions - Answer-- peak intensity of the contraction anterior-posterior repair - Answer-surgical repair of cystocele and rectocele assessment during third stage of labor - Answer-- BP, pulse, RR every 15 minutes - clinical findings of placental separation from the uterus as indicated by the fundus firmly contracting, swift gush of dark blood from introitus, umbilical cord appears to lengthen as placenta descends, vaginal fullness on exam - assignment of 1 and 5 min APGAR scores to neonate assessment in the fourth stage of labor - Answer-- maternal vital signs - fundus - lochia - urinary output - baby~friendly activities of the family assessment of first stage of labor - Answer-- perform leopold maneuvers - perform a vaginal exam as indicated - encourage to take slow, deep breaths prior to exam - monitor cervical dilation and effacement - monitor station and fetal presentation prepare for impending delivery as presenting part moves into positive stations and begins to push against the pelvic floor (crowning) - perform bladder palpation on regular basis to prevent distention - form a temperature assessment every 4 hours barrier methods - Answer-- male condom - female condom - spermicide - diaphragm - cervical cap - contraceptive sponge basal body temperature - Answer-- BBT is the temperature of the body at rest - prior t o ovulation, the temperature drops slightly and rises during ovulation - identifying the time ovulation is a symptom based method that can be used to facilitate or avoid conception