ATI CAPSTONE Maternal Newborn questions and answers well illustrated.

ATI CAPSTONE Maternal Newborn questions and answers well illustrated. leopold maneuvers - correct answers.- performing external palpations of the maternal uterus through the abdominal wall to determine the number of fetuses, the presenting part, fetal lie, fetal attitude, degree of descent of the presenting part into the pelvis, and the location of the fetus's back to assess the fetal heart tones vertex presentation - correct answers.Fetal heart tones should be assessed below the mother's umbilicus in either the right or left lower quadrant of the abdomen breech presentation - correct answers.Fetal heart tones should be assessed above the mother's umbilicus in either the right- or left-upper quadrant of the abdomen. considerations - correct answers.- ask the client to empty the bladder before beginning the assessment - place client in supine position with a pillow under the head, and have both knees flexed - place a small , rolled towel under the client's right or left hip to displace the uterus off the major blood vessels to prevent supine hypotensive syndrome intermittently auscultate during the latent phase - correct answers.- every 30-60 minutes intermittently auscultate during the active phase - correct answers.- every 15-30 minutes intermittently auscultate during the second stage - correct answers.- every 5-15 minutes indications for leopold maneuvers - correct answers.- determine active labor - rupture of membranes spontaneously or artificially - preceding and subsequent to ambulation - prior to following administration of or a change in medication analgesia - at peak action of anesthesia - following vaginal examination - following expulsion of an enema - after urinary catheterization - abnormal or excessive uterine contractions normal FHR - correct answers.110-160 w/ increases and decreases from baseline continuous electronic fetal monitoring - correct answers.- accomplished by securing an ultrasound transducer over the clients abdomen, which records the FHR pattern and a tocotransducer on the fundus that records the uterine contraindications indications for electronic fetal monitoring - correct answers.- multiple gestations - oxytocin infusion - placenta previa - fetal bradycardia - maternal complications - intrauterine growth restriction - post-date gestation - active labor - meconium stained amniotic fluid - abruptio placentae - abnormal nonstress test or contraction stress test - abnormal uterine contractions - fetal distress Three Tier System - correct answers.- fetal monitoring system with FHR interpretation system - category 1 - correct answers.- baseline FHR of 110-160 /min - baseline FHR variability: moderate - accelerations present or absent - early decelerations: present or absent - variable/late decelerations: absent Category 2 - correct answers.- tracings include all FHR tracings not categorized as category 1 or 3. - baseline rate (tachycardia, bradycardia not accompanied by absent baseline variability) - baseline FHR variability (minimal baseline variability, absent baseline variability not accompanied by recurrent decelerations, marked baseline variability) - episodic or periodic decelerations ( prolonged FHR decel equal or greater than 2 min but less than 10 min, recurrent late decelerations w/ moderate baseline variability, recurrent variable decels w/ minimal or moderate baseline variability - variable decels w/ additional characteristics including overshoots, shoulders, or slow return to baseline FHR category 3 - correct answers.- FHR tracings include either sinusoidal pattern, absent baseline FHR variability (recurrent late/variable decels, bradycardia) - increment, acme, decrement increment uterine contractions - correct answers.- beginning of the contraction as intensity is increasing