ATI Capstone Maternal Newborn PreAssignment
| QUESTIONS AND CORRECT ANSWERS | A+
leopold maneuvers - SOLUTION -- 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 - SOLUTION -Fetal heart tones should be assessed below the mother's umbilicus
in either the right or left lower quadrant of the abdomen
breech presentation - SOLUTION -Fetal heart tones should be assessed above the mother's umbilicus
in either the right- or left-upper quadrant of the abdomen.
considerations - SOLUTION -- 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 - SOLUTION -- every 30-60 minutes
intermittently auscultate during the active phase - SOLUTION -- every 15-30 minutes
intermittently auscultate during the second stage - SOLUTION -- every 5-15 minutes
indications for leopold maneuvers - SOLUTION -- 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 - SOLUTION -110-160 w/ increases and decreases from baseline
continuous electronic fetal monitoring - SOLUTION -- 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 - SOLUTION -- 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 - SOLUTION -- fetal monitoring system with FHR interpretation system
- category 1 - SOLUTION -- 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 - SOLUTION -- 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 - SOLUTION -- FHR tracings include either sinusoidal pattern, absent baseline FHR
variability (recurrent late/variable decels, bradycardia)
- increment, acme, decrement
increment uterine contractions - SOLUTION -- beginning of the contraction as intensity is increasing
adme uterine contractions - SOLUTION -- peak intensity of the contraction
- decrement uterine contractions - SOLUTION -- the decline of the contraction intensity as
contraction is ending
accelerations - SOLUTION -- Variable transitory increase in the FHR above baseline
| QUESTIONS AND CORRECT ANSWERS | A+
leopold maneuvers - SOLUTION -- 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 - SOLUTION -Fetal heart tones should be assessed below the mother's umbilicus
in either the right or left lower quadrant of the abdomen
breech presentation - SOLUTION -Fetal heart tones should be assessed above the mother's umbilicus
in either the right- or left-upper quadrant of the abdomen.
considerations - SOLUTION -- 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 - SOLUTION -- every 30-60 minutes
intermittently auscultate during the active phase - SOLUTION -- every 15-30 minutes
intermittently auscultate during the second stage - SOLUTION -- every 5-15 minutes
indications for leopold maneuvers - SOLUTION -- 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 - SOLUTION -110-160 w/ increases and decreases from baseline
continuous electronic fetal monitoring - SOLUTION -- 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 - SOLUTION -- 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 - SOLUTION -- fetal monitoring system with FHR interpretation system
- category 1 - SOLUTION -- 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 - SOLUTION -- 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 - SOLUTION -- FHR tracings include either sinusoidal pattern, absent baseline FHR
variability (recurrent late/variable decels, bradycardia)
- increment, acme, decrement
increment uterine contractions - SOLUTION -- beginning of the contraction as intensity is increasing
adme uterine contractions - SOLUTION -- peak intensity of the contraction
- decrement uterine contractions - SOLUTION -- the decline of the contraction intensity as
contraction is ending
accelerations - SOLUTION -- Variable transitory increase in the FHR above baseline
