ATI MATERNAL NEWBORN NURSING WITH COMPLETE UPDATE SOLUTION ()

ATI Maternal Newborn Nursing With Complete U pdate Solution (2023 -2024) Diaphragm - answerSpermicide must be applied with each act of sexual intercourse and should remain in place 6 hrs after. Empty bladder prior to coitus Transdermal contraceptive patch - answerPatch applied to dry skin overlying subQ tissue, excluding breast Depo -Provera - answerIM injection given every 11 -13 weeks (start should be during first 5 days of clients menstrual cycle) Essure - answerInsertion of agent resulting in development of scar tissue in Fallopian tubes. Not reversible Female sterilization - answerBurning or blocking the Fallopian tubes. Not reversible Vasectomy - answerLigation and severance of vas deferens. Need alternate form of birt h control for 20 ejaculations RhoGAM - answerAdministered at 28 weeks gestation to a mother who is Rh -negative and gives birth to an Rh -positive infant. Recommended following an amniocentesis Oxytocin (Pitocin) - answerMonitor for water intoxication (lig htheaded, n/v, headache, malaise) which can lead to cerebral edema, seizures, coma, and death. Contraindicated based on late decelerations 3 hour glucose tolerance test - answerScreens for gestational diabetes and is done at 28 weeks of gestation Rubella titer - answerObtained at initial prenatal visit (about 6 weeks gestation) Betamethasone (Celestone) - answerGlucocorticoid administered IM in 2 injections 24 hr apart, given to stimulate fetal lung maturity if early delivery is anticipated and to preven t respiratory distress. Can cause pulmonary edema (crackles, chest pain, SOB) ATI Maternal Newborn Nursing With Complete U pdate Solution (2023 -2024) Leopold Maneuver - answerAbdominal palpation of fetus, lie, attitude, helps nurse assess the position of the fetus to determine the optimal placement of the fetal monitoring tra nsducer. Empty bladder beforehand, supine positioning Steps of Leopold Maneuver - answerPalpate client's fundus, determine location of fetal back, palpate fetal part presenting at the inlet, and palpate the cephalic prominence to identify the attitude of the head Ferning test - answerIf positive, indicates rupture of membranes Expected newborn temp - answer36.5 -37.2 Expected newborn HR - answer120 -160 Expected newborn RR - answer30 -60 Expected newborn BP - answer60 -80 S, 40 -50 D Expected newborn length - answer45 -55 cm Expected newborn weight - answer2,500 -4,000 g What is effleurage? - answerClient strokes abdomen using circular motion during contractions Maternal Serum Alpha -Fetoprotein - answerScreening tool for neural tube d efects that is effective between 15 and 22 weeks. levels above indicate the need for an ultrasound Position for transvaginal ultrasound - answerLithotomy position Biophysical profile assesses? - answerFetal HR, breathing, body movements, fetal tone, and qualitative amniotic fluid volume ATI Maternal Newborn Nursing With Complete U pdate Solution (2023 -2024) What does biophysical profile indicate? - answerThe risk of asphyxia Nonstress test - answerClient presses a button whenever they feel fetal movement which allows nurse to assess FHR in relationship to the fetal movement Reactive stress test - answerFHR has moderate variability, accelerated to 15 beats/min for at least 15 seconds and occurs two or more times during a 20 minute period Nonreactive stress test - answerFHR does not accelerate adequately with fetal movement. Does not meet criteria after 40 minutes. Contraction stress test or biophysical profile is indicated Contraction stress test - answerFHR in response to contractions which decreases placental blood flow Amniocentesis - answerPerformed after 14 weeks gestation, empty bladder beforehand, client in supine position High levels of AFP - answerAlpha -Fetoprotein is measured between 16 and 18 weeks and is used to detect neural tube defects (anencephaly), spina b ifida, and omphalocele Low levels AFP - answerChromosomal disorders (Down syndrome) Fetal lung tests - answerLecithin/sphingomyelin ratio - 2:1 indicating lung maturity or 3:1 for diabetes mellitus Percutaneous blood sampling - answerObtains fetal blood from umbilical cord which evaluates isoimmune fetal hemolytic anemia and assesses need for fetal blood transfusion Chorionic Villus sampling - answerAlternative to amniocentesis (10 -12 weeks gestation) Quad marker screening - answerBlood test that ascert ains info about likelihood of fetal birth defects. Includes AFP, hCG, Estriol, Inhibin -A