ATI Maternal Newborn- Preterm Labor,
Complications, Contraception
Exam 2023
Rho(D) immunoglobin (RhoGAM) indications - ANS-Mother Rh negative and baby
... [Show More] Rh
positive.
Given at 24 weeks of gestation
Within 72h delivery
Protects future births
Given during amniocentesis d/t possible mixing of baby/mother blood
Late decels indicate what? - ANS-Utero-placental insufficiency
Oxytocin contraindication - ANS-Late decels
Newborn screening tests need to be repeated if done within what time frame? - ANSBefore 24 hours, if sent home before the tests will need to be repeated at follow up visit
APGAR scoring - ANS-Activity (muscle tone)
Pulse (heart rate)
Grimace (reflex irritability)
Appearance
Respirations (airway)
At 1 and 5 min. of life, score of 0-2 for each, 9 normal
APGAR - ANSResuming sexual intercourse postpartum - ANS-Wait 2-4 weeks, slower and less
intense sexual response, use water soluble lube, begin ovulating within one month
(breastfeeding consistently is great form of birth control)
Recent cocaine use for a client in labor may increase risk of? - ANS-Abruptio placenta
d/t vasoconstriction
Hyperemesis gravidarium dietary teaching - ANS-Eat to taste to avoid nausea, eat
protein following snack, eat healthy snack at bedtime, alternate fluids and liquids Q 2hrs
Minimize pain for newborn during heel stick - ANS-Pacifier with glucose
Swaddle immediately after
When do you screen for gestational diabetes? - ANS-28 weeks
3 hr glucose test done after 1 hr test if 1 hr test is above 140 mg/dL
When do you screen for Rubella during gestation? - ANS-Initial prenatal visit
When do you screen for Group B Strep (GBS) during gestation? - ANS-35-37 weeks
When would you do a 24 hour urine specimen for protein during gestation? - ANS-If at
risk for preeclampsia, pregnancy induced hypertension
Medroxyprogesterone risk factors - ANS-Osteoperosis
-Depo-shot
Estrogen-progestin oral contraceptive contraindications - ANS-Cardiovascular disease,
estrogen-dependent tumors, poor liver fxn, breast cancer
Norelgestromin/ethinyl estradiol contraindications - ANS-Thromboembolism,
hypertension
-Transdermal patch
IUD contraindications - ANS-Pelvic inflammatory dz, multiple sexual partners
Priority intervention when rupture of membranes - ANS-Monitor FHR for late decels d/t
risk umbilical cord prolapse
Priority assessment after vaginal or cesarean birth? - ANS-Lochia and uterine tone d/t
risk for hemorrhage
Non-stress test:
Positioning
Procedure
Results - ANS-Position in semi-fowlers, sitting or to one side
Instruct to press button when movement felt
Drink liquids to remain hydrated Reactive: OK
Non-reactive - bad sign, no variability
Infant safety teaching - ANS-Hot water heater <120 deg. F
Crib slats no more than 2 3/8 in. apart
Set carrier on floor
Refrain from soft blankets in crib
Intervention if fetus presenting in occiput posterior position during active labor?
CONTINUES... [Show Less]