ATI

Question 1

describe naegele’s rule due date calculation

Answer 1

subtracts 3 months and adds 7 days to calculate the estimated due date (EDD)

Question 2

When would you administer the Rh drug to a mom

Answer 2

If baby is Rh negative, at 28 weeks. If baby is Rh positive, after birth.

Question 3

what is terbutaline for

Answer 3

stops contractions. causes hypokalemia, hyperglycemia, and hypotension. Administered every 4 hours for no more than 24 hours.

Question 4

what is methotrexate used for in pregnancy

Answer 4

Methotrexate was used to induce abortions and is currently used to treat ectopic pregnancies

Question 5

normal respiratory rate of newborn

Answer 5

30-60/min

Question 6

how do you induce labor

Answer 6

miso, 4 hours later pit (if have ripe cervix but no contractions)

Question 7

The fetal heart tones of a fetus in the left sacrum anterior position are best heard in the

Answer 7

left upper quadrant.

Question 8

The fetal heart tones of a fetus in the right sacrum anterior position are best heard in the

Answer 8

right upper quadrant

Question 9

The fetal heart tones of a fetus in the left occiput anterior position are best heard in the

Answer 9

left lower quadrant

Question 10

The fetal heart tones of a fetus in the right occiput anterior position are best heard in the

Answer 10

right lower quadrant

Question 11

What is carboprost?

Answer 11

a form of prostaglandin (a hormone-like substance that occurs naturally in the body). Prostaglandins help to control functions in the body such as blood pressure and muscle contractions.

Carboprost is used to treat severe bleeding after childbirth (postpartum).

Carboprost is also used to produce an abortion by causing uterine contractions. It is usually given between the 13th and 20th weeks of pregnancy, but may be given at other times for medical reasons. Carboprost is often used when another method of abortion has not completely emptied the uterus, or when a complication of pregnancy would cause the baby to be born too early to survive.

may cause SEVERE HYPERTENSION

You should not receive carboprost if you have active pelvic inflammatory disease, a breathing disorder, heart disease, liver disease, or kidney disease.

Question 12

How do you put a baby in their car seat

Answer 12

refrain from placing extra padding, including blankets, between the newborn and the straps of the car seat.

position the newborn at a 45° angle to minimize the risk of airway obstruction from slumping forward.

the retainer clip snugly at the level of the newborn’s armpits.

place the shoulder harness in the slots that are at or just below the newborn’s shoulders.

Question 13

What length is normal in newborns

Answer 13

The expected reference range for a newborn’s length is from 45 to 55 cm (17.7 to 21.7 in).

Question 14

What weight is normal in newborns

Answer 14

The expected reference range for a newborn’s weight is from 2,500 to 4,000 g (5.5 lb to 8.8 lb).

Question 15

signs of magnesium toxicity

Answer 15

hypotension, nausea, vomiting, facial flushing, retention of urine, ileus, depression, and lethargy before progressing to muscle weakness, difficulty breathing, extreme hypotension, irregular heartbeat

Question 16

when would you use calcium gluconate in pregnancy

Answer 16

calcium supplementation as part of antenatal care is recommended for the prevention of preeclampsia among pregnant women, particularly among those at higher risk of hypertension.

Question 17

What BP mean pre-e w/ severe features

Answer 17

The nurse should identify that a blood pressure of greater than 160/110 mm Hg is an indication that the client has progressed to preeclampsia with severe features

Question 18

What are the 3 phases of maternal PP adjustment

Answer 18

Taking-in (review experience, they’re very dependent)

Taking-hold (eager to learn about infant, desire to take charge)

Letting-go (independent, relation to family, norm resumes)

Question 19

What is the indirect Coombs test

Answer 19

indirect Coombs test determines whether the client has antibodies to the Rh antigen. The titer determines the prenatal client’s sensitization and if there is Rh incompatibility.

Question 20

What is the Kleihauer Betke test

Answer 20

The Kleihauer Betke test is utilized to determine if there is fetal blood in maternal circulation

Question 21

Wy test progesterone levels when already pregnant

Answer 21

A low level of serum progesterone is associated with threatened miscarriage

and if the pregnancy is ectopic.

Question 22

What is a Lecithin/sphingomyelin (L/S) ratio test

Answer 22

done as a part of an amniocentesis to evaluate fetal lung maturity.

Question 23

What is Maternal alpha-fetoprotein (AFP)

Answer 23

The test checks the baby’s risk for having certain genetic problems and birth defects. An AFP test is usually done between 15 and 20 weeks of pregnancy

Question 24

What is Erb-Duchenne paralysis

Answer 24

caused by injury to the brachial plexus, which is formed from the ventral rami of cervical nerves 5 to 8 and thoracic nerve 1

characterized by arm weakness and loss of motion