M/N ATI

Question 1

Leopold Maneuver

Answer 1

1st step: palpate clients abdomen to determine fetal fundus (superior surface); identifies lie (transverse, etc.) and presentation (cephalic, breech)
2nd step: both sides of uterus are palpated to determine fetal back
3rd step: determines which part is presenting in the pelvic inlet (grasps lower uterine with thumb and forefinger)
4th step: nurse faces clients feet and uses fingertips to determine cephalic prominence

Question 2

Contradictions of Oral Contraceptives

Answer 2

• Hypertension
• Chloecytisis (gallbladder disease)
• Migraine headaches

Question 3

Postpartum Oxytocin Indications

Answer 3

• Flaccid Uterus (decreased contraction, unable to get back to homeostasis)
• Excessive vaginal bleeding

Question 4

Terbutaline

Answer 4

• Used for preterm labor, slow or stop contractions
• Adverse effect: decrease pottasium (hypokalemia)

Question 5

Lab Levels for Newborn

Answer 5

-Bilirubin: 2 - 6 mg/dL (LESS than 24 hrs old)
- WBC: 150,000- 300,000
- HCT: 44 - 64%
- HG: 14-24