Maternal Newborn ATI Proctored

T/F: the membranes must be ruptured prior to insertion of an internal electrode or

intrauterine pressure catheter

- True

A fetus receives more oxygen when ______ appears on the tracing:

- Relaxation btw uterine contractions

Client in labor & RN observes late decelerations on the electronic fetal monitor. 1st action of

nurse:

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- Assist client in left-lateral position (inc uteroplacental perfusion)

While performing Leopold maneuvers the nurse should use which technique to identify the

fetal lie?

- Palpate the fundus of the uterus

Nursing Care During Stages of Labor: Identifying the Need for Reassessment

- If there are late declarations, if baby is tachycardic or bradycardia

Complications Related to the Labor Process: Nursing Action for a Nuchal Cord

- Slip cord over baby's head if it is loose enough

Circumcision care

- Sponge bath until healed. Change diaper every 4 hours clean penis with warm water.

Apply petroleum jelly to penis does not stick to diaper.

Labor and Delivery Process: Teaching Findings of False Labor

- Painless, irregular frequency, and intermittent contractions

- Contractions decrease in frequency, duration, and intensity with walking or position

changes

- Contractions are felt in lower back or abdomen above umbilicus

- Contractions often stop with sleep or comfort measures such as oral hydration or

emptying of the bladder

- The cervix has no significant changes in dilation or effacement

- The cervix often remains in posterior position

- The cervix has no bloody show

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- The presenting part of the fetus is not engaged in the pelvis.

Newborn Nutrition: Safe Handling of Breast Milk

- Breast milk can be stored at room temperature under very clean conditions for up to

8hrs

- It can be refrigerated in sterile bottles for use within 8 days, or can be frozen in fertile

containers in the freezer compartment of fridge for up to 6 months. Can be stored in a

deep freezer for 12 months.

- Thawing the milk in the fridge for 24hrs in the best way to preserve the

immunoglobulins present in it. It can also be thawed by running lukewarm water over

it.

- Do not thaw in microwave

- Do not refreeze thawed milk

- Used portions of breast milk must be discarded

Apgar scoring

- 7-10 =no distress

2 score:

HR: >100

RR: good cry

Muscle tone: well flexed

Reflex: cry

Color: completely pink

Contraindications for CST

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- 1. Placenta previa

2. Preterm labor

3. Multiple gestations

Indications of true labor

- 1. Energy burst

2. Rupture of membranes

3. Bloody show

Actions to take for preterm labor

- 1. Modified bed rest (not strict, may have adverse effects)

2. Encourage client to rest in left lateral position to increase blood flow to uterus and

decrease uterine activity

3. Tell client to avoid sexual intercourse

4. Monitor FHR and contraction pattern

Nursing Interventions for late decelerations in FHR

- 1. Place client in side-lying position

2. Discontinue oxytocin if being infused

3. Elevate client's legs

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