VATI Maternal Newborn
What is abstinence syndrome?
Symptoms of drug withdrawal as a result of physical dependence of the mother
What are the indications for a non-stress test?
Pregnancy problems such as suspected intrauterine growth restriction (IUGR), maternal diabetes, or when mother has twin...
vati maternal newborn what is abstinence syndrome symptoms of drug withdrawal as a result of physical dependence of the mother what are the indications for a non stress test pregnancy problems such
Written for
VATI Maternal Newborn
All documents for this subject (76)
Seller
Follow
ACADEMICAIDSTORE
Reviews received
Content preview
VATI Maternal Newborn
What is abstinence syndrome?
Symptoms of drug withdrawal as a result of physical dependence of the mother
What are the indications for a non-stress test?
Pregnancy problems such as suspected intrauterine growth restriction (IUGR), maternal
diabetes, or when mother has twins in womb
Over how much time should morphine be administered over?
4-5 minutes to prevent hypotension and respiratory depression
A client who does not wish to breastfeed can alleviate engorgement and swelling
by wearing what type of bra?
Tight-fitting bra or breast binders to alleviate engorgement and swelling
A nurse is planning care for a client who has Hep B with jaundice. What
intervention should the nurse include in the plan?
Provide high-calorie, high protein diet. Clients w/ Hep B are at increased risk for
inadequate nutrition d/t N/V, anorexia, and fatigue
A nurse is caring for a client in active labor who has meconium staining of the
amniotic fluid. The nurse notes a reassuring FHR tracing from the external fetal
monitor. What action should the nurse perform?
Prepare equipment needed for newborn resuscitation
*endotracheal suctioning occurs if newborn has poor respiratory effort, decreased
muscle tone, and bradycardia after delivery
What is the Bishop score?
Used to determine maternal readiness for labor by evaluating whether the cervix is
favorable by rating the following: 1. dilation, 2. effacement, 3. cervical consistency, 4.
cervical position and 5. station of presenting part
A nurse in a clinic is providing education to a client at 32 weeks gestation who
has pruritis gravidarum. What should the nurse teach as the treatment.
Slightly increase exposure to sunlight b/c it can reduce itching. Pruritis gravidarum is a
condition of pregnancy that causes generalized itching without the presence of a rash
d/t stretching of the skin
For what clients is isotretinoin cream contraindicated in?
(Accutane).. Contraindicated in pregnant clients b/c it is teratogenic
What is the moro reflex?
startle reflex-initiated by clapping hands and infant will have symmetric movement of
arms and legs
How long does it take for respiratory depression to occur after an IV bolus of
morphine?
Can occur within 7 minutes after
What are characteristics of the fetus that are reviewed to determine the
biophysical profile (BPP) during an ultrasound?
-Fetal tone
-Relative FHR in relation to activity
-Fetal breathing movements
-Gross body movements (body and libms)
-Qualitative amniotic fluid volume
, A nurse is caring for a newborn with fetal alcohol syndrome. What clinical
findings should the nurse anticipate?
-Facial anomalies- eyes with epicanthal folds, strabismus, ptosis, mouth with a poor
suck, small teeth, cleft lip or palate,
-Deafness
-Heart defects -Developmental delays and neurological delays
-Growth retardation
-Sleep disturbance
A nurse is caring for a client who is in active labor with ROM. On assessment, the
nurse notes the client has extrusion of the umbilical cord at the vaginal introitus.
What is the priority nursing intervention?
Use a sterile gloved hand and apply finger pressure to elevate the presenting part of the
fetus. Compression of cord prevents adequate fetal blood flow and can cause anoxic
brain damage. Nurse should emergently elevate part of fetus that is compressing the
umbilical cord
A client complaining of pain or vaginal pressure and has a large amount of bright
lochia with a firm uterus likely has what?
A perineal laceration
What are the types of perineal lacerations?
1st degree-4th degree depending on size and depth of cut
1st degree-only perineal skin (skin between vaginal opening and rectum). Typically
heals on its own
4th degree-extends through anal sphincter and into mucous membrane lining rectum
A nurse notes late decelerations on the fetal monitor. What priority actions
should the nurse take?
-Monitor BP-Turn client onto side
-Administer IV fluids
-Discontinue oxytocin
-Give O2
-Prepare for delivery
What are the indications for an amniotomy?
Inducing or expediting labor or in anticipation of the placement of internal monitors
(uterine pressure catheters or fetal scalp electrodes)
Ptosis
Eyelid drooping. Upper eyelid is lower than it should be in infants and children (can
occur in one or both eyes)
When does breast engorgement occur and how should it be managed?
3-5 days after birth.
-Cold compresses applied AFTER breastfeeding
-Warm shower or warm compresses applied before breastfeeding can increase milk
flow and facilitate letdown reflex
-Applying a small amount of breast milk to sore nipples and letting them air dry after
feeding will soothe discomfort and promote healing (fats and protein in milk increase
healing of cracks and fissures that develop)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
