ATI MATERNAL NEWBORN NEWEST EXAM LATEST (2024) WITH UPDATED AND VERIFIED QUESTIONS AND WELL ELABORATED ANSWERS WITH RATIONALE (GRADED A+)

ATI MATERNAL NEWBORN NEWEST EXAM
LATEST (2024) WITH UPDATED AND
VERIFIED QUESTIONS AND WELL
ELABORATED ANSWERS WITH RATIONALE
(GRADED A+)
Which of the following observations would suggest that placental
separation is occurring?
Uterus stops contracting altogether.
Umbilical cord pulsations stop.
Uterine shape changes to globular.
Maternal blood pressure drops. - ANSWER-c. Uterine shape
changes to globular.
After the placenta separates from the uterine wall, the shape of the
uterus changes from discoid to globular. The uterus continues to
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contract throughout the placental separation process and the
umbilical cord continues to pulsate for several minutes after
placental separation occurs. Maternal blood pressure is not
affected by placental separation because the maternal blood
volume has increased dramatically during pregnancy to
compensate for blood loss during birth.
True labor is characterized by contractions occurring at regular
intervals that increase in frequency, duration, and intensity. These
contractions bring about progressive cervical dilation and
effacement. Thus, a cervix dilated to 4 cm and 90% effaced
indicates true labor. Rupture of membranes may occur before the
onset of labor, at the onset of labor, or at any time during labor and
thus is not indicative of true labor. Engagement occurs when the
presenting part reaches 0 station; it typically occurs 2 weeks before
term in primigravidas and several weeks before the onset of labor
or at the beginning of labor for multiparas. Contractions of true
labor typically last 30 to 60 seconds and occur approximately every
4 to 6 minutes.
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Interventions that are underutilized in promoting a normal birth.
Select all that apply.
Oral nutrition and fluids in labor
Open glottis pushing in the second stage of labor
Skin-to-skin contact after birth for infant bonding
Routine artificial rupture of membranes (amniotomy)
Labor induction with Pitocin given intravenously
Routine episiotomy to shorten labor length - ANSWER-a. Oral
nutrition and fluids in labor
b. Open glottis pushing in the second stage of labor
c. Skin-to-skin contact after birth for infant bonding
since all of these are evidence-based interventions that are
physiologically sound without placing the mother or the neonate in
any danger. Food and clear fluids provide hydration and nutrition
and give comfort to laboring women. Fasting during labor will
increase gastric acid production. Open glottis while pushing allows
the woman's body to sense the urge to push naturally. Skin-to-skin
contact promotes mother-infant bonding and warmth. Incorrect
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responses would include "D," "E," and "F" since these are artificial
means to speed up the labor process which places the mother and
newborn in jeopardy. Amniotomy may be associated with umbilical
cord prolapse and fetal heart rate decelerations. Episiotomy is
associated with an increase in third- and fourth-degree perineal
lacerations, discomfort, and healing delays. Induction with Pitocin
may cause tetanic contractions causing hypoxia to the fetus.
Physiologic preparation for labor would be demonstrated by:
Decrease in Braxton Hicks contractions felt by mother Weight gain
and increase in appetite by mother Lightening, whereby the fetus
drops into true pelvis
Fetal heart rate accelerations and increased movements -
ANSWER-Lightening, whereby the fetus drops into true pelvis
the fetus gets into position by descending into the maternal true
pelvis in preparation for birth. The woman will experience
heaviness in her lower pelvis and urinary frequency when this
occurs. Response "A" is incorrect since there is an increase in
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uterine contractions as the uterus becomes more irritable and
readies for true labor. Response "B" is incorrect since most women
experience a weight loss and a decrease in appetite close to the
start of their labor. Response "D" is incorrect due to the fact that
the fetus is in a cramped environment at term and has limited room
to move around. The fetal heart rate would remain within the
normal range of 110 to 160 bpm unless there is a problem.
As the nurse is explaining the difference between true versus false
labor to her childbirth class, she states that the major difference
between them is:
Discomfort level is greater with false labor.
Progressive cervical changes occur in true labor.
There is a feeling of nausea with false labor.
There is more fetal movement with true labor. - ANSWER-b.
Progressive cervical changes occur in true labor.