ATI Capstone Maternal Newborn Assessment

What hormone is the basis for pregnancy testing? - ANSWER ==Human chorionic gonadotropin

Excreted by the placenta and promotes the excretion of progesterone and estrogen.

Uterine fibroid - ANSWER ==Can increase the risk for postpartum hemorrhage due to the increase in blood supply to the uterus, which supports the fibroid.

Will undergo serial US examinations during pregnancy to monitor because they are likely to grow during pregnancy in response to the increased circulating estrogen.

Can have a vaginal delivery if it is small and not near the cervical os.

Hydatidiform mole - ANSWER ==AKA a molar pregnancy.

A benign proliferative growth of the chorionic villi, which gives rise to multiple cysts.

The products of conception transform into a large number of edematous, fluid-filled vesicles.

As cells slough off the uterine wall, vaginal discharge is usually dark brown and can contain grape-like clusters.

Alleviating lower back pain during the latent phase of labor - ANSWER ==Counterpressure applied to the client's sacral area during contractions.

This lifts the fetal head away from the sacral nerves, which decreases pain.

Preterm labor - which medication should the nurse plan to administer? - ANSWER ==Betamethasone IM

A glucocorticoid that stimulates fetal lung maturity and thereby prevents respiratory depression.

Methylergonovine - ANSWER ==An ergot alkaloid.

For patients experiencing postpartum hemorrhage

Stimulates uterine contractions.

Poractant alfa - ANSWER ==A synthetic lung surfactant.

Administer to a preterm newborn who is experiencing respiratory distress.