ATI 2023 Maternal Newborn Test A and B

ATI 2023 Maternal Newborn Test A and B Newborn delivered by repeat cesarean birth at 40 weeks of gestation. Birth weight 3,515 g (7 lb 12 oz) Apgar scores 8 at 1 min and 9 at 5 min Maternal history of methadone use during pregnancy. Which should the Nurse report? Respiratory findings Temperature Oxygen saturation Central nervous system findings Gastrointestinal findings - ANSWER Gastrointestinal findings Central nervous system findings Client reports a small amount of bright red blood in their underwear upon awakening. Client denies contractions or abdominal pain. External fetal monitor applied. Potential Nursing Action Indicated or Contraindicated Assess cervical dilation Weigh perineal pads. Administer methotrexate. Insert a large bore intravenous catheter. - ANSWER Contraindicated Assess Cervical Dilation - She's currently bleeding and not in the middle of labor, unnecessary. Administer Methotrexate - She isn't having an ectopic pregnancy - this is used to resolve ectopic pregnancies in the first trimester. Indicated Weigh Perineal Pads - We need to know how much blood she's losing. Insert a large bore IV - Third Trimester Bleeding may lead to larger hemorrhage - having IV access is critical if we need to administer fluids. A nurse is assessing the newborn of a client who took selective serotonin reuptake inhibitor during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI? - ANSWER Vomiting - Also could be irritability, agitation, tremors, or diarrhea. These manifestations typically last 2 days. A nurse in a family planning clinic is caring for a client who request an oral contraceptive. Which of the following findings in the clients history show the nurse recognized as a contraindication to oral contraceptives. select all that apply Cholecystitis Hypertension Human papillomavirus Migraine headaches Anxiety disorder - ANSWER Cholecystitis Hypertension Anxiety disorder A nurse is caring for a newborn.Medical History 1600:Apgar Score 9 at 1 min and 9 at 5 min Birth weight 10 lb 6 oz (4706 gm) Gestational age 40 weeks Difficult vaginal birth with shoulder dystocia. - ANSWER Indicated: