ATI PN Maternal Newborn Online Practice 2020 A with NGN

ATI PN Maternal Newborn Online Practice 2020 A with NGN A nurse is reviewing the laboratory results of a client who is at 32 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider? a. BUN 14 mg/dL b. Platelet count 200,000/mm^3 c. Hematocrit 30% d. Creatinine 1.0 mg/dL Hematocrit 30% The nurse should identify that a hematocrit of 30% is below the expected reference range of greater than 33% for a client who is pregnant. A low Hct is an indication of anemia. Therefore, the nurse should report this finding to the provider. A nurse is reinforcing teaching with a new parent about the prevention of newborn abduction. Which of the following statements by the parent indicates an understanding of the teaching? a. "Some assistive personnel might not have name badges." b. "A nurse will carry my baby back to the nursery in their arms for routine care when it is needed." c. "I will ask the nurse to take my baby back to the nursery if I need to leave my room." d. "I can remove my baby's security band before giving her a bath." c. ."I will ask the nurse to take my baby back to the nursery if I need to leave my room." The nurse should instruct the parent not to leave the newborn unattended. If the parent needs to leave the room, the parent should call the nurse to transport the newborn back to the nursery. A nurse in a prenatal clinic is caring for a client who Is at 16 weeks of gestation and has a positive hepatitis B result. Which of the following actions should the nurse take? a. Instruct the client to avoid crowds until a repeat hepatitis B test is negative. b. Tell the client that they will need to start the hepatitis B vaccine series after birth. c. Explain to the client that they will receive the hepatitis B immune globulin immediately. d. Inform the client that hepatitis B cannot be transmitted to the fetus. c. Explain to the client that they will receive the hepatitis B immune globulin immediately. The nurse should explain to the client the need to receive the hepatitis immune globulin to decrease the risk of transmission to the fetus. The nurse should also instruct the client that all sexual partners and members of the client's household should see their providers to begin prophylactic treatment. A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid supplements are necessary. The nurse should inform the client that the purpose of the folic acid supplement is to do which of the following? a. Facilitate the storage of iron in the fetus' liver b. Prevent certain kinds of birth defects c. Inhibit premature labor d. Aid in the absorption of other important nutrients b. Prevent certain kinds of birth defects. The nurse should inform the client that adequate folic acid intake prior to and early during pregnancy is necessary to help prevent neural tube defects. A nurse is caring for a client who is pregnant and has a prescription for nifedipine. Which of the following outcomes should the nurse expect from this medication? a. Fetal lung maturity b. Maternal blood glucose control c. Cessation of uterine contractions d. Resolution of maternal nausea c. Cessation of uterine contractions Nifedipine is a calcium channel blocker used to decrease uterine contractions by relaxing the smooth muscle of the uterus. A nurse is caring for a client who is at 30 weeks of gestation. Which of the following findings should the nurse report to the provider? a. 2+ urinary protein b. Leukorrhea c. Spider nevi d. 30 cm fundal height a. 2+ urinary protein The nurse should identify that 2+ proteinuria is a manifestation of preeclampsia. Therefore, the nurse should report this finding to the provider. A nurse is reinforcing teaching about formula feeding a newborn with a group of new parents. Which of the following instructions should the nurse include? a. Begin giving approximately 240 mL (8 oz) per feeding after the first week. b. Position the bottle at a 45° angle during feedings. c. Ensure that the newborn empties the bottle. d. Wait to burp the newborn until the end of the feeding.