ATI 2023 Maternal Newborn Test A and B with well detailed and updated questions and answers.

ATI 2023 Maternal Newborn Test A and B with well detailed and updated questions and answers. 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 - correct answers.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. - correct answers.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? - correct answers.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 - correct answers.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. - correct answers.Indicated: Educate the parents to begin ROM exercises on the affected arm after 1 week. - ROM help restore functionality. Delay 1 week to prevent additional injury to brachial plexus. Assess for grasp reflex in the affected extremity. - With Erb's Palsy (Erb-Duchenne) only the upper arm is affected. Wrist and finger function should NOT be affected. Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt. - This will assist int he healing process. A nurse is admitting a client to the labor and delivery unit when the client states, "my water just broke", which of the following is the priority intervention for the nurse to take? - correct answers.Begin FHR Monitoring - The greatest risk to the client and their fetus following a rupture of membranes is an umbilical cord prolapse. FHR is the PRIORITY action. A nurse in an antepartum clinic is providing care for a client who is at 26 weeks gestation. Upon reviewing the clients medical record, what findings should the nurse report to the provider? 1-hr Glucose of 130 to 140 (or greater) indicates a positive test. Hematocrit of 34% is within range - should be greater than 33%. FHR - Should be between 110/min to 160/min for a client at 26 weeks of gestation. - correct answers.Fundal height 30 cm - Fundal height should be PLUS or MINUS 2cm from weeks of gestation A nurse is caring for a newborn who is 48 hr old. Apgars: 7 at 1 min and 8 at 5 min of age Birth weight: 3,515 g (7 lb 12 oz) Maternal blood type: O+ Uncomplicated pregnancy. Maternal use of marijuana during pregnancy Client who gave birth plans to breastfeed. Day 2, 0900: Newborn awake, alert, and crying. Loosely<<<< wrapped in one blanket. Mild tremors noted. Yellow discoloration of mucus membranes and sclera noted. Respirations 88/min, no retractions, grunting, or nasal flaring noted. Diaper changed for small amount of urine and transitional stool. Day 2, 0915:Blood glucose: 38 mg/dL (expected value greater than 40 to 45 gm/dL Potential Condition? - It's NOT NAS since Mom wasn't on opiates. It's NOT Bilirubin issues so no phototherapy. None of the babies S/S point to Respiratory distress either. COLD STRESS Encourage parent to breastfeed Place newborn skin to skin on birthing parents chest. Temperature - correct answers. Nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the Nurse take? Administer Penicillin g2.4 million units - No, this should be done for syphilis. Instruct Client to schedule annual pelvic examination - NO - should be every 6 months. Tell the client they'll start medication for HIV immediately after delivery. NO - It will begin DURING the prenatal AND perinatal periods to decrease the risk of transmission to the newborn.