ATI RN Maternal Newborn Online Practice 2019 A with NGN

ATI RN Maternal Newborn Online Practice 2019 A with NGN A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe? - ANSWER A. Kleihauer-Betke test A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) A. Clean the newborn's diaper area. B. Wash the newborn's neck by lifting the newborn's chin. C. Wipe the newborn's eyes from the inner canthus outward. D. Cleanse the skin around the newborn's umbilical cord stump. E. Wash the newborn's legs and feet. - ANSWER C. Wipe the newborn's eyes from the inner canthus outward. B. Wash the newborn's neck by lifting the newborn's chin. D. Cleanse the skin around the newborn's umbilical cord stump. E. Wash the newborn's legs and feet. A. Clean the newborn's diaper area. A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? - ANSWER A. BUN 25 mg/dL A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider? - ANSWER C. Weight gain of 2.2 kg (4.8 lb) A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for newborn safety. Which of the following client statements indicates an understanding of the teaching? - ANSWER C. "The person who comes to take my baby's pictures will be wearing a photo identification badge." A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? - ANSWER C. "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen." The nurse should ensure that the newborn has been receiving regular feedings for at least 24 hr prior to testing. A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr? (Round the ANSWER to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ANSWER 50 mL/hr 2 g/hr x 500 mL = 1,000 mL/g/hr 1,000 mL/g/hr / 20g = 50 mL/hr A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? - ANSWER B. Schedule an ultrasound examination. The nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth. A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? - ANSWER D. FHR 152/min The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier in gestation with an average of approximately 160/min at 20 weeks of gestation. Therefore, this is an expected finding by the nurse. A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member? - ANSWER C. Obtain a gift from the newborn to present to the sibling.