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Exam (elaborations)

PN Maternal Newborn Nursing ATI questions and correct ANSWERS

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PN Maternal Newborn Nursing ATI questions and correct ANSWERS 6 weeks pregnant: signs/symptoms - correct answer-breast tenderness urinary frequency epistaxis ( nose bleed) 8 weeks and says she isnt too happy about being pregnant. your response: - correct answer-feelings of ambivalence about pregnancy are normal during the first trimester 26 weeks, PROM, what should the nurse instruct at discharge - correct answer-keep a daily record of fetal kick counts 32 week newborn weighing 1,100 g, findings expected include - correct answer-Lanugo weak grasp reflex translucent skin, thin, smooth, shiny 32 weeks and has placenta previa. actively bleeding. what medication is prescribed? - correct answer-Betamethasone is given to promote lung maturit if delivery is anticipated 40 weeks, contractions every 3-5 min, dilated 3 cm, 80% effaced, -1 station. client asks for pain meds, what should nurse do - correct answer-encourage use of patterned breathing techniques administer opioid analgesic medication suggest application of cold 42 weeks in labor, what should she expect because her baby is postmature - correct answer-leathery, cracked, and wrinkled skin a nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which medication will the nurse administer - correct answer- Erythromycin a nurse is returning a newborn to his mother following circumcision. Which of the following actions should the nurse take to ensure safety of the newborn - correct answer-match the mothers identification band with the newborns identification band a nurse is reviewing findings of a client's biophysical profile with the charge nurse. Which of the following variables should the nurse expect the test to include? (select all that apply) a. fetal weight b. fetal breathing movements c. fetal tone d. fetal position e. amniotic fluid volume - correct answer-B. Fetal breathing movements C. Fetal Tone E. Amniotic Fluid Volume a postpartum woman who is breastfeeding and doesnt like milk needs.... - correct answer-calcium supplements a pt experiences a large gush of fluid from her vagina while walking in hallway, what should the nurse do first - correct answer-monitor FHR for distress abruptio placentae risk factors - correct answer-blunt abdominal trauma cocaine cigarette use amniocentesis - correct answer-aspiration of amniotic fluid for analysis by insertion of a needle transabdominally into a client's uterus and amniotic sac under direct ultrasound guidance ampicillin - correct answer-antibiotic for infection (chorioamnionitis) An external monitor cannot measure what - correct answer-uterine contraction intensity April 1st was first day of last period. what is her due date - correct answer-january 8 before having an amniocentesis, instruct client to..... - correct answer-empty bladder before performing an amniotomy, what should the nurse ensure during a vaginal exam - correct answer-fetal engagement at a 0 station to prevent umbilical cord prolapse begin checking for fetal movement between weeks.... - correct answer-16-20 Benefits of Internal Fetal Monitoring - correct answer-can detect abnormal fetal heart tones early allows for accurate readings despite maternal movement can measure uterine contraction intensity Betamethasone - correct answer-enhance fetal lung maturity and surfactant production in fetuses between 24 and 36 weeks Biophysical Profile (BPP) - correct answer-Assessment of five variables in the fetus with a score of 2 for each normal finding and 0 for each abnormal finding FHR- reactive 2, nonreactive 0 FETAL BREATHING MOVEMENTS- at least on episode of greater than 30 seconds duration in 30 min =2 GROSS BODY MOVEMENTS- at least three body or limb extensions with return to flexion in 30 min=2 FETAL TONE- at least one episode of extension with return to flexion = 2 QUALITIVE AMNIOTIC FLUID VOLUME- at least one pocket of fluid that measures at least 2 cm in two perpendicular planes =2 Biophysical profile scoring - correct answer-8-10: Normal 4-6: Suspect chronic asphyxia 0-4: Strongly suspect asphyxia blood glucose level during pregnancy - correct answer-70-110 mg/dL bluish marking across newborn's lower back - correct answer-this is frequently seen in newborns of african american, asian, or native american origin Cardio changes in postpartum - correct answer-decrease in blood volume related to : blood loss during birth (300-500mL) diaphoresis and diuresis of the excess fluid ( loss occurs within 2-3 days postdelivery) Cardiovasuclar changes - correct answer-Output increases blood volume increases heart rate increases causes of bleeding during pregnancy - correct answer-first trimester: spontaneous abortion: before 20 wks ectopic pregnancy: outside of uterus second trimester: gestational trophoblastic disease: trophoblast cells third trimester: placenta previa: placenta lies low in uterus abruptio placentae: placenta seperates vasa previa: fetal vessels are implanted into membrane rather than the placenta Cbc with differential (types of wbc's analyzed) Hgb and Hct - correct answer-detect infection and anemia cervical insufficiency - correct answer-cervix opens too early and expulsion of the products of conception occurs. circumcision contraindications - correct answer-hypospadias (foreskin used to repair defect) family history of hemophilia

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2023/2024
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PN Maternal Newborn Nursing ATI questions and correct ANSWERS 6 weeks pregnant: signs/symptoms - correct answer -breast tenderness urinary frequency epistaxis ( nose bleed) 8 weeks and says she isnt too happy about being pregnant. your response: - correct answer -feelings of ambivalence about pregnancy are normal during the first trimester 26 weeks, PROM, what should the nurse instruct at discharge - correct answer -keep a daily record of fetal kick counts 32 week newborn weighing 1,100 g, findings expected include - correct answer -Lanugo weak grasp reflex translucent skin, thin, smooth, shiny 32 weeks and has placenta previa. actively bleeding. what medication is prescribed? - correct answer -Betamethasone is given to promote lung maturit if delivery is anticipated 40 weeks, contractions every 3 -5 min, dilated 3 cm, 80% effaced, -1 station. client asks for pain meds, what should nurse do - correct answer -encourage use of patterned breathing techniques administer opioid analgesic medication suggest application of cold 42 weeks in labor, what should she expect because her baby is postmature - correct answer -leathery, cracked, and wrinkled skin a nurse is preparing to administer prophylactic eye ointment to a newborn to prevent ophthalmia neonatorum. Which medication will the nurse administer - correct answer -
Erythromycin a nurse is returning a newborn to his mother following circumcision. Which of the following actions should the nurse take to ensure safety of the newborn - correct answer -match the mothers identification band with the newborns identification band a nurse is reviewing findings of a client's biophysical profile with the charge nurse. Which of the following variables should the nurse expect the test to include? (select all that apply) a. fetal weight b. fetal breathing movements c. fetal tone d. fetal position e. amniotic fluid volume - correct answer -B. Fetal breathing movements C. Fetal Tone E. Amniotic Fluid Volume a postpartum woman who is breastfeeding and doesnt like milk needs.... - correct answer -calcium supplements a pt experiences a large gush of fluid from her vagina while walking in hallway, what should the nurse do first - correct answer -monitor FHR for distress abruptio placentae risk factors - correct answer -blunt abdominal trauma cocaine cigarette use amniocentesis - correct answer -aspiration of amniotic fluid for analysis by insertion of a needle transabdominally into a client's uterus and amniotic sac under direct ultrasound guidance ampicillin - correct answer -antibiotic for infection (chorioamnionitis) An external monitor cannot measure what - correct answer -uterine contraction intensity April 1st was first day of last period. what is her due date - correct answer -january 8 before having an amniocentesis, instruct client to..... - correct answer -empty bladder before performing an amniotomy, what should the nurse ensure during a vaginal exam - correct answer -fetal engagement at a 0 station to prevent umbilical cord prolapse begin checking for fetal movement between weeks.... - correct answer -16-20 Benefits of Internal Fetal Monitoring - correct answer -can detect abnormal fetal heart tones early allows for accurate readings despite maternal movement can measure uterine contraction intensity Betamethasone - correct answer -enhance fetal lung maturity and surfactant production in fetuses between 24 and 36 weeks Biophysical Profile (BPP) - correct answer -Assessment of five variables in the fetus with a score of 2 for each normal finding and 0 for each abnormal finding FHR- reactive 2, nonreactive 0
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