ATI Capstone Maternal newborn pre-assessment quiz 2024/2025 passed

ATI Capstone Maternal newborn pre-assessment quizA pregnant client's last menstrual period was May 4th, 2018. What is this client's estimated delivery date using Naegele's Rule? - correct answer February 11, 2019 The estimated date of birth is February 11th, 2019. To determine the due date using Naegele's rule, 3 months is subtracted from the date of the last menstrual period then 7 days and 1 year are added. a nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks the nurse why the provider does not do an internal examination. which explanation of the primary reason should the nurse provide? - correct answer "This could result in profound bleeding." "Pelvic rest" is essential for clients who have placenta previa because any disruption of placental blood vessels in the lower uterine segment could cause premature separation of the placenta and life-threatening hemorrhage. This means no vaginal examinations, no douching, and no vaginal intercourse. a nurse in a clinic is caring for a client who is 3 weeks post partum following the birth of a healthy newborn. the client reports feeling "down" and sad and having no energy and wanting to cry. which of following is a priority action by the nurse? - correct answer Ask the client if she has considered harming her newborn. When using the nursing process in caring for a client, the first action should focus on assessment of the client's mood, ability to concentrate, thought processes, and if the client has had thoughts of self-harm or of injuring her newborn. A nurse is caring for a postmenopausal client prescribed the aromatase inhibitor, anastrozole for the treatment of breast cancer. Which of the following should the nurse tell the client she may experience? - correct answer Muscle and joint pain Muscle and joint pain are potential side effects of anastrozole and can be treated with mild analgesic as prescribed. A nurse has provided education to a client who has been prescribed oral contraception. Which of the following client statements indicates a need for further education? - correct answer "If I miss three pills I will double up each day until back on schedule." In the event of a client missing a dose the nurse should instruct the client that if one pill is missed to take as soon as possible. If two or three pills are missed the client should follow the manufacturer's instructions and use an alternative form of contraception. Clients prescribed oral contraceptives should be instructed to observe for side effects and danger signs of the medication. Signs include chest pain, shortness of breath, leg pain from a possible clot, headache, or eye problems from a stroke or hypertension. Clients should use an alternative form of birth control or abstinence to prevent pregnancy until regular dosing is resumed. a nurse is caring for a client who has just delivered her first newborn. the nurse anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs with Rh incompatibility for which of following reasons? - correct answer The client's blood does not contain the Rh factor, so she produces anti-Rh antibodies that cross the placental barrier and cause hemolysis of red blood cells in newborns. If the Rh-negative client has been exposed to Rh-positive fetal blood, she will produce antibodies against Rh factor. These antibodies can cross the placenta and destroy the red blood cells of the Rh-positive fetus. This accelerated rate of red blood cell destruction results in the increased release of bilirubin. The newborn's serum bilirubin level can rise quickly. the nurse is caring for a client with uncomplicated gestational hypertension. Which are expected findings of the disorder? select all - correct answer -BP 155/92 -BP Returns to nomral after pregnancy Uncomplicated gestational hypertension occurs during pregnancy with a BP of 140/90 and above, without edema or proteinuria. The elevated BP will return to the normal range after the pregnancy. Edema, proteinuria, headaches, blurred vision, hyperreflexia, hepatic involvement, occurs when gestational hypertension is associated with pre-eclampsia, eclampsia and/or HELLP syndrome. A nurse is providing discharge instructions to parents of a circumcised newborn. To prevent diaper adherence to the penis, what will be recommended to apply during diaper changes? - correct answer Petroleum jelly To prevent the diaper from adhering to the penis post-circumcision, it is recommended that petroleum jelly be applied. true or false. For breast engorgement, fresh cabbage leaves placed inside the bra can help alleviate pain associated with breast engorgement. - correct answer For breast engorgement, which can occur on the third or fifth postpartum day, apply cold compresses 15 min on and 45 min off. Fresh, cold cabbage leaves can be placed inside the bra. Mild analgesics or anti-inflammatory medication can be taken for pain and discomfort of breast engorgement. a nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. which of following is the correct interpretation of this clinical finding? - correct answer The lowermost portion of the fetus is at the level of the ischial spines. The presenting part is at 0 station when its lowermost portion is at the level of an imaginary line drawn between the client's ischial spines. Levels above the ischial spines are negative values: -1, -2, -3. Levels below the ischial spines are positive values: +1, +2, +3. a nurse is caring for a client 2 hr after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-min period. Which of following is the priority nursing intervention at this time? - correct answer Palpate the client's uterine fundus. Although the expectation is moderate bleeding in the first 2 hr after delivery, saturating a perineal pad in 15 min or less indicates excessive blood loss. The priority nursing intervention is to palpate the client's fundus to determine the presence of uterine atony, followed by fundal massage to stimulate uterine muscle tone. During a breast examination on a 24-year-old client the nurse notes the following findings. Which finding is of most concern and should be reported to the provider? - correct answer An irregularly shaped, nontender lump is palpable in the right breast. Irregularly shaped, nontender lumps are consistent with the diagnosis of breast cancer.