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VATI RN Maternal newborn 2019 ,question and answers 100%correct answer 2023 update

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VATI RN Maternal newborn 2019 ,question and answers 100%correct answer 2023 update A charge nurse is teaching a newly licensed nurse about substance use disorders during pregnancy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - CORRECT ANSWER-Encourage client who are prescribed methadone to breastfeed. -The nurse should encourage clients who are prescribed methadone during pregnancy to breastfeed their newborns to help with withdrawal symptoms. A nurse is reviewing the laboratory report of a client who is at 31wks of gestation and has gestation hypertension. Which of the following laboratory results should the nurse report to the provider? - CORRECT ANSWER-Platelet count 99,000/mm3. -A platelet count of 99,000/mm3, or thrombocytopenia, is an indication of HELLP syndrome, a serious complication of gestational HTN. A nurse is reviewing the laboratory report of a term newborn who is 24hrs old. Which of the following laboratory results should the nurse report to the provider? - CORRECT ANSWER-Glucose 35 mg/dL. -Reference range is 40-45 mg/dL for a newborn who is 24hrs old. A nurse is assessing a newborn who was born 15mins ago. Which of the following actions should the nurse take? - CORRECT ANSWER-Count the respiratory rate for 60 seconds. -Newborn often have an irregular respiratory rate. Short periods of apnea, and shallow respirations are expected findings for a newborn. The nurse should also assess for symmetry of chest and abdominal movements during inhalation and exhalation. A nurse is reviewing the laboratory results for a client who is at 29wks of gestation. Which of the following results should the nurse identify as an indication of a prenatal complication? - CORRECT ANSWER-BUN 30 mg/dL -Above the expected reference range of 10-20 mg/dL for a client who is pregnant. The BUN typically decreases during pregnancy due to the increase in the glomerular filtration rate. The nurse should identify that an elevated BUN is a manifestation of preeclampsia or HELLP syndrome, potentially serous complications of pregnancy's. A nurse is assessing a client who is 2hr postpartum and has saturated a perineal pad in 15min. The clients skin is cool and clammy to touch. Which of the following actions should the nurse take first? - CORRECT ANSWER-Firmly massage the fundus. -The greatest risk for a postpartum client who is experiencing excessive vaginal bleeding is the development of hypovolemic shock, which can lead to coma and death. Uterine atony is a frequent cause of excessive vaginal bleeding. Therefore, the first

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