ATI RN Maternal Newborn Proctored Exam |
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A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction
stress test. For which of the following diagnostic tests should the nurse prepare the client?
- -CORRECT ANS- -A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP)
D. Chorionic villus sampling (CVS)
Answer: Biophysical profile (BPP)
A. Percutaneous umbilical blood sampling
Percutaneous umbilical blood sampling, commonly called cordocentesis, is the most
common method used for fetal blood sampling and transfusion. This is not a diagnostic
test used for clients who have a positive contraction stress test.
B. Amnioinfusion
An amnioinfusion of normal saline or lactated Ringer's is instilled into the amniotic cavity
through a transcervical catheter introduced into the uterus to supplement the amount of
amniotic fluid. The instillation reduces the severity of variable decelerations caused by
cord compression for clients who are in labor. This is not a diagnostic test used for clients
who have a positive contraction stress test.
C. Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-being. A positive
contraction stress test indicates there is potential uteroplacental insufficiency. A BPP uses
a real time ultrasound to visualize physical and physiological characteristics of the fetus
and observe for fetal biophysical responses to stimuli.
,D. Chorionic villus sampling (CVS)
CVS is the assessment of a portion of the developing placenta, which is aspirated through a
thin sterile catheter inserted through the abdominal wall or intravaginally through the cervix
under ultrasound guidance. This procedure is done during the first trimester. This is not a
diagnostic test used for clients who have a positive contraction stress test.
A nurse is teaching a new parent about newborn safety. Which of the following instructions
should the nurse include in the teaching? - -CORRECT ANS- -A. "You can share your room
with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime."
Answer: "You can share your room with your baby for the next few weeks."
A. "You can share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks. This allows the
parent to be readily available to the newborn and learn the newborn's cues. However, the
nurse should instruct the parent to avoid placing the newborn in their bed as it increases
the risk for sudden infant death syndrome.
B. "Cover your baby with a light blanket while sleeping."
The nurse should instruct the parents to place the newborn in a sleep sack or a one-piece
sleeper. Covering the newborn with a blanket or quilt increases the risk for sudden infant
death syndrome.
C. "Check the temperature of your baby's bath water with your hand."
, The nurse should instruct the parents to check the temperature of the newborn's bath
water with their elbow, which is more sensitive to temperature than the hand. The hot water
heater should be set at or below 49° C (120.2° F) to prevent burns.
D. "Your baby can nap in the car seat during the daytime."
The nurse should instruct the parents to lay the newborn in a bassinet or crib on her back to
sleep. Sleeping in a supine position on a firm mattress decreases the risk of sudden infant
death syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take? - -CORRECT ANS- -A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
Answer: Apply sacral counterpressure.
A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back labor pain related
to fetal posterior position.
B. Perform transcutaneous electrical nerve stimulation (TENS).
The nurse should perform TENS during the first stage of labor.
C. Initiate slow-paced breathing.
The nurse should transition a client to pattern-paced breathing during this stage of labor.
Guaranteed Academic Success with
Comprehensive Expert Solutions
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction
stress test. For which of the following diagnostic tests should the nurse prepare the client?
- -CORRECT ANS- -A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP)
D. Chorionic villus sampling (CVS)
Answer: Biophysical profile (BPP)
A. Percutaneous umbilical blood sampling
Percutaneous umbilical blood sampling, commonly called cordocentesis, is the most
common method used for fetal blood sampling and transfusion. This is not a diagnostic
test used for clients who have a positive contraction stress test.
B. Amnioinfusion
An amnioinfusion of normal saline or lactated Ringer's is instilled into the amniotic cavity
through a transcervical catheter introduced into the uterus to supplement the amount of
amniotic fluid. The instillation reduces the severity of variable decelerations caused by
cord compression for clients who are in labor. This is not a diagnostic test used for clients
who have a positive contraction stress test.
C. Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-being. A positive
contraction stress test indicates there is potential uteroplacental insufficiency. A BPP uses
a real time ultrasound to visualize physical and physiological characteristics of the fetus
and observe for fetal biophysical responses to stimuli.
,D. Chorionic villus sampling (CVS)
CVS is the assessment of a portion of the developing placenta, which is aspirated through a
thin sterile catheter inserted through the abdominal wall or intravaginally through the cervix
under ultrasound guidance. This procedure is done during the first trimester. This is not a
diagnostic test used for clients who have a positive contraction stress test.
A nurse is teaching a new parent about newborn safety. Which of the following instructions
should the nurse include in the teaching? - -CORRECT ANS- -A. "You can share your room
with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime."
Answer: "You can share your room with your baby for the next few weeks."
A. "You can share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks. This allows the
parent to be readily available to the newborn and learn the newborn's cues. However, the
nurse should instruct the parent to avoid placing the newborn in their bed as it increases
the risk for sudden infant death syndrome.
B. "Cover your baby with a light blanket while sleeping."
The nurse should instruct the parents to place the newborn in a sleep sack or a one-piece
sleeper. Covering the newborn with a blanket or quilt increases the risk for sudden infant
death syndrome.
C. "Check the temperature of your baby's bath water with your hand."
, The nurse should instruct the parents to check the temperature of the newborn's bath
water with their elbow, which is more sensitive to temperature than the hand. The hot water
heater should be set at or below 49° C (120.2° F) to prevent burns.
D. "Your baby can nap in the car seat during the daytime."
The nurse should instruct the parents to lay the newborn in a bassinet or crib on her back to
sleep. Sleeping in a supine position on a firm mattress decreases the risk of sudden infant
death syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take? - -CORRECT ANS- -A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
Answer: Apply sacral counterpressure.
A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back labor pain related
to fetal posterior position.
B. Perform transcutaneous electrical nerve stimulation (TENS).
The nurse should perform TENS during the first stage of labor.
C. Initiate slow-paced breathing.
The nurse should transition a client to pattern-paced breathing during this stage of labor.
