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MATERNAL NEWBORN ATI B EXAM WITH VERIFIED ANSWERS

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MATERNAL NEWBORN ATI B EXAM WITH VERIFIED ANSWERS

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MATERNAL NEWBORN ATI B EXAM WITH
VERIFIED ANSWERS



A nurse is reviewing the laboratory results for a client who is at 10 weeks gestation
which of the following laboratory findings should the nurse report to the provider
Hemoglobin 10 g/dL
WBC count 15,000/mm3
RBC count 5.8 million/mm3
Hematocrit 34%-correct-answer-Hemoglobin 10 g/dL


A hemoglobin level of 10 g/dL is below the expected reference range of greater
than 11 g/dL for a client who is pregnant. The nurse should report this laboratory
finding to the provider.




A nurse is caring for a client who has preeclampsia and is receiving a continuous
infusion of magnesium sulfate IV which of the following actions should the nurse
take


Restrict hourly fluid intake to 150 mL/hr.
Have calcium gluconate readily available.
Assess deep tendon reflexes every 6 hr.
Monitor intake and output every 4 hr.-correct-answer-Have calcium gluconate
readily available

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The nurse should have calcium gluconate readily available to prevent cardiac or
respiratory arrest in the event the client experiences magnesium to




A nurse is caring for a client who is in active labor and has no cervical change in
the last four hours which of the following statement should the nurse make


"Let me help you into a comfortable pushing position so you can begin bearing
down."
"I am going to call the doctor to get a prescription for medication to ripen your
cervix."
"I will give you some IV pain medicine to strengthen your contractions."
"Your provider will insert an intrauterine pressure catheter to monitor the
strength of your contractions."-correct-answer-Your provider will insert an
intrauterine pressure catheter to monitor the strength of your contractions


Insertion of an intrauterine pressure catheter is necessary to determine uterine
contraction intensity, frequency, and duration which will identify whether the
contractions are adequate for progression of labor.




A nurse is caring for a newborn who was transferred to the nursery 30 minutes
after birth because of mild respiratory distress which of the following actions
should the nurse take

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Confirm the newborn's Apgar score.
Verify the newborn's identification.
Administer vitamin K to the newborn.
Determine obstetrical risk factors.-correct-answer-Verify the newborns
identification


When using the safety/risk reduction approach to client care, the first action the
nurse should take is to verify the newborn's identity upon arrival to the nursery.




A nurse is assessing a newborn for manifestations of hypoglycemia which of the
following findings should the nurse expect


Jitteriness
Hypertonia
Abdominal distention
Mottling-correct-answer-Jitteriness


Jitteriness, tachypnea, retractions, nasal flaring, lethargy, temperature instability,
apnea, abnormal cry, poor feeding, and seizures are expected findings of
hypoglycemia. Newborns who are small or large for gestational age and late
preterm newborns are at an increased risk for hypoglycemia.

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A nurse and a prenatal clinic is caring for a client who reports that her menstrual
period is two weeks late client appears anxious and asked the nurse if she's
pregnant which of the following responses to the nurse make


"You can miss your period for several other reasons. Describe your typical
menstrual cycle."
"If you have been sexually active and haven't used protection, it is likely that you
are pregnant."
"Let's check to see if you have any other signs of pregnancy. Have you noticed any
abdominal enlargement yet?"
"Because you have missed your period, you should try taking a home pregnancy
test before you start worrying."-correct-answer-You can miss your period for
several other reasons describe your typical menstrual cycle


Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the
nurse should explore the client's menstrual cycle to determine other necessary
interventions.




A nurse is caring for a client who is pregnant and is at the end of her first trimester
the nursing place the Doppler ultrasound stethoscope in which of the following
locations to begin assessing the fetal heart tones


Just above the umbilicus
Just above the symphysis pubis
The right lower quadrant

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