ATI Maternal Newborn final
A nurse administers betamethasone to a client who is at 33 weeks of gestation to stimulate fetal
lung adulthood. When planning take care of the newborn, which of the following situations ought
to the nurse become aware of as an damaging impact of this remedy? - ANS-reduced blood
glucose - Betamethasone causes hyperglycemia within the patron, which predisposes the
newborn to hypoglycemia in the first hours after delivery. It is important to evaluate the new
child's blood glucose stage inside the first hour following delivery and frequently thereafter until
blood glucose ranges are stable.
A nurse in a prenatal clinic is caring for a client who's in the advocated guiding principle for
weight. The client asks the nurse how a whole lot weight is secure for her to advantage at some
point of her pregnancy. Which of the subsequent responses must the nurse make? - ANS-A
weight gain of 25 - 35 lbs is ideal - A weight advantage of 25 to 35 lb is associated with
desirable fetal final results. A gain of 4 lb inside the first trimester and 12 lb each for the second
one and 0.33 trimester is recommended.
A nurse in an antepartum health center answers a telephone name from a consumer who is at
37 weeks of gestation and reviews, "I have become very dizzy while lying in bed this morning,
but the feeling went away after I became on my side." Which of the following moves should the
nurse take? - ANS-Instruct the patron approximately vena cava syndrome and measures to
save you it - This is the typical finding of vena cava syndrome, or hypotension that occurs in
clients who're pregnant upon assuming a supine function. It is caused by compression of the
inferior vena cava by using the gravid uterus with a consequent reduction in venous return. A
aspect mendacity position promotes uterine perfusion and fetoplacental oxygenation.
A nurse is assessing a customer on the primary postpartum day. Findings encompass fundus
organization and 1 fingerbreadth above and to the right of the umbilicus, slight lochia rubra with
small clots, temp 37.3 and pulse 52. Which of the following moves should the nurse take? -
ANS-Ask the pt whilst she closing voided
A nurse is assessing a patron recieving magnesium sulfate as remedy for preeclampsia. Which
of the subsequent medical findings is the nurse's priority? - ANS-urinary output 40ml in 2 hrs -
the nurse have to file the consumer's urinary output without delay. Urinary output is critical to the
excretion of magnesium from the body. The nurse need to discontinue the magnesium sulfate if
the hourly output is much less than 30 mL/hr. The nurse may additionally need to use Maslow's
hierarchy of wishes, the ABC precedence-putting framework, or nursing know-how to discover
which locating is the maximum urgent.
A nurse is assessing a new child who's 12 hr antique and notes moderate jaundice of face and
trunk. Which of the following moves need to the nurse take? - ANS-reap stat prescription for a
, bilirubin degree - Jaundice in the first 24 hr of life is pathologic. The nurse ought to notify the
company and obtain a stat prescription for a bilirubin stage.
A nurse is caring for a patron at 34 weeks gestation and has a prescription for terbutaline for
preterm labor. Which of the following statements by the affected person is the concern? -
ANS-"My coronary heart feels as though it's far racing." - the nurse need to investigate the
client's coronary heart price. The number one movement of terbutaline is to purpose
bronchodilation and relax easy muscles. However, an damaging effect is tachycardia. If the
pulse is more than 130/min, the terbutaline wishes to be held until the company is notified. The
nurse may need to use Maslow's hierarchy of desires, the ABC priority-placing framework, or
nursing expertise to pick out which locating is the most urgent.
A nurse is caring for a purchaser who dreams an intrauterine tool for contraception. Which of
the following findings is a contraindication for the use of this tool? - ANS-menorrhagia - An IUD
is a small plastic or copper tool positioned inside the uterus that adjustments the uterine
surroundings to prevent pregnancy. An IUD is contraindicated for ladies who have menorrhagia,
severe dysmenorrhea, or history of ectopic pregnancy.
A nurse is being concerned for a patron who has a prescription for naloxone. Which of the
following is the supposed motion of the med when it comes to the CNS? - ANS-Block
consequences of narcotics at the CNS- By blocking the consequences of narcotics at the CNS,
naloxone prevents CNS and breathing despair inside the newborn following delivery.
A nurse is caring for a client who has medical manifestations of an ectopic being pregnant.
Which of the following findings is a danger issue for an ectopic pregnancy? - ANS-pelvic
inflammatory sickness (PID) - An ectopic pregnancy occurs while the fertilized egg implants in
tissue outside of the uterus and the placenta and fetus begin to broaden there. The most
commonplace website is inside a fallopian tube, however ectopic pregnancies can every now
and then arise in the ovary or the stomach. Most cases are a end result of scarring due to a
previous tubal contamination or tubal surgical procedure. Therefore, PID locations the patron at
danger for an ectopic being pregnant.
A nurse is being concerned for a consumer who has trichomoniasis and a prescription for
metronidazole. Which of the subsequent commands ought to the nurse offer to the consumer
about the treatment plan? - ANS-"You and your partner want to take the medication and use a
condom at some stage in intercourse until cultures are poor." - Trichomonas vaginalis is the
organism that reasons the sexually transmitted infection trichomoniasis. Both males and
females may be inflamed with trichomoniasis. Clinical findings include yellowish to greenish,
frothy, mucopurulent, copious discharge with an unpleasant smell, in addition to itching, burning,
or redness of the vulva and vagina. Trichomoniasis may be handled easily with metronidazole.
However, for the treatment to paintings, it's miles critical to ensure both sexual partners get hold
of treatment to save you reinfection. Instruct the consumer to use condoms at some point of
sexual sex at the same time as being handled.
A nurse administers betamethasone to a client who is at 33 weeks of gestation to stimulate fetal
lung adulthood. When planning take care of the newborn, which of the following situations ought
to the nurse become aware of as an damaging impact of this remedy? - ANS-reduced blood
glucose - Betamethasone causes hyperglycemia within the patron, which predisposes the
newborn to hypoglycemia in the first hours after delivery. It is important to evaluate the new
child's blood glucose stage inside the first hour following delivery and frequently thereafter until
blood glucose ranges are stable.
A nurse in a prenatal clinic is caring for a client who's in the advocated guiding principle for
weight. The client asks the nurse how a whole lot weight is secure for her to advantage at some
point of her pregnancy. Which of the subsequent responses must the nurse make? - ANS-A
weight gain of 25 - 35 lbs is ideal - A weight advantage of 25 to 35 lb is associated with
desirable fetal final results. A gain of 4 lb inside the first trimester and 12 lb each for the second
one and 0.33 trimester is recommended.
A nurse in an antepartum health center answers a telephone name from a consumer who is at
37 weeks of gestation and reviews, "I have become very dizzy while lying in bed this morning,
but the feeling went away after I became on my side." Which of the following moves should the
nurse take? - ANS-Instruct the patron approximately vena cava syndrome and measures to
save you it - This is the typical finding of vena cava syndrome, or hypotension that occurs in
clients who're pregnant upon assuming a supine function. It is caused by compression of the
inferior vena cava by using the gravid uterus with a consequent reduction in venous return. A
aspect mendacity position promotes uterine perfusion and fetoplacental oxygenation.
A nurse is assessing a customer on the primary postpartum day. Findings encompass fundus
organization and 1 fingerbreadth above and to the right of the umbilicus, slight lochia rubra with
small clots, temp 37.3 and pulse 52. Which of the following moves should the nurse take? -
ANS-Ask the pt whilst she closing voided
A nurse is assessing a patron recieving magnesium sulfate as remedy for preeclampsia. Which
of the subsequent medical findings is the nurse's priority? - ANS-urinary output 40ml in 2 hrs -
the nurse have to file the consumer's urinary output without delay. Urinary output is critical to the
excretion of magnesium from the body. The nurse need to discontinue the magnesium sulfate if
the hourly output is much less than 30 mL/hr. The nurse may additionally need to use Maslow's
hierarchy of wishes, the ABC precedence-putting framework, or nursing know-how to discover
which locating is the maximum urgent.
A nurse is assessing a new child who's 12 hr antique and notes moderate jaundice of face and
trunk. Which of the following moves need to the nurse take? - ANS-reap stat prescription for a
, bilirubin degree - Jaundice in the first 24 hr of life is pathologic. The nurse ought to notify the
company and obtain a stat prescription for a bilirubin stage.
A nurse is caring for a patron at 34 weeks gestation and has a prescription for terbutaline for
preterm labor. Which of the following statements by the affected person is the concern? -
ANS-"My coronary heart feels as though it's far racing." - the nurse need to investigate the
client's coronary heart price. The number one movement of terbutaline is to purpose
bronchodilation and relax easy muscles. However, an damaging effect is tachycardia. If the
pulse is more than 130/min, the terbutaline wishes to be held until the company is notified. The
nurse may need to use Maslow's hierarchy of desires, the ABC priority-placing framework, or
nursing expertise to pick out which locating is the most urgent.
A nurse is caring for a purchaser who dreams an intrauterine tool for contraception. Which of
the following findings is a contraindication for the use of this tool? - ANS-menorrhagia - An IUD
is a small plastic or copper tool positioned inside the uterus that adjustments the uterine
surroundings to prevent pregnancy. An IUD is contraindicated for ladies who have menorrhagia,
severe dysmenorrhea, or history of ectopic pregnancy.
A nurse is being concerned for a patron who has a prescription for naloxone. Which of the
following is the supposed motion of the med when it comes to the CNS? - ANS-Block
consequences of narcotics at the CNS- By blocking the consequences of narcotics at the CNS,
naloxone prevents CNS and breathing despair inside the newborn following delivery.
A nurse is caring for a client who has medical manifestations of an ectopic being pregnant.
Which of the following findings is a danger issue for an ectopic pregnancy? - ANS-pelvic
inflammatory sickness (PID) - An ectopic pregnancy occurs while the fertilized egg implants in
tissue outside of the uterus and the placenta and fetus begin to broaden there. The most
commonplace website is inside a fallopian tube, however ectopic pregnancies can every now
and then arise in the ovary or the stomach. Most cases are a end result of scarring due to a
previous tubal contamination or tubal surgical procedure. Therefore, PID locations the patron at
danger for an ectopic being pregnant.
A nurse is being concerned for a consumer who has trichomoniasis and a prescription for
metronidazole. Which of the subsequent commands ought to the nurse offer to the consumer
about the treatment plan? - ANS-"You and your partner want to take the medication and use a
condom at some stage in intercourse until cultures are poor." - Trichomonas vaginalis is the
organism that reasons the sexually transmitted infection trichomoniasis. Both males and
females may be inflamed with trichomoniasis. Clinical findings include yellowish to greenish,
frothy, mucopurulent, copious discharge with an unpleasant smell, in addition to itching, burning,
or redness of the vulva and vagina. Trichomoniasis may be handled easily with metronidazole.
However, for the treatment to paintings, it's miles critical to ensure both sexual partners get hold
of treatment to save you reinfection. Instruct the consumer to use condoms at some point of
sexual sex at the same time as being handled.
