ATI MATERNAL NEWBORN EXAM B 2021/2022 - Correct Questions Answers

ATI MATERNAL NEWBORN EXAM B 1. a nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones? Just above the umbilicus: The nurse should assess FHT using the Doppler stethoscope just above the umbilicus if the fetus is in a transverse or breech presentation and the client is at a minimum of 22 weeks of gestation. Just above the symphysis pubis: At the end of the first trimester of pregnancy, the client's uterus is approximately the size of a grapefruit and is positioned low in the pelvis slightly above the symphysis pubis. Therefore, the nurse should begin assessing for FHT just above the symphysis pubis. The right lower quadrant: At the end of the first trimester of pregnancy, the client's uterus is approximately the size of a grapefruit and is positioned low in the pelvis slightly above the symphysis pubis. Therefore, the nurse might not hear FHT in the right lower quadrant. The left lower quadrant: At the end of the first trimester of pregnancy, the client's uterus is approximately the size of a grapefruit and is positioned low in the pelvis slightly above the symphysis pubis. Therefore, the nurse might not hear FHT in the left lower quadrant. 3. a nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura. Which of the following findings should the nurse expect? Decreased platelet count: A client who has ITP has an autoimmune response that results in a decreased platelet count. Increased erythrocyte sedimentation rate (ESR): An increased ESR is an indication of chronic renal failure. Decreased megakaryocytes: A client who has ITP will have megakaryocytes within the expected reference range. Increased WBC: An increased WBC is an indication of infection.