Maternal Newborn ATI 2019 B

Maternal Newborn ATI 2019 B Maternal Newborn ATI 2019 B A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should the nurse take? ANSWER - ? Perform a vaginal exam to determine cervical dilation every 2hr. Fetal monitoring for fetal well-being assessment 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 times (FHT)? ANSWER - Just above the symphysis pubis A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test. Which of the following statements should the nurse include in the teaching? ANSWER - ? S A A A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring? ANSWER - Oligohydramnios A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? ANSWER - Cover the newborn's eyes while under the phototherapy light. 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? ANSWER - Have calcium gluconate readily available. ESTUDY A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which of the following instructions should the nurse include? ANSWER - ? Rear-facing car seat till the age of 2yrs Use a car seat with a fit-point harness A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching? ANSWER - "You should take the medication within 72 hours following unprotected sexual intercourse." A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next? ANSWER - Massage the client's fundus A nurse is assessing a client who is at 30 weeks of gestations during a routine prenatal visit. Which of the following findings should the nurse report to the provider? ANSWER - Swelling of the face 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 8cm and reports back pain. Which of the following actions should the nurse take? ANSWER - Apply sacral counterpressure This relieves back labor pain related to fetal posterior position A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take next? ANSWER - Apply internal upward pressure to the presenting part using two gloved fingers A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client asks, "What effects will this procedure have on my sex life?" Which of the following responses should the nurse make? ESTUDY ANSWER - "This procedure should have no effect on your sexual performance or adequacy." A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? ANSWER - "You should leave the diaphragm in place for at least 6 hours after intercourse." A nurse is reviewing the medical record at 1800 for a client who is at 34 weeks of gestation. Based on the chart findings and documentation, the nursing plan of care should include which of the following actions? ANSWER - Administer terbutaline The nurse should administer terbutaline to stop contractions because the lab results indicate that the fetus's lungs are not mature enough for delivery. Nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment? ANSWER - Demonstrate to the client how to perform a newborn bath. Demonstrating to the client how to perform a newborn bath occurs during the takinghold phase. The new mother moves from being passively dependent to taking a stronger interest in her new role as a mother. She is now focusing on the care her newborn and acquiring parenting skills. The nurse should provide positive reinforcement during this phase to give the new mother confidence and promote maternal adjustment. A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider? ANSWER - Platelets 50,000/mm3 A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? ANSWER - "I will have blood tests because my potassium might decrease." An adverse effect of terbutaline is hypokalemia