ATI Capstone Maternal Newborn PreAssignment Questions and Answers Rated A+

ATI Capstone Maternal Newborn PreAssi gnment Questions and Answers Rated A Severe preeclampsia symptoms with seizure activity or coma. ✔Ans✔ Eclampsia A variant of gestational hypertension where hematologic conditions coexist with severe preeclampsia and hepatic dysfunction. ✔Ans✔ HELLP syndrome Hypertension beginning after the 20th week of pregnancy with no proteinuria. ✔Ans✔ Gestational Hypertension Impaired tolerance to glucose with the first onset or recognition during pregnancy. ✔Ans✔ Gestational Diabetes Severe morning sickness with unrelenting, excessive nausea or vomiting that prevents adequate intake of food and fluids. ✔Ans✔ Hyperemesis g ravidum Hypertension beginning after the 20th week of pregnancy with 1 to 2+ proteinuria and a weight gain of more than 2 kg per week in the second and third trimesters. ✔Ans✔ Mild preeclampsia 24-48 hours after birth: dependent, passive; focuses on own needs; excited, talkative ✔Ans✔ taking in Focuses on family and individual roles. ✔Ans✔ letting go 2nd-10th day postpartum, or up to several weeks: focuses on maternal role and care of the newborn; eager to learn; may develop blues. ✔Ans✔ taking hold A postpartum client's fundus is firm, 3 cm above the umbilicus and displaced to the right. Which of the following interventions should the nurse take? ✔Ans✔ Assist the client to void then reassess the fundus. Correct Displacement of the uterus is a sig n of bladder distention. The nurse should assist the client to void then reassess the fundus Following delivery, the nurse places the newborn under a radiant heat warmer. Which of the following is this action used to prevent? ✔Ans✔ Cold stress Correct The use of a radiant warmer following delivery prevents cold stress which can lead to increased metabolism and physiological demands. A client has been prescribed raloxiphine. As the nurse you know that raloxiphine is used to treat: ✔Ans✔ b. Osteoporosis Correct Raloxiphine (Evista) is used to prevent and treat bone loss (osteoporosis) in women after menopause. It is not used for migraines, hypertension, or heart disease. A nurse is caring for a laboring client and notes that the fetal heart rate begins to decelerate after the contraction has started. The lowest point of deceleration occurs after the peak of the contraction. What is the priority nursing action? ✔Ans✔ Chang e the client's position. Late decelerations are associated with insufficient placental perfusion which requires immediate intervention to restore adequate blood flow. Changing the client's position will displace the weight of the uterus off of the vena c ava and thus increase maternal circulation to the placenta. A nurse is caring for a newborn with hyperbilirubinemia. Which of the following interventions should be taken during phototherapy? ✔Ans✔ Maintain an eye mask over the newborn's eyes. CorrectThe nurse should maintain an eye mask over the newborn's eye to protect the corneas and retinas from phototherapy. A pregnant client's last menstrual period was May 4th, 2013. What is this client's estimated delivery date using Naegele's Rule? ✔Ans✔ d. Febru ary 11, 2014 CorrectCorrect. The estimated date of birth is February 11th, 2014. To determine the due date using Naegele's rule, 3 months is subtracted from the date of the last menstrual period then 7 days and 1 year are added.