ATI Capstone Maternal Newborn Pre-Assignment

ATI Capstone Maternal Newborn Pre-Assignment 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 gravidum 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 sign 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 Change 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 cava 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 phototherap