ATI Maternal Newborn Practice B: Questions & Answers: 100% Verified : Updated Solution

A nurse in a woman's health clinic is providing teaching about nutritional intake to a client who is at 8 wks gestation. The nurse should instruct the client to increase her daily intake of which of the ff nutrients? a. Calcium b. Vit E c. Iron d. Vit D (Ans – c. Iron R: For women who are pregnant, it is 27 mg/day. A nurse is caring for a client who has uterine and is experiencing postpartum hemorrhage. Which of the ff actions is the nurse's priority? a. Check cap refill b. Massage client's fundus c. Insert indwelling urinary catheter d. Prepare client for blood transfusion (Ans - b. Massage client's fundus R: Uterine hypotonicity and postpartum hemorrhage indicate that the client is greatest risk for hypovolemic shock. This can compromise perfusion to the client's vital organs, causing death to occur. Therefore, massaging client's fundus minimize blood loss. A nurse is providing teaching to a parent whose newborn has just had a circumcision. Which of the ff instructions should the nurse include? a. Apply slight pressure w/ a sterile gauze pad for mild bleeding b. Inspect the circumcision site q6h to q8h c. Use baby wipes containing alcohol to cleanse the penis w/ each diaper change d. Remove yellow exudate daily using warm, wet washcloth (Ans - a. Apply slight pressure w/ a sterile gauze pad for mild bleeding R: The nurse should instruct the client to attempt to stop mild bleeding by applying pressure w/ sterile gauze. If bleeding continues, the client should notify the provider. A nurse is teaching about effective breastfeeding to a client who is 3 days postpartum. Which of the ff information should the nurse include? a. Your milk will replace colostrum in about 10 days b. Your breasts should feel firm after breastfeeding. c. Your newborn should urinate at least 10 times per day d. Your newborn should appear content after each feeding. (Ans - d. Your newborn should appear content after each feeding. A nurse is teaching a client who has pre-gestational type 1 DM about management during pregnancy. Which of the ff statements by the client indicates an understanding of the teaching? a. Goal of maintaining fasting glucose between 100 to 120 b. Engage in moderate exercise for 30 mins if my blood glucose is 250 or greater c. Continue taking insulin if I experience N/V d. Ensure bedtime snack is high in refined sugar (Ans - c. Continue taking insulin if I experience N/V R: The nurse should teach the client to continue to take her insulin as prescribed during illness to prevent hypoglycemic and hyperglycemic episodes. A nurse is discussing the diff between true labor and false labor w/ a group of expectant parents. Which of the ff characteristics should the nurse include when discussing true labor? a. Contractions become stronger w/ walking b. Discomfort can be suppressed w/ back massage c. Contracting become irregular w/ change in activity d. Discomfort is felt above the umbilicus (Ans – a. Contractions become stronger w/ walking R: The contractions that occur during true labor become stronger and more regular w/ a change in activity, such as walking. A nurse is teaching a group of parents about newborn safety. Which of the ff statements by a parent indicates an understanding of the teaching? a. Put a bib on my baby at night to keep her clothing dry b. Cover the crib mattress w/ plastic to prevent staining. c. Warm my baby's formula using the lowest setting in the microwave d. Dress my baby in flame-retardant clothing (Ans – d. Dress my baby in flame-retardant clothing R: Dress the newborns in flame-retardant clothing to prevent injury A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia (ITP). Which of the ff findings should the nurse expect? a. Decrease platelet count b. Increased ESR c. Decreased megakaryocytes d. Increased WBC (Ans – a. Decrease platelet count R: ITP is an autoimmune response that results in a decreased platelet count and decreased megakaryocytes. Increased ESR: Chronic renal failure A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which of the ff actions should the nurse take first? a. Confirm the newborn's Apgar score b. Verify newborn's identification c. Administer Vit K to the newborn d. Determine obstetrical risk factors (Ans – b. Verify newborn's identification R: The first action the nurse should take is to verify the newborn's identity upon arrival to the nursery.