Ati Maternal Newborn Proctored Retake Exam 2019.

ATI MATERNAL NEWBORN PROCTORED RETAKE EXAM 2019. A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopumonary dysplasia A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching? "The medication could cause me to experience heart paptation" "This medication could cause me to experience blurred vision" "This medication could cause me to experience ringing in my ears" "This medication could cause me to experience frequent ..." The medication could cause me to experience heart palpitations. Most common side effects of terbutalin in preterm mothers are increase heart rate, palpitations, pulmonary edema. Blurred vision and ringing in the ear are not side effects of terbutalin. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? Urine Ketones Rapid plasma regain Prothrombin time Urine ketones ( urinalysis for ketones are doing in hyperemesis gravidarum ,Due to starvation, ketones may develop and this is harmful for fetus.) Rapid plasma regain test is used to find out syphilis. Prothrombin time is a blood test to check the coagulation time. Urine culture is to find out the microorganisms causing infection.] 5 A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort? A. Assisting the client into squatting position B. Having the client lie in a supine position C. Applying fundal pressure during contractions D. Encouraging the client to void every 6 hr option d is correct as squatting also supports & empowers the severity of contractions, & can also ease tension in the back, and relieves pain. a nurse is assessing a preterm newborn who is at 32 weeks of gestation period which of the following findings should the nurse expect a. Sparse lanugo b. Popliteal angle of less than 90 degrees c. creases over the entire soul d. minimal arm recoil A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborns mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe. (Move the steps into the box on the right placing them in the selected order of performance. Use all steps ) a. assess the newborn for reflex bradycardia b. compress the bulb syringe c. place the bulb syringe in the newborns mouth d. use the bulb Syringe to suction the newborns nose B, C, D, A A nurse is caring for a client who is 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect? a. Thick white vaginal discharge b. Malodorous discharge c. Vulva lesions d. Urinary frequency Trichomoniasis is a pretty common sexually transmitted infection that is often caused by a parasite and causes a foul-smelling vaginal discharge. Thick white vaginal discharge is common in women during menstruation and pregnancy but when a woman is having Trichomoniasis, the discharge would be malodorous (unpleasant, gray or watery with fishy odor) A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the nurse place the Doppler device when assessing the fetal heart rate? A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis B. Left Upper Abdomen C. Two fingerbreadths above the umbilicus D. Lateral at the Xiphoid Process Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis - irrespective of the trimester, the midline, halfway between the symphysis pubis and the umbilicus is the most favorable position to locate fetal heart sound *Other options given Left Upper Abdomen, Two fingerbreadths above the umbilicus ,Lateral at the Xiphoid Process cannot be generalized as positions to locate fetal heart sound at 14 weeks of gestation. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? Urine protein concentration 200 mg/ 24 hr Creatnine 0.8 mg/ dL Hemoglobin 14.8 g/ dL Platelet Count 60.000/ mm3 HELLP syndrome is a complication of pre eclampsia in which Thrombocytopenia ( a low platelet count ) is included and must be promptly reported.