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Exam (elaborations)

REAL LATEST BUNDLE 2024 ATI MATERNAL NEWBORN 2019

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1. A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? "You can resume sexual activity in 1 week." "You won't need to do Kegel exercises since you had a cesarean." "You can still become pregnant if you are breastfeeding." "You are safe to start adding sit-ups to your exercise routine in 2 weeks. "You can still become pregnant if you are breastfeeding." 2. A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity? Calcium gluconate Hydralazine Medroxyprogesterone acetate Methylergonovine Calcium gluconate - The nurse should anticipate administering calcium gluconate if the client develops magnesium toxicity. Calcium gluconate is the antidote. 3. A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? Exhibit 1: Blood pressure 130/78 mm Hg Respiratory rate 20/min Heart rate 90/min Exhibit 2: Hemoglobin 12 g/dL Hematocrit 34%1-hr. glucose tolerance test 120 mg/dL Exhibit 3: Fundal height 30 mood fetal movement not experiencing headache, dizziness, blurred vision, or vaginal bleeding fetal heart rate 110/min 1-hr. glucose tolerance test Hematocrit Fundal height measurement Fetal heart rate (FHR.) Fundal height measurement- A fundal height measurement of 30 cm should be reported to the provider. Fundal height should be measured in centimeters and is the same as the number of gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation. Therefore, the nurse should report this finding to the provider. 4. A nurse is preparing to administer magnesium sulfate 2 g/hr. IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr..? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 50 mL/hr. 5. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? "I should increase my protein intake to 60 grams each day." "I should drink 2 liters of water each day." "I should increase my overall daily caloric intake by 300 calories." "I should take 600 micrograms of folic acid each day. I should take 600 mcg of folic acid each day 6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? Apply a cool pack for 10 min to the heel prior to the puncture. Request a prescription for IM analgesic. Use a manual lance blade to pierce the skin. Place the newborn skin to skin on the mother's chest. Place the newborn skin to skin on the mothers chest- Placing the newborn skin to skin on the mother's chest is an effective technique to significantly decrease the newborn's pain level and anxiety. The nurse should implement this technique before, during, and after the procedure.

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