ATI Maternal Newborn A NGN Practice Exam

A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? A. Administer antiviral medication B. Schedule an ultrasound examination C. Administer Haemophilus Influenza type b vaccine D. Schedule an indirect Coombs' test B. The nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth. A nurse is caring for a client who is 15 weeks of gestation, is RH-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure? A. Check the clients temperature B. Observe uterine contractions C. Administer Rho(D) immune globulin D. Monitor the FHR D. The greatest risk to this client and her fetus is fetal death. Therefore, the priority nursing intervention is to monitor the FHR following an amniocentesis. a nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7 yo child in accepting the new family member? A. Allow the sibling to hold the newborn during a bath B. Make sure the sibling kisses the newborn each night C. Obtain a gift from the newborn to present to the sibling D. Switch the siblings room with the nursery C. Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age sibling's acceptance of a new family member. This ensures that the sibling does not feel left out and that they understand their role in the family. A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke." Which of the following interventions is the nurses priority? A. Perform Nitrazine testing. B. Assess the fluid C. Check cervical dilation D. Begin FHR monitoring D. The greatest risk to the client and her fetus following a rupture of membranes is umbilical cord prolapse. The nurse should monitor the fetus closely to ensure well-being. Therefore, this is the priority action the nurse should take.