RN Maternal Newborn ATI Proctored Latest Exam Questions And 100% Recommended ANSWERS GRADED A+

RN Maternal Newborn ATI Proctored Latest Exam Questions And 100% Recommended ANSWERS GRADED A+ Preterm Labor Medication - ANSWER-Betamethasone is administered for a client at 32 wks gestation experiencing preterm labor. Pregnancy Confirmation Test - ANSWER-Urine test for presence of HCG confirms pregnancy for a client suspecting she may be pregnant. Positive Sign of Pregnancy - ANSWER-Palpable fetal movement is identified as a positive sign of pregnancy. Oligohydramnios Fetal Anomalies - ANSWER-Renal agenesis is expected for a client with oligohydramnios. Pelvic Fracture in Pregnancy - ANSWER-Uterine contractions are expected for a client with a suspected pelvic fracture at 37 wks gestation. Hydatidiform Mole Findings - ANSWER-Dark brown vaginal discharge is expected for a client with a hydatidiform mole at 12 wks gestation. Gestational HTN Priority Finding - ANSWER-480 mL urine output in 24 hrs is the priority finding for a client at 35 wks gestation with mild gestational HTN. HIV in Pregnancy Teaching - ANSWER-Continuing zidovudine throughout pregnancy decreases HIV transmission risk to the newborn. Manifestations to Report in Pregnancy - ANSWER-Blurred or double vision is an important manifestation to report to the provider during pregnancy. Oxytocin Administration in Labor - ANSWER-Decrease oxytocin dose by half for a client in the latent phase of labor experiencing uterine tachysystole. Meconium Staining Action - ANSWER-Prepare equipment needed for newborn resuscitation for a client in active labor with meconium staining. Placenta Previa Management - ANSWER-Clarify not to perform a vaginal exam for a client at 33 wks gestation with placenta previa and bleeding. Nonstress Test Action - ANSWER-Use vibroacoustic stim on the client's abdomen for 3 seconds if FHR is nonreactive during a nonstress test at 37 wks gestation. Lab Results Interpretation - ANSWER-Instruct the client to obtain a rubella immunization after delivery if rubella non-immune, positive for group A beta-hemolytic strep, and blood type O neg at 37 wks gestation. C-section - ANSWER-Delivery method where baby is surgically removed from the uterus Pho(D) immune globulin - ANSWER-Medication given to prevent hemolytic disease in newborns Polyhydramnios - ANSWER-Excessive amniotic fluid around the fetus Gastrointestinal malformations - ANSWER-Abnormalities in the structure of the digestive system Pre-eclampsia - ANSWER-Pregnancy complication characterized by high blood pressure Magnesium sulfate - ANSWER-Medication used to prevent seizures in pre-eclampsia Late decels - ANSWER-Fetal heart rate decreases after the peak of the contraction Cervical cerclage - ANSWER-Procedure to stitch the cervix closed to prevent premature birth Placental abruption - ANSWER-Separation of the placenta from the uterine wall before delivery Nagele's rule - ANSWER-Method to estimate the due date based on the first day of the last menstrual period Fetal heart rate - ANSWER-Heart rate of the fetus, indicating fetal well-being Fluid and electrolyte status - ANSWER-Balance of fluids and minerals in the body, crucial for health Uterine fibroid - ANSWER-Benign tumor in the uterus that can affect pregnancy Postpartum hemorrhage - ANSWER-Excessive bleeding after childbirth, a potential complication Constipation - ANSWER-Difficulty in passing stools, common during pregnancy Intestinal Peristalsis - ANSWER-Movement of the intestines to promote digestion and alleviate constipation. Phototherapy - ANSWER-Treatment using light to lower bilirubin levels in newborns. Vasoconstriction - ANSWER-Narrowing of blood vessels causing cool extremities with bluish discoloration. Skin-to-Skin Contact - ANSWER-Placing newborn on mother's chest to stabilize temperature and promote bonding. Cold Stress - ANSWER-Condition increasing newborn's need for oxygen and glucose. Home Safety - ANSWER-Ensuring a safe environment for a newborn. Apgar Score - ANSWER-Numerical evaluation of a newborn's physical condition at birth. Perineal Laceration - ANSWER-Tear in the perineum, often occurring during childbirth. Morphine Dosage - ANSWER-Amount of medication based on weight and concentration. Extrauterine Life - ANSWER-Life outside the uterus. Gas Pain Relief - ANSWER-Alleviating discomfort from intestinal gas. Premature Newborn - ANSWER-Infant born before completing full term. Jaundice - ANSWER-Yellowing of the skin and eyes due to elevated bilirubin levels. Bottle Feeding - ANSWER-Feeding a newborn with a bottle instead of breastfeeding. Continuous IV Infusion - ANSWER-Continuous delivery of medication through an intravenous line. Uterine Atony Risk Factors - ANSWER-Conditions increasing the risk of inadequate uterine contractions. Distended Bladder - ANSWER-After birth, clients may experience a decreased urge to void due to birth-induced trauma, increased bladder capacity, and anesthetics, leading to a distended bladder that displaces the uterus. Congenital Hip Dysplasia - ANSWER-Limited abduction of one hip in a newborn may indicate congenital hip dysplasia, where the femur head might have slipped out of the acetabulum. Tonic Neck Reflex - ANSWER-When a nurse turns a newborn's head to one side, the tonic neck reflex causes the arm and leg on that side to extend outward while the opposite arm and leg flex. Full-Term Newborn at 39 Weeks - ANSWER-A newborn born at 39 weeks of gestation should have a symmetric rib cage, normal smooth skin with good turgor, and the presence of subcutaneous fat pockets. Egg-Shaped Edematous Discoloration - ANSWER-An egg-shaped, edematous, bluish discoloration in a newborn that does not cross the suture line typically resolves within 3-6 weeks without treatment. Cervical Laceration Postpartum - ANSWER-Bright vaginal bleeding as a slow trickle and a firm fundus are signs of a cervical laceration in a postpartum client following a vacuum-assisted birth. Breast Engorgement Postpartum - ANSWER-To decrease breast tissue swelling in a postpartum client not breastfeeding, the nurse should instruct to place ice packs on the breasts using a specific schedule. Erythromycin Ophthalmic Ointment - ANSWER-Every newborn in the United States should receive erythromycin ophthalmic ointment within 1-2 hours of delivery to prevent gonorrheal or chlamydial infections. Cluster Feeding - ANSWER-Cluster feeding is normal for breastfeeding newborns, where the baby may feed every hour for several hours in a row, following their cues. Calcium Gluconate for Magnesium Sulfate Toxicity - ANSWER-Calcium gluconate should be available at bedside for a client receiving magnesium sulfate by continuous IV infusion to counteract magnesium sulfate toxicity. Methylergonovine for Uterine Contractions - ANSWER-Methylergonovine, an ergot alkaloid, is administered to promote uterine contractions in a client with a soft uterus and increased lochia. Rubella Immunization Postpartum - ANSWER-A client receiving a rubella immunization postpartum should not conceive for at least 1 month after the immunization to prevent harm to the fetus. Circumcision care - ANSWER-Instructions include using prepackaged wipes and avoiding tight diaper application. Nonnutritive sucking - ANSWER-Encouraged for pain relief in newborns. Fundal assessment - ANSWER-Involves checking firmness and position postpartum. Oxytocic agent - ANSWER-Medication to induce or augment labor contractions. Rh(D) Immune Globulin - ANSWER-Administered to Rh-negative pregnant women at 28 weeks to prevent hemolytic disease in newborns. Naloxone - ANSWER-Given to reverse narcotic toxicity in newborns. Morning sickness - ANSWER-Managed by eating dry foods before getting out of bed. Magnesium sulfate toxicity - ANSWER-Manifests as respiratory depression in newborns. Maternal-newborn bonding - ANSWER-Important for newborn care, but not suitable for newborns with narcotic exposure. Vertex position - ANSWER-Fetal presentation with the occiput bone anteriorly. Intrauterine device (IUD) - ANSWER-Contraindicated in women with menorrhagia. Trichomoniasis treatment - ANSWER-Requires both partners to take medication and use condoms until cultures are negative.