ATI RN MATERNAL NEWBORN
a nurse is assessing a client who has gestational diabetes Mellitus and is experiencing
hyperglycemia. which of the following findings should the nurse expect? -correct
answer_reports increased urinary output. Increased urinary output, nausea and vomiting,
reports of thirst, abdominal pain, constipation, drowsiness, and headaches are manifestations
of hyperglycemia. Other manifestations include weak rapid pulse, fruity breath odor, urine
positive for sugar and acetone, and a blood glucose level greater than 200 mg/dL. a nurse is
caring for a client who is 22 weeks of gestation and is HIV positive. which of the following
actions should the nurse take? -correct answer_Report the client's condition to the local health
department. The nurse should report the condition to the local health department. HIV is one of
the conditions on the list of Nationally Notifiable Infectious Conditions that is required to be
reported. a nurse is providing teaching for a client who has a new prescription for combined
oral contraceptives. which of the following findings should the nurse include as an adverse
effect of this medication? -correct answer_depression The nurse should instruct the client that
depression is a common adverse effect of combined oral contraceptives. Other common
adverse effects of the medication include amenorrhea, weight gain, headache, nausea,
breakthrough bleeding, and breast tenderness. a nurse is providing teaching to a client who is
at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following
instructions should the nurse include in the teaching? -correct answer_"I can administer
oxytocin 4 hours after the insertion of the medication." The nurse can administer oxytocin no
sooner than 4 hr after the last dose of misoprostol. Oxytocin can be administered following
misoprostol for clients who have cervical ripening and have not begun labor. a nurse is caring
for a prenatal client who has parvovirus b19(fifth disease) which of the following actions should
the nurse take? -correct answer_schedule an ultrasound examination 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 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? -correct answer_place the newborn skin
to skin on the mother's 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. a nurse is performing
a vag examination on a client who is in labor and observes the umbilical cord protruding from
the vagina. after calling for assistance, which of the following actions should the nurse take?
-correct answer_Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part. The nurse should quickly apply gloves and insert two fingers into the vagina
toward the cervix, exerting upward pressure onto the presenting part to relieve umbilical cord
compression and increase oxygenation to the fetus. a nurse is caring for a client who is at 24
weeks of gestation and has a suspected placental abruption. which of the following lab tests
, should the nurse expect the provider to prescribe? -correct answer_kleihauer-betke test The
nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has
suspected placental abruption to determine if fetal blood is in maternal circulation. This test is
useful to determine if Rho-(D) immune globulin therapy should be administered to a client who
is Rh-negative. a nurse is admitting a client who is in labor. the client admits to recent cocaine
use. for which of the following complications should the nurse assess? -correct
answer_abruptio placenta cocaine use increases the risk for vasoconstriction and possible
abruptio placenta. a nurse is assessing a client who has severe preeclampsia. which of the
following manifestations should the nurse expect. -correct answer_blurred vision The nurse
should identify that a client who has severe preeclampsia can have arteriolar vasospasms and
decreased blood flow to the retina which can lead to visual disturbances, such as blurred
vision, double vision, or dark spots in the visual field. 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 yr old child in accepting the new family member?
-correct answer_Obtain a gift from the newborn to present to the sibling. 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 assessing a client who is receiving morphine via iv bolus for
pain following a C section. the nurse notes a resp rate of 8 per min. which of the following
medications should the nurse administer? -correct answer_naloxone Morphine is a common
opioid analgesic used for postoperative pain management that can cause central nervous
system depression and can cause respiratory depression. The nurse should administer
naloxone, an opioid antagonist, to reverse the opioid-induced respiratory depression in the
client. 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. -correct answer_"I should take 600 micrograms of folic acid each day." A client who
is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists with
preventing neural tube birth defects. a nurse is assessing a newborn 12hr after birth. which of
the following manifestations should the nurse report to the provider? -correct answer_jaundice.
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the provider.
a nurse is observing a new parent caring for her crying newborn who is bottle feeding. which of
the following actions by the parent should the nurse recognize as a positive parenting behavior?
-correct answer_Lays the newborn across her lap and gently sways This is a correct technique
for quieting a newborn. This tactile stimulation promotes a sense of security for the newborn. a
nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. which of the following statements should the nurse include in the teaching?
-correct answer_Ensure that the newborn has been receiving feedings for 24 hours prior to
obtaining the specimen." The nurse should ensure that the newborn has been receiving
regular feedings for at least 24 hr prior to testing. a nurse is caring for a client who has uterine
a nurse is assessing a client who has gestational diabetes Mellitus and is experiencing
hyperglycemia. which of the following findings should the nurse expect? -correct
answer_reports increased urinary output. Increased urinary output, nausea and vomiting,
reports of thirst, abdominal pain, constipation, drowsiness, and headaches are manifestations
of hyperglycemia. Other manifestations include weak rapid pulse, fruity breath odor, urine
positive for sugar and acetone, and a blood glucose level greater than 200 mg/dL. a nurse is
caring for a client who is 22 weeks of gestation and is HIV positive. which of the following
actions should the nurse take? -correct answer_Report the client's condition to the local health
department. The nurse should report the condition to the local health department. HIV is one of
the conditions on the list of Nationally Notifiable Infectious Conditions that is required to be
reported. a nurse is providing teaching for a client who has a new prescription for combined
oral contraceptives. which of the following findings should the nurse include as an adverse
effect of this medication? -correct answer_depression The nurse should instruct the client that
depression is a common adverse effect of combined oral contraceptives. Other common
adverse effects of the medication include amenorrhea, weight gain, headache, nausea,
breakthrough bleeding, and breast tenderness. a nurse is providing teaching to a client who is
at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following
instructions should the nurse include in the teaching? -correct answer_"I can administer
oxytocin 4 hours after the insertion of the medication." The nurse can administer oxytocin no
sooner than 4 hr after the last dose of misoprostol. Oxytocin can be administered following
misoprostol for clients who have cervical ripening and have not begun labor. a nurse is caring
for a prenatal client who has parvovirus b19(fifth disease) which of the following actions should
the nurse take? -correct answer_schedule an ultrasound examination 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 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? -correct answer_place the newborn skin
to skin on the mother's 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. a nurse is performing
a vag examination on a client who is in labor and observes the umbilical cord protruding from
the vagina. after calling for assistance, which of the following actions should the nurse take?
-correct answer_Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part. The nurse should quickly apply gloves and insert two fingers into the vagina
toward the cervix, exerting upward pressure onto the presenting part to relieve umbilical cord
compression and increase oxygenation to the fetus. a nurse is caring for a client who is at 24
weeks of gestation and has a suspected placental abruption. which of the following lab tests
, should the nurse expect the provider to prescribe? -correct answer_kleihauer-betke test The
nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has
suspected placental abruption to determine if fetal blood is in maternal circulation. This test is
useful to determine if Rho-(D) immune globulin therapy should be administered to a client who
is Rh-negative. a nurse is admitting a client who is in labor. the client admits to recent cocaine
use. for which of the following complications should the nurse assess? -correct
answer_abruptio placenta cocaine use increases the risk for vasoconstriction and possible
abruptio placenta. a nurse is assessing a client who has severe preeclampsia. which of the
following manifestations should the nurse expect. -correct answer_blurred vision The nurse
should identify that a client who has severe preeclampsia can have arteriolar vasospasms and
decreased blood flow to the retina which can lead to visual disturbances, such as blurred
vision, double vision, or dark spots in the visual field. 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 yr old child in accepting the new family member?
-correct answer_Obtain a gift from the newborn to present to the sibling. 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 assessing a client who is receiving morphine via iv bolus for
pain following a C section. the nurse notes a resp rate of 8 per min. which of the following
medications should the nurse administer? -correct answer_naloxone Morphine is a common
opioid analgesic used for postoperative pain management that can cause central nervous
system depression and can cause respiratory depression. The nurse should administer
naloxone, an opioid antagonist, to reverse the opioid-induced respiratory depression in the
client. 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. -correct answer_"I should take 600 micrograms of folic acid each day." A client who
is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists with
preventing neural tube birth defects. a nurse is assessing a newborn 12hr after birth. which of
the following manifestations should the nurse report to the provider? -correct answer_jaundice.
Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the provider.
a nurse is observing a new parent caring for her crying newborn who is bottle feeding. which of
the following actions by the parent should the nurse recognize as a positive parenting behavior?
-correct answer_Lays the newborn across her lap and gently sways This is a correct technique
for quieting a newborn. This tactile stimulation promotes a sense of security for the newborn. a
nurse is teaching a newly licensed nurse about collecting a specimen for the universal
newborn screening. which of the following statements should the nurse include in the teaching?
-correct answer_Ensure that the newborn has been receiving feedings for 24 hours prior to
obtaining the specimen." The nurse should ensure that the newborn has been receiving
regular feedings for at least 24 hr prior to testing. a nurse is caring for a client who has uterine
