ATI Maternal Newborn Practice | Questions and Answers | Latest 2020 / 2021

ATI Maternal Newborn Practice | Questions and Answers | Latest 2020 / 2021 A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching? ”I will likely need to use alternative positions for sexual intercourse.” - The weight gain of pregnancy will likely require alternative positions for sexual intercourse. The recommended weight gain for a woman with a normal BMI is 25-35lbs. The recommended weight gain for a woman who has a BMI above the expected range is 15-20lbs. A nurse is teaching about effective breastfeeding to a client who is 3 days postpartum. Which of the following information should the nurse include? ”Your newborn should appear content after each feeding.” - A baby who continues to show indications of hunger such as rooting, sucking on the hands, or crying may not be effectively emptying the breasts during feedings. The client’s breasts should feel softer after feeding indicating that they were emptied during the session. Mature milk production occurs 3-4 days postpartum. The newborn should void 6-8 times per day with at least 3 stools per day. It is not uncommon for a breastfed newborn to have stools with each feeding. A nurse is teaching a client who is 36 weeks gestation and has a prescription for a nonstress test. Which of the following statements should the nurse include in the teaching? ”You will be offered orange juice to drink during the test.” - Having the client drink orange juice or another beverage high in glucose will stimulate the fetus during the procedure, helping to obtain results of fetal activity. The procedure will take 20-40 minutes and is noninvasive. Noninvasive procedures do not require informed consent. A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia pupura (ITP). Which of the following findings should the nurse suspect? Decreased platelet count - A client who has ITP has an autoimmune response that results in a decreased platelet count. An increased ESR is an indication of chronic renal failure, and increased WBCs is an indication of infection. A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? Cholecystitis, HTN, and migraine headaches - A history of gallbladder disease (cholecystitis), HTN, or migraines are all contraindications for oral contraceptives. A nurse is teaching a new mother how to use a bulb syringe to suction her newborn’s secretions. Which of the following instructions should the nurse include? Stop suctioning when the newborn’s cry sounds clear. - The client should stop suctioning when the newborn’s cry no longer sounds like ti is coming through a bubble of fluid or mucus. The client should compress the bulb before inserting the syringe tip to avoid pushing/blowing the secretions further inside. The newborn’s mouth should always be suctioned before the nose (Nobody wants to taste their own snot!), and the syringe should be inserted into the side of the mouth to avoid triggering the gag reflex. A nurse is assessing a client who is in active labor and notes early decelerations in the FHR on the monitor tracing. The client is 39 weeks gestation and is receiving a continuous IV infusion of oxytocin. Which of the following actions should the nurse take? Continue monitoring the client. - Early decelerations in the FHR are considered benign and occur due to compression of the fetal head during contractions, vaginal exams, and pushing during the second stage of labor. No interventions are necessary for early decelerations.