ati RN maternal newborn Questions and
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a nurse is assessing a client who has gestational diabetes Mellitus and
is experiencing hyperglycemia. which of the following findings should
the nurse expect?
Ans: 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?
Ans: 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
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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?
Ans: 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?
Ans: "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.
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a nurse is caring for a prenatal client who has parvovirus b19(fifth
disease) which of the following actions should the nurse take?
Ans: 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?
Ans: 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?
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