ATI - Maternal Newborn B with Rationale(Top QUALITY 2024/2025 EXAM REVIEW)

ATI - Maternal Newborn B with Rationale A nurse is reviewing the medical record of a client who is at 33 weeks of gestation and has placenta previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider? - Preform a vaginal exam A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)? - Just above the symphysis pubis At the end of the first trimester of pregnancy, the client's uterus is approximately the size of a grapefruit and is positioned low in the pelvis slightly above the symphysis pubis. Therefore, the nurse should begin assessing for FHT just above the symphysis pubis. A nurse is teaching a client who is at 36 weeks of 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." A nonstress test is performed to measure fetal activity. Having the client drink orange juice, or another beverage high in glucose, will stimulate fetal movements during the procedure, helping to obtain results. A nursing is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. which of the following conditions is an indication for fetal assessment using electronic fetal monitoring? - oligohydramnios The nurse should identify that oligohydramnios requires further fetal assessment using electronic fetal monitoring. Other conditions that require further assessment include hypertension, diabetes, intrauterine growth restriction, renal disease, decreased fetal movement, previous fetal death, post-term pregnancy, systemic lupus erythematosus, and intrahepatic cholestasis. A nurse is caring for a newborn who is undergoing photothearpy to treat hyperbilirubinemia. which of the following actions shoudl the nurse take? - Cover the newborn's eyes while under the phototherapy light. Applying an opaque eye mask prevents damage to the newborn's retinas and corneas from the phototherapy light. A nurse is caring fora client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. which of the following actions should the nurse take? - Have calcium gluconate readily available The nurse should have calcium gluconate readily available to prevent cardiac or respiratory arrest in the event the client experiences magnesium toxicity. A nures is providing discharge teaching to the parents of newborn about car seat safety. which of the following instructions should the nurse include? - Place the retainer clip at the level of the newborn's armpits The nurse should instruct the parents to place the newborn in a federally approved car seat with the retainer clip snugly at the level of the newborn's armpits. A school nurse is providing teaching to an adolescent about levonorgestrel contraception. which of the following information should the nurse include in the teaching? - Take the medication within 72 hrs following unprotected sexual intercourse Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent conception. The nurse should instruct the adolescent to take this medication as soon as possible within 72 hr after unprotected sexual intercourse