ATI Maternal Newborn And Pediatrics

ATI Maternal Newborn And Pediatrics Maternal Newborn A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? a. BUN 25 mg/dL b. serum creatinine 0.8 mg/dL c. urine output of 280 mL w/ 8 hr d. urine negative for ketones A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which statement should the nurse include in the teaching? a. replace the diaphragm every 5 years b. leave the diaphragm in place for at least 6 hours after intercourse c. use an oil-based product as a lubricant when inserting the diaphragm t the diaphragm when bladder is full A nurse is reviewing the med record of a client who is postpartum and has preeclampsia. Which lab results should the nurse report to the provider? a. Hct 39% b. serum albumin 4.5g/dL c. WBC 9000/mm3 d. platelets 50,000/mm3 A nurse is teaching a client about Rho(D) immune globulin. Which statement by the client indicates an understanding of the teaching? a. I will receive this med if my baby is Rh- b. I will receive this med when I'm in labor c. I will need a 2nd dose of this med when my baby is 6wks old d.I will need this med if I have an amniocentesis A nurse is assessing a client who is 30 weeks gestation during a routine prenatal visit. Which findings should the nurse report to the provider? ing of the face ose veins in the calves tting 1+ ankle edema pigmentation of the cheeks A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which actions should the nurse include in the plan? a. feed the newborn 1oz of water q4hrs b. apply lotion to newborns skin 3x/day c. remove all clothing from newborn except diaper d. discontinue therapy if the newborn develops a rash A nurse is caring for a client who is 35 weeks gestation and is undergoing nonstress test that reveals a variable deceleration in the FHR. What action should the nurse take? a. give the client oj b. elevate the client's legs c. have the client change positions d. establish IV access A nurse is assessing a client who gave birth vaginally 12hrs ago and palpates her uterus to the right above the umbilicus. What interventions should the nurse perform? a. reassess the client in 2 hrs b. administer simethicone c. assist the client to empty her bladder d. instruct the client to lie on her right side A nurse is performing a routine assessment on a client who is 18 weeks gestation. What findings should the nurse expect? a. deep tendon reflexes 4+ b. fundal height 14cm c. urine protein 2+ d. FHR 152/min A nurse is teaching a new mother about steps the nurses will take to promote security and safety of the newborn. What statement should the nurse make? a. we will prevent unidentified visitors from entering the unit b. we will document the relationship of visitors in your medical record c. your baby will stay in the nursery while you are asleep d. staff members who take care of your baby will be wearing photo identification A nurse is assessing the newborn of a client who took a SSRI during pregnancy. What manifestations should the nurse identify as an indication of withdrawal from and SSRI? a. large for gestational age b. Hyperglycemia c. bradypnea d. vomiting A nurse in an antepartum clinic is providing care for a client who is 26 weeks gestation. Upon reviewing her medical record, what findings should the nurse report to the provider? a. 1-hr glucose tolerance test b. Hematocrit c. fundal height measurement d .FHR A nurse is caring for a client following an amniocentesis at 18 wks gestation. What finding should the nurse report to the provider as a potential complication? a. increased fetal movement b. leakage of fluid from the vag c. upper abd discomfort d. urinary frequency A nurse is caring for a client who is in active labor and has no cervical change in the last 4 hrs. Which statement should the nurse make? a. let me help you into a comfortable pushing position so you can begin bearing down b. going to call the doc to get a script for meds to ripen your cervix c. i will give you some IV pain med to strengthen your contractions d. your provider will insert an intrauterine pressure cath to monitor the strength of your contractions A nurse is caring for a client who is anemic at 32 wks gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. What outcomes should the nurse expect? a. decrease uterine contractions b. increase in client's Hgb levels c. reduction in resp distress in NB d. increase production of antibodies in NB A nurse is teaching a client who is 10 wks gestation about nutrition during pregnancy. What statement by the client indicates an understanding of the teaching? a. increase my protein to 60 g/day b. i should drink 2 L of water/day c. increase my overall caloric intake by 300 calories d. take 600 mcg of folic acid each day A nurse is teaching a client who is in preterm labor about terbutaline. What statement by the client indicates an understanding of the teaching? a.i will get injections of the med once daily until my labor stops blood sugar may be low while I am on this med c. i will have blood tests because my K+ might decrease d. My BP may increase while I'm on this med A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs. What cultural practices should the nurse include? a. protect the client's head and feet from cold air b. bathe the client within 12 hr following delivery c. ambulate the client within 24 hr of delivery d. offer the client a glass of milk with her first meal A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, what action should the nurse take next? a. massage the client's fundus b. insert an indwelling urinary catheter c. administer O2 at 10L/mind d. elevate the clients right hip A nurse is caring for a client who is at 36 wks gestation and has a prescription for amniocentesis. For which reason should the nurse prepare the client for an ultrasound? a. estimate fetal weight b. locate pocket of fluid c. determine multiparity d. prescreen for fetal anomalies A nurse is demonstrating to a client how to bathe her newborn. What order should the nurse perform the following actions? the NB diaper area the newborn's neck by lifting the NB chin the NB eyes from the inner canthus outward se the skin around the newborn's umbilical cord stump the NB legs and feet A nurse is assessing a newborn 12hrs after birth. What manifestation should the nurse report to the provider? a. Acrocyanosis b. transient strabismus c. jaundice d. caput succedaneum a nurse is calculating a client's expected DOB using Naegele's rule. The client says her last menstrual cycle started Nov 27th. What date is the client's expected DOB? a. sept 3rd b. sept 20th c. aug 3rd d. aug 20th A nurse is assessing a newborn following circumcision. What finding should the nurse identify as an indication that the newborn is experiencing pain? a. decreased HR b. chin quivering c. pinpoint pupils d. slowed respirations A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 wks late. The client appears anxious and asks the nurse if she is pregnant. What response should the nurse make? a. you can miss your period for several other reason. Describe your typical menstrual cycle. A nurse is preparing to administer oxytocin to a client who is postpartum. What findings indicate the admin of the med SATA a. flaccid uterus c. excess vaginal bleeding A nurse on the postpartum unit is caring for a client following a c-section. Priority? b. amount of lochia A nurse is observing a new mother caring for her crying newborn who is b