ATI Maternal Newborn Final Exam Study Guide Test.

ATI Maternal Newborn Final Exam Study Guide Test. 1. nurse is planning care for a re- quires photothera- py for hyperbiliru- binemia. Which of the following ac- tions should the nurse include inthe plan of care 2. A nurse is car- ing for a client at 34 weeks gestation and has a prescrip- tion for terbutaline for preterm labor. Ensure the newborns eyes are closed before applying the eye shield - Over- exposure to the lights during treatment can cause damage to the newborn's corneas. Therefore, the nurse should gently close the newborn's eyes prior to applying the eye shield. "My heart feels as if it is racing." - the nurse should assess the client's heart rate. The primary action of terbutaline is to cause bronchodilation and relax smooth muscles. However, an adverse ettect is tachycardia. If the pulse is greater than 130/min, the terbutaline needs to be held until the provider is notified. The nurse might also need to use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify which finding Which of the follow- is the most urgent. ing statements by the patient is the priority? 3. A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) Immune Globulin? At 28 weeks of gestation - The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has Rh-negative blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies against the Rh factor, which will destroy any fetal RBCs in the maternal circulation and block maternal antibody production. 4. A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following ac- tions should the nurse include in the plan of care? 5. A nurse is plan- ning care for a client who is at 35 weeks of gestation. Which of the follow- ing lab tests should the nurse obtain? 6. A nurse is car- ing for a new- born whose moth- er received mag- nesium sulfate to treat preterm labor. Which of the follow- ing clinical manifes- tations is the new- born indicates tox- icity due to the magnesium sulfate therapy? Check the cervix prior to analgesic administration. - Prior to administering an analgesic during active labor, the nurse must know how many centimeters the cervix is dilated. If administered too close to the time of delivery, the analgesic could cause respiratory depression in the newborn.