ATI RN Maternal Newborn 2019 with NGN (proctored)

ATI RN Maternal Newborn 2019 with NGN (proctored) A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. Hypoglycemia B. Polycythemia C. Facial Palsy - Most babies delivered by forceps suffer no long-term problems, but in D. Bronchopulmonary dysplasia C. Facial Palsy Most babies delivered by forceps suffer no long-term problems, but in rare cases an injury is sustained to the facial nerve, due to the pressure of the forceps blade on the baby's head. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching? A." The medication could cause me to experience heart palpitation" B. "This medication could cause me to experience blurred vision" C. "This medication could cause me to experience ringing in my ears" D. "This medication could cause me to experience frequent ..." A." The medication could cause me to experience heart palpitation" This is a serious side effect of terbutaline and must be notifies to the physician immediately A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? A . Urine Ketones B. Rapid plasma regain C.Prothrombin time D.Urine culture Urine Ketones Hyperemesis gravidarum is a severe form of this 'morning sickness', experience by less than 1% of pregnant women. It can cause dehydration and starvation and the production of compounds called ketones that can be found in the blood and urine. A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort? A. Assisting the client into squatting position B. Having the client lie in a supine position C. Applying fundal pressure during contractions D. Encouraging the client to void every 6 hr Having the client lie in a supine position Having the patient lie in a comfortable position may help reduce sensation of pain due to labor A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect? A. Thick, White Vaginal Discharge B. Urinary Frequency C. Vulva Lesions D. Malodorous Discharge Malodorous Discharge A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the nurse place the Doppler device when assessing the fetal heart rate? A . Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis B. Left Upper Abdomen C. Two fingerbreadths above the umbilicus D. Lateral at the Xiphoid Process Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis at 14 weeks AOG this is where to place the doppler probe to note FHT A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? A. Urine protein concentration 200 mg/ 24 hr B. Creatinine 0.8 mg/ dL C. Hemoglobin 14.8 g/ dL D. Platelet Count 60.000/ mm3 Platelet Count 60.000/ mm3 platelet count of less than 100,000 correlates with how severe the condition is. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include? A. Tinnitus B. Urinary Frequency C. Breast Tenderness D. Chills Tinnitus this is a documented adverse effect of this medication A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect? A. Bulging Fontanels B. Nasal Flaring C. Length from head to heel of 40 cm (15.7 in) D. Chest circumference 2 cm (0.8 in) smaller than the head circumference Chest circumference 2 cm (0.8 in) smaller than the head circumference head circumference is always 2cm more than the chest in normal term babies A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? A. Increase the newborn's visual stimulation B. Weigh the newborn every other day C. Discourage parental interaction until after a social evaluation D. Swaddle the newborn in a flexed position Swaddle the newborn in a flexed position to increase comfort that newborn is receiving .A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? A. Obtain a blood sample for a serum glucose level B. Feed the newborn immediately C. Administer 50 mL of dextrose solution IV D. Reassess the blood glucose level prior to the next feeding Reassess the blood glucose level prior to the next feeding newborn blood glucose is normal because it has separated from it's source of energy which is the mother. Blood glucose for newborn to be considered hypoglycemic is 45mg/dl and below. A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply). A. "I will limit my time in the hot tub to 30 minutes after exercise." B. "I should consume three 8-ounce glasses of water after I exercise." C. "I will check my heart rate every 15 minutes during exercise sessions." D. "I should limit exercise sessions to 30 minutes when the weather is humid." E. "I should rest by lying on my side for 10 minutes following exercise." C. "I will check my heart rate every 15 minutes during exercise sessions." E. "I should rest by lying on my side for 10 minutes following exercise." A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider? A. Contraction durations of 95 to 100 seconds maybe this true also B. Contraction frequency of 2 to 3 min apart C. Absent early deceleration of fetal heart rate D. Fetal heart rate is 140/min Contraction frequency of 2 to 3 min apart labor is progressing and might deliver soon A nurse in a woman's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID)? A. Recurrent Cystitis B. Frequent Alcohol Use C. Use of Oral Contraceptives D. Chlamydia Infection - STDs can cause PID Chlamydia Infection STDs can cause PID A nurse is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the nurse include in the teaching? A. Hepatitis B - Part of the EINC and immunizations is Hepa B which follows just when the baby is born B. Rotavirus C. Pneumococcal D. Varicella Hepatitis B Part of the EINC and immunizations is Hepa B which follows just when the baby is born A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A. ½ cup cubed avocado B. 1 large banana C. 1 medium potato D. 1 cup cooked broccoli - there are 47mg of calcium in a 100 grams of broccoli. 1 cup cooked broccoli There are 47mg of calcium in a 100 grams of broccoli. A nurse in a provider's office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Nagele's rule to calculate the estimated date of delivery. December 15, 2020 A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? A. The client expels the placenta B. The client experiences gradual dilation of the cervix C. The client begins have regular contractions. D. The client delivers the newborn The client delivers the newborn delivering the fetus is the second stage, first is the labor stage, third is delivering the placenta. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse? A. "It burns when I urinate B. "My feet are really swollen today". C. "I didn't have lunch today, but I have breakfast this morning". "It burns when I urinate" sign of a UTI A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? A. "I should position my baby's car seat at a 45-degree angle in the car." B. "I should place the car seat rear facing until my baby is 12 months old." C. "I should place the harness snugly in a slot above my baby's shoulders." D. "I should position the retainer clip at the top of my baby's abdomen." "I should place the car seat rear facing until my baby is 12 months old." Always put your infant in a rear-facing child safety seat in the back of your car. A baby riding in the front seat can be fatally injured by a passenger side air bag. The shoulder straps must be at or below your baby's shoulders. A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?