Maternal Newborn Ati Proctored FOCUSED EXAM REVIEW - LATEST CORRECT Solutions/A GRADE

Maternal Newborn Ati Proctored FOCUSED EXAM REVIEW - LATEST CORRECT Solutions/A GRADE A nurse is teaching a new parent about newborn safety. Which of the following instructions should the nurse include in the teaching? CorrectAnswer: A. "You can share your room with your baby for the next fewweeks." B. "Cover your baby with a light blanket while sleeping." C. "Check the temperature of your baby's bath water with your hand." D. "Your baby can nap in the car seat during the daytime." Answer: "You can share your room with your baby for the next few weeks." The nurse should instruct the parents to check the temperature of thenewborn's bath water with their elbow, which is more sensitive to temperature than the hand. The hot water heater should be set at or below 49° C (120.2° F) to prevent burns. A. "You can share your room with your baby for the next few weeks." The nurse should recommend room-sharing during the first few weeks. This allows the parent to be readily available to the newborn and learn the newborn's cues. However, the nurse should instruct the parent to avoid placing the newborn in their bed as it increases the risk for sudden infant death syndrome. B. "Cover your baby with a light blanket while sleeping." The nurse should instruct the parents to place the newborn in a sleep sack or a one-piece sleeper. Covering the newborn with a blanket or quilt increases the risk for sudden infant death syndrome. Maternal Newborn Ati Proctored FOCUSED EXAM REVIEW - LATEST CORRECT Solutions/A GRADE C. "Check the temperature of your baby's bath water with your hand." D. "Your baby can nap in the car seat during the daytime." The nurse should instruct the parents to lay the newborn in a bassinet or crib on her back to sleep. Sleeping in a supine position on a firm mattress decreases the risk of sudden infant death syndrome A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What meds should the nurse plan to administer? a. misoprostol b. betamethasone c. poractant alfa d. methylergonovine Correct Answer: b. betamethasone A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy. The nurse should inform the client that what lab test will be used to confirm her pregnancy? a. urine test for presence of HCG b. urine test for the presence of HCS c. blood test for presence of estrogen d. blood test for the amount of circulating progesterone Correct Answer: a. urine test for presence of HCG A nurse is caring for a client who believes she may be pregnant. What finding should the nurse identify as a positive sign of pregnancy? a. palpable fetal movement b. amenorrhea c. chadwick's sign d. positive pregnancy test Correct Answer: a. palpable fetal movement A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse expect? a. renal agenesis b. atrial septal defect c. spina bifida d. hydrocephalus Correct Answer: a. renal agenesis A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic fracture due to blunt abd trauma. What findings should the nurse expect? a. uterine contractions b. bradycardia c. seizures d. bradypnea Correct Answer: a. uterine contractions The nurse should expect the client to be experiencing uterinecontractions due to abdominal trauma. Clients who receive anesthesia before the active phase of labor usually find the progression of their labor to slow. The medication depresses thecentral nervous system. Therefore, it will take longer for the cervix to dilate and efface. A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following instructions should the nurse provide the client? "You should eat some crackers before rising from bed in the morning." "You should eat foods served at warm temperatures." "You should sip whole milk with breakfast." "You should brush your teeth immediately after meals." Correct Answer: You should eat some crackers before rising from bed in the morning Morning sickness is caused by the buildup of human chorionic gonadotropin (hCG) in the mother's system. Dry foods eaten before rising in the morning tend to reduce the risk of nausea in clients who are pregnant. 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? While the client is in labor Following an episode of influenza during pregnancy Prior to a blood transfusion At 28 weeks of gestation Correct Answer: At 28 weeks of gestion 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.