ATI MATERNAL NEWBORN 2023MATERNAL NEWBORN 2023 LATEST ACTUAL QUESTION AND ANSWERS RATED AG, Study notes of Nursing

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ATI MATERNAL NEWBORN 2023/MATERNAL NEWBORN 2023 LATEST

ACTUAL QUESTION AND ANSWERS RATED A/GRADE.

A nurse is caring for a client who is at 8 weeks of gestation with twins and is primigravida. The client states that even though she and her husband planned this pregnancy, she is experiencing many ambivalent feelings about it. Which of the following responses should the nurse make? - ANSWER-"These feelings are normal at the beginning of pregnancy." A nurse is reinforcing teaching with a client who is pregnant. Which of the following instructions should the nurse include? - ANSWER-"You should use fluoride-based toothpaste to prevent dental caries." A nurse is collecting data from a client on the first postpartum day. Findings include fundus firm and one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots, temperature 37.3° C (99.2° F), and pulse rate 52/min. Which of the following actions should the nurse take? - ANSWER-Ask the client when she last voided. A nurse is preparing a client who is pregnant for an ultrasound. Which of the following information is the most important for the nurse to collect? - ANSWER- The time of the client's last void A nurse is contributing to the plan of care for a client who plans to formula feed her newborn. Which of the following actions should the nurse include in the plan?

• ANSWER-Have the client place ice packs on her breasts four times per day. A nurse is assisting with the care of a preterm newborn who is receiving oxygen therapy. Which of the following findings should the nurse identify as a potential complication from the oxygen therapy? - ANSWER-Retinopathy

A nurse is reinforcing teaching with a client who is postpartum and breastfeeding. Which of the following nutrients should the nurse include in the teaching as a nutrient for the client to increase the intake of while breastfeeding? - ANSWER- Vitamin C A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy? - ANSWER-Pelvic Inflammatory Disease A nurse is caring for four newborns. Which of the following findings should the nurse report to the provider? - ANSWER-A 12-hr old newborn who has a heart rate of 70/min while sleeping A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse reinforce with the client about the treatment plan? - ANSWER-"You and your partner need to take the medication and use a condom during intercourse until cultures are negative." A nurse is assisting the plan of care for a client who is pregnant and is Rf-negative. In which of the following situations should the nurse administer Rh(D)Immune Globulin? - ANSWER-At 28 weeks of gestation A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device? - ANSWER-Menorrhagia A nurse is assisting with caring for a client who is at 36 weeks of gestation and has pre-eclampsia. Which of the following findings should the nurse identify as the priority? - ANSWER-Nonreacttive nonstress test

A nurse is assisting with the care of a newborn who has a myelomeningocele. Which of the following actions should the nurse take? - ANSWER-Initiate a latex free environment A nurse is reinforcing teaching with a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER-"I should press the button on the hand held marker when my baby moves." A nurse is assisting with the plan of care for a client who is at 35 weeks of gestation. Which of the following laboratory tests should the nurse obtain? - ANSWER-Group B streptococcus B-hemolytic culture A nurse is caring for a client who is at 16 weeks of gestation and has severe iron- deficiency anemia. The provider prescribes an injection of iron dextran IM. Which of the following methods should the nurse use to administer the medication? - ANSWER-Use a 20 -gauage needle, and administer the medication using the Z- track method. A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect? - ANSWER-Exaggerated reflexes A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn? - ANSWER-Frequent stimulation

A nurse is preparing to elicit the fencing reflex from a newborn. Which of the following actions should the nurse take? - ANSWER-Turn the newborn's head quickly to one side. A nurse is caring for a newborn who has irregular respirations of 52/min with several periods of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take? - ANSWER-Continue to routinely monitor the newborn. A nurse administers betamethasone to a client who is at 33 weeks of gestation to stimulate fetal lung maturity. When assisting with the plan of care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication? - ANSWER-Decreased blood glucose A nurse is reinforcing teaching about oxytocin with a client who is in the third trimester of pregnancy and has pre-eclampsia. Which of the following is a contraindication for use of this medication? - ANSWER-Active genital herpes A nurse is collecting data on a client who is at 8 weeks of gestation. Which of the following findings should the nurse report to the provider? - ANSWER-Small amount of brown vaginal discharge A nurse is caring for a client who reports that her last menstrual period (LMP) began on July 8. Based on Nagele's rule, which of the following is the client's expected date of birth (EDB)? - ANSWER-April 15 A nurse is collecting data on a newborn who was born at 43 weeks of gestation. Which of the following findings should the nurse expect? - ANSWER-Absent vernix

the teaching? - ANSWER-"I will warm the bottle of formula by placing it in a pan of hot water." How long does sperm live in the female reproductive system after intercourse? a) 1 week b) 2-3 days c) 5-6 days d) 2 weeks - ANSWER- b) 2-3 days For fertilization to occur, intercourse must happen ______ days before ovulation or _______ after ovulation. - ANSWER-2-3 days BEFORE 24 hrs AFTER What is spinnbarkeit? - ANSWER-Cervical mucous Thin, clear, stretchy Promotes sperm passage Occurs around day 14 of menstrual cycle Does basal body temperature increase or decrease before or after ovulation? - ANSWER-Decreases BEFORE ovulation Increases AFTER When should women take their basal body temperature if tracking menstrual cycle / ovulation periods? - ANSWER-Immediately upon waking up When should prenatal vitamins and folic acid be introduce to women? - ANSWER- During the PLANNING phase of pregnancy

What is Mittelschmerz? - ANSWER-Lower abdominal pain associated with ovulation think Moan List 6 Presumptive signs of pregnancy... - ANSWER-Noticed by the women

• Breast changes
• Amenorrhea (missed period)
• N/V
• Frequent urnation
• Fatigue
• Quickening (fetal movement felt by the mother is still not FOR SURE) List 5 Probable signs of pregnancy... - ANSWER-*Noticed my examiner
• Positive pregnancy test
• Braxton hicks (womb contracts and relaxes)
• Goodell Sign (softening of the cervical tip)
• Chadwick Sign (blush vaginal mucosa & cervix)
• Hegar Sign (softening of the lower uterine segment) List 3 Positive signs of pregnancy... - ANSWER-*Proof of fetus
• Ultrasound (5-6 weeks)
• Fetal heart tones heard by ultrasound, doppler, or stethoscope
• Fetal movement palpated or visible BY MEDICAL PROFESSIONAL (Dr./NP/Nurse/Midwife)

GTPAL

What is A? - ANSWER-Abortions/Miscarriages (less than 20 weeks gestation) GTPAL What is L? - ANSWER-Number of living children A 29 year old female is currently 9 weeks pregnant. She has no living children. Two years ago she had 2 miscarriages at 10 and 12 weeks gestation. What is her GTPAL? - ANSWER-G - 3 T - 0 P - 0 A - 2 L - 0 What is important prior to pregnancy? - ANSWER-Achieving ideal body weight (BMI 18.5-24.9) Take folic acid, iron, prenatal vitamins What does Folic acid help prevent during pregnancy? What is the dosage? - ANSWER-Prevents spina bifida 0.4mg/day minimum How long is each trimester? 1:

3: - ANSWER-1: 1-13 weeks 2: 14-26 weeks 3: 27-40 weeks What is the expected weight gain in each trimester? 1: 2: 3: - ANSWER-1: 4 lbs 2: 1 lb/week 3: no more than 1 lb/week Who gains more weight during pregnancy? Mothers with low BMI or high BMI? - ANSWER-Low BMI Should a pregnant mother be going in hot tubs or taking hot baths? - ANSWER-No Can cause birth defects What does smoking while pregnant commonly cause? - ANSWER-Sudden infant death syndrome (SIDS) Low birth weight Infant Viability = __________ weeks Term = __________ weeks - ANSWER-Infant Viability = 24 weeks Term = 37-40 weeks