Maternal and Newborn Nursing Review: Questions and Answers, Exams of Nursing

Download Maternal and Newborn Nursing Review: Questions and Answers and more Exams Nursing in PDF only on Docsity!

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

How should erythromycin ointment be applied to a newborn? - The Answer Is Place a ribbon of medication in the lower conjunctiva of each eye Hyperemis Gravidarum is what? - The Answer Is vomiting and ketonuria Breast feeding advice for a 12 hour old newborn? - The Answer Is Wake the baby for feedings over night What are signs of respiratory distress in a newborn? - The Answer Is Tachypnea, coarse crackles, retractions, expiratory grunting Signs of hypoglycemia in a 1 hour old newborn? - The Answer Is Hypothermia, twitching, tachypnea Instructions for a 24 hour urine collection for a woman with preeclampsia? - The Answer Is discard the 1st urine specimen when beginning the test.

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

Advice for air travel in second semester? - The Answer Is Maintain increased hydration with water Client's fundus is 2 finger breadths above the umbilicus, what does this indicate? - The Answer Is bladder distention What is an expectation of a 1 day postpartum mother? - The Answer Is voiding spontaneously Advice for newborn safety precautions? - The Answer Is Crib slats should be no more than 2 and 1/4 in. apart Interventions for a client with a new Dx of DVT? - The Answer Is elevate the client's affected limb What immunization is given at 14 weeks? - The Answer Is influenza What intervention is needed for a large jittering newborn?

The Answer Is check their blood glucose level

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

What is a good source of folate? - The Answer Is 1/2 c. of dried peas What is the triple marker screen for at 16 weeks? - The Answer Is this screening can detect fetal chromosomal abnormalities How many stools should a 6 day old newborn who is breast feeding have? - The Answer Is one stool per day What is a contraindication of an oral contraceptive in a 28 year old woman? - The Answer Is frequent headaches with visual changes What data should be reported to the provider of a woman in her second trimester? - The Answer Is frequent uterine contractions What are signs of magnesium toxicity? - The Answer Is decreased respiratory rate, decreased level of consciousness, double vision

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

Which vital signs of a 20 week old pregnant woman should the nurse notify the provider? - The Answer Is fundal height 25 cm (9.8 in.) Which lab result should the nurse notify the provider? - The Answer Is 1 hour glucose tolerance test of 145 mg/dl Advice given to a pregnant adolescent who drinks 48 oz of caffeine /day - The Answer Is your caffeine intake might lead to a miscarriage Interventions to help with perineal pain 6 hours post vaginal birth? - The Answer Is help the client ambulate to the toilet What is an expectation of a woman 32 hours post partum? - The Answer Is urine output of 3,000 mL in 24 hours

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

What newborn should be seen first? - The Answer Is One newborn born 36 hours ago and has nasal flaring Instructions for a 1 hour oral glucose test? - The Answer Is avoid caffeine the morning of the test Which should be reported to a professional for a 12 hour old breech baby? - The Answer Is if the skin appears jaundice What is an adverse effect of carboprost? - The Answer Is Fever What can be expected with primigravida (1st baby) and hyperthyroidism? - The Answer Is Diaphoresis What should be reported in a patient who had a C Section 24 hours ago? - The Answer Is 2 cm separation in her incision

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

Nursing actions for a post cesarean patient? - The Answer Is have the client ambulate several times each day FHR 15 per minutes over a 20 minute period lasting 15 seconds - The Answer Is reactive Teaching about newborn abduction in the hospital - The Answer Is An alarm will sound if my baby's safety device is removed What should be reported of a newborn who was born to a mother with gestational diabetes? - The Answer Is blood glucose 30 mg/dl How should Phytonadione be given to a newborn? - The Answer Is IM What is the correct way to bathe a 1 day old newborn? - The Answer Is Wash the newborn's hair before unwrapping him or her

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

What should be reported at a 34 week prenatal visit? - The Answer Is blurred vision When should Rho (D) immune globulin be given to the client? - The Answer Is When a mother is Rh- and the newborn is Rh+ What should be done when there is mastitis in the left breast? - The Answer Is pump the affected breast frequently How to do a heel stick on a newborn? - The Answer Is warm the newborn's heel What should be done when taking medroxyprogesterone?

The Answer Is instruct the client to increase their calcium intake Directions when taking nifedipine? - The Answer Is change positions slowly

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

Advice for nausea and vomiting at 9 weeks gestation? - The Answer Is consume small frequent meals What are good sources of iron? - The Answer Is lentils, oysters, and beef liver How to prevent engorgement to a client who is bottle feeding their baby? - The Answer Is Apply cold cabbage leaves to the breasts daily What is an important part of postpartum teaching plan? - The Answer Is use a firm mattress in the baby's crib Advice for a client who is experiencing constipation in her 2nd trimester? - The Answer Is consume 28g of fiber per day How long should a newborn feed? - The Answer Is 20-30 minutes

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

What is the 1st thing you should do for a seizing pregnant woman with preeclampsia? - The Answer Is turn the client's head to the side What is nifedipine given for? - The Answer Is to stop uterine contractions When should a cerclage be removed? - The Answer Is 37 weeks gestation What should be reported to the provider for an 8 hour old newborn? - The Answer Is apical heart rate of 90/min while awake When is it okay to use jet hydrotherapy in labor? - The Answer Is you should be in the active phase of the 1st stage of labor to use the tub Interventions for breast feeding with mastitis - The Answer Is apply a warm compress to the affected area

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

Instructions after a vastectomy? - The Answer Is use contraception temporarily after the procedure What should be increased when taking furrous sulfate? - The Answer Is increase fluid intake When should phytonadione be given? - The Answer Is 2 hours after birth What should be reported for a woman who delivered vaginally 6 hours ago? - The Answer Is perineal pad soaked in 15 minutes Parts of a newborn's plan of care - The Answer Is Maternal GBS status, Apgar Score, type of birth What can happen if a newborn is fed over diluted formula? - The Answer Is inadequate growth

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

Advice for a new prescription of metronidazole? - The Answer Is suspend breastfeeding What is the action of carbprost? - The Answer Is slow down bleeding Steps of nasopharyngeal Suctioning - The Answer Is 1. adjust the wall <80 mmHg

2. Lubricate tip in sterile water
3. insert nasally up and back to the nares
4. create suction with your thumb
5. suction 5 seconds while rotating and withdrawing What would be a priority to report to the provider with a newborn? - The Answer Is Respiratory rate of 20 breaths per min. Priority in umbilical cord care? - The Answer Is report any drainage

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

What does erythromycin ophthalmic ointment treat in a newborn? - The Answer Is chlamydia trachomatis RDS (resp distress syndrome) risks? - The Answer Is prematurity What is one of mom's priority for her baby's bathe routine? - The Answer Is cuddling and talking to the baby How to relieve engorgement while breastfeeding? - The Answer Is apply cold cabbage leaves to the breasts How should you care for a 2nd degree laceration to the perineum? - The Answer Is apply an ice pack to the client's perineum When should a client be placed on contact precautions? - The Answer Is When they have a presence of multidrug resistance bacteria in their urine

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

What is the reason a patient would have a prenatal blood draw? - The Answer Is to test for thalassmia What should be done for a 37 week pregnant patient with a bp of 158/98 and swelling of her hands and face? - The Answer Is 24 hour urine collection What should a parent do if their child is riding in a vehicle without a back seat? - The Answer Is Turn off their passenger airbags What should be reported in the active phase of stage 1 of labor? - The Answer Is green fluid from the vagina What is recommended for a woman who routinely exercises throughout her pregnancy? - The Answer Is drink plenty of fluids before and after exercising When should a diaphragm be replaced? - The Answer Is every 2 years

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

Instructions while taking terbutaline? - The Answer Is monitor heart rate before taking medication What is the best food to eat while trying to get pregnant?

The Answer Is 1 cup of cooked spinach What is a possible complication for a mother who gave birth to a LGA baby 16 hours ago? - The Answer Is hemorrhage What is a positive outcome for a prenatal client? - The Answer Is reactive non stress test What should be done for a woman who is 26 weeks pregnant with a blood sugar of 55 mg/dl? - The Answer Is give orange juice What is an adverse effect of methylergonovine? - The Answer Is hypertension

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

Chadwick's sign - The Answer Is Blueish-purple coloration of vagina and cervix -A probable sign of pregnancy Hegar's sign - The Answer Is Softening of lower uterus -A probable sign of pregnancy Ballottment - The Answer Is Light tap of the examiner's fingers on cervix causes the fetus to rise in the amniotic fluid, then rebound to it's original position (rebound of unengaged fetus); occurs at 16-18 wks -A probable sign of pregnancy Quickening - The Answer Is A woman's first awareness of fetal movement; flutter movements of fetus, occurs around 16- 20 wks

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

-Presumptive sign of pregnancy (observed by woman that makes her suspicious of being preg.) What IV solution should the nurse plan to give prior to administering a pain anesthetic solution to a patient in labor? - The Answer Is The nurse should plan to administer 500- 1,000 mL of LR's or 0.9% NS at 15 to 30 minutes prior to admin. of the first dose of anesthetic solution to decrease the risk of maternal hypotension. The nurse should NOT admin. Dextrose 5% (or any %) because it can cause maternal hyperglycemia and neonatal hypoglycemia A nurse is caring for a pt. who is at 15 wks gestation, is rh-negative, and just had an Amniocentesis. Which of the following interventions is the nurse's priority following the procedure? A.) Check Pt.'s temp. B.) Observe for UC's C.) Admin. Rho-Immunoglobulin

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

D.) Monitor the FHR - The Answer Is Answer= D- greatest risk to pt. and fetus is fetal death. Rationale= C- the nurse should admin. Rho-immunoglobulin to prevent sensitization. However, this is not the PRIORITY nursing intervention A nurse is providing care for a pt. who is at 32 wks gestation & has Placenta Previa. The nurse notes that the pt. is actively bleeding. Which of the following medications should the nurse anticipate will be prescribed? A. Betamethasone B. Indomethacin C. Nifedipine D. Methylergonovine - The Answer Is A.) Betamethasone: Given to promote lung maturity if delivery is anticipated B.) Indomethacin is given to pt. in preterm labor

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

C.) Nifedipine is given to pt.'s in preterm labor D.) Methylergonovine is prescribed to pt. experiencing postpartum hemorrhage A nurse at a clinic is caring for a pt. who is at 4 months of gestation. The pt. reports continued N/V & scant, prune- colored discharge. She has no wt. loss and has a fundal height greater than expected. Which of the following complications should the nurse expect? A. Hyperemesis Gravidarum B. Threatened Abortion C. Hydatiform mole D. Preterm labor - The Answer Is Answer= C Hydatiform mole. Pt.'s with Hydatiform mole exhibits increased fundal height is is inconsistent with wk. of gestation, and excessive N/V due to ↑↑ hCG levels. Scant, dark discharge occurs in the 2nd trimester. A nurse is caring for a pt. who has a Dx of ruptured ectopic pregnancy. Which of the following findings is seen with this condition?

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

A. No alteration in menses B. Transvaginal US indicates a fetus in uterus C. ↑↑ serum progesterone levels greater than expected range D. Report of severe shoulder pain - The Answer Is Answer= D. Report of severe shoulder pain Ectopic Pregnancy- Expected findings? - The Answer Is -Lower unilateral abdominal pain and tenderness -Delayed, lighter than usual, or irregular menses -Referred shoulder pain -Report of s/s of shock (faintness, dizziness) -S/S of hemorrhage and shock (↓ BP, ↑ HR) What is Methotrexate used for in an Ectopic Pregnancy? - The Answer Is Methotrexate is a medication that dissolves pregnancy PT. EDUCATION= avoid alcohol consumption and vitamins containing folic acid

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

Gestational Trophoblastic Disease (Hydatiform Mole) Expected findings? - The Answer Is #1= Excessive N/V d/t ↑ hCG levels -Rapid uterine growth and fundal height greater than expected for gestational age -Bleeding that varies in color from dark brown to dark red and may be scant or profuse, lasting days to weeks -Anemia from blood loss Nursing Care for pt. with Hydatiform Mole? - The Answer Is -Measure fundal height -Assess vag. bleeding and D/C -Assess G.I. and appetite -Monitor for s/s of preeclampsia -Admin meds as ordered (Chemo agents for malignant cells, rh-immunoglobulin for rh-neg. pt.s) -Advise pt.'s to save clots and tissue for evaluation Kleinhaur-Betke test evaluates ________? - The Answer Is Kleinhaur-Betke test is used to detect the presence of fetal blood in maternal circulation

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

What is the leading cause of Maternal Death? - The Answer Is Abruptio Placenta Retrovir- Use and nursing considerations - The Answer Is Retrovir- Anti-retroviral medication used in pt.'s with HIV/AIDS Nursing considerations: --Admin. at 14 weeks gestation, throughout pregnancy, and before onset of labor or c-section birth --Admin to newborn (after first being bathed) at delivery and for 6 weeks following birth A nurse is caring for a pt. with Gonorrhea. Which of the following medications should the nurse expect to be prescribed? A. Ceftriaxone B. Fluconazole C. Metronidazole D. Zidovuzine - The Answer Is Answer= A, Ceftriaxone IM or Doxycycline orally for 7 days is prescribed treatment for gonorrhea

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

B. Fluconazole is used to treat yeast infection C. Metronidazole is used in treatment of Bacterial vaginosis and trichomoniasis D. Zidovudine is used to treat HIV/AIDS A nurse is caring for a pt. who is in labor. The nurse should identify that which of the following infections can be treated DURING labor or immediately following birth? (select ALL that APPLY) A. Gonorrhea B. Chlamydia C. HIV D. Group- B streptococcus E. TORCH infection - The Answer Is Answer= A,B,C,D A. Gonorrhea- (all) infants treated immediately after delivery with Erythromyocin

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

B. Chlamydia- (all) infants treated immediately after delivery with Erythromyocin C. Retrovir is prescribed to pt. in labor who is HIV-positive D. Group-B streptococcus- Penecillin G or Ampicillin may be prescribed to treat positive-GBS E. ONLY SOME TORCH INFECTIONS CAN BE TREATED DURING PREG./LABOR! Not all. therefore not a correct answer What infection is commonly screened for at 35-37 weeks?

The Answer Is group-b streptococcus infection What infections should ALL pregnancy women be tested for at their first prenatal visit? - The Answer Is Chlamydia and Gonorrhea Cervical Cerclage: When/why is it used, When is the ideal time to insert and remove, etc. - The Answer Is - May be used in pt. who has cervical insufficiency (or cervical incompetency) -For best results, insert at 12-14 wks gestation

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

-Diagnostic- US shows shortened cervix (<25mm), cervical funneling, or effacement of cervical os -Prophylactic Cervical Cerclage= surgical reinforcement of cervix to prevent premature cervical dilation, removed at 37 weeks or when spontaneous labor occurs What medication may be given to a pt. with cervical insufficiency? - The Answer Is Tocolytics may be given prophylactically to inhibit UC A nurse prepares to administer a vitamin K injection to a newborn infant. The mother asks the nurse why her newborn infant needs the injection. The best response by the nurse would be: A. "Newborn infants are deficient in vitamin K, and this injection prevents your infant from abnormal bleeding." B. "The vitamin K will protect your infant from being jaundiced." C. "You infant needs vitamin K to develop immunity."

maternal newborn nursing REVIEW,

Maternal/Newborn ATI Final REVIEW

Questions And Answers

D. "Newborn infants have sterile bowels, and vitamin K promotes the growth of bacteria in the bowel." - The Answer Is answer: A The nurse is aware that a healthy newborn's respirations are: A. Irregular, abdominal, 30-60 per minute, shallow B. Regular, initiated by the chest wall, 40-60 per minute, shallow C. Regular, abdominal, 40-50 per minute, deep D. Irregular, initiated by chest wall, 30-60 per minute, deep - The Answer Is Answer= A. irregular, shallow, abdominal breathing, 30-60/minute --> healthy neonate respirations The probable signs of pregnancy - The Answer Is Signs that make the examiner suspect pregnancy, however s/s may be caused by something other than pregnancy 7 probable signs of pregnancy, (all the "____ sign") are probable signs (1) Abdominal and uterine enlargement