RN ATI MATERNAL NEWBORN 2019 WITH NGN (RATIONALE)

RN ATI MATERNAL NEWBORN 2019 WITH NGN (RATIONALE)

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?
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
RATIONALE
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?
D. Platelet Count 60.000/ mm3
RATIONALE
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?
- Tinnitus
RATIONALE
this is a documented adverse effect of this medication
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?
C. Facial Palsy
RATIONALE
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"
RATIONALE
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?
- Urine Ketones
RATIONALE
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?
Having the client lie in a supine position
RATIONALE
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?
- Malodorous Discharge
A nurse is assessing a newborn upon admission to the nursery. Which of
the following should the nurse expect?
Chest circumference 2 cm (0.8 in) smaller than the head circumference
RATIONALE
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?
Swaddle the newborn in a flexed position
RATIONALE
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?
Reassess the blood glucose level prior to the next feeding
RATIONALE
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).