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Ati capstone ob maternty2024 latest exam midterm and end –term with questions and answers
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Ati capstone ob maternty2024 latest exam mid-term and end –term with questions and
answers
A nurse is caring for a newborn 4 hr after birth. Which of the following actions should the
nurse include in the plan of care to prevent jaundice?
Begin phototherapy.
Initiate early feeding.
Suction excess mucus with a bulb syringe
Prepare for an exchange blood transfusion. - ✔✔ANSW✔✔..Initiate early feeding
A nurse is caring for a newborn and assessing newborn reflexes. To elicit the Moro
reflex, the nurse should take which of the following actions?
Perform a sharp hand clap near the infant.
Hold the newborn vertically allowing one foot to touch the table surface.
Place a finger at the base of the newborn's toes.
Turn the newborn's head quickly to one side. - ✔✔ANSW✔✔..Perform a sharp hand
clap near the infant
A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which
of the following actions should the nurse take?
Ask another nurse to verify the heart rate.
Document this as an expected finding.
Call the provider to further assess the newborn.
Prepare the newborn for transport to the NICU. - ✔✔ANSW✔✔..Document this as an
expected finding
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface
antigen. Which of the following should the infant receive?
Hepatitis B immune globulin at 1 week followed by hepatitis B vaccine monthly for 6
months
Hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface
antigen
Hepatitis B immune globulin and hepatitis B vaccine within 12 hr of birth
Hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3
days - ✔✔ANSW✔✔..Hepatitis B immune globulin and hepatitis B vaccine within 12 hr
of birth
A nurse is caring for a preterm newborn who has a nasogastric tube and who recently
began intermittent gavage feedings of formula. The nurse
, notes increased abdominal distention, lethargy, bloody stools, and increasing gastric
residuals before feedings. The nurse should suspect which of
the following?
necrotizing enterocolitis
Overstimulation
Need for placement of a gastrostomy tube
Intraventricular hemorrhage - ✔✔ANSW✔✔..necrotizing enterocolitis
A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral
thermal environment. The father of the newborn asks the
nurse why this is necessary. Which of the following responses should the nurse make?
"Preterm newborns have a smaller body surface area than normal newborns.
"The added brown fat layer in a preterm newborn reduces his ability to generate heat."
"Preterm newborns lack adequate temperature control mechanisms
"The heat in the incubator rapidly dries the sweat of preterm newborns." -
✔✔ANSW✔✔.."Preterm newborns lack adequate temperature control mechanisms."
A nurse admits a woman who is at 38 weeks of gestation and in early labor with
ruptured membranes. The nurse determines that the client's oral
temperature is 38.9° C (102° F). Besides notifying the provider, which of the following is
an appropriate nursing action?
Recheck the client's temperature in 4 hr.
Administer glucocorticoids intramuscularly.
Assess the odor of the amniotic fluid.
Prepare the client for emergency cesarean section. - ✔✔ANSW✔✔..Assess the odor of
the amniotic fluid.
A nurse in a clinic is teaching the mother of a 4-month-old infant who has been
breastfed. The mother plans to switch her infant to an iron-
fortified formula. Which of the following should be included in the teaching?
Iron facilitates development of vision in infants.
Iron facilitates growth of bones in infants.
Iron stores in infants begin to deplete.
Iron is poorly absorbed in infants. - ✔✔ANSW✔✔..Iron stores in infants begin to
deplete.
A nurse in the newborn nursery is caring for a group of newborns. Which of the
following newborns requires immediate intervention?
A newborn who is 24 hr post-delivery and has not voided
A newborn who is 18 hr post-delivery and has acrocyanosis
A newborn who is 24-hr post-delivery and has not passed meconium
A newborn who is 12 hr post-delivery and has a temperature of 37.5° C (99.5° F) -
✔✔ANSW✔✔..A newborn who is 12 hr post-delivery and has a temperature of 37.5° C
(99.5° F)
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