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2024 ATI MATERNAL NEWBORN FINAL EXAM WITH CORRECT ANSWERS
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2024 ATI MATERNAL NEWBORN FINAL EXAM WITH CORRECT ANSWERS
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2024 ATI MATERNAL NEWBORNFINAL EXAM WITH CORRECT
ANSWERS
nurse is planning care for a requires phototherapy for
hyperbilirubinemia. Which of the following actions should the
nurse include inthe plan of care - CORRECT ANSWERS- Ensure
the newborns eyes are closed before applying the eye shield -
Overexposure to the lights during treatment can cause damage to
the newborn's corneas. Therefore, the nurse should gently close
the newborn's eyes prior to applying the eye shield.
A nurse is caring for a client at 34 weeks gestation and has a
prescription for terbutaline for preterm labor. Which of the
following statements by the patient is the priority? - CORRECT
ANSWERS- "My heart feels as if it is racing." - the nurse should
assess the client's heart rate. The primary action of terbutaline is
to cause bronchodilation and relax smooth muscles. However, an
adverse effect is tachycardia. If the pulse is greater than 130/min,
the terbutaline needs to be held until the provider is notified. The
nurse might also need to use Maslow's hierarchy of needs, the
ABC priority-setting framework, or nursing knowledge to identify
which finding is the most urgent.
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? - CORRECT ANSWERS- pelvic
, inflammatory disease (PID) - An ectopic pregnancy occurs when
the fertilized egg implants in tissue outside of the uterus and the
placenta and fetus begin to develop there. The most common site
is within a fallopian tube, but ectopic pregnancies can
occasionally occur in the ovary or the abdomen. Most cases are a
result of scarring caused by a previous tubal infection or tubal
surgery. Therefore, PID places the client at risk for an ectopic
pregnancy.
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? - CORRECT ANSWERS- 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? - CORRECT ANSWERS- At 28
weeks of gestation - 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.
A nurse is caring for a client who is at 39 weeks of gestation and
is in active labor. Which of the following actions should the nurse
include in the plan of care? - CORRECT ANSWERS- Check the
cervix prior to analgesic administration. - Prior to administering an
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