ATI PN Maternal Newborn 2023 | Nurselytic

Questions 57

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ATI PN Maternal Newborn 2023 Questions

Extract:

A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids.


Question 1 of 5

Which of the following statements by the client indicates understanding of the teaching?

Correct Answer: A

Rationale: I will apply witch hazel pads after urination.' is correct. Witch hazel soothes the perineal area and reduces discomfort.

Extract:

A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron.


Question 2 of 5

Which of the following foods should the nurse recommend as the best source of iron?

Correct Answer: B

Rationale: Chicken breast is a good source of heme iron, which is more readily absorbed, meeting increased iron needs in pregnancy.

Extract:

A nurse is reinforcing teaching with a client who tested positive for group B streptococcus B-hemolytic (GBS) during a prior pregnancy and is at 30 weeks of gestation.


Question 3 of 5

Which of the following statements should the nurse make?

Correct Answer: A

Rationale: You will be tested again for GBS at about 36 weeks of gestation.' is correct to determine if antibiotics are needed during labor.

Extract:

Nurses' Notes: Newborn is lying in bassinet, lightly swaddled. Jittery with a weak cry when disturbed. Extremities mottled with acrocyanosis. Respirations rapid and unlabored. Vital Signs: Axillary temperature 36° C, Heart rate 132/min, Respiratory rate 72/min, Weight 4,366 g. Maternal history: Urine drug screen positive for marijuana.


Question 4 of 5

Complete the diagram by specifying what condition the newborn is most likely experiencing, 2 actions the nurse should take, and 2 parameters to monitor.

Action to Take

Hypoglycemia
Kernicterus
Neonatal abstinence
Congenital syphilis;

Potential Condition

Collect a urine specimen.
Respiratory status
Monitor the newborn after
Reinforce with the parent to feed the newborn
Anticipate a prescription to obtain a capillary blood sample.

Parameter to Monitor

Bilirubin levels
Temperature
Skin Integrity
Respiratory status
Environmental stimuli

Correct Answer:

Rationale: Condition: Hypoglycemia - Jitteriness and weak cry suggest low blood sugar. Actions: Feeding stabilizes blood sugar; capillary blood sample confirms diagnosis. Parameters: Temperature and respiratory status monitor for complications.

Extract:

Nurses' Notes: Client at 38 weeks of gestation presents with fluid leaking from vagina. Mild contractions 20 min apart at 0630, 15 min apart at 0830. Cervix 2 cm dilated, 20% effaced. FHR 132/min with moderate variability.


Question 5 of 5

After review of the client's EMR, which of the following interventions should the nurse recommend as anticipated, nonessential, or contraindicated?

Correct Answer: A, D, E, G; B, F; C

Rationale: A: Anticipated - helps labor progress; B: Non-essential - no indication for catheterization; C: Contraindicated - risks supine hypotensive syndrome; D, E, G: Anticipated - monitor fetal well-being and confirm membrane rupture.

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