ATI Maternal Newborn Final:
• A nurse is caring for four newborns. The finding the nurse should report to the provider is:
- A 12-hr newborn who has a HR of 70/min while sleeping.
Rationale: The average HR for a newborn is 80-100/min while sleeping. May increase to
180/min during ep. Of crying.
• A nurse is contributing to the plan of care for a client who plans to formula feed her
newborn. The ff action the nurse should include in the plan is to:
- Have the client place ice packs on her breast four times/day.
Rationale: Engorgement can occur in the non-breastfeeding client. It is uncomfortable,
& occasionally painful. Ice application to the breast for 15-20 min, QID for 5 days,
avoiding breast stimulation & keeping warm water off the breast during showering are
effective methods to reduce milk production & suppress lactation.
• A nurse is caring for a client who is at 34 wks gestation & has prescription for terbutaline
for preterm labor. The statement of the client that the nurse has to prioritize is:
- “My heart feels as if it is racing”
• A nurse in an antepartum clinic answers a phone call from a client who is at 37 wks
gestation & reports, “I became very dizzy while lying in the bed this morning, but the
feeling went away after when I turned on my side.” The action the nurse should take is:
- Instruct client about vena cava syndrome & measures to prevent it.
Rationale: This is a typical finding for vena cava syndrome, or hypotension that occurs
in the client who are pregnant upon assuming supine position. Caused by compression
of the inferior vena cava by the gravid uterus with a consequent reduction in venous
return. Side-lying position promotes uterine perfusion & fetoplacental oxygenation.
• A nurse is caring for a client who has Trichomoniasis & prescription for metronidazole. The
nurse must instruct the client to:
- “You & Your partner need to take the medication & use a condom during intercourse
until cultures are negative.”
Rationale: T-vaginalis is an STI. Both gender can be infected. Treated with
Flagyl(metronidazole). However, for the tx to work, it is important to make sure both
sexual partners receive tx to prevent reinfection, & use of condom during sexual
intercourse while being treated.
• A nurse is reinforcing teaching about formula feeding with a parent of a newborn. The
statement by the parent indicates an understanding of the teaching is:
- “I will warm the bottle of formula by placing it in a pan of hot water.”
Rationale: Instruct this to the client & to test the T of the formula by dropping a
couple drops on the wrist. A bottle of formula should never be placed in the microwave
to warm.
• A nurse is assisting with the care of a preterm newborn who is receiving oxygen therapy.
The ff finding the nurse should identify as potential complication from oxygen therapy is:
- Retinopathy
Rationale: O2 Therapy can cause retinopathy of prematurity, esp. in preterm newborns.
• A nurse is reinforcing teaching with a client who is postpartum & breastfeeding. The
nutrient the nurse should instruct the client to increase while BF is:
- Vitamin C
Rationale: For tissue formation & integrity. Consume 115-120 mg/day.
• A nurse is caring for a client who is pregnant & reports N&V. The instruction the nurse
should give is:
- “You should eat some crackers before rising from bed in the morning.”
This study source was downloaded by 100000829219024 from CourseHero.com on 04-05-2022 03:55:27 GMT -05:00
https://www.coursehero.com/file/55934367/ATI-Maternal-Newborn-Finaldocx/
• A nurse is caring for four newborns. The finding the nurse should report to the provider is:
- A 12-hr newborn who has a HR of 70/min while sleeping.
Rationale: The average HR for a newborn is 80-100/min while sleeping. May increase to
180/min during ep. Of crying.
• A nurse is contributing to the plan of care for a client who plans to formula feed her
newborn. The ff action the nurse should include in the plan is to:
- Have the client place ice packs on her breast four times/day.
Rationale: Engorgement can occur in the non-breastfeeding client. It is uncomfortable,
& occasionally painful. Ice application to the breast for 15-20 min, QID for 5 days,
avoiding breast stimulation & keeping warm water off the breast during showering are
effective methods to reduce milk production & suppress lactation.
• A nurse is caring for a client who is at 34 wks gestation & has prescription for terbutaline
for preterm labor. The statement of the client that the nurse has to prioritize is:
- “My heart feels as if it is racing”
• A nurse in an antepartum clinic answers a phone call from a client who is at 37 wks
gestation & reports, “I became very dizzy while lying in the bed this morning, but the
feeling went away after when I turned on my side.” The action the nurse should take is:
- Instruct client about vena cava syndrome & measures to prevent it.
Rationale: This is a typical finding for vena cava syndrome, or hypotension that occurs
in the client who are pregnant upon assuming supine position. Caused by compression
of the inferior vena cava by the gravid uterus with a consequent reduction in venous
return. Side-lying position promotes uterine perfusion & fetoplacental oxygenation.
• A nurse is caring for a client who has Trichomoniasis & prescription for metronidazole. The
nurse must instruct the client to:
- “You & Your partner need to take the medication & use a condom during intercourse
until cultures are negative.”
Rationale: T-vaginalis is an STI. Both gender can be infected. Treated with
Flagyl(metronidazole). However, for the tx to work, it is important to make sure both
sexual partners receive tx to prevent reinfection, & use of condom during sexual
intercourse while being treated.
• A nurse is reinforcing teaching about formula feeding with a parent of a newborn. The
statement by the parent indicates an understanding of the teaching is:
- “I will warm the bottle of formula by placing it in a pan of hot water.”
Rationale: Instruct this to the client & to test the T of the formula by dropping a
couple drops on the wrist. A bottle of formula should never be placed in the microwave
to warm.
• A nurse is assisting with the care of a preterm newborn who is receiving oxygen therapy.
The ff finding the nurse should identify as potential complication from oxygen therapy is:
- Retinopathy
Rationale: O2 Therapy can cause retinopathy of prematurity, esp. in preterm newborns.
• A nurse is reinforcing teaching with a client who is postpartum & breastfeeding. The
nutrient the nurse should instruct the client to increase while BF is:
- Vitamin C
Rationale: For tissue formation & integrity. Consume 115-120 mg/day.
• A nurse is caring for a client who is pregnant & reports N&V. The instruction the nurse
should give is:
- “You should eat some crackers before rising from bed in the morning.”
This study source was downloaded by 100000829219024 from CourseHero.com on 04-05-2022 03:55:27 GMT -05:00
https://www.coursehero.com/file/55934367/ATI-Maternal-Newborn-Finaldocx/
