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GRADED A+ / MATERNAL NEWBORN ATI PROCTORED EXAM |
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A nurse is caring for a newborn whose mother received magnesium
sulfate to treat preterm labor. Which of the following clinical
manifestations in the newborn indicates toxicity due to the magnesium
sulfate therapy?
Respiratory depression
Hypothermia
Hypoglycemia
Jaundice - ✔✔✔ Correct Answer > Respiratory depression
Magnesium sulfate can cause respiratory and neuromuscular
depression in the newborn. The nurse should monitor the newborn
for clinical manifestations of respiratory depression.
A nurse is caring for a newborn who was born to a client who has a
narcotic use disorder. Which of the following nursing actions should the
nurse identify as a contraindication for the care of the newborn?
,Promoting maternal-newborn bonding
Tight swaddling of the newborn
Small frequent feedings
Frequent stimulation - ✔✔✔ Correct Answer > Frequent stimulation
This newborn needs a quiet, calm environment with minimal
stimulation to promote rest and reduce stress. A stimulating
environment can trigger irritability and hyperactive behaviors.
A nurse is caring for a client who is in labor. A vaginal examination
reveals the following information: 2cm, 50%, +1, right occiput anterior.
Based on this information, which of the following position should the
nurse document in the medical record?
Transverse
Breech
Vertex
Mentum - ✔✔✔ Correct Answer > Vertex
ROA describes the relationship of the presenting part of the fetus to
the client's pelvis. In this case, the occipital bone is the presenting part
and is located anteriorly in the client's right side. Based on the
presentation of the fetus, the position is vertex.
,A nurse is caring for a client who desires an intrauterine device (IUD) for
contraception. Which of the following findings is a contraindication for
the use of this device?
Hypertension
Menorrhagia
History of multiple gestations
History of thromboembolic disease - ✔✔✔ Correct Answer > Menorrhagia
An IUD is a small plastic or copper device placed inside the uterus that
changes the uterine environment to prevent pregnancy. An IUD is
contraindicated for women who have menorrhagia, severe
dysmenorrhea, or history of ectopic pregnancy.
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?
Keep four side rails up while the client is in bed.
Monitor fetal heart rate every hour.
Insert an indwelling urinary catheter.
Check the cervix prior to analgesic administration. - ✔✔✔ Correct Answer >
Check the cervix prior to analgesic administration
, Prior to administering an analgesic during active labor, the nurse must
know how many centimeters the cervix is dilated. If administered too
close to the time of delivery, the analgesic could cause respiratory
depression in the newborn.
A nurse is caring for a client who has trichomoniasis and a prescription
for metronidazole. Which of the following instructions should the nurse
provide to the client about the treatment plan?
"Your partner needs to be cultured and be treated with metronidazole
only if his cultures are positive."
"You and your partner need to take the medication and use a condom
during intercourse until cultures are negative."
"If both you and your partner are treated simultaneously, you may
continue to engage in sexual intercourse."
"Only you will need to take the metronidazole, but you should not have
intercourse until your culture is negative." - ✔✔✔ Correct Answer > You and
your partner need to take the medication and use a condom during
intercourse until cultures are negative
Trichomonas vaginalis is the organism that causes the sexually
transmitted infection trichomoniasis. Both men and women can be
infected with trichomoniasis. Clinical findings include yellowish to
greenish, frothy, mucopurulent, copious discharge with an unpleasant
odor, as well as itching, burning, or redness of the vulva and vagina.
Trichomoniasis can be treated easily with metronidazole. However, for