ati RN maternal newborn
Study online at https://quizlet.com/_9ktk4c
1. a nurse is assessing a client who has gestational diabetes Mellitus and is
experiencing hyperglycemia. which of the following findings should the nurse
expect?: reports increased urinary output.
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation, drowsiness, and
headaches are manifestations of hyperglycemia. Other manifestations include weak rapid pulse, fruity breath odor,
urine positive for sugar and acetone, and a blood glucose level greater than 200 mg/dL.
2. a nurse is caring for a client who is 22 weeks of gestation and is HIV positive.
which of the following actions should the nurse take?: Report the client's condition to the
local health department.
The nurse should report the condition to the local health department. HIV is one of the conditions on the list of Nationally
Notifiable Infectious Conditions that is required to be reported.
3. a nurse is providing teaching for a client who has a new prescription for
combined oral contraceptives. which of the following findings should the nurse
include as an adverse effect of this medication?: depression
The nurse should instruct the client that depression is a common adverse effect of combined oral contraceptives.
Other common adverse effects of the medication include amenorrhea, weight gain, headache, nausea, breakthrough
bleeding, and breast tenderness.
4. a nurse is providing teaching to a client who is at 40 weeks of gestation and
has a new prescription for misoprostol. Which of the following instructions
should the nurse include in the teaching?: "I can administer oxytocin 4 hours after the insertion
of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol. Oxytocin can be administered
following misoprostol for clients who have cervical ripening and have not begun labor.
5. a nurse is caring for a prenatal client who has parvovirus b19(fifth disease)
which of the following actions should the nurse take?: schedule an ultrasound examination
The nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the
possible development of fetal hydrops. Also, the virus can cause miscarriage, intrauterine growth restriction, fetal
anemia, or stillbirth.
, ati RN maternal newborn
Study online at https://quizlet.com/_9ktk4c
6. a nurse is preparing to collect a blood specimen from a newborn via a heel
stick. which of the following techniques should the nurse use to help minimize
the pain of the procedure for the newborn?: place the newborn skin to skin on the mother's
chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to significantly decrease the newborn's
pain level and anxiety. The nurse should implement this technique before, during, and after the procedure.
7. a nurse is performing a vag examination on a client who is in labor and
observes the umbilical cord protruding from the vagina. after calling for assis-
tance, which of the following actions should the nurse take?: Insert two gloved fingers
into the vagina and apply upward pressure to the presenting part.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix, exerting upward pressure
onto the presenting part to relieve umbilical cord compression and increase oxygenation to the fetus.
8. a nurse is caring for a client who is at 24 weeks of gestation and has a
suspected placental abruption. which of the following lab tests should the
nurse expect the provider to prescribe?: kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has suspected placental
abruption to determine if fetal blood is in maternal circulation. This test is useful to determine if Rho-(D) immune
globulin therapy should be administered to a client who is Rh-negative.
9. a nurse is admitting a client who is in labor. the client admits to recent cocaine
use. for which of the following complications should the nurse assess?: abruptio
placenta
cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
10. a nurse is assessing a client who has severe preeclampsia. which of the
following manifestations should the nurse expect.: blurred vision
The nurse should identify that a client who has severe preeclampsia can have arteriolar vasospasms and decreased
blood flow to the retina which can lead to visual disturbances, such as blurred vision, double vision, or dark spots in
the visual field.
Study online at https://quizlet.com/_9ktk4c
1. a nurse is assessing a client who has gestational diabetes Mellitus and is
experiencing hyperglycemia. which of the following findings should the nurse
expect?: reports increased urinary output.
Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain, constipation, drowsiness, and
headaches are manifestations of hyperglycemia. Other manifestations include weak rapid pulse, fruity breath odor,
urine positive for sugar and acetone, and a blood glucose level greater than 200 mg/dL.
2. a nurse is caring for a client who is 22 weeks of gestation and is HIV positive.
which of the following actions should the nurse take?: Report the client's condition to the
local health department.
The nurse should report the condition to the local health department. HIV is one of the conditions on the list of Nationally
Notifiable Infectious Conditions that is required to be reported.
3. a nurse is providing teaching for a client who has a new prescription for
combined oral contraceptives. which of the following findings should the nurse
include as an adverse effect of this medication?: depression
The nurse should instruct the client that depression is a common adverse effect of combined oral contraceptives.
Other common adverse effects of the medication include amenorrhea, weight gain, headache, nausea, breakthrough
bleeding, and breast tenderness.
4. a nurse is providing teaching to a client who is at 40 weeks of gestation and
has a new prescription for misoprostol. Which of the following instructions
should the nurse include in the teaching?: "I can administer oxytocin 4 hours after the insertion
of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol. Oxytocin can be administered
following misoprostol for clients who have cervical ripening and have not begun labor.
5. a nurse is caring for a prenatal client who has parvovirus b19(fifth disease)
which of the following actions should the nurse take?: schedule an ultrasound examination
The nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the
possible development of fetal hydrops. Also, the virus can cause miscarriage, intrauterine growth restriction, fetal
anemia, or stillbirth.
, ati RN maternal newborn
Study online at https://quizlet.com/_9ktk4c
6. a nurse is preparing to collect a blood specimen from a newborn via a heel
stick. which of the following techniques should the nurse use to help minimize
the pain of the procedure for the newborn?: place the newborn skin to skin on the mother's
chest.
Placing the newborn skin to skin on the mother's chest is an effective technique to significantly decrease the newborn's
pain level and anxiety. The nurse should implement this technique before, during, and after the procedure.
7. a nurse is performing a vag examination on a client who is in labor and
observes the umbilical cord protruding from the vagina. after calling for assis-
tance, which of the following actions should the nurse take?: Insert two gloved fingers
into the vagina and apply upward pressure to the presenting part.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the cervix, exerting upward pressure
onto the presenting part to relieve umbilical cord compression and increase oxygenation to the fetus.
8. a nurse is caring for a client who is at 24 weeks of gestation and has a
suspected placental abruption. which of the following lab tests should the
nurse expect the provider to prescribe?: kleihauer-betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has suspected placental
abruption to determine if fetal blood is in maternal circulation. This test is useful to determine if Rho-(D) immune
globulin therapy should be administered to a client who is Rh-negative.
9. a nurse is admitting a client who is in labor. the client admits to recent cocaine
use. for which of the following complications should the nurse assess?: abruptio
placenta
cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
10. a nurse is assessing a client who has severe preeclampsia. which of the
following manifestations should the nurse expect.: blurred vision
The nurse should identify that a client who has severe preeclampsia can have arteriolar vasospasms and decreased
blood flow to the retina which can lead to visual disturbances, such as blurred vision, double vision, or dark spots in
the visual field.
