Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS, Exams of Nursing

Download Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS and more Exams Nursing in PDF only on Docsity! Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS A - The Answer is A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." C. "Oral contraceptives can worsen a case of acne." D. "A contraceptive patch is replaced once a month." C - The Answer is A nurse is instructing a client who is taking an oral contraceptive about manifestations to report to the provider. Which of the following manifestations should the nurse include? A. Reduced menstrual flow B. Breast tenderness C. Shortness of breath D. Increased appetite D - The Answer is A nurse in an obstetrical clinic is teaching a client about using an IUD for contraception. Which of the Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS following statements by the client indicates an understanding of the teaching? A. "An IUD should be replaced annually during a pelvic exam." B. "I cannot get an IUD until after l've had a child." C. "I should plan on regaining fertility 5 months after the IUD is removed." D. "I will check to be sure the strings of the IUD are still present after my periods." B C D - The Answer is A nurse is teaching a client about potential adverse effects of implantable progestins. Which of the following adverse effects should the nurse include? (Select all that apply.) A. Tinnitus B. Irregular vaginal bleeding C. Weight gain D. Nausea E. Gingival hyperplasia A C E - The Answer is A nurse in a clinic is teaching a client about a new prescription for medroxyprogesterone. Which of Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS ectopic pregnancy. Which of the following statements by the client requires clarification? A. "It is good to know that I won't have a tubal pregnancy in the future." B. "The doctor said that this surgery can affect my ability to get pregnant again." C. "I understand that one of my fallopian tubes had to be removed." D. "Ovulation can still occur because my ovaries were not affected." B - The Answer is 5. A nurse is reviewing the medical record of a client who is to undergo hysterosalpingography. Which of the following data alert the nurse that the client is at risk for a complication related to this procedure? VITAL SIGNS LABORATORY FINDINGS Temperature 36.1° C (97° F) Glucose 103 mg/dL Heart rate 60/min Hgb 13.1 g/dL Total cholesterol HISTORY 265 mg/dL AND PHYSICAL Employed as MEDICATIONS a radiology Rosuvastatin technician Magnesium oxide Allergy to shrimp Mafenide acetate Tonsillectomy at age 18 A. Vital signs B. History and physical C. Laboratory findings D. Medications Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS A - The Answer is 1. A nurse is caring that their last menstrual period was April 1st. Which of for a client who is pregnant and states the following is the client's estimated date of delivery? A. January 8 B. January 15 C. February 8 D. February 15 A D E - The Answer is A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's health record includes this data: G3 T1 PO A1 L1. How should the nurse interpret this information? (Select all that apply.) A. Client has delivered one newborn at term. B. Client has experienced no preterm labor. C. Client has been through active labor. D. Client has had two prior pregnancies. E. Client has one living child. Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS B C D - The Answer is A nurse s reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (Select all that apply.) A. Montgomery's glands B. Goodell's sign C. Ballottement D. Chadwick's sign E. Quickening C - The Answer is A nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? A. "This is due to an increase in blood volume." B. "This is due to pressure from the uterus on the diaphragm." C. "This is due to the weight of the uterus on the vena cava." D. "This is due to increased cardiac output." Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS pregnancy. Which of the following findings should the nurse include? (Select all that apply.) A. Breast tenderness B. Urinary frequency C. Epistaxis D. Dysuria E. Epigastric pain B - The Answer is A client who is at 8 weeks of gestation tells the nurse "I am not sure I am happy about being pregnant." Which of the following responses should the nurse make? A. "I will inform the provider that you are having these feelings." B. "It is normal to have these feelings during the first few months of pregnancy." C. "You should be happy that you are going to bring new life into the world." D. "I am going to make an appointment with the counselor for you to discuss these thoughts." A - The Answer is A nurse in a prenatal clinic is providing Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS education to a client who is at 8 weeks of gestation. The client states, "I don't like milk." Which of the following foods should the nurse recommend as a good source of calcium? A. Dark green leafy vegetables B. Deep red or orange vegetables C. White breads and rice D. Meat, poultry, and fish B - The Answer is A nurse in a prenatal clinic is caring for four clients. Which of the following clients' weight gain should the nurse report to the provider? A. 1.8 kg (4 Ib) weight gain and is in the first trimester B. 3.6 kg (8 Ib) weight gain and is in the first trimester C. 6.8 kg (15 Ib) weight gain and is in the second trimester D. 11.3 kg (25 Ib) weight gain and is in the third trimester D - The Answer is A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS A. Iron deficiency anemia B. Poor bone formation C. Macrosomic fetus D. Neural tube defects D - The Answer is A nurse is reviewing a new prescription for iron supplements with a client who is at 8 weeks of gestation and has iron deficiency anemia. Which of the following beverages should the nurse instruct the client to take the iron supplements with? A. Ice water B. Low-fat or whole milk C. Tea or coffee D. Orange juice D - The Answer is A nurse is reviewing postpartum nutrition needs with a group of clients who have begun breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? A. "I am glad I can have my morning coffee." B. "I should take folic acid to increase my milk supply." Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS A BC - The Answer is A nurse is caring for a client who is pregnant and is it to undergo a contraction stress test. Which of the following findings are indications for this procedure? Select all that apply. A decreased fetal movement B iugr C postmarurity D placenta previa E amniotic fluid emboli B - The Answer is A nurse in the emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states, "I missed one menstrual cycle and cannot be pregnant because I have an intrauterine device." The nurse should suspect which of the following? A. Missed abortion B. Ectopic pregnancy C. Severe preeclampsia D. Hydatidiform mole Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS B C E - The Answer is A nurse is providing care for a client who has a marginal abruptio placentae. Which of the following findings are risk factors for developing the condition? (Select all that apply.) A. Fetal position B. Blunt abdominal trauma C. Cocaine use D. Maternal age E. Cigarette smoking A - The Answer is A nurse is caring for a client who is at 32 weeks of gestation and has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following medications should the nurse expect the provider will prescribe? A. Betamethasone B. Indomethacin C. Nifedipine D. Methylergonovine C - The Answer is A nurse at an antepartum clinic is caring Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS for a client who is at 4 months of gestation. The client reports continued nausea; vomiting; and scant, prune- colored discharge. The client has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? A. Hyperemesis gravidarum B. Threatened abortion C. Hydatidiform mole D. Preterm labor D - The Answer is A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following tindings is expected with this condition? A. No alteration in menses B. Transvaginal ultrasound indicating a fetus in the uterus C. Blood progesterone greater than the expected reference range D. Report of severe shoulder pain A C E - The Answer is A nurse is admitting a client bas HIV. Which of the following who is in labor and interventions chould Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS B. "Seek prophylactic treatment if cytomegalovirus is detected during pregnancy." C. "A client should avoid crowded places during pregnancy." D. "A client should avoid consuming undercooked meat while pregnant." A B D - The Answer is A nurse is caring for a client who is at 14 weeks of gestation and has hyper emesis gravidarum. The nurse should identify that which of the following are risk factors for the client? Select all that apply. A diabetes B multifetal pregnancy C maternal age greater than 40 D gestational tropoblastic disease E oligohydraminos B - The Answer is A nurse is caring for a client who has suspected hyperemesis client's laboratory findings is a manifestation of this condition? reports. Which of the gravidarum and is reviewing the following Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS A. Hgb 12.2 g/dL B. Urine ketones present C. Alanine aminotransferase 20 IU/L D. Blood glucose 114 mg/dL A B D - The Answer is A nurse is administering magnesium sulfate IV for seizure prophylaxis to a client who has severe preeclampsia. Which of the following indicates magnesium sulfate toxicity? (Select all that apply.) A. Respirations less than 12/min B. Urinary output less than 25 mL/hr C. Hyperreflexic deep-tendon reflexes D. Decreased level of consciousness E. Flushing and sweating D - The Answer is A nursing is caring for a client who is receiving IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if magnesium sulfate toxicity is suspected? A. Nifedipine B. Pyridoxine Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS C. Ferrous sulfate D. Calcium gluconate C - The Answer is A nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates understanding of the teaching? A. "I will take this pill with my breakfast." B. "I will take this medication with a glass of milk." C. "I plan to drink more orange juice while taking this pill." D. "I plan to add more calcium-rich foods to my diet while taking this medication." ABDE - The Answer is A nurse is caring for a client who reports manifestations of preterm labor. Which of the following findings are risk factors of this condition? Select all that apply. A uti B multifetal pregnancy C Oligohydraminos Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS Birth Rate - The Answer is Number of live births in 1 year per 1,000 population Pregnancy-associated-deaths - The Answer is All deaths during pregnancy and within the end of pregnancy. Maternal mortality rate - The Answer is Number of maternal deaths from births and complications pregnancy, childbirth, and puerperium (the first 42 days after termination of pregnancy) per 100,000 live births. Still birth - The Answer is An infant who, at birth, demonstrates no sign of life, such as breathing, heartbeat, or voluntary muscle movements. Perinatal mortality rate - The Answer is Number of stillbirths, and number of neonatal deaths per live births. Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS Fertility rate - The Answer is Number of live births in 1 year per 1,000 population. Abortus - The Answer is An embryo or fetus that is removed or expelled from the uterus at 20 weeks of gestation or less, weighs 500 grams or less, or measures 25 cm or less. Infant mortality rate - The Answer is Number of deaths of infants younger than 1 year of age per 1,000 live births. Neonatal mortality rate - The Answer is Number of deaths of infants younger than 28 days of age per 1,000 live births. Pregnancy-related deaths - The Answer is Deaths that are a complication of pregnancy, an aggravation of an unrelated condition by the physiology of pregnancy, or a chain of events initiated by the pregnancy. Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS ANA (American Nurses Association) code of ethics - The Answer is Describes the goals, values, and obligations of nursing. This code applies to all nurses. Beneficence - The Answer is The obligation to do good Nonmaleficence - The Answer is The obligation to do no harm. Fidelity - The Answer is Being accountable for your responsibilities and loyal to your commitments. Veracity - The Answer is Being truthful Autonomy - The Answer is The right to self-determination Justice - The Answer is Related to allocation of resources and ensures that resources are used equitably. Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS pregnancy after 12 months (6 months for women older than age 35 years) of unprotected sexual intercourse. PRESUMPTIVE SIGNS - The Answer is • Amenorrhea • Fatigue Nausea and vomiting • Urinary frequency • Breast changes: darkened areolae, enlarged Montgomery's glands Quickening: slight fluttering movements of the fetus felt by the client, usually between 16 to 20 weeks of gestation • Uterine enlargement PROBABLE SIGNS - The Answer is • Abdominal enlargement related to changes in uterine size, shape, and position Hegar's sign: softening and compressibility of lower uterus • Chadwick's sign: deepened violet-bluish color of cervix and vaginal mucosa • Goodell's sign: softening of cervical tip • Ballottement: rebound of unengaged fetus Braxton Hicks contractions: false contractions that are painless, irregular, and usually relieved by walking Positive pregnancy test Fetal outline felt by examiner POSITIVE SIGNS - The Answer is • Fetal heart sounds • Visualization of fetus by ultrasound Fetal movement palpated by an experienced examiner Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS Reproductive and obstetrical history - The Answer is (contraception use, gynecological diagnoses, history of STIS, previous pregnancies, obstetrical difficulties). Medical history - The Answer is including physical preexisting conditions, surgical procedures, any handicapping conditions, and the client's immune status (rubella and hepatitis B). Nutritional history - The Answer is a complete dietary assessment can alert the practitioner to deficient practices and food allergies. Good nutrition is important and has a direct effect on the growth and development of the fetus. Family history - The Answer is Family history, such as genetic disorders or conditions that could affect the mother or fetus. Current medications - The Answer is including substance use and alcohol consumption. The nurse should display a nonjudgmental, matter-of-fact demeanor when interviewing a client Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS regarding substance use and observe for clinical findings such as lack of grooming. Psychosocial history - The Answer is client's emotional response to pregnancy, adolescent pregnancy, spouse, support system, history of depression, domestic violence issues). Abuse history or risk - The Answer is assess all clients for all forms, including physical, sexual, or psychological abuse, because the risk increases during pregnancy. BIRTH PLAN - The Answer is A nurse ascertains what a client's goals are for the birthing process. The nurse should discuss birthing methods, such as Lamaze, and pain control options (epidural, natural childbirth). PRENATAL ASSESSMENTS - The Answer is Prenatal care begins with an initial assessment (within the first 12 weeks) and continues throughout pregnancy. In an uneventful pregnancy, prenatal visits are scheduled monthly for weeks 16 through 28, every 2 weeks from 29 through 36 weeks, and every week from 36 weeks until birth. Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS cancer, herpes simplex type 2, and/or human papillomavirus. Vaginal/cervical culture - The Answer is Detects streptococcus beta- hemolytic, bacterial vaginosis, infections (gonorrhea and chlamydia). or sexually transmitted PPD - The Answer is Identifies exposure to tuberculosis. Venereal disease research laboratory - The Answer is Syphilis screening mandated by law. HIV - The Answer is Detects HIV infection (the Centers for Disease Control and Prevention and the American College of Obstetricians and Gynecologists recommend testing all clients who are pregnant unless the client refuses testing). (TORCH) - The Answer is Screening for a group of infections capable of crossing the placenta and adversely affecting fetal development. Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS (MSAFP): - The Answer is Screening occurs between 15 to 22 weeks of gestation. Used to rule out Down syndrome (low level) and neural tube defects. External abdominal ultrasound - The Answer is A safe, noninvasive, painless procedure whereby an ultrasound transducer is moved over the client's abdomen to obtain an image. Transvaginal ultrasound - The Answer is An invasive procedure in which a probe is inserted vaginally to allow for a more accurate evaluation. Nonstress test - The Answer is is the most widely used technique for antepartum evaluation of fetal well-being performed during the third trimester. Nipple-stimulated contraction test - The Answer is the nipple for 2 min, which oxytocin, and then stopping the nipple causes the pituitary gland to Consists of a client lightly brushing their palm across Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS release endogenous stimulation when a contraction begins. Oxytocin-stimulated contraction test - The Answer is Also known as an oxytocin challenge test (OCT), it is used if nipple stimulation fails and consists of the IV administration of oxytocin to induce uterine contractions. Amniocentesis - The Answer is The aspiration of amniotic fluid for analysis by insertion of a needle transabdominally into a client's uterus and ampiotic sac under direct ultrasound guidance locating the placenta and determining the position of the fetus. It may be performed after 14 weeks of gestation. Ectopic pregnancy - The Answer is the abnormal pregnancy fertilized ovum outside of the fallopian tube, which can result in a tubal implantation ofa uterine cavity usually in rupture causing a fatal hemorrhage. Gestational trophoblastic disease - The Answer is trophoblastic and degeneration of Gestational trophoblastic disease (GTD) is the proliferation trophoblastic villi in the placenta that of Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS by genital-to-genital contact. However, it also can be spread by anal-to-genital or oral-to-genital contact. It can also be transmitted to a newborn during delivery. Syphilis - The Answer is STI caused by the bacterium Treponema pallidum. It can have long-term complications if not adequately treated. Human papilloma virus - The Answer is the most common STI. Some types can cause genital warts (also known as Condyloma acuminata) and cervical cancers. Bacterial vaginosis - The Answer is A bacterial infection most commonly caused by Haemophilus vaginalis or Gardnerella vaginalis. It is the most common vaginal infection in females 14 to 49 years of age. It cannot be related to sexual activity. It is related reduction in the lactobacilli in the vaginal flora. Candidiasis - The Answer is also known as vulvovaginal candidiasis (VVC) or yeast infection, is a fungal infection most often Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS caused by Candida albicans, but non-Candida albicans infections are possible. Cervical insufficiency - The Answer is variable condition whereby expulsion of the products of conception occurs. It is thought to be related to tissue changes and alterations in the length of the cervix. Hyperemesis gravidarum - The Answer is excessive nausea and vomiting (possibly related to elevated hCG levels) that is prolonged past 16 weeks of gestation or that is excessive and causes weight loss, dehydration, nutritional deficiencies, electrolyte imbalances, and ketonuria. Iron-deficiency anemia - The Answer is occurs during pregnancy due to inadequacy in maternal iron stores and consuming insufficient amounts of dietary iron. Gestational diabetes mellitus - The Answer is is an impaired tolerance to glucose with the first onset or recognition during pregnancy. The ideal blood glucose level during pregnancy should range Antepartum Nursing Care ATI RN MATERNAL NEWBORN NURSING QUESTIONS AND ANSWERS between 60 and 99 mg/ dL before meals or fasting, and less than or equal to 120 mg/dL 2 hr after meals. Magnesium sulfate - The Answer is Medication of choice for prophylaxis or treatment to depress the CNS and prevent seizures in the client who has eclampsia and severe preeclampsia. Nifedipine - The Answer is A calcium channel blocker that is used to suppress contractions by inhibiting calcium from entering smooth muscles Maqnesium sulfate - The Answer is A commonly used tocolytic that is a central nervous system depressant and relaxes smooth muscles, thus inhibiting uterine activity by suppressing contractions Terbutaline - The Answer is A beta-adrenergic agonist that is used as a relaxes smooth muscles and inhibits uterine tocolytic that activity.