ATI maternal health care-Week 4 • A nurse is assessing a newborn. Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis? • A nurse is admitting a clien... t who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? • A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation. Which of the following should the included in the teaching? • A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Which of the following is the priority nursing action? • A nurse is preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles? • A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3 station after a vaginal examination. Which of the following actions should the nurse take? • A nurse is teaching a client who is at 23 weeks of gestation and will return to the facility in 2 days for an amniocentesis. Which of the following instructions should the nurse give the client? • A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider? • A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy. Which of the following is the priority action by the nurse following the procedure? • A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP? • A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet? • A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client’s blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action? • A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus. The nurse should recognize which of the following newborn complications as the priority focus of care? • A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect? • A nurse is assessing a newborn who has coarctation of the aorta. Which of the following should the nurse recognize is a clinical manifestation of coarctation of the aorta? • A nurse is assessing a client in labor who has epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from epidural block? • A nurse is teaching a client who is at 15 weeks gestation and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions? • A nurse is assessing a newborn who has Trisomy 21 (Down’s syndrome). Which of the following are common characteristics? • A nurse is preparing to administer an injection of Rh (D) immunoglobulin. The nurse should understand that the purpose of this injection is to prevent which of the following newborn complications? • A nurse is admitting a client who experienced a vaginal birth 2 hr ago. The client is receiving an IV of lactated Ringer’s with 25 units of oxytocin infusing and has large rubra lochia. Vital signs include blood pressure 146/94 mm Hg, pulse 80/min, and respiratory rate 18/min. The nurse reviews the prescriptions from the provider. Which of the following prescriptions requires clarification? • A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following should the infant receive? • A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to the baseline after the contraction is over. Which of the following actions should the nurse take? • A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care? • A nurse is instructing a male client about a semen analysis to be done for suspected infertility. Which of the following should be included in the teaching? • A nurse is planning care for a newborn who has spina bifida. Which of the following actions should be included in the plan of care? [Show More]
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