ATI Capstone Maternal Newborn PreAssignment Questions and Answers Rated A

ATI Capstone Maternal Newborn PreAssignment Questions and Answers Rated A Severe preeclampsia symptoms with seizure activity or coma. ✔✔Eclampsia A variant of gestational hypertension where hematologic conditions coex ...

ATI Capstone Maternal Newborn PreAssignment Questions and Answers Rated A Severe preeclampsia symptoms with seizure activity or coma. ✔✔Eclampsia A variant of gestational hypertension where hematologic conditions coexist with severe preeclampsia and hepatic dysfunction. ✔✔HELLP syndrome Hypertension beginning after the 20th week of pregnancy with no proteinuria. ✔✔Gestational Hypertension Impaired tolerance to glucose with the first onset or recognition during pregnancy. ✔✔Gestational Diabetes Severe morning sickness with unrelenting, excessive nausea or vomiting that prevents adequate intake of food and fluids. ✔✔Hyperemesis gravidum Hypertension beginning after the 20th week of pregnancy with 1 to 2+ proteinuria and a weight gain of more than 2 kg per week in the second and third trimesters. ✔✔Mild preeclampsia 24-48 hours after birth: dependent, passive; focuses on own needs; excited, talkative ✔✔taking in Focuses on family and individual roles. ✔✔letting go 2nd-10th day postpartum, or up to several weeks: focuses on maternal role and care of the newborn; eager to learn; may develop blues. ✔✔taking hold A postpartum client's fundus is firm, 3 cm above the umbilicus and displaced to the right. Which of the following interventions should the nurse take? ✔✔Assist the client to void then reassess the fundus. Correct Displacement of the uterus is a sign of bladder distention. The nurse should assist the client to void then reassess the fundus Following delivery, the nurse places the newborn under a radiant heat warmer. Which of the following is this action used to prevent? ✔✔Cold stress Correct The use of a radiant warmer following delivery prevents cold stress which can lead to increased metabolism and physiological demands. A client has been prescribed raloxiphine. As the nurse you know that raloxiphine is used to treat: ✔✔b. Osteoporosis Correct Raloxiphine (Evista) is used to prevent and treat bone loss (osteoporosis) in women after menopause. It is not used for migraines, hypertension, or heart disease. A nurse is caring for a laboring client and notes that the fetal heart rate begins to decelerate after the contraction has started. The lowest point of deceleration occurs after the peak of the contraction. What is the priority nursing action? ✔✔Change the client's position. Late decelerations are associated with insufficient placental perfusion which requires immediate intervention to restore adequate blood flow. Changing the client's position will displace the weight of the uterus off of the vena cava and thus increase maternal circulation to the placenta. A nurse is caring for a newborn with hyperbilirubinemia. Which of the following interventions should be taken during phototherapy? ✔✔Maintain an eye mask over the newborn's eyes. CorrectThe nurse should maintain an eye mask over the newborn's eye to protect the corneas and retinas from phototherapy. A pregnant client's last menstrual period was May 4th, 2013. What is this client's estimated delivery date using Naegele's Rule? ✔✔d. February 11, 2014 CorrectCorrect. The estimated date of birth is February 11th, 2014. To determine the due date using Naegele's rule, 3 months is subtracted from the date of the last menstrual period then 7 days and 1 year are added. A laboring client received meperidine IV one hour prior to delivery. Which of the following medications should the nurse have available to counteract the effects of this medication on the newborn? ✔✔c. Naloxone is used to reverse the effects of narcotics such as demerol. A nurse has provided education to a client who has been prescribed oral contraception. Which of the following client statements indicates a need for further education? ✔✔a. "If I miss three pills I will double up each day until back on schedule." In the event of a client missing a dose the nurse should instruct the client that if one pill is missed to take as soon as possible. If two or three pills are missed the client should follow the manufacturer's instructions and use an alternative form of contraception. A home care nurse is following up with a postpartum client. Which of the following is a risk factor that places this client at risk for postpartum depression? ✔✔c. Hormonal changes with a rapid decline in estrogen and progesterone levels CorrectCorrect! Risk factors for postpartum depression include hormonal changes with a rapid decline in estrogen and progesterone levels; postpartum physical discomfort and/or pain; individual socioeconomic factors; decreased social support system; anxiety about assuming new role as a mother; unplanned or unwanted pregnancy; history of previous depressive episode; low self-esteem; and a history of domestic violence. A laboring client's membranes have just ruptured. What is the nurse's next action? ✔✔Assess fetal heart rate pattern An antepartal client is Rh negative and understands that she will receive a RhoGAM injection during her pregnancy. The client asks the nurse if she will also receive a RhoGAM injection after the birth of her baby. The client will receive RhoGAM after the birth if blood tests are: ✔✔d. Mother Rh negative; Coombs negative; baby Rh positive CorrectCorrect. If the baby is Rh negative, the mother will not be exposed to positive antigens and will not need RhoGAM. An indirect Coombs test indicates the presence or absence of antibodies. If the indirect Coombs test is positive, the mother's blood is producing anti-Rh (D) antibodies, and it is too late for RhoGAM to do any good. A nurse is providing education to a client in the first trimester of pregnancy. What information should the nurse include regarding the cause of indigestion and heartburn? ✔✔d. Progesterone causes relaxation of the cardiac sphincter allowing acid to reflux. The effects of progesterone on the GI tract include relaxation of the cardiac sphinter and delayed gastric emptying. A nurse is caring for a client who is experiencing urinary incontinence. Which of the following recommendations should the nurse include in the teaching plan for this client? ✔✔d. Reduce intake of caffeinated and carbonated beverages. Correct. The nurse should instruct the client to limit her daily fluid intake; reduce the intake of fluids and foods that may be irritating to the urinary system and bladder; to avoid constipation by increasing fiber in the diet; and to perform Kegel exercises regularly to strengthen the pelvic floor. A nurse is caring for a postmenopausal client prescribed the aromatase inhibitor, anastrozole for the treatment of breast cancer. Which of the following should the nurse tell the client she may experience? ✔✔b. Muscle and joint pain CorrectCorrect. Muscle and joint pain are potential side effects of anastrozole and can be treated with mild analgesic as prescribed. During a breast examination on a 24-year-old client the nurse notes the following findings. Which finding is of most concern and should be reported to the provider? ✔✔a. An irregularly shaped, nontender lump is palpable in the right breast. CorrectCorrect. Irregularly shapped, nontender lumps are consistent with the diagnosis of breast cancer. Which of the following would increase a client's risk of ovarian cancer? ✔✔c. Endometriosis Correct. Endometriosis has shown to increase the risk of developing ovarian cancer A client tells the nurse that she suspects she is pregnant because she is able to feel the baby move. The nurse knows that this is ✔✔presumptive CORRECT sign of pregnancy. Fill in the blank with the correct choice: presumptive, probable, possible, positive. Quickening is a presumptive sign of pregnancy because self reported feelings of fetal movement could be gas or peristalsis instead of actual fetal movement. Probable signs of pregnancy include positive serum pregnancy tests, Chadwick's sign, and Goodell's sign. Positive signs of pregnancy include fetal heart tones by doppler or fetal stethoscope and fetal movement palpated by an examiner. For breast engorgement, fresh cabbage leaves placed inside the bra can help alleviate pain associated with breast engorgement. T/F? ✔✔TRUE A nurse is providing discharge instructions to parents of a circumcised newborn. To prevent diaper adherence to the penis, what will be recommended to apply during diaper changes? ✔✔petroleum jelly Bathing a newborn by submerging the infant in water is allowed 72 hours after birth. T/F? ✔✔False. Bathing a newborn by submerging in water should not occur until the cord has fallen off. Most cords fall off within the 10 to 14 days. A postpartum complication a client is at risk for is deep-vein thrombosis. Which of the following is a factor strongly associated with this postpartum complication? ✔✔c. Cesarean birth Correct. Cesarean birth doubles the risk for deep-vein thrombosis. Cesarean birth doubles the risk for deep-vein thrombosis. Other risk factors include pregnancy, operative vaginal birth, pulmonary embolism, immobility, obesity, smoking, multiparity, age greater than 35 years, history of thromboembolism and diabetes mellitus. Disadvantages of a nonstress test include a high rate of false nonreactive results with fetal movement due to sleep cycle of the fetus and nicotine use. T/F? ✔✔TRUE Prior to an amniocentesis, what action by the client will need to be completed? ✔✔a. Empty the bladder. CorrectCorrect--Prior to the amniocentesis procedure the nurse will instruct the client to empty her bladder prior to the procedure to reduce its size and reduce the risk of inadvertent puncture. A client is being treated with eclampsia. What is a priority nursing intervention? ✔✔Assess for hyperreflexia. Progressive change in effacement ✔✔True labor Bloody show not present ✔✔False Labor Fetus moves to anterior position ✔✔True Labor Contractions intermittent and painless ✔✔False Labor Contractions regular in frequency ✔✔True Labor When a newborn demonstrates respiratory distress and routine suctioning with the bulb syringe is unsuccessful, the nurse will deliver chest thrusts. ✔✔True If bulb suctioning is unsuccessful, mechanical suction and/or back blows and chest thrusts can be used, as well as the institution of emergency procedures. If bulb suctioning is unsuccessful, mechanical suction and/or back blows and chest thrusts can be used, as well as the institution of emergency procedures. To decrease the incidence of sudden infant death syndrome (SIDS), the parents will position the newborn in a ✔✔Supine position