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ATI Maternal Newborn- Practice 2019 B | ATI Maternal Newborn- Practice 2019 B

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ATI Maternal Newborn- Practice 2019 B 1. A nurse is caring for a client who is pregnant & is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)? Just above the symphysis pubis. 2. A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation & has a positive chlamydia culture. The prescription states “Administer azithromycin 1 g orally now.” Available is 250 mg tablets. How many tablets should the nurse administer? (Round to the nearest whole number) 1 x 1000= 1000/250 = 4. 3. A nurse is assessing a client who is postpartum & has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect? Decreased platelet count. 4. A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect? Jitteriness. 5. A nurse in a women’s health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? Iron. 6. A nurse is teaching a new parent about newborn safety. Which of the following instructions should the nurse include in the teaching? “You can share your room with your baby for the next few weeks.” 7. A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? “You should leave the diaphragm in place for at least 6 hours after intercourse.” 8. A nurse is reviewing the medical record of a client who is postpartum & has preeclampsia. Which of the following laboratory results should the nurse report to the provider? Platelets 50,000/mm3. - - - - - - - - - - - - - - - - - - - - - - - - - - 53. A nurse is assessing a newborn who is 12 hours old. Which of the following manifestations requires intervention by the nurse? Substernal chest retractions while sleeping? 54. A nurse is caring for a client who is at 35 weeks of gestation & has placenta previa. Which of the following actions should the nurse take? Initiate continuous external fetal monitoring. 55. A nurse is assessing a client who gave birth vaginally 12 hours ago & palpates her uterus to the right above the umbilicus. Which of the following interventions should the nurse perform? Assist the client to empty her bladder. 56. A nurse is performing a vaginal examination on a client who is in labor & observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take next? Apply internal upward pressure to the presenting part using two gloved fingers. 57. A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client asks, “What effects will this procedure have on my sex life?” Which of the following responses should the nurse make? “This procedure should have no effect on your sexual performance or adequacy.” 58. A nurse is reviewing the laboratory report of a newborn who is 24 hours old. Which of the following results should the nurse report to the provider? Blood glucose 30 mg/ dL. 59. A nurse is providing discharge teaching to a client who is postpartum. For which of the following manifestations should the nurse instruct the client to monitor & report to the provider? Unilateral breast pain. 60. Math.

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