RN ATI MATERNAL NEWBORN 2019 WITH RATIONALE (NGN)

RN ATI MATERNAL NEWBORN 2019 WITH RATIONALE (NGN) A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the nurse place the Doppler device when assessing the fetal heart rate? Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis RATIONALE at 14 weeks AOG this is where to place the doppler probe to note FHT A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? D. Platelet Count 60.000/ mm3 RATIONALE platelet count of less than 100,000 correlates with how severe the condition is. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include? - Tinnitus RATIONALE this is a documented adverse effect of this medication A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? C. Facial Palsy RATIONALE Most babies delivered by forceps suffer no long-term problems, but in rare cases an injury is sustained to the facial nerve, due to the pressure of the forceps blade on the baby's head. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching? A." The medication could cause me to experience heart palpitation" RATIONALE This is a serious side effect of terbutaline and must be notifies to the physician immediately A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? - Urine Ketones RATIONALE Hyperemesis gravidarum is a severe form of this 'morning sickness', experience by less than 1% of pregnant women. It can cause dehydration and starvation and the production of compounds called ketones that can be found in the blood and urine. A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort? Having the client lie in a supine position RATIONALE Having the patient lie in a comfortable position may help reduce sensation of pain due to labor A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect? - Malodorous Discharge A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect? Chest circumference 2 cm (0.8 in) smaller than the head circumference RATIONALE head circumference is always 2cm more than the chest in normal term babies A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? Swaddle the newborn in a flexed position RATIONALE to increase comfort that newborn is receiving