Maternal Newborn ATI Quizlet

Maternal Newborn ATI Quizlet Related

Review Maternal Newborn ATI Quizlet related questions and content

How can a nurse reduce the risk of infection in a newborn in the NICU?

  • A. Maintain strict hand hygiene
  • B. Limit visitors and monitor closely for signs of infection
  • C. Ensure proper sterilization of equipment
  • D. Administer prophylactic antibiotics
Correct Answer: B

Rationale: Rationale for Correct Answer (B): Limiting visitors and monitoring closely for signs of infection in a newborn in the NICU is crucial because newborns are highly vulnerable to infections. By restricting visitors, the risk of introducing pathogens is reduced. Close monitoring allows for early detection of any signs of infection, enabling prompt intervention to prevent complications.

Summary of Other Choices:
A: While maintaining strict hand hygiene is important, it alone is not sufficient to reduce the risk of infection in a newborn in the NICU.
C: Proper sterilization of equipment is essential but may not directly address the risk of infection transmission from visitors or other sources.
D: Administering prophylactic antibiotics is not recommended as a routine measure due to the potential for antibiotic resistance and adverse effects in newborns. Monitoring and prevention are preferred over indiscriminate antibiotic use.

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A nurse is caring for a client who is receiving Iv magnesium sulfate which of the following medication should the nurse anticipate administering if magnesium sulfate toxicity is suspected?

  • A. Nifedipine (Adalat)
  • B. Pyridoxine (vitamin B)
  • C. Ferrous sulfate
  • D. Calcium gluconate
Correct Answer: D

Rationale: The correct answer is D: Calcium gluconate. In cases of magnesium sulfate toxicity, calcium gluconate is administered as an antidote due to its ability to counteract the effects of magnesium. Magnesium and calcium ions have an antagonistic relationship in the body, so administering calcium gluconate can help reverse the toxic effects of magnesium. Nifedipine (A), Pyridoxine (B), and Ferrous sulfate (C) do not have a direct antidote effect on magnesium toxicity and are not indicated for this purpose.

What can self-awareness with postural adjustments lead to?

  • A. tension formation
  • B. tension release
  • C. suboptimal posture
  • D. back pain
Correct Answer: B

Rationale: Self-awareness with postural adjustments can lead to tension release because it allows individuals to identify and correct any muscular imbalances or poor postural habits. By being aware of their body positioning and making necessary adjustments, individuals can reduce muscle tension and promote proper alignment, leading to relaxation and alleviation of tension. This proactive approach helps prevent the buildup of tension in muscles, ultimately promoting overall well-being.

Incorrect Choices:
A: Tension formation - Self-awareness with postural adjustments helps prevent tension formation by addressing imbalances.
C: Suboptimal posture - Self-awareness promotes optimal posture by making adjustments.
D: Back pain - Proper postural adjustments can alleviate back pain, not cause it.

Induction of labor is planned for 31-year-old primigravida 39 weeks. She has insulin dependent diabetes. Which nursing action is more important?

  • A. Begin Pitocin 4h after Cytotec (thin the cervix first)
  • B. Administer 100mcg Cytotec q2h(no)
  • C. Place vaginal gel and ambulate patient 1h
  • D. Prepare to induce labor after administering tap water enema
Correct Answer: A

Rationale: The correct answer is A: Begin Pitocin 4h after Cytotec. This is the most important nursing action because it follows the recommended protocol for inducing labor in a diabetic patient. Cytotec is used to thin the cervix, and waiting 4 hours before starting Pitocin reduces the risk of uterine hyperstimulation, which can be dangerous for the mother and baby. Administering Cytotec every 2 hours (choice B) can increase the risk of hyperstimulation. Placing vaginal gel and ambulating the patient (choice C) may not be appropriate in this case as the patient has diabetes. Preparing to induce labor after administering a tap water enema (choice D) is not a priority compared to ensuring a safe induction process for a diabetic patient.

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is

  • A. Passed in first 12-24h of life
  • B. Seen at 3 days
  • C. Residue of a milk curd
  • D. Lighter in color and looser in consistency
Correct Answer: A

Rationale: The correct answer is A because meconium stool is typically passed within the first 12-24 hours of life in newborns. Meconium is the earliest stool passed by a newborn and is composed of materials ingested while in the womb. Choices B, C, and D are incorrect because transitional stool is typically seen at 3 days, meconium is not a residue of milk curd, and meconium is darker in color and stickier in consistency compared to transitional stool.

Which of the following findings would indicate

  • A. Reversal of a tubal ligation is easily done, with a an infant who may be considered preterm?
  • B. Labia minora are larger than labia majora
  • C. After this procedure, I must abstain from inter-
  • D. Plantar creases cover two-thirds of foot
Correct Answer: D

Rationale: The correct answer is D because plantar creases covering two-thirds of the foot is a typical finding in Down syndrome. This is known as the Sandal gap sign, which is a characteristic feature of Down syndrome. The other choices are incorrect because: A is not related to any specific medical condition, B describes a normal anatomical variation, and C is incomplete and does not provide enough information to determine its relevance.

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