Maternal Newborn ATI Quizlet

Maternal Newborn ATI Quizlet Related

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The nurse is counseling a client on the proper con- admitted to the labor and delivery unit complaining sumption of fish and fish products while pregnant. of mild contractions that are 10 minutes apart. How much fish should the nurse instruct the client After performing Leopold's maneuvers, the nurse to eat? determines that a hard round object is in the uterine

  • A. 8 to 12 ounces of a variety of fish every week fundus. What should the nurse do if green fluid is
  • B. 8 to 12 ounces of a variety of fish every month noted after rupture of the fetal membranes?
  • C. 12 to 16 ounces of a variety of fish every week A.Observe the fetal monitor for variable decelerations
  • D. 12 to 16 ounces of a variety of fish every month
Correct Answer: C

Rationale: The correct answer is C: 12 to 16 ounces of a variety of fish every week. During pregnancy, fish is a good source of protein and omega-3 fatty acids which are beneficial for fetal development. Consuming 12 to 16 ounces per week is recommended by health authorities for pregnant women to get essential nutrients without excessive mercury intake. Choice A (8 to 12 ounces of fish every week) is not enough for optimal nutrition during pregnancy. Choice B (8 to 12 ounces of fish every month) is too infrequent for consistent nutrient intake. Choice D (12 to 16 ounces of fish every month) is also inadequate as the frequency is not sufficient for optimal fetal development. Therefore, choice C is the best option for ensuring adequate nutrient intake while minimizing risks associated with mercury consumption.

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People in extended families can live together for many reasons. What can the nurse do to provide the best care for a person living with an extended family?

  • A. Assume the family is poor and needs information on financial assistance.
  • B. Ask the person if they would like the family members to remain in the room during the exam.
  • C. Set a limit on who is allowed in the room with the person regardless of the circumstances.
  • D. Address the family first then the patient.
Correct Answer: B

Rationale: The correct answer is B because it respects the person's autonomy and preferences by asking if they want family members present during the exam. This approach ensures the person's comfort and privacy while also promoting family involvement in care. Choice A assumes financial need without evidence. Choice C limits family support. Choice D may neglect the person's immediate needs.

A client at 39 weeks' gestation reports sudden gush of fluid. What is the nurse's priority action?

  • A. Perform a sterile vaginal exam.
  • B. Assess fetal heart rate.
  • C. Check maternal vital signs.
  • D. Administer IV fluids.
Correct Answer: B

Rationale: The correct answer is B: Assess fetal heart rate. The priority action in this situation is to assess the well-being of the fetus since the client reported a sudden gush of fluid, which could indicate rupture of membranes. Assessing the fetal heart rate helps determine if the fetus is experiencing distress. Performing a sterile vaginal exam (A) can introduce infection and is not the priority. Checking maternal vital signs (C) can be done after assessing the fetal well-being. Administering IV fluids (D) is not the priority until the fetal status is determined.

The nurse assures the breastfeeding mother that she will know that her infant is getting an adequate supply of breast milk if the infant gains weight and:

  • A. Rarely sucks on a pacifier.
  • B. Ha several hard stools daily
  • C. Voids 6 or more times a day
  • D. Awakens to feed every 4 hours
Correct Answer: C

Rationale: The correct answer is C: Voids 6 or more times a day. Adequate breast milk intake is indicated by frequent urination (6 or more times/day) in infants. This shows the infant is hydrated and receiving enough milk. The other choices are incorrect because A) pacifier use doesn't indicate milk supply, B) hard stools can be a sign of dehydration or other issues, and D) feeding every 4 hours is a general guideline but not a definitive indicator of milk supply.

A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

  • A. "Mongolian spots can be found on the skin of many newborns."
  • B. "A caput succedaneum occurs due to compression of blood vessels."
  • C. "This is a cephalhematoma, which can occur spontaneously."
  • D. "This is erythema toxicum, which is a transient condition."
Correct Answer: C

Rationale: The correct answer is C: "This is a cephalhematoma, which can occur spontaneously."
1. Cephalhematoma is a subperiosteal hemorrhage that does not cross suture lines and is due to trauma during delivery.
2. Caput succedaneum (choice B) occurs due to pressure during labor and resolves within a few days.
3. Mongolian spots (choice A) are benign bluish-grey birthmarks commonly found in newborns and are not related to head swelling.
4. Erythema toxicum (choice D) is a common rash in newborns, not related to head swelling.

In summary, the correct choice is C because it accurately describes the condition observed in the newborn after vacuum-assisted delivery.

A nurse is caring for newborn who is 1 hr. old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?

  • A. Give the newborn a warm bath.
  • B. Apply a cap to the newborn head.
  • C. Reposition the newborn.
  • D. Obtain an oxygen saturation level
Correct Answer: C

Rationale: The correct action is to reposition the newborn. The vital signs provided indicate that the newborn may be experiencing cold stress, which can lead to hypothermia. Repositioning the newborn can help conserve heat and maintain a stable temperature. Giving a warm bath (choice A) may further decrease body temperature. Applying a cap (choice B) may help retain heat but does not address the underlying issue. Obtaining an oxygen saturation level (choice D) is not necessary based on the information provided.

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