Maternal Newborn ATI Quizlet

Maternal Newborn ATI Quizlet Related

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The nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which action is most appropriate?

  • A. Notify the health care provider of the findings.
  • B. Reposition the mother and check the monitor for changes in the fetal tracing.
  • C. Take the mother's vital signs and tell the mother that bed rest is required to conserve oxygen.
  • D. Document the findings and tell the mother that the pattern on the monitor indicates fetal well-being.
Correct Answer: D

Rationale: The correct answer is D: Document the findings and tell the mother that the pattern on the monitor indicates fetal well-being. This is the most appropriate action because episodic accelerations in fetal heart rate patterns are a reassuring sign of fetal well-being. By documenting the findings and informing the mother of this, the nurse can provide reassurance and promote a positive birthing experience.

Choice A is incorrect because notifying the health care provider is not necessary for this normal finding. Choice B is incorrect because repositioning the mother and checking the monitor for changes is not needed when episodic accelerations are present. Choice C is incorrect because taking the mother's vital signs and prescribing bed rest is unnecessary and not indicated based on the fetal heart rate pattern.

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Immediately after the forceps assists in the birth of an infant, what should the nurse do with the baby?

  • A. Assess infant for signs of trauma
  • B. Administer a vitamin K injection
  • C. Provide immediate breastfeeding
  • D. Monitor for signs of hypoglycemia
Correct Answer: A

Rationale: Rationale: Immediately after forceps-assisted birth, assessing the infant for signs of trauma is crucial for detecting any injuries or complications. This ensures prompt intervention if needed. Administering a vitamin K injection, providing immediate breastfeeding, and monitoring for hypoglycemia are important but secondary tasks that can be done after ensuring the infant's safety.

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.

A nurse is caring for a client who is postpartum and received methylergonovine. Which of the following findings indicates that the medication was effective?

  • A. Fundus firm to palpation
  • B. Increase in blood pressure
  • C. Increase in lochia
  • D. Report of absent breast pain .
Correct Answer: A

Rationale: Step 1: Methylergonovine is a uterotonic drug used to prevent or treat postpartum hemorrhage by causing uterine contractions.
Step 2: Fundus firmness indicates effective contraction of the uterus, helping to control bleeding.
Step 3: A firm fundus also suggests proper involution of the uterus, a crucial process in postpartum recovery.
Step 4: Increase in blood pressure (B) is not a desired effect of methylergonovine and could indicate adverse reactions.
Step 5: Increase in lochia (C) could suggest excessive bleeding or incomplete uterine contraction.
Step 6: Absence of breast pain (D) is not directly related to the effectiveness of methylergonovine in controlling postpartum bleeding.

A client at 36 weeks' gestation reports severe itching without a rash. What condition should the nurse suspect?

  • A. Cholestasis of pregnancy.
  • B. Preeclampsia.
  • C. Gestational diabetes.
  • D. Intrauterine growth restriction.
Correct Answer: A

Rationale: The correct answer is A: Cholestasis of pregnancy. Severe itching without a rash in a pregnant client at 36 weeks' gestation is often indicative of cholestasis of pregnancy, a liver condition that can occur during pregnancy. This condition is characterized by reduced bile flow, leading to the accumulation of bile acids in the blood, resulting in itching, especially on the palms and soles of the feet. Other choices (B) Preeclampsia, (C) Gestational diabetes, and (D) Intrauterine growth restriction are not typically associated with severe itching without a rash in the absence of other specific symptoms. Preeclampsia presents with hypertension and proteinuria, gestational diabetes with high blood sugar levels, and intrauterine growth restriction with poor fetal growth.

The nurse is preparing a postpartum client for discharge. Which instruction is most important?

  • A. Avoid breastfeeding if you feel tired.
  • B. Report foul-smelling lochia to your doctor.
  • C. Resume all physical activity immediately.
  • D. Stop taking your prenatal vitamins after discharge.
Correct Answer: B

Rationale: The correct answer is B: Report foul-smelling lochia to your doctor. This instruction is crucial because foul-smelling lochia can indicate an infection, which requires immediate medical attention to prevent complications. Reporting this to the doctor promptly ensures timely treatment.

A: Avoid breastfeeding if you feel tired - Incorrect. Breastfeeding is important for the baby's nutrition and bonding, regardless of the mother's fatigue.
C: Resume all physical activity immediately - Incorrect. Gradual resumption of physical activity is recommended to allow the body to heal properly.
D: Stop taking your prenatal vitamins after discharge - Incorrect. Prenatal vitamins are beneficial for postpartum recovery and breastfeeding, so stopping them abruptly is not advisable.

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