PN ATI Capstone Maternal Newborn

Questions 88

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PN ATI Capstone Maternal Newborn Questions

Question 1 of 5

A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. Which of the following results should the nurse report to the provider?

Correct Answer: D

Rationale: A platelet count of 140,000/mm� is at the lower end of the normal range but can be concerning in pregnancy, especially if there are signs of thrombocytopenia or bleeding.

Question 2 of 5

A nurse is caring for a client in active labor who is receiving oxytocin. The nurse notes that the client is experiencing contractions every 1 minute lasting 90 seconds. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Contractions that are too frequent or prolonged can lead to uterine hyperstimulation, which can compromise fetal oxygenation. The nurse should stop the oxytocin infusion to reduce contraction frequency and intensity.

Question 3 of 5

A nurse is caring for a newborn with hyperbilirubinemia. Which of the following interventions should be taken during phototherapy?

Correct Answer: A

Rationale: Phototherapy is used to reduce bilirubin levels in newborns with jaundice. However, the intense light can cause damage to the newborn's corneas and retinas. The use of an eye mask protects the infant's eyes while allowing the therapy to proceed. Regular monitoring of the newborn's temperature and hydration status is also important, but the eye mask is a key protective measure.

Question 4 of 5

A pregnant client's last menstrual period was May 4th, 2013. What is this client's estimated delivery date using Naegele's Rule?

Correct Answer: B

Rationale: Naegele's rule is a standard way of calculating an estimated delivery date (EDD). It involves subtracting three months from the first day of the last menstrual period (LMP), adding seven days, and then adding one year. In this case, subtracting three months from May 4th, 2013, gives February 4th. Adding seven days results in a due date of February 11th, 2014.

Question 5 of 5

A nurse is assessing a newborn whose mother had gestational diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?

Correct Answer: B

Rationale: Jitteriness is a common sign of hypoglycemia in newborns. Other signs may include irritability, poor feeding, and lethargy.

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