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 of a newborn who is 24 hr old. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: A bilirubin level of 4 mg/dL is elevated for a newborn and requires monitoring and potential intervention to prevent complications such as jaundice and kernicterus.

Question 2 of 5

A nurse is assessing a newborn 1 hour after birth. The newborn has acrocyanosis and a heart rate of 130 beats per minute. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Acrocyanosis, or bluish discoloration of the hands and feet, is a normal finding in newborns in the first few hours after birth. The nurse should continue to monitor the newborn and reassess after some time.

Question 3 of 5

An antepartal client is Rh negative and understands that she will receive a RhoGAM injection during her pregnancy. The client asks the nurse if she will also receive a RhoGAM injection after the birth of her baby. The client will receive RhoGAM after the birth if blood tests are:

Correct Answer: D

Rationale: If the baby is Rh positive and the mother is Rh negative, the mother may develop antibodies against the baby's blood. RhoGAM is administered to prevent the mother's immune system from becoming sensitized to Rh-positive blood.

Question 4 of 5

During a breast examination on a 24-year-old client the nurse notes the following findings. Which finding is of most concern and should be reported to the provider?

Correct Answer: A

Rationale: An irregularly shaped, nontender lump is a concerning finding because it may indicate breast cancer. The nurse should report this finding to the provider for further investigation.

Question 5 of 5

A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus �-hemolytic infection. Which of the following medications should the nurse plan to administer?

Correct Answer: A

Rationale: Ampicillin is the recommended antibiotic for treating group B streptococcus infections in pregnant women during labor to prevent neonatal infection.

Similar Questions

A nurse is caring for a client who is in labor and has a diagnosis of group B streptococcus �-hemolytic infection. Which of the following medications should the nurse plan to administer?
A nurse is assessing a client 2 hours after a vaginal delivery and notes that the client's uterus is boggy and displaced to the right. Which of the following interventions should the nurse perform first?
A client is in active labor and is receiving an epidural for pain relief. Which of the following should the nurse monitor as the priority?
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?
A nurse is caring for a client who is postpartum, has a deep-vein thrombosis, and is receiving heparin therapy via subcutaneous injections. Which of the following actions should the nurse take?

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