ATI Nursing Care of Children Maternal Newborn - Post-Assessment Questions and Answers, Exams of Nursing

Download ATI Nursing Care of Children Maternal Newborn - Post-Assessment Questions and Answers and more Exams Nursing in PDF only on Docsity!

ADMIN

[COMPANY NAME] [Company address]

ATI Nursing Care of Children Maternal

Newborn - Post-Assessment Questions

and Answers

The nurse is discussing the adolescent's perceptions of death with parents. What teaching would the nurse reinforce based on the development of the adolescent? -Correct Answers: The adolescent can have difficulty accepting death because they are discovering who they are, establishing an identity, and dealing with issues of puberty; rely more on peers than the influence of parents, which can result in the reality of a serious illness causing adolescents to feel isolated; can be unable to relate to peers and communicate with parents; can become increasingly stressed by changes in physical appearance due to medications or illness more than the prospect of death; and can experience guilt and shame.(Nursing Care of Children RM Chp. 11) The nurse is reinforcing teaching related to a nonstress test. What are three (3) indications for conducting a nonstress test? -Correct Answers: a nonstress test is a diagnostic tool to assess fetal well- being during the third trimester. Is a noninvasive procedure that monitors the response of the fetal heart rate to fetal movement. The client is placed on the fetal monitor to obtain fetal tracing. The client will push a button attached to the monitor when she feels fetal movement, this is then noted on the tracing. Discuss five (5) nursing interventions to implement for a client with an epidural in place during labor. - Correct Answers: Monitor vital signs, uterine contraction pattern, and fetal heart rate (blood pressure and respiratory rate may decrease, and fetal heart rate may have a decrease in variability. Monitor for sedation and dry mouth, provide ice chips and mouth swabs Dim lights to provide a quiet atmosphere provide safety for the client by lowering the bed to the lowest position and elevate the side rails, instruct client to not get out of bed without assistance Monitor IV site encourage client to remain in a sideline position after insertion of epidural catheter to avoid aid supine hypotension Coach client in pushing Ensure oxygen and section equipment is available provide client safety by not allowing the client to ambulate unassisted until all motor control has returned If client is unable to avoid or has a distended bladder catheterization may be necessary Monitor for return of sensation in the legs after delivery assist client was standing and walking the for the first time after delivery After delivery monitor infant for respiratory effory.(Maternal Newborn RM Chapter 10) The nurse is reviewing laboratory results from a pregnant client's recent one-hour glucose tolerance test. The client's result is 160mg/dL at 27 weeks gestation. What does this result indicate and what are the next actions the nurse should take? -Correct Answers: A one-hour glucose tolerance result above 140mg/dL requires additional follow up with a 3 hour glucose tolerance test. The nurse should notify the care provider of the elevated result and anticipate a 3 hour glucose tolerance test to be ordered for this client.(Maternal Newborn RM Chp 3)

The nurse is monitoring an infant who was born 2 hours ago at 42 weeks gestation. What are five (5) physical findings the nurse may note when caring for this infant? -Correct Answers: Infants who are post term may have the following physical characteristics:Thin, with loose skin due to loss of subcutaneous fat.Peeling skin that is dry, cracked with a leather-like appearance due to loss of protection of vernix.Meconium staining of finger nails and umbilical cordMacrosomiaHypoglycemia due to size and insufficient stores of glycogen.(Maternal Newborn RM Chp 16) A 14-year-old client is hospitalized. What are three (3) expected behaviors or feelings that may be exhibited by this client, while hospitalized. -Correct Answers: Attempts to maintain composure but is embarrassed about losing control.Experiences feelings of isolation from peersWorries about outcome and impact on school/activitiesMight not adhere to treatments/medication regimen due to peer influence The nurse is reinforcing prior teaching, related to contraceptives with a postpartum client. What are two (2) contraindications for the use of a diaphragm? -Correct Answers: History of toxic shock syndrome (TSS). TSS is a bacterial infection with clinical manifestations of a high fever, faint feeling, and a drop in blood pressure, along with watery diarrhea, headache, and muscle aches. Proper hand hygiene can aid in the prevention of TSS, along with removing the diaphragm promptly at six hours following coitus.Frequent or you recurrent urinary tract infectionincrease the risk of acquiring TSS can include use of tampons and female barrier contraceptive devicesLatex allergy(Maternal Newborn RM Chapter 1) A nurse is reinforce teaching on sudden infant death syndrome (SIDS) with new parents. Identify three (3) risk factors that the nurse should discuss with the parents of a newborn regarding SIDS -Correct Answers: Avoiding smoking during pregnancy and near the infantEncouraging the supine sleeping positionAvoiding soft, moldable mattresses, blankets, and pillowsDiscouraging bed sharingEncouraging breastfeedingAvoiding overheating during sleep.The infant's head position should be varied to prevent flattening of the skull (positional plagiocephaly).(Nursing Care of Children RM Chp. 40) The nurse is monitoring a 6-month-old Infant. Identify three (3) physical findings the nurse will look for while collecting data. -Correct Answers: Weight is 7.26K (16 lb)Rolls from back to abdomen.Holds bottle The nurse is collecting data during an admission history of a 12-year-old. Identify recommended immunizations for this client. -Correct Answers: Tetanus and diphtheria toxoids and pertussis vaccine (Tdap)Human papillomavirus vaccine (HPV2 or HPV4 in three doses for females,HPV4 for males)Meningococcal (MCV4)Seasonal influenza vaccine: trivalent inactivated influenza vaccine (TIV) (Nursing Care of Children RM Chp. 6)

What teaching should be reinforced to the parents of a child who has Tinea Pedis? -Correct Answers: The teaching that should be reinforced to the parents of a child who has Tinea Pedis includes: Medications, side effects and routes. Apply wet compresses or take sitz baths. Wear light colored socks, well ventilated. Treat infected pets. Reinforce teaching to family and client on how to avoid the spread of the fungus. Use appropriate hand hygiene. Avoid sharing clothing, and towels. Avoid touching the affected area. Do not squeeze vesicles(Nursing Care of Children RM Chp. 29) The nurse is caring for a child with cystic fibrosis. What education should the nurse reinforce to this client and his mother in regards to his prescribed pancreatic enzymes? -Correct Answers: The principal treatment for pancreatic insufficiency is replacement of pancreatic enzymes, which are administered with meals and snacks to ensure that digestive enzymes are mixed with food in the duodenum. Enteric- coated products prevent the neutralization of enzymes by gastric acids, thus allowing activation to occur in the alkaline environment of the small bowel. One to 5 capsules are administered with a meal and smaller amounts are taken with snacks. Capsules can be swallowed whole or taken apart and the contents sprinkled on a small amount of food to be taken at the beginning of the meal.(Nursing Care of Children RM Chp. 18) The nursing is caring for a postpartum client, what data would indicate a postpartum hemorrhage? - Correct Answers: Risk FactorsUterine atonyComplications during pregnancy (e.g., placenta previa, abruptio placentae)Prolonged laborAdministration of magnesium sulfate therapy during laborLacerations and hematomasInversion of uterusSubinvolution of the uterusRetained placental fragmentsCoagulation disordersData Collection findingsSoft, boggy uterus with possible displacement on palpationBlood clots larger than a quarterPerineal pad saturation in 15 min or lessConstant oozing, trickling, or frank flow of bright red blood from the vaginaTachycardia, tachypnea, and hypotensionSkin that is pale, cool, and clammy with poor turgor and pale mucous membranesOliguria The nurse is monitoring a postpartum client who had a forceps-assisted birth 1 hour ago. The nurse notes bright red bleeding in the presence of a contracted and firm uterus. What potential complication does this finding indicate? Hematoma formation in the pelvic floorInjury to the bladderCervical LacerationRetained placental fragments -Correct Answers: 3. The presence of bright red bleeding despite a contracted and firm uterus can indicate a vaginal or cervical laceration. When the nurse reinforces teaching on probable signs of pregnancy, what information should be discussed with the client? -Correct Answers: Probable signs - changes that make the examiner suspect a woman is pregnant (primarily related to physical changes of the uterus). Signs can be caused by physiological factors other than pregnancy (pelvic congestion, tumors). Abdominal enlargement related to changes in uterine size, shape, and position Hegar's sign - softening and compressibility of lower uterus

current pregnancy. Client who has unknown GBS status who is delivering at less than 37 weeks of gestation(Maternal Newborn RM Chp. 7 There are several pain rating methods that the nurse can use on a responsive three year old child. Identify one of the methods and explain how it is used. -Correct Answers: Faces (3 years and older)Pain rated on a scale of 0 to 5 using a diagram of six faces