ati-maternal-newborn-2021-a-grade-questions-and-answers-with-explanations-all-correct-study-guide-download-to-score-a.pdf

ATI Maternal Newborn 2021

A nurse is planning care for a full-term newborn who isreceiving phototherapy. Which of the

following actions should the nurse include in the plan of care?

A. Dressthe newborn in lightweight clothing.

B. Avoid using lotion or ointment on the newborn skin.

C. Keep the newborn supine throughout treatment

D. Measure the newborn’s temperature every 8hr

Answer:

D .

Step-by-Step explanation

Answer B - Avoid using lotion or ointment on the newborn's skin

This is because ointments absorb heat and cause burns and these may interfere with

phototherapy.

A is incorrect because during phototherapy, the baby should be naked except for a nappy and

protective eye cover.

C is incorrect. The baby should not maintain the same position throughout and should be

adjusted periodically.

D is inaccurate. The skin temperatures should be closely and continually monitored. Not after

every 8 hours

A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which of the following

results require intervention by the nurse?

A. WBC count 10,000/mm3

B. Platelets 180,000/mm3

C. Hemoglobin 20g/dL

D. Glucose 20 mg/dL

Answer:

D .

Step-by-Step explanation

d - glucose 20mg/dL

Newborns less than 24 hr old should have a blood glucose of 40 to 60 mg/dL. Newborns who

are greater than 24 hr old should have a blood glucose of 50 to 90 mg/dL. A blood glucose

level of 20 mg/dL is below the expected reference range for a newborn who is 24 hr old and

requires intervention by the nurse.

A nurse is assessing a client following an amniocentesis. Which of the following findings should the

nurse recognize as complications? ( select all that apply).

A. Amnionitis

B. Urinary tract infection

C. Polyhydramnios

D. Leakage of amniotic fluid

E. Preterm labor

Answer:

E .

Step-by-Step explanation

Amniocentesis is a procedure in which amniotic fluid is removed from the uterus for tests or

treatments.

Complications that can occur after amniocentesis include:

• Leakage of an amniotic fluid. Rarely, amniotic fluid leaks through the vagina after

amniocentesis. However, in most cases the amount of fluid that is lost is small and this stops

within a week, and the pregnancy is likely to continue normally.

• Miscarriage or Preterm Labor. Amniocentesis in the second trimester has a slight risk of

miscarriage (between 0.1% and 0.3%). Research suggests that the risk of pregnancy loss is

higher with amniocentesis that is performed before 15 weeks of pregnancy.

It is necessary to clarify that premature birth is considered to be that which occurs before 37

weeks of gestation. The lower gestational age limit that establishes the limit between preterm

delivery and abortion is 22 weeks gestation or 500 grams of weight and 36.6 weeks.

Among the two complications, the one with the highest probability of occurrence is the risk of

abortion or premature delivery, therefore, the correct answer is option E. Preterm labor.

A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed

nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following

procedures?

A. Assisting a mother with breastfeeding

B. Performing a newborn’sinitial bath

C. Administering the measles, mumps, rubella vaccine

D. Performing umbilical cord care

Answer:

D .

Step-by-Step explanation

D. Performing umbilical cord care

Umbilical cord care practices includes washing hands with clean water and soap before

delivery and wearing sterile gloves before cutting the cord with a sterile instrument. In this

procedure there is contact of fluids between the nurse and the client and therefore donning

gloves before the procedure is done to avoid the spread of infections from the nurse to the

infant and vice versa through the umbilical cord