RN ATI MATERNAL NEWBORN 2019 WITH RATIONALE (NGN)

RN ATI MATERNAL NEWBORN 2019 WITH RATIONALE (NGN)
A nurse is caring for a client who is 14 weeks of gestation. At which the 
following locations should the nurse place the Doppler device when 
assessing the fetal heart rate? 
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis 
RATIONALE
at 14 weeks AOG this is where to place the doppler probe to note FHT
A nurse is assessing a client who is at 27 weeks of gestation and has 
preeclampsia. Which of the following findings should the nurse report to 
the provider? 
D. Platelet Count 60.000/ mm3 
RATIONALE
platelet count of less than 100,000 correlates with how severe the 
condition is.
A nurse is teaching about clomiphene citrate to a client who is 
experiencing infertility. Which of the following adverse effect should the 
nurse include? 
- Tinnitus 
RATIONALE
this is a documented adverse effect of this medication
A nurse is assessing a newborn following a forceps-assisted birth. Which 
of the following clinical manifestations should the nurse identify as a 
complication of the birth method? 
C. Facial Palsy 
RATIONALE
Most babies delivered by forceps suffer no long-term problems, but in 
rare cases an injury is sustained to the facial nerve, due to the pressure 
of the forceps blade on the baby's head.
A nurse is providing teaching about terbutaline to a client who is 
experiencing preterm labor. Which of the following statement by client 
indicates an understanding of the teaching?
A." The medication could cause me to experience heart palpitation" 
RATIONALE
This is a serious side effect of terbutaline and must be notifies to the 
physician immediately
A nurse is caring for a client who has hyperemesis gravidarum. Which of 
the following laboratory tests should the nurse anticipate? 
- Urine Ketones 
RATIONALE
Hyperemesis gravidarum is a severe form of this 'morning sickness', 
experience by less than 1% of pregnant women. It can cause dehydration 
and starvation and the production of compounds called ketones that can 
be found in the blood and urine.
A nurse is caring for a client who is in labor and requests 
nonpharmacological pain management. Which of the following nursing 
actions promotes client comfort? 
Having the client lie in a supine position 
RATIONALE
Having the patient lie in a comfortable position may help reduce sensation 
of pain due to labor
A nurse caring for a client who is at 20 weeks of gestation and has 
trichomoniasis. Which of the following findings should the nurse expect? 
- Malodorous Discharge
A nurse is assessing a newborn upon admission to the nursery. Which of 
the following should the nurse expect? 
Chest circumference 2 cm (0.8 in) smaller than the head circumference 
RATIONALE
head circumference is always 2cm more than the chest in normal term 
babies
A nurse is planning care for a newborn who has neonatal abstinence 
syndrome. Which of the following interventions should the nurse include in 
the plan of care? 
Swaddle the newborn in a flexed position 
RATIONALE
to increase comfort that newborn is receiving