ATI RN MATERNAL NEWBORN A EXAM WITH EXPLANATIONS

ATI RN MATERNAL NEWBORN A EXAM WITH EXPLANATIONS

A nurse is caring for a client who has hyperemesis  gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?

correct-a. BUN 25 mg/dL

rationale

The nurse should report an elevated BUN to the provider since it can indicate dehydration.

A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider?

correct -d. a newborn who is 18 hr old and has an axillary temperature of 37.7 degrees Celsius

rationale

An axillary temperature greater than 37.5° C (99.5° F) is above the expected reference range for a newborn and can be an indication of sepsis. Therefore, the nurse should report this finding to the provider.

A nurse is caring for a client who is pregnant in an antepartum clinic. Which of the following findings should the nurse report to the provider? Select the 3 findings that should be reported? - correct -Uterine contractions is correct.

rationale

The client is experiencing regular uterine contractions and cervical change, which are indicators of preterm labor; therefore, the nurse should notify the provider about this finding.

Fetal heart rate is incorrect. The fetal heart rate is within the expected reference range; therefore, the nurse should not report this finding to the provider.

Gestational age is correct. The client is at 32 weeks of gestation and is experiencing regular uterine contractions and cervical dilation, which indicates that the client is in preterm labor; therefore, the nurse should notify the provider about this finding.

Vaginal examination is correct. The client's cervix is dilated to 2 cm and is 50% effaced, which indicate the client is in preterm labor; therefore, the nurse should notify the provider about this finding.

Maternal blood pressure is incorrect. The client's blood pressure is within the expected reference range; therefore, the nurse should not report this finding to the provider.

For each assessment finding, click to specify if the finding is consistent with hypoglycemia, hyperbilirubinemia, or sepsis. Each finding may support more than one disease process. - correct -Decreased temperature is associated with hypoglycemia and sepsis.

rationale

 Yellow sclera and oral mucosa are associated with hyperbilirubinemia and sepsis. Poor feeding is associated with hypoglycemia, hyperbilirubinemia and sepsis. Ecchymosis caput succedaneum is associated hyperbilirubinemia. Respiratory distress is associated with hypoglycemia and sepsis. Lethargy is associated with hypoglycemia and sepsis.

A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

- correct -c. "I will continue taking my insulin if I experience nausea and vomiting."

rationale

The nurse should teach the client to continue to take their insulin as prescribed during illness to prevent hypoglycemic and hyperglycemic episodes.