RN Maternal Newborn Online Practice 2019 A – ATI (60 Questions Answered 100% Correct)

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RN Maternal Newborn Online Practice 2019 A – ATI (60 Questions Answered 100% Correct) A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a... n IV continuous infusion. Which of the following interventions should the nurse include in the plan? Monitor the client's blood pressure every hour. Restrict the total hourly intake to 200 mL. Monitor the FHR continuously. Administer protamine sulfate for manifestations of toxicity. {{Correct Ans- Monitor FHR Continuously Magnesium sulfate, which is used to prevent seizures in clients who have preeclampsia, is a high-alert medication that requires close monitoring. The FHR and uterine contractions should be monitored continuously while the client is receiving magnesium sulfate. The nurse should monitor the client's vital signs, including blood pressure, every 15 to 30 min. The nurse should restrict the client's total hourly intake to no more than 125 mL. Clients who have preeclampsia can have an alteration in kidney function, leading to increases in edema. The nurse should administer calcium gluconate if the client shows manifestations of magnesium sulfate toxicity. Findings of toxicity include loss of deep-tendon reflexes, respiratory depression, slurred speech, and cardiac arrest. A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect? Minimal arm recoil Popliteal angle of 90° Creases over the entire foot sole Raised areolas with 3 to 4 mm buds {{Correct Ans- Minimal arm recoil The nurse should expect a newborn who was born at 26 weeks of gestation to have decreased muscular tone, or minimal arm recoil. Magnesium sulfate 2g/hr. Available is 20g mag sulfate in 500mL D5W. Set IV to how many mL/hr? {{Correct Ans- 50 (Desired amount x quantity mL) / Have (2 x 500 / 20) A nurse is assessing a newborn who is 16 hr old. Which of the following finding should the nurse report to the provider? Substernal retractions Acrocyanosis Overlapping suture lines Head circumference 33 cm (13 in) {{Correct Ans- The nurse should identify that substernal retractions, apnea, grunting, nasal flaring, and tachypnea are manifestations of neonatal infection or respiratory distress in the newborn. The nurse should report these findings to the provider for immediate intervention. A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? Hypertonia Increased feeding Hyperthermia Respiratory distress {{Correct Ans- Respiratory Distress Late preterm newborns are at an increased risk for hypoglycemia due to decreased glycogen stores and immature insulin secretion. Respiratory distress is a manifestation of hypoglycemia. Other manifestations of hypoglycemia include an abnormal cry, jitteriness, lethargy, poor feeding, apnea, and seizures. [Show More]

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