ATI PN MATERNAL NEWBORN PROCTORED EXAM

ATI PN MATERNAL NEWBORN PROCTORED EXAM

VERSION 29

• The nurse is planning care for a client at 30-weeks gestation who is experiencing

preterm labor.· Terbutaline (Brethine) 0.25 mg subcutaneously q15 minutes x 3 · Ampicillin 1 gram IV push q8h.· Betamethasone (Celestone) 12 mg deep IM · Butorphanol (Stadol) 1 mg IV push q2h PRN pain Note: page 495 and 496 Maternity book, en la opcion # 1 en el libro dice que se aplica cada 20 o 30 minutos, o sea que aqui no esta exacta aunque para mi es una Buena opcion porque es un tocolytic que se usa para disminuir las contracciones en los partos prematuros; aunque en el libro tambien hablan de comenzar el tratamiento para la maduracion pulmonar DEL FETO rapido y la opcion c si esta exacta como en el libro aunque en esta pregunta no hablan del feto, pero hay otra que si menciona para la maduracion del sistema respiratorio del feto entonces si seria la opcion c sin discusion…lo dejo a su eleccion.

• A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6

mg/dl and a hematocrit of 25.1 %. What food should the nurse encourage this client to include in her diet?· Carrots · Chicken · Yogurt · Cheese Note: Page 274 Maternity book habla de la necesidad de acido folico en el primer trimester y la carne animal es el primer source, despues los productos lacteos, en la seccion de anemias solo especifica lo que ya sabemos que cuando no es patologica las mas frecuentes son por hierro o acido folico deficiency.

• The nurse is preparing to administer methylergonovine maleate (Methergine) to

a postpartum client. Based on what assessment finding should the nurse withhold the drug?· Respiratory rate of 22 breaths/min · A large amount of lochia rubra 1 / 2

· Blood pressure 149/90 · Positive Homan’s sign Note: The only contraindication that has this medicine is HBP, page 581 Matern…book.

• The nurse is planning care for a 16-year-old, who has juvenile rheumatoid

arthritis (JRA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement?· Begin a training program lifting weights and running · Splint affected joints during activity · Exercise in a swimming pool · Perform passive range of motion exercises twice daily

Note: page 1710 MB (Maternity book)

• A client receiving oxytocin (Pitocin) to augment early labor. Which assessment

is most important for the nurse to obtain each time the infusion rate is increased?· Pain level · Blood pressure · Infusion site · Contraction pattern

Note: Page 508 MB

• One day after vaginal delivery of a full term baby, a postpartum client’s white

blood cell count is 15.000/mm. What action should the nurse take first?· Check the differential, since the WBC is normal for this client · Assess the client’s temperature, pulse, and respirations q4h · Assess the client’s perineal area for signs of a perineal hematoma · Notify the healthcare provider, since this finding is indicative of

infection Note: During the first 10 to 12 days after partum is between

20,000-25, 000 Page 530

• A neonate who has congenital adrenal hypoplasia (CAH) presents with

ambiguous genitalia. What is the primary nursing consideration when supporting the parents of a child with this anomaly?· Discuss the need for cortisol and aldosterone replacement therapy after discharge · Support the parents in their decision to assign sex of their child according to their preference · Offer information about ultrasonography and genotyping to determine sex assignment · Explain that corrective surgical procedures consistent with sex assignment can be

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