RN ATI CAPSTONE MATERNAL NEWBORN NEWEST 2024 QUESTIONS AND DETAILED CORRECT ANSWERS INCLUDING RATIONALES (GRADED A+)

RN ATI CAPSTONE MATERNAL NEWBORN
NEWEST 2024 QUESTIONS AND DETAILED
CORRECT ANSWERS INCLUDING RATIONALES
(GRADED A+)
A nurse is reinforcing teaching with a client who has a new prescription for
medroxyprogesterone acetate injection for contraception. Which of the following
statements by the client indicates understanding of the teaching?
"I should not receive this medication while I am breastfeeding." "I will need
monthly injections of this medication."
"I am likely to gain weight while taking this medication."
"I should limit my calcium intake while taking this medication." - ANSWER-I am
likely to gain weight while taking this medication
A nurse is contributing to the plan of care for a client who is pregnant and has
intermittent constipation. Which of the following interventions should the nurse
recommend in the plan?
Take two docusate calcium capsules each evening. Use a hypertonic enema when
episodes occur.
Consume 10 mL (2 tsp) of mineral oil each morning.
Drink 2 L of water per day. - ANSWER-Drink 2L of water per day
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A nurse is assisting with the care of a client who is pregnant and has preeclampsia.
While the nurse is collecting data, the client has a seizure. Which of the following
actions should the nurse take first?
Monitor fetal heart tones.
Measure the client's blood pressure. Insert indwelling urinary catheter.
Turn the client on their side. - ANSWER-Turn the client on their side
a nurse is collecting data from a client who is receiving magnesium sulfate IV for
preeclampsia. The nurse should identify which of the following findings as an
indication of toxicity to report to the provider?
Tinnitus Proteinuria 3+
Increased urine output
Respiratory rate 10/min - ANSWER-Respiratory rate of 10/minute
A nurse is contributing to the plan of care for a client who has hyperemesis
gravidarum. Which of the following interventions should the nurse recommend?
Encourage fluids with meals.
Obtain a specimen for a uric acid level. Initiate a high-fat and low-protein diet.
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Monitor intake and output. - ANSWER-Monitor intake and output
A nurse is assisting in the care of a client during the active phase of labor. Which of
the following actions should the nurse take to promote the clients comfort?
Prepare the client for a pudendal nerve block. Administer a sedative to the client.
Encourage the client to push.
Have the client perform relaxing breathing techniques. - ANSWER-Have the client
perform relaxing breathing techniques.
a nurse is collecting data from a client who is receiving magnesium sulfate. Which
of the following findings should the nurse report to the provider?
Flushed skin Respiratory rate 22/min
Absent deep-tendon reflexes
Urinary output 35 mL/hr - ANSWER-absent deep tendon reflexes
a nurse is collecting data from a client who is 38 weeks of gestation. Which of the
following findings should the nurse report to the provider?
Glycosuria Leg cramps Insomnia
Leukorrhea - ANSWER-glycosuria
Glycosuria is a potential complication of gestational diabetes mellitus and the
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nurse should report this finding to the provider.
a nurse is planning to reinforce discharge teaching about formula feeding with the
guardian of a newborn. Which of the following instructions should the nurse plan to
include?
Provide the newborn with six to eight feedings during a 24-hr period
Ensure that the newborn receives 45 to 60 mL of formula per feeding during the
first 48 hr.
Offer water to the newborn between feedings.
Delay burping the newborn until the feeding is complete. - ANSWER-provide the
newborn with six to eight feedings during a 24 hour period