ATI A

Question 1

Betamethasone classification and therapeutic intent

Answer 1

Glucocorticoid. requires 24hrs to be effective. Enhance fetal lung maturity and surfactant production in fetuses between 24 to 34 weeks.

Question 2

Nursing actions for betamethasone

Answer 2

Administer deep IM injection using the ventral gluteal or vastus lateralis muscle at least 24hr prior to birth

Question 3

A complication of betamethasone

Answer 3

Pulmonary edema; chest pain, SOB, crackles

Question 4

A nurse is assisting with the care for a client who has a prescription for magnesium sulfate. The nurse should recognize that which of the following are contraindications for use of this medication?

Answer 4

Fetal distress
Vaginal bleeding

Question 5

Prelabor rupture of membranes (PROM)

Answer 5

the spontaneous rupture of the amniotic membranes prior to the onset of true labor.

Question 6

Preterm prelabor rupture of membranes (pPROM or preterm PROM)

Answer 6

the spontaneous rupture of membranes after 20 weeks of gestation and prior to 37 weeks of gestation.

Question 7

Terbutaline Nursing Actions

Answer 7

Administer 0,25 mg subcutaneously every 4 hr, for up to 24 hr

Question 8

Vitamin K (Phytonadione)

Answer 8

Administer 0.5 to 1 mg IM into the vastus lateralis within 1 hr after birth

Question 9

Prophylactic eye ointment for newborn to prevent ophthalmia neonatorum

Answer 9

Erythromycin

Question 10

CNS

Answer 10

High-pitched, shrill cry; incessant crying; irritability; tremors; hyperactivity with an increased moro reflex; increased deep-tendon reflexes; increased muscle tone; disturbed sleep pattern; hypertonicity; convulsions

Question 11

A nurse is assisting with an in-service for newly licensed nurses about neonatal opioid withdrawal syndrome (NOWS) in newborns. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

Answer 11

The newborn will have a continuous high-pitched cry

Question 12

A nurse is assisting with the care of a newborn who is preterm and has respiratory distress syndrome. Which of the following should the nurse monitor to evaluate the newborn’s condition following administration of synthetic surfactant?

Answer 12

Oxygen saturation

Question 13

Phototherapy

Answer 13

The newborn’s bilirubin should start to decrease within 4 to 6 hr after starting treatment

Question 14

A nurse is assisting with the care of a newborn who has a high bilirubin level and is receiving phototherapy. Which of the following findings is the priority for the nurse to report to the charge nurse?

Answer 14

Sunken Fontanels

Question 15

A nurse is collecting data during a well-baby visit with a 4 month old infant. Which of the following immunizations should the nurse plan to administer to the infant?

Answer 15

Polio (IPV), Pneumococcal vaccine (PCV), Rotavirus vaccine (RV)

Question 16

A nurse is reinforcing education to the guardian of a 3 month old infant about care of the infant during the first year of life. Which of the following statements by the guardian indicates an understanding of the teaching?

Answer 16

My baby can have up to 6 oz of fruit juice a day after they are 8 months old

Question 17

A nurse is reinforcing education about introducing new foods to the caregivers of an infant who is 6 months of age. Which of the following foods should the nurse recommend?

Answer 17

Iron-fortified cereal

Question 18

Safety of the newborn’s crib

Answer 18

The space between the mattress and sides of the crib should be less than 2 fingerbreadths. The slats on the crib should be no more than 5.7 cm (2.25 in) apart.

Question 19

Newborns that are macrosomic

Answer 19

At risk for birth injuries (shoulder dystocia, clavicle fracture or a cesarean birth, asphyxia, hypoglycemia, polycythemia and erb-duchenne paraplysis due to birth trauma

Question 20

Erb-Duchenne Paralysis (Brachial paralysis)

Answer 20

A flaccid arm with the elbow extended and the hand rotated inward, absence of the moro reflex on the affected side, sensory loss over the lateral aspect of the arm, and intact grasp reflex.

Question 21

Clavicular Fractures

Answer 21

Limited motion of an arm, crepitus over a clavicle, and absence of the moro reflex on the affected side

Question 22

Trichomoniasis

Answer 22

Yellow-green, frothy vaginal discharge with foul odor; Dyspareunia and vaginal itching; Dysuria. Strawberry spots on the cervix, a cervix that bleeds easily

Question 23

Pelvic Inflammatory disease (PID)

Answer 23

Increased ESR, C-reactive protein, fever malaise, anorexia, nausea, vomiting, headache

Question 24

If gonorrhea is untreated, can cause:

Answer 24

Scarring of fallopian tubes and lead to pelvic inflammatory Disease (PID)

Question 25

Placenta Previa

Answer 25

Refrain from performing vaginal exams (can exacerbate bleeding), monitor for bleeding, leakage, or contractions

Question 26

Methotrexate

Answer 26

Inhibits cell division and embryo enlargement, dissolving the pregnancy. Assist with administering IV fluids, blood products, and medications as prescribed

Question 27

Discharge instructions for newborn injury

Answer 27

Understand the injury and management of the injury, perform parent-newborn bonding

Question 28

Prolapsed umbilical cord

Answer 28

Administer oxygen at 10 L/min via nonrebreather mask to improve fetal oxygenation. Apply a warm, sterile, saline-soaked towel to the visible cord to prevent drying and to maintain blood flow. Reposition the client in a knee-chest, trendelenburg, or a modified lateral semi-prone pressure on the cord.

Question 29

Photosensitivity

Answer 29

Increased skin sensitivity with UV light or sunlight can cause intense sunburn

Question 30

Prophylaxis

Answer 30

Take the full course of antimicrobials the provider prescribes to prevent medication resistance and recurrence of infection

Question 31

Darkening of urine

Answer 31

A harmless effect of metronidazole

Question 32

Newborn infection, sepsis

Answer 32

CBC with differential, C-reactive protein

Question 33

Gestational Hypertension

Answer 33

Epigastric pain, blurring of vision

Question 34

Prenatal reinforcement of teaching

Answer 34

Promotion, preparation for pregnancy and birth, common discomforts of pregnancy, and warning/danger signs to report

Question 35

Magnesium Sulfate

Answer 35

Respirations less than 12/min

Question 36

Folate

Answer 36

Occurs naturally in a variety of foods including liver, dark-green leafy vegetables, orange juice, and legumes

Question 37

Prevention of thrombophlebitis

Answer 37

Initiate early and frequent ambulation postpartum

Question 38

Respiratory distress syndrome, asphyxia, and meconium aspiration

Answer 38

Tachypnea (respiratory rate greater than 60/min), nasal flaring, expiratory grunting, retractions, labored breathing with prolonged expiration, fine crackles on auscultation, cyanosis, unresponsiveness, flaccidity, and apnea with decreased breath sounds (manifestations of worsened RDS)

Question 39

Hypoglycemia

Answer 39

Irregular respirations, jitterness/tremors, blood glucose level less than 70 mg/dl, hypothermia