A nurse is reviewing the medical record of a client who is postpartum and has

ATI RN Maternal Newborn Online Practice 2019 B with NGN A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider?

• Hct 39%
• Serum albumin 4.5 g/dL
• WBC 9,000/mm3
• Platelets 50,000/mm3 - CORRECT ANSWER D. Platelets

50,000/mm3 A platelet count of 50,000/mm3 is below the expected reference range, which can indicate disseminated intravascular coagulation. The nurse should report this result to the provider.A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture. The prescription states "Administer azithromycin 1 g orally now." Available is 250 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - CORRECT ANSWER 4 tablet(s) 1g = 1,000mg 1 / 4

1,000 mg x 1 tab = 1,000 mg/tab 1,000mg/tab / 250 mg = 4 tablet(s) A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication?(Select all that apply.)

• Flaccid uterus
• Cervical laceration
• Excess vaginal bleeding
• Increased afterbirth cramping
• Increased maternal temperature - CORRECT ANSWER A. Flaccid

uterus Oxytocin increases the contractility of the uterus.

• Excess vaginal bleeding

Oxytocin enhances uterine contractility, decreasing vaginal bleeding.A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching?

• "You should replace the diaphragm every 5 years."
• "You should leave the diaphragm in place for at least 6 hours after

intercourse." 2 / 4

• "You should use an oil-based product as a lubricant when inserting the

diaphragm."

• "You should insert the diaphragm when your bladder is full." - CORRECT

ANSWER B. "You should leave the diaphragm in place for at least 6 hours after intercourse." The client should keep the diaphragm in place for at least 6 hr after intercourse to provide protection against pregnancy.A nurse is teaching a client who is Rh negative about Rho(D) immune globulin.Which of the following statements by the client indicates an understanding of the teaching?

• "I will receive this medication if my baby is Rh-negative."
• "I will receive this medication when I am in labor."
• "I will need a second dose of this medication when my baby is 6 weeks old."
• "I will need this medication if I have an amniocentesis." - CORRECT ANSWER
• "I will need this medication if I have an amniocentesis."

Rho(D) immune globulin is given to clients who are Rh negative following an amniocentesis because of the potential of fetal RBCs entering the maternal circulation. 3 / 4

A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients?

• Calcium
• Vitamin E
• Iron
• Vitamin D - CORRECT ANSWER C. Iron

The recommendation for iron intake during pregnancy is higher than that for women who are not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women between the ages of 19 and 50 years old.A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?

• Apply sacral counterpressure.
• Perform transcutaneous electrical nerve stimulation (TENS).
• Initiate slow-paced breathing.
• Assist with biofeedback. - CORRECT ANSWER A. Apply sacral

counterpressure.The nurse should apply sacral counterpressure to assist in relieving back labor pain related to fetal posterior position.

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