2024 NGN ATI PN Maternal Newborn 2020 with NGN Updated 2024 New Latest Version with All Questio ns, Answers and Rationale Question 1: A nurse is reinforcing teaching with a client who has a pre -pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy? A. 16.4 to 20.5 kg (36 to 45 lb) B. 5 to 7.7 kg (11 to 17 lb) C. 11.4 to 15.9 kg (25 to 35 lb) D. 8.2 to 10.9 kg (18 to 24 lb) Show correct answer and explanation Explanation 16.4 to 20.5 kg (36 to 45 lb): This range of weight gain is higher than the recommended amount for a client with a pre -pregnancy BMI of 21. It is more appropriate for individuals with a lower BMI. 5 to 7.7 kg (11 to 17 lb): This range of weight gain is lower than the recommended amount for a client with a pre -pregnancy BMI of 21. It is more appropriate for individuals with a higher BMI. 11.4 to 15.9 kg (25 to 35 lb): This range of weight gain is higher than the recommended amount for a client with a pre -pregnancy BMI of 21. It is more appropriate for individuals with a lower BMI. 8.2 to 10.9 kg (18 to 24 lb): This range of weight gain falls within the recommended guidelines for a client with a pre -pregnancy BMI of 21. It is the most appropriate choice for this specific client. Question 2: A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Naegele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD forma t.) Show correct answer and explanation Explanation - To use Naegele's rule, add 7 days to the first day of the last menstrual period and subtract 3 months. - In this case, adding 7 days to February 16 gives February 23, and subtracting 3 months gives November 23. - Therefore, the estimated date of birth is 1123. Question 3: A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep - vein thrombosis. Which of the following instructions should the nurse include? A. "Use a disposable razor for shaving while taking this medication." B. "You should not take oral contraceptives while taking this medication." C. "Take 650 milligrams of aspirin for leg discomfort." D. "You will be able to stop taking this medication in 2 weeks." Show correct answer and explanation Explanation A. Incorrect. While using a disposable razor is a precaution for individuals taking anticoagulants to reduce the risk of bleeding, it is not specific to warfarin. B. Correct. Taking oral contraceptives along with warfarin can increase the risk of bleeding. Therefore, the client should be advised not to take oral contraceptives while on warfarin. C. Incorrect. Aspirin is not typically recommended for pain relief in individuals taking warfarin due to the increased risk of bleeding. D. Incorrect. The duration of warfarin therapy is individualized based on the specific condition being treated. It is not a fixed 2 -week period. Question 4: A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae? A. Uterine atony B. Polyhydramnios C. Painless vaginal bleeding D. Board -like abdomen Show correct answer and explanation Explanation A. Incorrect. Uterine atony is a condition characterized by poor uterine muscle tone and is not specifically indicative of abruptio placentae. B. Incorrect. Polyhydramnios is an excessive accumulation of amniotic fluid and is not a specific sign of abrupti o placentae. C. Correct. Painless vaginal bleeding is a classic sign of abruptio placentae. It occurs when the placenta partially or completely detaches from the uterine wall. D. Incorrect. A board -like abdomen is a sign of peritonitis or a surgical abdome n and is not specific to abruptio placentae. Question 5: A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis? A. Apply elastic stockings before the client gets out of bed. B. Apply warm, moist packs to the client's lower legs. C. Have the client ambulate as often as possible. D. Administer NSAIDs every 4 to 6 hours. Show correct answer and explanation Explanation A. Correct. Applying elastic stockings (compression stockings) helps promote venous return and prevent stasis of blood, which can contribute to thrombophlebitis. B. Incorrect. Applying warm, moist packs can provide comfort but does not specifically prevent thrombophlebitis. C. Incorrect. Ambulation is important for preventing thrombophlebitis as it encourages blood flow, but it should be combined with other measures like wearing elastic stockings. D. Incorrect. While NSAIDs can be used for pain relief, they do not directly prevent thrombophlebitis. Other measures like compression stockings are more specific for prevention. Question 6: A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.) A. Check the newborn's skin for ecchymosis. B. Assist the mother to breastfeed the newborn after birth. C. Obtain a stool sample of meconium D. Check the newborn's blood glucose level. E. Assist with administering a blood transfusion to the newborn Show correct answer and explanation Explanation A. Correct. Large for gestational age (LGA. infants may have a higher risk of birth injuries, including ecchymosis (bruising) due to their size. B. Correct. Encouraging breastfeeding is important for all newborns, including those who are large for gestatio nal age. C. This action is not specifically related to caring for a newborn who is large for gestational age. Meconium may be collected for other reasons, but it is not a priority in this situation. D. Correct. LGA infants are at increased risk for hypogly cemia due to maternal gestational diabetes. Monitoring blood glucose levels is important. E. This action is not typically indicated for newborns who are large for gestational age. It is important to focus on monitoring and providing supportive care unless there arespecific medical indications for a blood transfusion. Question 7: A nurse is reinforcing teaching with a client about obtaining a clean catch urine specimen. Identify the sequence of steps the nurse should instruct the
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