ATI RN
ATI Capstone Maternal Newborn Assessment Quizlet
1. A nurse is assessing a client who is at 34 weeks of gestation and is receiving magnesium sulfate for severe preeclampsia. Which of the following findings should the nurse report to the provider?
- A. Respiratory rate of 10/min
- B. Urine output of 30 mL/hr
- C. Deep tendon reflexes 2+
- D. Client reports feeling warm
Correct answer: A
Rationale: A respiratory rate of 10/min is significantly low and indicates potential magnesium toxicity, which can lead to respiratory depression. This finding should be reported to the provider immediately for further evaluation and management. Urine output of 30 mL/hr is within the expected range during magnesium sulfate therapy and does not require immediate reporting. Deep tendon reflexes 2+ are a normal finding and do not indicate any immediate concerns. The client reporting feeling warm is a common side effect of magnesium sulfate and does not require immediate reporting unless accompanied by other symptoms.
2. A client has an oxygen saturation of 88% on room air. Which action should the nurse take first?
- A. Initiate oxygen therapy at 2 liters per minute via nasal cannula.
- B. Place the client in a high-Fowler's position.
- C. Notify the healthcare provider.
- D. Document the finding in the client's medical record.
Correct answer: A
Rationale: The priority action for a client with an oxygen saturation of 88% on room air is to initiate oxygen therapy to improve oxygen saturation levels. Oxygen therapy is crucial to address hypoxemia promptly. Placing the client in a high-Fowler's position can also aid in oxygenation, but administering oxygen takes precedence. While notifying the healthcare provider is important, it is a secondary action after ensuring the client's immediate need for oxygen is met. Documenting the finding in the client's medical record is necessary for continuity of care but is not the primary intervention when addressing hypoxemia.
3. You’re caring for Carin who has just had ileostomy surgery. During the first 24 hours post-op, how much drainage can you expect from the ileostomy?
- A. 100 ml
- B. 500 ml
- C. 1500 ml
- D. 5000 ml
Correct answer: C
Rationale: During the first 24 hours post-op, you can expect about 1500 ml of drainage from the ileostomy.
4. Which method is commonly used to evaluate community health programs?
- A. Conducting randomized controlled trials
- B. Using focus groups to gather feedback
- C. Measuring changes in health behaviors
- D. Surveying community health needs
Correct answer: C
Rationale: Measuring changes in health behaviors is a common method used to evaluate the effectiveness of community health programs. By assessing changes in health behaviors, such as dietary choices, exercise habits, or preventative care utilization, program evaluators can determine the impact of the intervention on the target population's health outcomes.
5. In a structured observation, each participant has an equal opportunity to display the behavior of interest because the researcher designs a specific set of conditions or tasks for all participants to engage in, providing a standardized environment for observation.
- A. clinical interview
- B. naturalistic observation
- C. structured observation
- D. case study
Correct answer: C
Rationale: In a structured observation, each participant has an equal opportunity to display the behavior of interest because the researcher designs a specific set of conditions or tasks for all participants to engage in, providing a standardized environment for observation. This allows for fair and equitable observations across all participants, ensuring that each individual has the same opportunities to exhibit the behavior being studied. Choice A, clinical interview, typically involves a one-on-one interaction between a researcher and a participant focusing on collecting information through questions and answers, not providing equal opportunities for behavior display. Choice B, naturalistic observation, involves observing individuals in their natural environment without intervention or manipulation of conditions, which may not always ensure equal opportunities for behavior display. Choice D, case study, focuses on in-depth analysis of a single individual or a small group, providing detailed information but not necessarily ensuring equal opportunities for behavior display among participants.
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