ATI RN
ATI Capstone Maternal Newborn Assessment Quizlet
1. A client at 37 weeks of gestation is scheduled for a nonstress test. What information should the nurse include?
- A. You will be given oxytocin during the test.
- B. You will need to fast for 12 hours before the test.
- C. You will need to drink orange juice before the test.
- D. You will need to have a full bladder during the test.
Correct answer: C
Rationale: The correct answer is C. Drinking orange juice before the nonstress test can increase fetal movement, which is essential for an accurate reading. Choice A is incorrect because oxytocin is not typically administered during a nonstress test. Choice B is incorrect as fasting is not required before this test. Choice D is incorrect as a full bladder is not necessary for a nonstress test.
2. A client has a new prescription for a Fentanyl transdermal patch. Which of the following instructions should the nurse include?
- A. Apply the patch to a non-hairy area.
- B. Change the patch every 72 hours.
- C. Avoid exposure to heat sources.
- D. Do not cut the patch to adjust the dosage.
Correct answer: C
Rationale: The correct instruction the nurse should include for a client using a Fentanyl transdermal patch is to avoid exposure to heat sources. Heat can increase the absorption of the medication, potentially causing an overdose. Instructing the client to avoid heat sources is crucial to ensure their safety and the effectiveness of the medication. Choices A, B, and D are incorrect because applying the patch to a non-hairy area, changing it every 72 hours, and not cutting the patch are general guidelines for using transdermal patches but do not specifically address the unique risks associated with Fentanyl patches.
3. A client is to take one daily dose of ranitidine (Zantac) at home to treat her peptic ulcer. The nurse knows that the client understands proper drug administration of ranitidine when she says that she will take the drug at which of the following times?
- A. Before meals
- B. With meals
- C. At bedtime
- D. When pain occurs
Correct answer: C
Rationale: Ranitidine (Zantac) is best taken at bedtime to reduce stomach acid production overnight.
4. Jade spent two years in a Mexican-American community studying communication between parents and children. Jade was using __________.
- A. naturalistic observation
- B. ethnography
- C. self-reports
- D. structured observation
Correct answer: B
Rationale: Jade was using ethnography. Ethnography involves the systematic study of people and cultures through participant observation and interviews. In this case, Jade spent two years in a Mexican-American community studying communication between parents and children, which aligns with the methodology of ethnography. Ethnography allows researchers to gain an in-depth understanding of a particular cultural group's behaviors, practices, and beliefs. Choice A, naturalistic observation, involves observing subjects in their natural environment without interference or manipulation. While similar to ethnography in some aspects, naturalistic observation does not typically involve the same level of cultural immersion and participant interaction as ethnography. Choice C, self-reports, refers to data collected directly from participants about their thoughts, feelings, or behaviors. This method relies on participants' subjective responses and may not provide the same depth of cultural insights as ethnography. Choice D, structured observation, involves observing behavior in a structured and controlled environment. Unlike ethnography, structured observation does not focus on the cultural nuances and immersive study of a specific community.
5. A client has a new prescription for Labetalol. Which of the following instructions should the nurse include?
- A. Take this medication at bedtime.
- B. Avoid sudden discontinuation of the medication.
- C. Increase your intake of sodium-rich foods.
- D. Avoid drinking grapefruit juice.
Correct answer: B
Rationale: The correct instruction for a client on Labetalol is to avoid sudden discontinuation of the medication. Labetalol is a beta-blocker that, if abruptly stopped, can lead to rebound hypertension and other cardiac issues. It is essential for patients to taper off this medication under medical supervision to prevent adverse effects.
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