A nurse is planning care for a newborn who is receiving phototherapy for an
elevated bilirubin level. Which of the following actions should the nurse
... [Show More] take?
- D. Use a photometer to monitor the lamp's energy
The nurse should monitor the lamp's energy throughout the therapy to ensure
the newborn is receiving the appropriate amount to be effective.
A nurse is assessing a client at 34 weeks gestation who has a mild placental
abruption. Which of the following findings should the nurse expect? - Dark
red vaginal bleeding
The nurse should expect this client with a mild placental abruption to have
minimal dark red vaginal bleeding.
A nurse is assessing a newborn and notes an axillary temperature of 96.9°F
(36°C). Which of the following actions should the nurse perform? - Correct
Answer:
B.
Assess the newborn's blood glucose level
Infants who become cold attempt to generate heat through increased
muscular and metabolic activity. This process increases glucose
consumption and puts the newborn at risk of hypoglycemia.
Incorrect Answers:
A. The nurse should not obtain a rectal temperature from a newborn due to
the risk of rectal perforation. Instead, the nurse should obtain an axillary
temperature.2022 ATI PROCTORED EXAM - MATERNAL NEWBORN
C. Bathing a newborn will increase heat loss. The infant should not be bathed
until the temperature has stabilized within the normal range.
D. Placing the infant in front of a heater vent can incur heat loss through
convection. Additionally, there is a potential fire risk from the bassinet linens
and the vent.
A nurse is caring for a client who is in preterm labor and is receiving
magnesium sulfate. The client begins to show indications of magnesium
sulfate toxicity. Which of the following medications should the nurse prepare
to administer? - Correct Answer:
C. Calcium gluconate
The nurse should discontinue the magnesium sulfate infusion immediately
and prepare to administer calcium gluconate IV to reverse the effects of
magnesium sulfate and to prevent cardiac and respiratory arrest. [Show Less]