Nursing 320 Flashcards ATI

A nurse is teaching a pt. who is at 10 wks of gestation about nutrition during pregnancy. Which of the following statements by the pt. indicates an understanding?

"I should take 600 micrograms of folic acid each day." Rationale: A client who is pregnant should increase her folic acid intake to 600 mcg daily. Folic acid assists with preventing neural tube birth defects.

A nurse is caring for a pt. who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests?

Biophysical profile Rationale: A positive contraction stress test indicates that further evaluation of the fetus is necessary. A biophysical profile will provide further evaluation with real-time ultrasound.

A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain.

Chin quivering Rationale: Behavioral responses to a newborn's pain include facial expressions (for example, chin quivering, grimacing, and furrowing of the brow).

A nurse is calculating a pt's expected date of birth using Naegele's rule. The pt. tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the pt's expected date of birth?

September 3rd Rationale: When using Naegele's rule to calculate the estimated date of birth for a client, the nurse should subtract 3 months from the first day of the client's last menstrual cycle and then add 7 days. November 27th minus 3 months equals August 27th. August 27th plus 7 days equals September 3rd

A nurse is assessing a pt. who is at 30 wks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?

Swelling of the face Rationale: Swelling of the face, sacral area, and hands can indicate gestational hypertension or preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid moves out of the intravascular compartment into the tissues, causing edema.