ATI coach remediation week4

The nurse is assessing a newborn for neonatal substance withdrawal. What are three (3) manifestations of neonatal abstinence syndrome? Manifestations of neonatal abstinence syndrome include a high pitch cry, nasal flaring, and increased deep tendon reflexes. The nurse is teaching a group of pregnant clients about nutrition during pregnancy. What nutrients need to be increased during pregnancy? The following nutrients should be increased during pregnancy: Folic Acid 400-600 mcg Iron- give with vitamin C.. Milk and caffeine interfere! Calcium- should have a total of 1000mg day from19-50years old. Younger than 19 should have up to 1300. Good nutrition will also include additional protein and fluids. The nurse is providing education to a client with phenylketonuria who is planning her pregnancy. What foods should the nurse teach the client to consume? The client who suffers from phenylketonuria and plans to become pregnant should be advised to start a PKY diet at least three months prior to pregnancy and throughout. This means avoid protein foods, fish, poultry, meat, eggs, nuts, and dairy products. Aspartame should also be avoided as it contains phenylalanine. A 37-week client with diabetes mellitus is scheduled to have a nonstress test. What teaching should the nurse provide the client about the nonstress test? The nurse should let the client know that a non-stress test is a non invasive procedure that monitors fetal heart rate to fetal movement. The client should be instructed to press a button every time she feels the fetus moving. The nurse is reviewing the laboratory values on a pregnant client at 10-weeks gestation with hyperemesis gravidarum. What three (3) laboratory values should be reported to the provider? For Hyperemesis the provider should be notified on sodium, potassium, and chloride will all be diminished and indicative of dehydration. A pregnant client is admitted to the unit for preeclampsia. What lab values would be of concern to the nurse to report to the provider? Elevated protein levels, elevated creatnine >1.1mg/dl Lab values that would be of concern would be those signaling HELLP: Elevated blood creatnine, ALT, AST, and low platelets <100,000/mm3 The nurse has received a total bilirubin laboratory report of 7mg/dl on a newborn who is 24 hours old. What action, if any should the nurse take?