Maternity ATI official Correct one PDF

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RN Maternal Newborn 2019

1. A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make? a. You should hold your newborn in your arms when you introduce him to your toddler b. you should move your toddler out of her crib 2 weeks prior to your due date c. you should give your toddler a gift from the baby when she visit you in the facility d. You should place your toddler in timeout if she exhibits regressive Behavior after the baby is born

2. A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States “ No, the baby is too tired to be held”. Which of the following actions should the nurse take? a. Insist that the mother pick up the newborn to feed him b. demonstrate how to hold a newborn and allow the client to practice c. persuade the client to breastfeed the newborn to promote bonding d. offer to take the newborn to the nursery to finish his feeding 3. A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider? a. fasting blood glucose 75 mg / DL b. blood pressure 88/58 mmhg c. urinary output 40 ml /hr d. FHR 120/min 4. A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171. a. the plastibell will be removed 4 hours after the procedure b. notify the provider is the end of your penis appears dark red c. make sure the newborn's diaper is snug d. yellow exudate will form at the surgical site in 24 hours

5. A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?

a. Administer broad-spectrum antibiotics b. cleanse the site with Povidone iodine c. monitor the rectal temperature every 4 hours d. prepare for surgical closure after 72 hours

6. A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the nurse take? a. Administer 50 mL of dextrose solution IV b. obtain a blood sample of serum glucose level c. reassess the blood glucose level prior to the next feeding d. Feed the newborn immediately 7. A nurse is caring for four enter-partum clients. Which of the following clients should the nurse assess first? a. A client who is at 7 weeks of gestation and reports urinary frequency b. a client who is at 32 weeks of gestation and reports seeing floating spots c. a client who is 38 weeks of gestation and reports leg cramps d. a client who is at 20 weeks of gestation and reports periodic numbness in her fingers 8. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should the nurse include in the plan of care? a. Use a fetal scalp electrode during labor and delivery b. Bathe the newborn before initiating skin to skin contact c. instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation d. administer pneumococcal immunization to the newborn within 4 hours following birth 9. A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect? a. Firm rigid abdomen b. painless, vaginal bleeding c. uterine hypertonicity d. persistent headache

10. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lap. Which of the following actions should the nurse include? a. Apply a thin layer lotion to the newborn skin every 8 hours b. trust in you born in a thin layer clothing during the therapy c. ensure the newborn's eyes are closed beneath the shield d. give the newborn 1 oz of glucose water every 4 hours

11. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? a. Expect 2 to 4 wet diapers every 24 hours b. allow the baby to feed at least every 3 hours c. offer the newborn 30 ml (1 oz.) a water between feedings d. feed the newborn 5 to 10 minutes per breast 12. A nurse is assessing a client during her first prenatal visit the client reports March 20th us her last menstrual.. Use Niagele’s rule to calculate the estimated date of delivery. Use the mmdd format with four numerals and no spaces or punctuation. 03/20 !"#$%$& 12/27 13. A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client which of the following vaccinations? Select all the apply a. Varicella b. human papillomavirus c. Diphtheria - acellular pertussis d. inactivated influenza e. measles, mumps, and rubella 14. A nurse is caring for a client who has preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy? a. indirect Coombs test b. liver enzymes c. uric acid level d. Serum medication level

15. A nurse is caring for a client who reports spontaneous rupture. The nurse observed fetal bradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following should the nurse take next? a. Initiate an infusion of IV fluids for the client b. Perform vaginal examination by applying upward pressure on the presenting part d. Administer oxygen via non rebreather mask at 8L/ min. D. Cover the umbilical cord with sterile saline saturated towel. 16. A nurse is caring for a client who is 36 weeks gestation and has MRSA. Which of the

following isolation precautions should the nurse initiate? a. Droplet b. Contact c. Airborne d. Protective environment 17. A nurse is assessing a client who is 27 weeks of gestation and has pre eclampsia. Which of the following findings should the nurse report to the provider? a. Hemoglobin 14.8 g/dL b. Platelet count 60,000/ mm c. Creatine 0.8 mg/ dL d. Urine protein concentration 200 mg/24hr 18. A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include? a. You should use an oil based vaginal lubricant when inserting your diaphragm b. you should store your diaphragm in sterile water after each use c. you should keep the diaphragm in place for at least 4 hours after intercourse d. you should have your provider refit you for a new diaphragm

19. A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct? a. 1 hour glucose tolerance test b. rubella titer c. Group B strep culture d. blood type and Rh 20. A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia? a. double vision b. increased urination c. Sweating d. dizziness 21. A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider? a. Blood glucose 58 mg / DL b. hematocrit 48% c. platelets 100,000/ mm 3 d. hemoglobin 16 G / DL

22. A nurse is using Niagele’s rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as a client expected delivery date? 07/28 a. April 21st b. April 4th c. May 5th d. May 21st 23. The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate? a. your partner will apply upward pressure on your lower abdomen between contractions b. your partner will apply continuous from pressure between your thumb and index finger c. your partner will apply pressure to the top of your uterus during contractions d. your partner will apply steady pressure with a tennis ball to your lower back

24. A nurse is caring for a client who is 6 weeks of gestation and reports nausea and vomiting. Which of the following Recommendations should the nurse make? a. avoid Eating snacks before bedtime b. eat high-fat snack before getting out of bed c. drink additional liquids with each meal d. consume food served at cool temperatures

25. A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching? a. I should discontinue this medication if I experience spotting b. I will need to return to the clinic in the next eight weeks for my next injection c. I should increase my calcium intake while taking this medication d. I will get two shots each time I receive this medication

26. A nurse is preparing to perform a fundal massage for a postpartum client with hearing seeing uterine atony. In which order should the nurse plan to perform the following actions? (molded steps into the box on the right. Placing them in order of performance use all steps ) 1. Ask the client to lie on her back in with her knees flexed 2. Position one hand around the top of the client’s when fundus in one hand just above the client's symphysis pubis 3. Rotate the upper hand to massage that clients uterus while using slight downward

pressure to compress the fundus 4. observe the client's perineum for the passage of clots and the amount of bleeding 27. A nurse is providing discharge teaching to a postpartum client about caring for her five-year 5day old male newborn at home. Which of the following statements should the nurse make to the client? a. Retract the foreskin to clean your baby's penis during each bath b. use triple antibiotic ointment on your baby's umbilical cord twice per day c. Swaddle your baby tightly with legs extended before laying him down to sleep d. notify your baby's pediatrician if he urinates less than 6 times per day

29. A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV trans placenta Lee. Which of the following findings should the nurse expect the newborn to exhibit? a. urinary tract infection b. hearing loss c. Macrosomia d. Cataracts

30. A nurse is assessing a full-term newborn arm admission to the nursery. Which of the following clinical findings should the nurse report to the provider? a. Transient circumoral cyanosis - i think this is referring to acrocyanosis which is normal b. single Palmar creases - down syndrome - p.27 c. subconjunctival hemorrhage - expected d. rust stain urine - expected

31. A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs? a. Contractions last 60 Seconds b. non-repetitive early decelerations c. 6 contractions in 10 minutes d. moderate variability of the fetal heart rate

32. A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications? a. Late decelerations

b. Infection c. Anemia d. placental insufficiency

33. A nurse is providing dietary teaching to a client who is 32 weeks of gestation and has cholelithiasis. Which of the following foods should the nurse recommend for the client to include in her diet? a. Baked chicken b. whole milk c. french fries d. bacon cheeseburger

34. A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching? a. I need to take a stool softener the night before the test b. I can't have anything to eat after midnight c. I won't apply perfumed lotion to my abdomen before the test d. I will drink water before the test until my bladder feels full

35. A nurse is performing an assessment of a newborn's but Bensky reflex. Which of the following findings should the nurse expect? a. Flexion of the forearm b. extension of the leg c. Downward curl of the toes d. dorsiflexion of the greater toes

36. A nurse is caring for a client who received epidural analgesia during labor and is 4 hours for postpartum. Which of the following client reports should the nurse address first? - page 84 a. Itching b. inability to void c. abdominal cramps d. tingling in the legs 37. A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse

reaction to the medication? a. Respiratory rate a 16 / minutes b. Hypertension c. urine output 20 ml / hour d. Hyperglycemia 38. Nurse is performing a Heel stick on a newborn. Which of the following actions should the nurse take? a. Use an automatic puncture device on the heel b. Puncture the heels of the inner aspect of the foot c. cleanse the newborns heel with an alcohol swab after the procedure d. place an ice pack on the newborn's heel 5 minutes before the procedure 39. A nurse is admitting a client with a birthing unit reports for contractions started 1 hour ago. the nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions? a. Ectopic pregnancy b. postpartum hemorrhage c. hyperemesis gravidarum d. incompetent cervix 40. a nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV solution. Which of the following findings should the nurse report to the provider? a. decrease in frequency of contractions b. absent deep tendon reflexes c. urinary output 35 ml/hr d. BP 150 / 100 mmhg 41. A nurse is providing nutritional guidance McClain was pregnant in follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client which of the following Foods has the highest amount of calcium? a. One cup cooked broccoli c. one medium potato d. one large banana 42. A nurse is providing discharge instructions to a client is 24 hours post partum and has decided not to breastfeed. Which of the following instruction should the nurse include in the teaching? a. Wear loose-fitting non-binding bra for 72 hours b. shower daily allow warm water to run directly over your dress

c. Apply ice packs to your breast using a 15 minutes on, 45 minutes off schedule d. Pump your breast twice-daily to relieve discomfort from engorgement 43. A nurse in a newborn Nursery is receiving change-of-shift report for for newborns. Which of the following newborn should the nurse assess first? a. Newborn who is 24 hours old and has not had meconium stool b. a newborn who is 10 hours old and has a new onset tachypnea c. newborn who has a short frenulum and is having difficulty breastfeeding d. a newborn was 30 hours old and has blood-tinged discharge in her diaper

45. A nurse is assessing the results of a non-stress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing? a. 3 fetal movements perceived by the client in a 20-minute testing period b. No late deceleration in the fetal heart rate loaded with 3 uterine contractions of 60 seconds in duration within a 10-minute testing period c. Irregular contractions of 10 to 20 seconds in duration that are not felt by the client d. an increase in fetal heart rate to 150 / minute above Baseline of 140 minute lasting 10 seconds in response to fetal movement with a 40 minute testing period 46. A nurse in a prenatal Clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? (Click on the exhibit button for additional information about the client. There are three tabs that contain separate categories of data.) EXHIBIT 1.

EXHIBIT 2

EXHIBIT 3

a. Administer ceftriaxone IM b. administer rubella vaccine c. obtain a maternal serum alpha-fetoprotein specimen d. obtain a blood culture 48. A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following information places the client at risk for infection? a. Placenta previa b. midline episiotomy c. gestational hypertension d. meconium stained fluid

49. A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

a. Increased urinary output b. increased respiratory rate c. increased fetal movement d. increased muscle weakness 50. A nurse is providing prenatal teaching to a client who practices of vegan diet and is trying to increase intake on vitamin 12. Which of the following foods should the nurse recommend? a. fortified soy milk b. brown rice c. fresh citrus fruits d. raw carrots 51. A nurse is assessing a client who is 6 hours postpartum and has endometritis. Which of the following findings should the nurse expect? a. Scant lotia b. urine tenderness c. temperature 37.4 C ( 99.3 F) d. WBC 9,000/mm 52.. A nurse is conducting a class for a group A client's about birth control. Which of the following information should the nurse include in the teaching? a. Your fertility will return six months after your provider removes your IUD b. you should use spermicide 3 hours prior to sexual intercourse c. you will not need to use birth control for one month after receiving emergency contraception d. you should have an annual examination to assess your diaphragm 53. A nurse is caring for a newborn who has an exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of the surgical correction? a. keep the newborn in a side-lying position b. restricted newborns fluid intake c. Exert gentle pressure on the newborn splattered with sterile gauze d. cover the newborns bladder with a sterile non-adherent dressing 54. A charge nurse is teaching a newly licensed nurse about fetal monitoring the newly licensed nurse should identify that which of the following images indicates prolonged deceleration?

OPTION C 55. A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates an understanding of the teaching? a. I will receive a series of three immunizations and each one will be a month apart b. I should avoid becoming pregnant for at least one month following the immunization c. I should avoid breastfeeding for two weeks following the immunization d. I will report joint pain that develops after the immunization to my provider immediately 56. A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository? a. vaginal candidiasis b. third-degree perineal laceration c. abdominal distension d. Afterpains 57. I'm not just caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make? a. You should name the baby so she can have an identity b. you can bathe and dress your baby if you'd like to c. if you don't hold the baby it will make Letting Go much harder d. I'm sure you'll be able to have another baby when you're ready

58. A nurse is assessing a newborn was exposed to cocaine in utero. Which of the following findings should the nurse expect...