ATI MATERNAL

A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following information should the nurse include?

"Hypnosis can be beneficial in you practiced it during the prenatal period"

A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching?

"The medication could cause me to experience heart palpitation"

A nurse is reviewing signs of effective breathing with a client who is 5 days postpartum. Which of the following information should the nurse include in the teaching?

"You should feel a tugging sensation when the baby is sucking.

A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer?

Acyclovir

A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?

A client who is receiving magnesium sulfate and has absent deep tendon reflexes

A nurse is caring for a client who is 8 hr. post-cesarean birth. Which of the following actions should the nurse take? Instruct the client to call for assistance with their first ambulation

Administer PO pain medication to the client

Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation. Use a fetal scalp electrode during labor and deliver

Administer a pneumococcal immunization to the newborn within 4 hr following birth.

A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take? Decrease maintenance IV solution infusion rate.

Administer oxygen via face mask at 2 L/min

A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (SATA

Amnionitis, Leakage of amniotic fluid, Preterm labor

A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching?

B. "Breast milk can be stored in a deep freezer for 12 months."

A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?

B. Avoid using lotion or ointment on the newborn skin.

A nurse is assisting with an amniotomy on a client who is in labor. Which of the following situations should the nurse take?

B. Ensure that the fetal head is engaged

A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take?

B. Ensure the newborn's mouth is wide open before latching to the breast

A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication?

Blood pressure 142/92 mm Hg

A community health nurse is providing education on gestational diabetes mellitus (GDM) to a group of clients who are pregnant when discussing risk factors, which of the following ethnicities should the nurse identify as having the lowest incidence of GDM?

B. Non-Hispanic White American

A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include?

C. "You should anticipate nasal stuffiness."

A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method?

C. Facial Palsy

A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take?

C. Initiate seizure precautions

A nurse is providing nutritional guidance to a client who is pregnant and 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 that which of the following foods has the highest amount of calcium?

D. 1 cup cooked broccoli

A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy. This of the following statements by the client indicates an understanding of the teaching.

D. I will consume 50 grams of protein daily

A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?

D. Malodorous Discharge

A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?

D. Ovulation remains the same

A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures?

D. Performing umbilical cord care

A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth.

D. Rubella

A nurse is caring for a newborn who is 24 hr old. Which of the following Laboratory findings should the nurse report to the provider?

D. WBC count 32.000/mm3

A nurse is caring for a client who is having a vacuum-assisted birth. Which of the following actions should the nurse take?

Encourage the client to push during contractions

A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

Ensure the newborn eyes are closed beneath the shield

A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications?

Hemorrhage

A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?

Increase the infusion rate every 30 to 60 min.

A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse the nurse takes? (Click on the "Exhibit" Button for additional information about the newborn. There are three tabs that contain separate categories of date.)

Measure the abdominal circumference at the level of the newborn's umbilicus every 2 hr.

A nurse is caring for a client who has bacterial vaginosis. Which of the following medication should the nurse expect to administer?

Metronidazole

A nurse is planning care for a client who is scheduled for a cesarian birth. Which of the following interventions should the nurse include in the plan of care?

Perform a surgical time out

A nurse is caring for a client who has hyperemesis gravidarium and reports muscle weakness and leg cramps. Which of the laboratory finding should the nurse expect?

Potassium 3.0

A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?

d. Sternal retractions

A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider?

C. Urinary output 20 mL/hr

A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make?

. "you will need to stay in a side-lying position for 30 minutes after each dose."

A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?

. "your contraction will become more intense when walking"

A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?

. A client who has gestational diabetes mellitus

A nurse is caring for a client who is in the transition phase of labor and reports a pain level of 7 on a scale of 0 to 10. Which of the following actions should the nurse take?

. Assist the client with patterned-paced breathing

A nurse is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the nurse include in the teaching?

. Hepatitis B

A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort?

A. Assisting the client into squatting position

A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect

A. Bulging Fontanels

A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider?

A. Contraction durations of 95 to 100 seconds

A nurse is assessing a newborn who is born via forceps assisted birth. which of the following findings should the nurse identify as injury caused by forceps?

A. Facial asymmetry

A nurse is reviewing the laboratory results for a newborn 12 hours old. Which of the following is an expected findings.

A. Glucose 40mg/dl

A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?

A. Hypnosis

A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the nurse place the Doppler device when assessing the fetal heart rate?

A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis

A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

A. "I should position my baby's car seat at a 45-degree angle in the car."

A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse?

A. "It burns when I urinate

A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?

A. "You can bathe and dress your baby if you'd like to."

A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? ( select all that apply)

A. Amnionitis D. Leakage of amniotic fluid E. Preterm labor

A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect?

A. Nails extending over tips of fingers

A nurse is caring for a client who has received an epidural during labor. Which of the following actions should the nurse take?

A. Position a wedge under the clients left hip

A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?

A. newborn who has nasal flaring

A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection.

C. Midline episiotomy

A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune globulin to prevent Rh- is immunization?

An Rh-negative mother who has an Rh- positive infant

. A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply).

B. "I should consume three 8-ounce glasses of water after I exercise." D. "I should limit exercise sessions to 30 minutes when the weather is humid." E. "I should rest by lying on my side for 10 minutes following exercise."

A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching?

B. "This test will determine adequacy of placental perfusion".

A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take?

B. Apply a cap to the newborn head.

A nurse is caring for a client who is 4hr postpartum and is experiencing hypovolemic shock. Which of the following actions should the nurse take?

B. Insert a second using a 22-gauge IV catheter

A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?

B. The mother is Rh negative, and the father is Rh positive

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 plans to conduct?

B.1-hr glucose tolerance test

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?

Bathe the newborn before initiating skin-to-skin contact

A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect which of the following laboratory values to increase?

Bilirubin

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include?

C. Breast Tenderness

A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following finding should the nurse expect?

C. Creases over the entire sole

nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

C. Ensure the newborn eyes are closed beneath the shield

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

C. Hemoglobin 14.8 g/ dL

A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit?

D. A client who has felt quickening for the first time

A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?

D. A client who has placenta previa and a hematocrit of 36% E. "I have been seeing spot this morning"

A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take?

D. Administer a bolus of lactated ringer

A nurse in a woman's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID)?

D. Chlamydia Infection

A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which of the following results require intervention by the nurse?

D. Glucose 20 mg/dL

A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?

D. Reassess the blood glucose level prior to the next feeding

A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?

D. Swaddle the newborn in a flexed position

A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect?

D. The client delivers the newborn

A nurse is caring for a client who has a complete uterine rupture. Which of the following findings should the nurse expect?

Hypotension

A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take?

Place the client in lateral position.

A nurse is caring for a client who is 2 weeks post-partum following a cesarian birth. Which of the following clinical findings should the nurse identify as an indication of infection?

Unilateral breast pain

A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

Urine Ketones