Maternal Newborn ATI B

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

Chin quivering

A nurse is assessing a newborn for manifestations of hypoglycemia. which of the following findings should the nurse expect

Jitteriness

A nurse is teaching a new parent about newborn safety. which of the following instructions should the nurse include in the teaching

You can share your room with your baby for the next few weeks

A nurse is teaching a client who is at 24 weeks of gestation regarding a one hour glucose tolerance test. which of the following statements should the nurse include in the teaching

"A blood glucose of 130 to 140 is considered a positive screening result"

A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. which of the following statements by the client indicated understanding of the teaching

"I will continue taking my insulin if I experience nausea and vomiting"

A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. which of the following statements by the client indicates understanding of the teaching

"I will eat foods that taste good instead of balancing my meals"

A nurse is teaching a client who is in preterm labor about terbutaline. which of the following statements by the client indicates an understanding of the teaching

"I will have blood tests because my potassium might decrease"

A nurse is teaching a client who is Rh negative about Rh0(D) immune globulin. which of the following statements by the client indicates an understanding of the teaching

"I will need this medication if I have an amniocentesis"

A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. which of the following statements for the nurse make about the indication for the medication and administration

"This medication stimulates fetal lung maturity"

A nurse is speaking with a client who is trying to make a decision about tubal ligation. the client asks "what effect will this procedure have on my sex life?" which of the following responses should the nurse make

"This procedure should have no effect on your sexual performance or adequacy"

A nurse and a prenatal clinic is caring for a client who reports that her menstrual period is two weeks late. the client appears anxious and asked the nurse if she's pregnant. which of the following responses to the nurse make

"You can miss your period for several other reasons. Describe your typical menstrual cycle"

A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. which of the following statement should the nurse include in the teaching

"You should leave the diaphragm in place for at least six hours after intercourse"

A school nurse is providing teaching to an adolescent about levonorgestrel contraception. which of the following information should the nurse include in the teaching

"You should take the medication within 72 hours following unprotected sexual intercourse"

A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test. which of the following statements should the nurse include in the teaching

"You will be offered orange juice to drink during a test"

A nurse is caring for a client who is in active labor and has no cervical change in the last four hours. which of the following statement should the nurse make

"Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions"

A nurse is teaching a postpartum Kline about the steps the nurses will take to promote the security and safety of the clients newborn. which of the following statement should the nurse make

"staff members who take care of your baby will be wearing a photo identification badge"

A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture. the prescription states "administer azithromycin 1g orally now." available is 250 mg tablets. how many tablets should the nurse administer?

4 tablets

A nurse on a antepartum unit is caring for four clients. which of the following client to the nurse identify as a priority

A client who is at 34 weeks of gestation and reports epigastric pain

A nurse is reviewing the medical record at 1800 for client who is at 34 weeks of gestation. based on the chart findings and documentation the nursing plan of care should include which of the following actions

Administer terbutaline

A nurse is planning discharge for a client who is three days postpartum. which of the following non-pharmacological interventions should the nurse include in the plan of care for lactation suppression

Apply cabbage leaves to the breasts

A nurse is preparing to administer oxytocin to a client who is postpartum. which of the following findings as an indication for the administration of the medication [select all that apply]

Flaccid uterus Excess vaginal bleeding

A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina after calling for assistance. which of the following actions should the nurse take next

Apply internal upward pressure to the presenting part using two gloved fingers

A nurse is caring for a client who is in labor and who's fetus is in the right occiput posterior position the client is dilated to 8 cm and reports back pain. which of the following actions should the nurse take

Apply sacral counterpressure

A nurse is assessing a client who gave birth vaginally 12 hours ago and palpates her uterus to the right above the umbilicus. which of the following interventions should the nurse perform

Assist the client to empty her bladder

A nurse is reviewing laboratory results of a newborn who is four hours old. which of the following findings should the nurse report to the provider

Bilirubin of 9 mg/dL

A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. for which of the following diagnostic test should the nurse prepare the client

Biophysical profile (BPP)

A nurse is reviewing the laboratory report of a newborn who is 24 hours old. which of the following results should the nurse expect to report to the provider

Blood glucose 30 mg/dL

A nurse is performing a newborn assessment. which of the following images should the nurse identify as an indication of spina bifida occulta

Caucasian baby with small bruise-like/birthmark at the base of the back above buttocks

A nurse in a family planning clinic is caring for a client who request an oral contraceptive. which of the following findings in the clients history to the nurse recognizes a contraindication to oral contraceptives? select all that apply

Cholecystitis Hypertension Migraine headaches

A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. which of the following actions should the nurse take

Cover the newborns eyes while under the phototherapy light

A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). which of the following findings should the nurse expect

Decreased platelet count

A nurse is planning care for a client who is two hours postpartum. which of the following intervention should the nurse plan to implement during the taking hold phase of postpartum behavioral adjustment

Demonstrate to the client how to perform a newborn bath

A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. which of the following actions should the nurse take first

Determine respiratory function

A nurse in the antepartum clinic is assessing a client's adaptation of pregnancy. the client states that she is "happy one minute and crying the next." the nurse should interpret the clients statement as an indication of which of the following

Emotional lability

A nurse is caring for a client who is at 22 weeks of gestation and reports concern about blotchy hyperpigmentation on her forehead. which of the following actions should the nurse take

Explain to the client that this is an expected occurrence

A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. which of the following actions should the nurse take

Have calcium gluconate readily available

A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider. which of the following manifestation should the nurse include

Headache that is unrelieved by analgesia

A nurse is reviewing the laboratory results for a client who is at 10 weeks gestation. which of the following laboratory findings should the nurse report to the provider

Hemoglobin 10 g/dL

A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. which of the following actions should the nurse take

Initiate continuous external fetal monitoring

A nurse is planning care for a client who is to undergo a nonstress test. which of the following actions should the nurse include in the plan of care

Instruct the client to press the provided button each time fetal movement is detected

A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at eight weeks of gestation. the nurse should instruct the client to increase her daily intake of which of the following nutrients

Iron

A nurse is caring for a client who is pregnant and is at the end of her first trimester. the nursing place the Doppler ultrasound stethoscope in which of the following locations to begin assessing the fetal heart tones

Just above the symphysis pubis

A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. which of the following findings should the nurse report to the provider is a potential complication

Leakage of fluid from the vagina

A nurse is assessing fetal heart tones for a client who is pregnant. the nurse is determined the fetal position as left occipital anterior. to which of the following areas of the clients abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart

Left lower quadrant

A nurse on postpartum unit is caring for a client who is expecting hypovolemic shock after notifying the provider. which of the following actions should the nurse take next

Massage the client's fundus

A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. which of the following actions should the nurse include in the plan of care

Monitor the clients blood pressure every five minutes following the first dose of the anesthetic solution

A nurse is reviewing the medical record of a newly admitted client it was at 32 weeks gestation. which of the following conditions is an indication for fetal assessment using electronic fetal monitoring

Oligohydramnios

A nurse is providing discharge teaching to the parents of a newborn about car seat safety. which of the following instruction should the nurse include

Place the retainer clip at the level of the newborns armpits

A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. which of the following laboratory results should the nurse report to the provider

Platelets 50,000/mm3

A nurse is calculating a client expected date of birth using Nägeles rule. the client tells the nurse that her last menstrual period started on November 27. which of the following dates as the clients expected date of birth

September 3

A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication for which of the following findings should the nurse instruct the client to notify the provider

Shortness of breath

A nurse is teaching a new mother how to use a bulb syringe to suction her newborn secretions. which of the following instructions should the nurse include

Stop suctioning when the newborns cry sound clear

A nurse is assessing a newborn who is 12 hours old. which of the following manifestations require interventions by the nurse

Substernal chest retractions while sleeping

A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. which of the following findings should the nurse report to the provider

Swelling of the face

A nurse is planning care for a client who is in labor and is to have an amniotomy. which of the following assessments for the nurse identify as a priority

Temperature

A nurse is caring for a client who is in labor and reports increasing rectal pressure. she is experiencing contractions 2 to 3 minutes apart, each lasting 80 to 90 seconds, and a vaginal examination reveals in her cervix is dilated to 9 cm. the nurse should identify that the client is in which of the following phases of labor

Transition

A nurse is caring for a newborn who was transferred to the nursery 30 minutes after birth because of mild respiratory distress. which of the following actions should the nurse take first

Verify the newborns identification

A nurse is assessing a newborn of a client who took a selective serotonin reuptake inhibitor during pregnancy. which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI

Vomiting

A nurse is preparing to perform Leopold's Maneuvers for a client. identify the sequence the nurse should follow

- palpate the fundus to identify the fetal part - determine the location of the fetal back - palpate for the fetal part presenting at the inlet - identify the altitude of the head

A nurse is providing discharge teaching to a client who has postpartum. for which of the following manifestations should the nurse instruct the client to monitor and report to the provider

Unilateral breast pain