maternal newborn ATI mastery

nurse in prenatal clinic is assessing a group. which client should be seen first

11wks experiencing abd cramping

nurse is caring for client who is 36wks and has positive ctx stress test. nurse should plan to prepare the client for which of the following dx testing

BPP

nurse is reviewing labs on client thats 24 hours postpartum following vaginal delivery. which lab results should indicate an infection

ESR 26mm/hr

nurse is performing an assessment on 18 wk pt. which findings should you expect

FHR 152

nurse is teaching client who is 35 wks about potential complications to report to providers. which manifestations should you include

HA that is unrelieved by analgesics

nurse is caring for client thats anemic at 32wks and is in PTL. provider prescribes betamethasone. what outcomes should the nurse expect

a reduction in respiratory distress in newborn

nurse is caring for client thats 26wks and has epilepsy. nurse enters the room and notices pt having seizure. after turning pts head to one side which is the next action you should take

admin o2 via nonrebreathable mask

nurse on postpartum is caring for client following C/S. which assessment is the nurses priority

amount of lochia

nurse is planning DC for client who is 3 days postpartum. which nonpharmacological interventions should you include for lactation suppression

apply cabbage leaves to your breasts

nurse is caring for client who is in labor and whose fetus is in rop. pt is 8cm dilated and reports back pain. which action should the nurse take

apply sacral counterpressure

nurse is providing dc teaching to parent whose newborn just had a circumcision. which instructions should the nurse include

apply slight pressure with sterile gauze pad for mild bleeding

nurse is asssessing client who gave birth vaginally 12 hours aho and palpates her fundus. its to the right of the umillicus. which intervention should the nurse take

assist client in emptying their bladder

nurse is assessing client whose 12hr postpartum. fundus is two fingerbreadths above umbillicus deviated to the right. which action should you take

assist client to bathroom to void

nurse is performing vaginal exam for pt in active labor. client is 8/100/-2. fetus is in OP. which action should you take

assist client to hands and knees position

nurse is caring for client whose 40wks and is in early labor. platelet count is 75000 and wants pain relief. which treatment modalitites should the nurse anticipate

attention focusing

nurse is admitting pt to LND because she stated "my water broke". which interventions is the nurses priority

begin FHR monitoring

nurse is reviewing med records on client who is one day postpartum. client had a vaginal delivery with a 4th degree repair. the nurse should contact the provider regarding which prescription

bisacodyl rectal suppository daily for constipation

nurse is caring for client who has hyperemesis gravidarum and is receiving iv fluids. which findings should the nurse report to the provider

bun 25 mg/dl

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

chin quivering

nurse in family planning clinic is caring for pt who requests oral contraception. which findings in the clients history should the nurse recognize as a contraindication to oral contraceptives

cholecystitis hypertension migraine headaches

nurse on antepartum unit is caring for four clients. which patient is a priority

client thats 34wks experiencing epigastric px

nurse is providing teaching about nonpharmacological pain management to client breastfeeding and has engorgement. nurse should recommend to apply what

cold cabbage leaves

nurse is developing an education program for adolescents about nutrition during third trimester. which statement should the nurse include in the program

consume 3-4 servings of dairy a day

nurse is assessing client whose in active labor and notes early decels. client is 39 wks and receiving continuous iv of oxytocin. what action should you take

continue monitoring the client

nurse is performing vag exam on client whose in labor and reports sever pressure and pain in back. you note fetal head is in posterior position. whats the best nonpharmacological interventions to relieve discomfort

counter pressure

nurse is caring for newborn whose undergoing phototherapy to treat hyperbilirubinemia. which action should the nurse take

cover newborns eyes while under the light

nurse is performing assessment on newborn upon admission to the nursery. which manifestations should the nurse expect

creases over 2/3 of soles of the feet molding of the head lanugo on shoulders

nurse is discussing differences between true/false labor. which characteristics should the nurse include when discussing true labor

ctxs become stronger with walking

nurse is assessing client who is postpartum and has ITP. which finding should the nurse expect

decreased platelet count

nurse is assessing client whose 26wks. which manifestations should the nurse report to the provider

decreased urinary output

nurse is planning care on client whose 2 hours postpartum. which interventions should the nurse plan to implement during the taking hold phase or postpartum behavioral adjustment

demonstrate how to perform newborn bath

nurse is caring for client who becomes unresponsive upon delivery of the placenta. which action should you take first

determine resp function

nurse is caring for full term newborn immediately after birth. which action should the nurse take

dry the newborn

nurse is teaching client thats pregnant about managing N/V. which instructions should you include

eat high-carbohydrate foods

nurse in antepartum clinic is assessing pts adaptation to pregnancy. she states "happy one minute and crying the next". nurse should interpret this statment as an indication of what

emotional lability

nurse is teaching newly licensed nurse about universal newborn screening. which statement should the nurse include in the teaching

ensure newborn has been receiving feedings for 24 hours prior to test

nurse is caring for 22wk that reports concern about her blotchy hyperpigmentation on her forehead. what action should you take

explain that this is an expected occurence

nurse is demonstrating how to bathe newborn. whats the order of bathing a newborn

eyes from inner to outer wash neck by lifting chin cleanse umbillical cord wash legs and feet cleans genitals

nurse is assessing client who is in labor and notes early decels on fetal monitor. which findings should the nurse identify as possible cause of earl decels

fetal head compression

nurse is preparing to admin Oxytocin to client who is postpartum. which of the following findings is an indication for oxytocin

flaccid uterus excessive vaginal bleeding

nurse in antepartum clinic providing care for client thats 26wks. upon reviewing med records which findings should you report to the provider.

fundal height measurement of 30cm

nurse is teaching client thats 24wks regarding 1hr glucose tolerance test. which statement should the nurse include in her teaching

glucose of 130-140 is considered a positive screening result

nurse is caring for client at 35wks and is undergoing NST that has a variable deceleration. which action should the nurse take

have the client change position

nurse is performing assessment on newborn. what should you expect to find

heart rate 154 resps 58 weight 5lb 12 oz (2.6 kg)

nurse is assessing client whose received carboprost for pph. which of the following findings is an adverse effect of medications

htn

nurse is teaching client thats 10wks about nutrition in pregnancy. which statement by the client indicates and understanding

i should take 600mcg of folic acid each day

nurse is teaching client who has pregestational t1dm about management during pregnancy. which statement indicates and understanding by the client

i will continue taking insulin if i experience N.V

nurse is teaching group of parents about newborn safety. which statement by the parent indicates an understanding

i will dress my baby in flame retardent clothing

nurse is providing dietary teaching on client who has hyperemesis gravidarum. which statement indicates and understanding by the client

i will eat foods that appeal to my taste instead of trying to balance my meals

nurse is teaching client whose in PTL about terbutaline. which statement by the client indicates an understanding

i will have a blood test because my K might decrease

nurse providing teaching to client about physiological changes that occur during pregnancy. client is 10wks and has BMI within expected range. which statement indicates an understanding

i will likely need to use alternative positions for sexual intercourse

nurse is teaching client about rh0 (d) immune globulin. which statement by the client indicates and understanding

i will need this medication if i have an amniocentesis

nurse is caring for client who has recently experienced a perinatal death. which statement should the nurse make to the client

im sad for you

nurse is planning care for client undergoing NST. which action should the nurse include in the plan

instruct client to push button every time they feel fetal movement

nurse in womans clinic is providing teaching about nutritional intake to a client thats 8wks. nurse should instruct client to increase daily intake of which nutrients

iron

nurse is assessing newborn at 12 hours of birth. which manifestation should you report to the provider

jaundice

nurse is caring for client thats pregnant and at end of first trimester. where would you find the heart rate with a doppler

just above symphysis pubis

nurse is caring for client whose receiving oxytocin. which findings contraindicates the initiation of oxytocin infusion and should report to the provider

late decels

nurse is observing new mother caring for crying newborn who is bottle feeding. which action by the mother should the nurse recognize as a postive parenting behavior

lay newborn across lap and gently sway

nurse is caring for client following an amniocentesis at 18wks. which findings should the nurse report to the provider as a potential complication

leakage of fluid from the vagina

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

leave the diaphragm in place for atleast 6 hours after intercourse

nurse is assessing FHR. fetal position is LOA. where should you apply the us

left lower

nurse is caring for postpartum client receiving heparin via IV infusion for thrombophlebitis in her left calf. what action should you take

maintain client on bedrest

nurse on postpartum unit is caring for client who is experiencing hypovolemic shock. after notifying the provider whats your next action

massage clients fundus

nurse is caring for client who has uterine hypotonicity and is experiencing pph. which actions the nurses priority

massage the clients fundus

nurse is assessing newborn who was born at 26wks. which findings should you expect when using the new ballard score

minimal arm recoil

nurse is caring for 15 wk pt thats RH negative and just had an amniocentesis, which intervention is the priority following the procedure

monitor FHR

nurse is developing plan of care for client with pre-e and is receiving mag. which intervention should the nurse include in the plan

monitor FHR continuously

nurse is planning care for client whose in labor and requesting an epidural. which action should the nurse include in the plan of care

monitor bp every 5 minutes following first dose

nurse is assessinf four newborns. which one should you report to the provider

newborn wihose 18hr old and has axillary temp of 37.7

nurse is teaching client in prenatal class about folic acid. nurse should instruct client to consume folic acid to prevent what abnormalitites

nueral tube defects

nurse is providing education about family bonding to parent who recently adopted. which suggestion should you make to aid the familys 7yr old in accepting the new family member

obtain a gift from the newborn to the present sibling

nurse is caring for client who is 38wks. which action should the nurse take prior to applying external fetal monitor

perform leopolds maneuver

nurse is providing teaching for client who gave birth 2 hours ago about facility policy for newborn safety. which statement by the client indicates an understanding

person who comes to take pictures will be wearing a photo id badge

nurse is assessing newborn who was delivered vaginally and experienced tight nuchal cord. which manifestations should the nurse expect

petechiae over the head

nurse is preparing to collect blood specimen from newborn via heel stick. which technique should the nurse follow to minimize pain

place newborn skin to skin on mom

nurse is reviewing medical records of client who is postpartum and has pre-e. which lab results should the nurse report to the provider

platelets 50000

nurse is providing dc teaching about car seat safety. what instructions should you include

position rear facing in the back seat

nurse in provider office is reviewing med records of client in first trimester. which findings should the nurse identify as a risk factor for the development of pre-e

pregestational DM

nurse is creating plan of care for client who is postpartum and adheres traditional hispanic cultural beliefs. which of the following cultural practices should the nurse include in the plan of care

protect clients head and feet from cold air

staff nurse on obstetric unit is caring for client who is scheduled for induced abortion. the nurse informs the manager that she has a moral issue with the pts decision. which action should be done by the manager

reassign the client to another nurse

nurse is planning care of 24wk and reports daily mild headaches. which instructions should the nurse include in the plan of care

recommend that the client perform consious relaxation techniques daily

nurse is developing plan of care for newborn who is to undergo phototherapy for hyperbilirubinemia. which actions should the nurse include in the plan

remove clothing expect diaper

nurse is assessing full term newborn 15 min after birth. which findings requires intervention

resp 18

nurse is assessing late preterm newborn. which of the following clinical manifestations is an indication of hypoglycemia

resp distress

nurse is caring for client who has parvo (fifth disease) which action should the nurse take

schedule an US

nurse is calculating clients expected due date using Naegels rule. LMP is nov 27th. whats the clients EDD

sep 3rd

nurse is providing prenatal teaching to client thats 26wks. which position should the nurse recommend the client to increase circulation to the placenta

side lying

nurse is teaching new mother about steps she will take to promote security and sefety for the newborn. which statement would you make

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

nurse is teaching new mother how to use bulb syringe to suction newborns secretions. which instructions should the nurse include

stop suction when newborns cry sounds clear

nurse is assessing newborn whose 12 hours old. which manifestations requires intervention by the nurse

substernal chest retractions while sleeping

nurse is assessing client who is 30wks during routine exam. which findings should you report to the provider

swelling of the face

nurse caring for client and partner who experiences a fetal death. which action should you take

take photos of the newborn to give to the parent

nurse is planning care for client in labor and is to have an amniotomy. which assessement should the nurse identify as the priority

temperature

charge nurse on postpartum unit observing newly licensed nurse whose administering pain meds. you should intervene when the new nurse uses which secondary identifier

the clients room number

nurse is speaking with client whose trying to make a decision about uterine tube occlusion. " what effects will this procedure have on my sex life"? whats your response

this process should have no effect on your sexual performance or adequacy

nurse caring for client who is 36wks and has prescription for amniocentesis. whats the reason to prepare the client for an US

to locate the pocket of fluid

nurse is caring for client whose in labor and reports rectal pressure. her ctxs are 2-3 min apart and lasting 80-90sec. her cervix is 9cm. which phase of labor is she in

transition

nurse is providing dc teaching to client who is postpartum. which manifestation should the nurse instruct the pt to monitor and report to the provider

unilateral breast pain

nurse is assessing client who is 1 day postpartum and has vaginal hematoma. which manifestation should the nurse expect

vaginal pressure

nurse is caring for newborn who was transferred to nursery 30 minutes after delivery. which action should the nurse take first

verify newborns id

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

vomiting

nurse is assessing client who is 38wks during prenatal visit. which findings should the nurse report to the provider

weight gain of 2.2 kg

nurse in prenatal clinic caring for client who reports her menstrual period is 2 wks late. client appears anxious and asks if she is pregnant. which response should you make

you can miss your period for several reasons. describe your typical menstrual cycle

nurse is teaching a new mom about newborn safety. which instructions should the nurse include in the teaching

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

nurse is providing dc teaching to client who had c/s 3 days ago. what instructions should the nurse include

you can still become pregnant if you are breast feeding

nurse is teaching client whose 8wks about exercise. which instructions should you include

you should exercise 30 minutes each day

nurse is providing DC instructions who is postpartum and taking insulin for GDM. which instructions should you include

you should get a 2 hour glucose test in 6-12wks

nurse is providing teaching to adolescent about levonorgestrel contraception. which information should the nurse include in the teaching

you should take the med 72 hours following unprotected sex

nurse is providing teaching about comfort measures to client breastfeeding and is experiencing engorgment. what nonpharmacological measures should the nurse include in teaching

you should use cold compresses after each feeding

nurse is teaching client who is 36wks and has a prescription for NST. which statement should the nurse include in the teaching

you will be offered orange juice to drink during the test

client is 24wks and asks nurse how she will know if she is in labor. whats your response

you will notice blood tinged discharge from your vagina

nurse is teaching about effective breastfeeding to client thats 3 days postpartum. which information should you include

your newborn should appear content after each feeding

nurse is caring for client in active labor and has no cervical change in 4 hours. which statement should you make

your provider will insert iupc to monitor strength of ctxs