ATI Maternal Newborn Prep
A nurse is instructing a client about how to use a diaphragm. In what order should the client complete the insertion process? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) _Insert the diaphragm into the vagina _Inspect the diaphragm _Assume a squatting position _Place 2tsp of contraceptive jelly on the side of the diaphragm _Hold the diaphragm between the thumb and fingers
1. Inspect the diaphragm 2. Place 2tsp of contraceptive jelly on the side of the diaphragm 3. Assume a squatting position 4. Hold the diaphragm between the thumb and fingers 5. Insert the diaphragm
A nurse is reinforcing discharge instructions with a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching? A) "Do not become pregnant for at least 1 year." B) "Seek genetic counseling for yourself and your partner prior to getting pregnant again." C) "You should have an hCG level drawn in 6 weeks." D) "Have your blood pressure checked weekly for the next month."
A) "Do not become pregnant for at least 1 year."
A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The client asks about expected weight loss. Which of the following responses should the nurse make? A) "Losing 2.2lbs each month would be acceptable." B) "Losing 4.4lbs each month would be acceptable." C) "Losing 5.5lbs each month would be acceptable." D) "Losing 6.6lbs each month would be acceptable."
A) "Losing 2.2lbs each month would be acceptable."
A nurse is reinforcing discharge teaching with the parent of a newborn. Which of the following statements should the nurse include in the teaching? A) "Your baby should be rear-facing in a car seat until 2 years of age." B) "Cover your baby with a light blanket during naps." C) "Set your hot water heater to no more than 140 degrees Fahrenheit." D) "Ensure your baby's crib has side rails that can be lowered."
A) "Your baby should be rear-facing in a car seat until 2 years of age."
A nurse is providing teaching to a client who is 1 hour postpartum about using the perineal squeeze bottle. Which of the following instructions should the nurse include? A) "fill the perineal bottle with warm water prior to use." B) "Squeeze the perineal bottle while standing up in the bathroom to cleanse the perineum." C) "Only use half of the perineal bottle for cleansing." D) "Wipe the perineum with toilet paper from back to front after using the perineal bottle."
A) "fill the perineal bottle with warm water prior to use."
A nurse is preparing to elicit the fencing reflex from a newborn. Which of the following actions should the nurse take? A) Turn the newborn's head quickly to 1 side. B) Clap loudly directly above the newborn. C) Tap the bridge of the newborn's nose when his eyes are open. D) Extend 1 of the newborn's legs and press down on the extended leg's knee.
A) Turn the newborn's head quickly to 1 side.
A nurse in a provider's office is caring for a client who is in the first trimester of pregnancy. Which of the following psychological tasks should the nurse expect the client to accomplish during this trimester? A) accepting the pregnancy B) preparing for the end of pregnancy C) preparing for parenthood D) accepting the baby
A) accepting the pregnancy
A nurse is assisting with an amniotomy for a client who is in active labor. Which of the following actions should the nurse take? A) assess the fetal heart rate before and after the procedure. B) monitor the client's temperature every 4 hours after the procedure. C) Medicate the client for pain 30 minutes prior to the procedure. D) perform cervical assessments every 2 hours after the procedure.
A) assess the fetal heart rate before and after the procedure.
A nurse in labor and delivery unit is caring for a client who is in the second stage of labor. Which of the following actions should the nurse take? A) encourage the client to frequently change positions B) instruct the client to take breaths and hold them for 10 seconds while pushing C) assess maternal vital signs every 1 hour D) assist the client to the restroom
A) encourage the client to frequently change positions
A nurse is reviewing risk factors for postpartum depression with a newly licensed nurse. Which of the following risk factors should the nurse include? A) gestational diabetes B) planned pregnancy C) being married D) post-term birth
A) gestational diabetes
A nurse is caring for a client following a forceps-assisted birth. The nurse should identify which of the following findings as a complication of this procedure? A) pelvic hematoma B) retained placenta C) infertility D) uterine inversion
A) pelvic hematoma
A nurse is collecting data from a client who is at 34 weeks of gestation and has a cardiac disorder. The nurse should notify the provider about which of the following findings? A) the client reports a frequent cough B) the client reports that none of her shoes fit anymore C) the client reports a weight gain of 2lb in a 2-week period D) the client reports leg cramps in the evening
A) the client reports a frequent cough
A nurse is assisting with the care of a newborn who is receiving treatment for jaundice with traditional phototherapy lights. Which of the following interventions should the nurse perform? A) turn the newborn every 2hr B) supplement with 5% glucose water between scheduled feedings C) dress the infant lightly in a tee shirt and diaper D) apply lotion to the skin every 4 hours
A) turn the newborn every 2hr
A nurse is reinforcing teaching with a client who is postpartum and breastfeeding. Which is following nutrients should the client increase her intake of while breastfeeding? A) vitamin c B) iron C) folate D) calcium
A) vitamin c
A nurse is collecting data from a client who is at 20 weeks of gestation and reports frequent episodes of indigestion and heartburn. Which of the following instructions should the nurse reinforce with the client? A) "Limit your intake of food to twice per day." B) "Decrease your intake of spicy foods." C) "Rest in a supine position for a few minutes after eating." D) "Increase your intake of water and carbonated beverages."
B) "Decrease your intake of spicy foods."
A nurse is reinforcing education with a client who is pregnant about symptoms that should immediately be reported to the provider. Which of the following client responses indicates an understanding of the teaching? A) "I should call my provider if I develop melasma." B) "If I notice that my eyes are puffy, I should call my provider." C) "I should call my provider if I notice that my feet and ankles are swollen." D) "If I notice periodic numbness and tingling in my fingers, I should call my provider."
B) "If I notice that my eyes are puffy, I should call my provider."
A nurse is reinforcing education with a client who is at 34 weeks of gestation about a non-stress test (NST). Which of the following pieces of information should the nurse include? A) "It will take about 10mins to complete the test." B) "You might have to drink orange juice during the test." C) "During the test, you will be asked to massage your nipples." D) "During the test, you will receive a medication to relax your uterus."
B) "You might have to drink orange juice during the test."
A nurse is assisting with the care of a client who is in labor. The client speaks a different language than the nurse and is grimacing. Which of the following actions should the nurse take while waiting for an interpreter? A) Administer pain medication B) Change the client's position C) Insert an indwelling catheter D) Prepare for an epidural insertion
B) Change the client's position
A nurse is reinforcing teaching with a client at 10 weeks of gestation about self-care management for common discomforts in pregnancy. Which of the following instructions should the nurse include? A) douche every other day to minimize leukorrhea B) Consume frequent snacks to decrease episodes of nausea C) refrain from scheduling dental procedures until the third trimester D) Decrease fluid intake to reduce urinary frequency
B) Consume frequent snacks to decrease episodes of nausea
A nurse is collecting data from a newborn. Which of the following findings should the nurse report to the provider? A) anterior fontanel of 5cm B) central cyanosis C) edematous scrotum D) capillary refill <2sec
B) central cyanosis
A nurse is reinforcing discharge teaching about bathing with the parent of a newborn. Which of the following instructions should the nurse include? A) shake cornstarch inside the newborn's diaper after bathing B) clean the newborn's face first using water C) wash the newborn's umbilical cord with a mild soap D) avoid massaging the newborn's scalp when washing the hair
B) clean the newborn's face first using water
A nurse is monitoring a newborn for indications of septic shock. Which of the following findings should the nurse expect if the newborn develops this complication? A) slow respirations B) decreased blood pressure C) bradycardia D) flushed skin
B) decreased blood pressure
A nurse is collecting data from a newborn who has hypoglycemia. Which of the following findings should the nurse expect? A) abdominal distention B) decreased temperature C) increase muscle tone D) transient nystagmus
B) decreased temperature
A nurse is reinforcing teaching with new parents about formula feeding. Which of the following instructions should the nurse include? A) the bedtime bottle can be placed in the crib after the infant is 6mo of age. B) discard opened cans of formula after 48hr of refrigeration. C) powdered and concentrated formula can be reconstituted with tap water from the faucet. D) bottles and nipples can be hand-washed in hot, soapy water.
B) discard opened cans of formula after 48hr of refrigeration.
A nurse is discussing potential complications of newborn hypothermia with a newly licensed nurse. Which of the following complications should the nurse include? A) tachycardia B) hypoglycemia C) flushed skin D) generalized petechiae
B) hypoglycemia
A nurse is assisting with the care of a newborn who has a myelomeningocele. Which of the following actions should the nurse take? A) place the newborn in an infant carrier B) initiate a latex-free environment C) cover the sac with a large piece of dry gauze D) obtain a rectal temperature every 4 hours
B) initiate a latex-free environment
A nurse is collecting data form a newborn who was born with meconium-stained amniotic fluid. Which of the following findings should the nurse report as an indication of meconium aspiration syndrome? A) high apgar score B) rapid respirations C) flushed skin D) elevated P02
B) rapid respirations
A nurse is reviewing laboratory findings for a newborn. Which of the following findings should the nurse report to the provider? A) Hgb 20g/dL B) Hct 55% C) Glucose 29mg/dL D) WBC count 7000/mm^3
C) Glucose 29mg/dL
A nurse is reinforcing teaching with the guardian of a newborn about carseat safety. Which of the following pieces of information should the nurse include? A) Position the child'd carseat forward-facing at 1 year of age B) Place the retainer clip 2in above the newborn's umbilicus C) Place the shoulder harness in the slots that are level with the newborn's shoulders D) Position the newborn's car seat at a 20º angle in the vehicle
C) Place the shoulder harness in the slots that are level with the newborn's shoulders
A nurse is reinforcing teaching about circumcision care with a parent of a newborn. Which of the following instructions should the nurse include? A) wash the site with soap and warm water once daily B) gently remove the yellow exudate that forms around the cite C) avoid using diaper wipes on the site during diaper changes D) apply the diaper tightly to apply pressure to the site
C) avoid using diaper wipes on the site during diaper changes
A nurse is caring for a newborn who has irregular respirations of 52/min with several periods of apnea lasting approx. 5sec. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take? A) administer oxygen B) place the newborn in an isolette C) continue to monitor the newborn routinely D) check the newborn's blood glucose
C) continue to monitor the newborn routinely
A nurse in an antepartum clinic is collecting data from a client who is at 38 weeks of gestation. Which of the following findings should the nurse report to the provider? A) leg cramps B) insomnia C) glycosuria D) leukorrhea
C) glycosuria
A nurse is assisting with planning care for a client who is scheduled to have prostaglandin E2 gel inserted for cervical ripening. Which of the following actions should the nurse take? A) assess fetal heart rate and contraction pattern every 15 minutes after insertion B) warm the frozen gel in a warm-water bath prior to insertion C) maintain the client in a side-lying position for 30mins after insertion D) initiate an oxytocin infusion for induction 1 hour after gel insertion
C) maintain the client in a side-lying position for 30mins after insertion
A nurse is collecting data from a newborn. Which of the following findings should the nurse immediately report to the provider? A) milia B) epstein pearls C) nasal flaring D) meconium stools
C) nasal flaring
A nurse is reinforcing teaching with a client who is postpartum and has a hearing impairment. Which of the following techniques should the nurse use? A) raise voice volume B) stand in from of a light or window C) sit at the client's eye level D) ask client to read educational material after the teaching
C) sit at the client's eye level
A nurse is assisting with the care of a client who has developed hemorrhagic shock. Which of the following manifestations should the nurse expect? A) urinary output of 40ml/hr B) deep abdominal breathing C) weak and irregular pulse D) warm, dry hands with prompt capillary refill
C) weak and irregular pulse
A nurse is reinforcing teaching with a client who is pregnant and has been treated for a UTI twice during this pregnancy. Which of the following statements should the nurse make? A) "Drink 5oz of cranberry juice daily." B) "Practice holding your urine to prevent pregnancy-related urge incontinence." C) "Avoid taking baths because warm water can irritate the urethra." D) "Empty your bladder before and after vaginal intercourse."
D) "Empty your bladder before and after vaginal intercourse."
A nurse is evaluating a client who has just received instructions about breastfeeding. Which of the following statements should the nurse identify as an indication that the client understands how to prevent mastitis? A) "I will wear an underwire bra to provide support when my milk comes in." B) "I will apply petroleum jelly if my nipples become cracked." C) "I will apply warm compresses to my breasts twice a day." D) "I should avoid waiting too long between feedings."
D) "I should avoid waiting too long between feedings."
A nurse is reinforcing teaching with a group of clients about pregnancy prevention during the postpartum period. Which of the following statements should the nurse include? A) "Non-lactating clients can ovulate immediately after giving birth." B) "Non-lactating clients ovulate in their third month postpartum on average." C) "Lactating clients can ovulate as early as their first month postpartum." D) "Lactating clients ovulate in their sixth month postpartum on average."
D) "Lactating clients ovulate in their sixth month postpartum on average."
A nurse is caring for an adolescent who is in the second trimester of pregnancy. The client states, "I've gotten used to the idea of this pregnancy. It will be fun to have a little baby around the house." Which of the following is the appropriate response by the nurse? A) "Babies are not fun. They're a lot of work." B) "I'm so glad to see you're happy about the baby." C) "How are your parents reacting to the pregnancy?" D) "Tell me how you think your life will be after the baby is born."
D) "Tell me how you think your life will be after the baby is born."
A nurse is preparing to administer routine medications to a newborn following birth. Which of the following actions should the nurse take? A) Administer vitamin K subcutaneously B) Administer erythromycin eye ointment within 12 hours C) Administer erythromycin eye ointment from the outer canthus toward the inner canthus D) Administer vitamin K in the newborn's thigh
D) Administer vitamin K in the newborn's thigh
A nurse is assisting with the care of a client in active labor and notes late decelerations on the fetal monitor. Which of the following action should the nurse take? A) administer methylprostaglandin IM B) encourage the client to use the shower C) place the client in a supine position D) Apply oxygen at 10L/min via nonrebreather face mask
D) Apply oxygen at 10L/min via nonrebreather face mask
A nurse is collecting data from a client who is postpartum. Which of the following findings should the nurse report to the provider? A) The client's temperature measures 101.9 (38.8c) 3 hours following delivery. B) Lochia is red with small clots and mucus 2 days after delivery. C) Client reports abdominal pain 48 hours after delivery when the newborn is breastfeeding. D) The fundus feels soft and is a fingerbreadth below the umbilicus 72hours after delivery.
D) The fundus feels soft and is a fingerbreadth below the umbilicus 72hours after delivery.
A nurse is assisting with the care of a client in labor. Her cervix is dilated to 9cm, and she has strong contractions every 2min that last 75sec. The nurse should recognize that this client is in which of the following phases or stages of labor? A) Latent phase of first stage B) Active phase of first stage C) Second stage D) Transition phase of first stage
D) Transition phase of first stage
A nurse is preparing to administer vitamin K IM to a newborn. Which of the following actions should the nurse plan to take? A) Identify the injection site on the dorsogluteal muscle B) Apply sterile gloves prior to administration C) Insert the needle at a 30º angle D) Withdraw the needle quickly after administration
D) Withdraw the needle quickly after administration
A nurse is assisting with the care of a newborn who has a positive Ortolani sign. Which of the following manifestations should the nurse expect? A) decreased tongue mobility B) decreased bone growth C) irregular indentation of the lower sternum D) irregular development of the hip socket
D) irregular development of the hip socket
A nurse is assisting with care for a preterm infant in the NICU. Which of the following actions by the nurse will promote the infant's optimal development? A) avoiding swaddling B) place the infant in the supine position C) provide physical care at short, frequent intervals D) reduce ambient noise and lighting
D) reduce ambient noise and lighting
A client who is pregnant tells the nurse that she is financially unable to buy the food and vitamins recommended during pregnancy. Which of the following actions should the nurse suggest when contributing to the plan of care for the client? A) teach the client that improper nutrition could lead to birth defects in her baby. B) instruct the client to return to the clinical for a weekly weigh-in for the remainder of the pregnancy. C) provide the client with sample menus to aid in nutritious meal preparation. D) refer the client to a community resource that could assist with providing nutrition.
D) refer the client to a community resource that could assist with providing nutrition.
A nurse is reviewing the fetal heart tracings for a client in labor and notes variable decelerations. Which of the following actions should the nurse take? A) request a prescription for oxytocin B) administer oxygen at 2L/min via nasal cannula C) prepare for the insertion of an intrauterine balloon D) reposition the client from side to side
D) reposition the client from side to side
