ATI RN Maternal Newborn practice 2023A

a nurse is assessing 4 newborns. Which of the following findings should the nurse report to provider?

a newborn who is 18 hr old and has an axillary temp of 99.9 f

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

assist the client to empty their bladder.

a nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. the client state that they are happy one minute and crying the next. the nurse should interpret the client's statement as an indication which of the following?

emotional lability

a nurse is transporting a newborn back to the parent's room following a procedure. which of the following actions should the nurse take prior to leaving the newborn with their parent?

ensure that the parent's identification band number matches the newborn's identification band number.

a nurse is performing a routine assessment on a client who is at 18 weeks of gestation. which of the following findings should the nurse expect?

fhr 152/ min

a nurse is preparing to administer oxytocin to a client who is postpartum. which of the following findings is an indication for the administration of the medication?

flaccid uterus, excess vaginal bleeding

a nurse is caring for a client who is at 10 weeks of gestation. which of the following findings should the nurse report to the provider?

frequent vomiting with weight loss of 3 lb in 1 week

a nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider?

fundal height measurement

a nursing is caring for a client who has preeclampsia and is receiving a continuous infusions 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 provider. Which of the following manifestation should the nurse include?

headach that is unrelieved by analgesia

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

i will eat foods that taste good instead of balancing my meals

A nurse on an antepartum is caring for a client.

indicated: insert a large bore intravenous catheter, weigh perineal pads contraindicated: assess cervical dilation, administer methotrexate.

a nurse is caring for a newborn. which of the following actions should the nurse plan to implement?

indicated: range of motion exercises on the affected arm after 1 wk, immobilize arm across abd by pinning the newborn's sleeve to their shirt,assess grasp reflex in affected extremity contraindicated: parent limit physical handing for 2 wk

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 1 g orally now. available are 250 mg tablets. how many tablets should the nurse administer?

4 tablets

a nurse is teaching a client who is at 10 wk of gestation about nutrition during pregnancy. which of the following statement by the client indicates an understanding of the teaching?

I should take 600 micrograms of folic acid each day

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 indicates an understanding of the teaching?

I will continue taking my insulin if i experience n/v

a nurse in a prenatal clinic is assessing a group of clients. which of the following clients should the nurse see first?

a client who is at 11 weeks of gestation and reports abdominal cramping.

a nurse on an antepartum unit is caring for 4 clients. which of the following clients should the nurse identify as the priority?

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

A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives?

cholecystitis , hypertension, migraine headaches,

a nurse in a clinic is caring for a 16 yr old adolescent . which of the following findings should the nurse report to the provider?

abdominal assessment, vaginal discharge, temperature, dyspareunia, condom usage

a nurse in a clinic is caring for a 16 yr old adolescent. which of the following conditions should the nurse identify as being consistent with adolescent's assessment findings?

abdominal pain, gonorrhea greenish discharge is trichomoniasis, gonorrhea diabetes is candidiasis pain on urination is consistent with trichomoniasis, gonorrhea, candidiasis absence of condom is trichomoniasis, gonorrhea

a nurse is caring for a client who is in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 sec, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?

active

a nurse is admitting a client to the labor and delivery unit when the client states, my water just broke. which of the following interventions is the nurse's priority?

begin fhr monitoring

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 tests should the nurse prepare client?

biophysical profile bpp

a nurse is caring for a client who has hyperemesis gravidarum and is receiving iv fluid replacement. which of the following findings should the nurse report to the provide?

blood pressure 105/64 mm Hg

a nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. which of the following findings should the nurse include as an adverse effect of this medication?

depression

a nurse is caring for a newborn who is 70 hr old.

central nervous system findings gastrointestinal findings

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

chin quivering

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 is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura itp. which of the following findings should the nurse expect?

decrease platelet count

a nurse is reviewing the provider's prescription in the adolescent's medical chart. The nurse has just reveiwed discharge instructions with the adolescent. which of the following indicates whether the adolescent understands the teaching or require further education?

indicates understanding: take all med even if i don't show symptoms, if i continue to get this infection it will affect my ability to have kids, get sunburn requires further education: go to emergency room if urine turns dark, have iud so i dont need condoms

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 is assessing a newborn 12hr after birth. which of the following manifestation should the nurse report to the provider?

jaundice

a nurse is caring for a client who is to receive oxytocin to augment their labor. which of the following findings contraindicates the inititation of the oxytocin infusion and should be reported to provider?

late decelerations

a nurse is observing a new guardian caring for their crying newborn who is bottle feeding. which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?

lays the newborn across their lap and gently sways

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 provider as a potential complication?

leakage of fluid from the vagina

a nurse is caring for a postpartum client who is receiving heparin via a continuous iv infusion for thrombophlebitis in their left calf. which of the following actions should the nurse take?

maintain the client on bed rest

a nurse is assessing a newborn who was born at 26 weeks of gestation using the new ballard score. which of the following findings should the nurse expect?

minimal arm recoil

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 client's blood pressure every 5 min following the first dose of anesthetic solution.

a nurse is caring for a client who is at 15 weeks of gestation, is rh-neg , and has just had an amniocentesis. which of the following interventions is the nurse's priority following the procedure?

monitor the fhr

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

oligohydramnios

a nurse is preparing to perform Leopold maneuvers for a client. identify the sequence the nurse should follow.

palpate client's fundus to identfy the fetal part 2determine location of the fetal back 3 palpate fetal part presenting at the inlet 4palpate cephalic prominence to identify attitude of the head

a nurse is caring for a client who is at 38 weeks of gestation. which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?

perform leopold maneuver

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

remove all clothing from the newborn except the diaper

a nurse is caring for a client who is at 22 wk of gestation and is hiv positive. which of the following actions should the nurse take?

report the client's condition to the local health department

a nurse is assessing a late preterm newborn. which of following manifestations is an indication of hypoglycemia?

respiratory distress

a nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of client's newborn. which of the following statements should the nurse make?

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

a nurse is assessing a newborn who is 16 hr old. which of the following findings should the nurse report to provider?

substernal retractions

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 a an amniotomy. which of the following assessment should the nurse identify as the priority?

temperature

the nurse is reviewing laboratory results in the adolescent's medical record. the nurse is reviewing the adolescent's medical record. which of the following conditions is the client most likely developing?

the adolescent is most likely developing pelvic inflammatory disease as evidence by c-reactive protein

the nurse is reviewing laboratory results in the adolescent medical record. the nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. which of the following prescriptions should the nurse expect the provider to prescribe?

the nurse should anticipate a provider's prescription for doxycycline and ceftriaxone

a nurse is reviewing the provider's prescription in the adolescent medical chart.

the nurse should first implement providing education on medication and admin ceftriaxone

a nurse is caring for a client who is pregnant in an antepartum clinic. which of the following findings should the nurse report to the provider?

uterine contractions, gestational age, vaginal exam

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

verify the newborn's identification

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

vomiting

a nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. which of the following instructions should the nurse include?

you should press the handheld button when you feel your baby move

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