maternal newborn ATI dynamic quizzing questions

A nurse is caring for a client who asks, "How will I know if I'm having true or false labor contractions?" Which of the following responses should the nurse make?

"True contractions will begin irregularly and then become regular in timing."

A nurse is performing a routine prenatal examination of a client who is in the second trimester. The client reports backaches with no other symptoms and refuses medication. Which of the following responses should the nurse make?

"Try pelvic tilt exercises." Backaches are common during the second trimester due to the relaxation of the joints that otherwise stabilize the pelvis and the shift in the client's center of gravity. Pelvic tilt exercises, resting and sleeping on a firm mattress can help ease this pain.

A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following piecing of information should the nurse include about the hepatitis B immunization?

"We will need your consent prior to administering the vaccine"

A nurse is admitting a client who is in post-term labor. Which of the following statements should the nurse identify as the priority?

"When my water broke, it was not clear"

A nurse is providing teaching about weight gain during pregnancy for a client who is a primigravida of normal pre-pregnancy weight. Which of the following statements should the nurse include?

"You should plan to gain 25 to 35 pounds during your pregnancy." A client of normal prepregnancy weight should plan to gain 11.3 to 15.9 kg (25 to 35 lb) during pregnancy. Weight gain is primarily for maternal tissue growth during the first and second trimesters and fetal tissue growth during the third trimester.

A nurse is caring for a client at 12 weeks gestation who has a BMI of 45. Which of the following pieces of information should the nurse provide for the client regarding the recommended weight gain during her pregnancy?

"You should plan to gain no more than 20 pounds during your pregnancy"

A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following statements should the nurse include in the teaching?

"You will have a cesarean birth prior to the onset of labor"

A nurse is caring for a client whose last menstrual period (LMP) began on July 8. Using Naegele's rule, what is the client's estimated date of birth (EDB)?

April 15

A nurse is caring for an infant who begins displaying manifestations of neonatal abstinence syndrome (NAS). Which of the following actions should the nurse take?

Avoid eye contact during feedings The nurse should avoid eye contact and talking during feedings. Infants with NAS have difficulty processing multiple forms of stimulation and can quickly become frustrated.

A nurse is teaching a parent of a newborn about circumcision care. Which of the following instructions should the nurse include?

Avoid using diaper wipes on the site during diaper changes

A nurse is caring for a newborn who has irregular respiration of 52/min with several periods of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take?

Continue to monitor the newborn routinely This newborn is exhibiting a normal respiratory rate and rhythm. No additional measures are needed at this time.

A nurse is caring for a client who is in active labor and whose birth plan requests only non pharmacological pain relief strategies. Which of the following strategies should the nurse offer as a form of cutaneous stimulation?

Counter pressure

A nurse is counseling a female client who expresses a desire to conceive in the near future. Which of the following dietary recommendations should the nurse make to prevent neural tube defects?

Begin taking a folic acid supplement Adequate amounts of folic acid are necessary for fetal neural tube development. All women of child-bearing age and intention should take a folic acid supplement of 0.4 mg.

A nurse is caring for a client who is experiencing preterm labor. Which of the following medications should the nurse anticipate administering to enhance fetal lung maturation?

Betamethasone

A nurse is providing teaching to the parents of a newborn about bottle-feeding. Which of the following instructions should the nurse include in the teaching?

Boil water for powdered formula for 1-2 mins

A nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of the following instructions should the nurse include in the teaching?

Encourage non-nutritive sucking for pain relief

A nurse is teaching a client who is at 12 weeks gestation about manifestations of potential complications that she should report to her provider. Which of the following pieces of information should the nurse include in the teaching?

Facial swelling

A nurse is caring for a client who states "I think I am pregnant". Which of the following findings should the nurse identify as a positive sign of pregnancy?

Fetal heart tones auscultated by Doppler

A nurse is providing education to a female client of client-bearing age. The nurse should state that which of the following structures expels the mature ovum?

Graafian follicle

A nurse is caring for a client who is 24 years old and at 13 weeks of gestation. The client's history includes of 31 prior to pregnancy, a prior post-term delivery, and a newborn brith weight of 4,167.38 g (9 lb 3 oz). Which of the following laboratory should the nurse expect to collect?

HbA1c

A nurse is caring for a client labor who has an epidural for pain relief. Which of the following is a complication of the epidural block?

Hypotension

A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require administration of this medication?

IV narcotics administered to the mother during labor

A nurse is caring for a client in the early stage of labor who has preeclampsia with severe features. Which of the following interventions should the nurse perform?

Implement seizure precautions

A nurse is preparing to help with a. vacuum-assisted brith. Which of the following actions should the nurse plan to take?

Inform the client that caput succedaneum resolves in a few days

A nurse in prenatal care clinic answers a phone call from a client who is at 37 weeks gestation and reports "I became very dizzy while lying in bed this morning, but the feeling went away when I turned onto my side". Which of the following actions should the nurse take?

Instruct the client about vena cava syndrome and measures to prevent it

A nurse is teaching a group of clients who as pregnant about vitamin K for newborns. Vitamin K helps prevent which of the following conditions in a newborn?

Intracranial hemorrhage

A nurse is caring for a client who is pregnant and whose last menstrual period (LMP) began on April 8. Using Naegele's rule, which of the following dates would be the client's estimated date of birth (EDB)?

January 15 (subtract 3 months and add 7 days to the first day of the client's LMP)

A nurse is caring for a client who is experiencing prolonged labor. Which of the following fetal monitoring results indicates fetal compromise?

Late decelerations with fetal bradycardia

A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports dizziness when lying on her back. Into which of the following positions should the nurse assist the client?

Lateral

A nurse is assessing a client who reports that she might be pregnant. Which of the following findings should the nurse identify as a presumptive sign of pregnancy?

Nausea in the morning

A nurse is caring for a client at 36 weeks gestation who has preeclampsia. Which of the following findings should the nurse identify as the priority?

Nonreactive non stress test

A nurse is caring for a client who had precipitous delivery. Which of the following assessments is the priority during the fourth stage of labor?

Palpating the client's funds

A nurse is reviewing the medical record of a client at 33 weeks gestation who has placental previa and bleeding. Which of the following prescriptions should the nurse clarify with the provider?

Perform a vaginal examination

A nurse is caring for a client who is in labor. The nurse observes late decelerations on the fetal monitor. Which of the following actions should the nurse take?

Place the client in a left lateral position

A nurse is caring for a newborn immediately following delivery. Which of the following actions should the nurse perform first?

Place the newborn directly on the client's chest. The nurse should apply the safety and risk-reduction priority-setting framework when caring for this client. In this case, the greatest risk to the newborn is cold stress, which increases the need for oxygen and glucose. Placing the newborn directly on the client's chest will help maintain the newborn's temperature.

A nurse is planning care for a client in active labor whose fetus is in an occipital brow presentation. Which of the following complications should the nurse anticipate as a result of this fetal presentation?

Prolonged labor

A nurse is providing care for a pregnant adolescent who is at 12 weeks gestation and verbalizes a fair of gaining weight during pregnancy. Which of the following actions should the nurse take?

Provide examples of how eating well will help maintain a healthy weight during pregnancy

A nurse is caring for a preterm newborn who is receiving oxygen therapy. Which of the following should the nurse identify as a potential complication of the oxygen therapy?

Retinopathy

A nurse is teaching new parents about newborn reflexes. Which of the following reflexes facilitates infant feeding?

Rooting

A nurse is preparing to perform Leopold maneuvers on a client who is in labor. Which of the following actions should the nurse plan to take?

Stand at the client's right side if the NURSE is right-handed

A nurse is caring for a client who is in labor and is receiving IV oxytocin. The nurse notes contractions lasting 3 mins each. What actions should the nurse take?

Stop the oxytocin infusion

A nurse is assessing a newborn who was born at 39 weeks gestation. Which of the following findings should the nurse expect?

Symmetric rib cage

A nurse is assessing a client who is at 34 weeks gestation and has a cardia disorder. The nurse should notify the provider about which of the following assessment findings?

The client reports a frequent cough

A nurse is testing the reflexes of a newborn to assess neurological maturity. Which of the following reflexes is the nurse assessing by quickly and gently turning the newborn's head to one side?

Tonic neck

A nurse is caring for a newborn who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect and report to the provider?

Tremors

A nurse is caring for a newborn who is receiving treatment for jaundice with traditional phototherapy lights. Which of the following interventions should the nurse perform?

Turn the newborn every 2 hr

A nurse is assessing a client who is suspected of having hyperemesis gravidarum. Which of the following laboratory tests should the nurse check first?

Urine ketones

A nurse is preparing to perform a heel stick on a newborn. Which of the following actions should the nurse take?

Warm the heel with a warm washcloth prior to the procedure

A nurse is caring for a client who is in labor. The nurse decides to switch from intermittent auscultation to continuous fetal monitoring. Which of the following data can only be obtained from continuous electronic fetal monitoring?

Determination of variability Continuous electronic fetal monitoring is required to determine variability since the nurse needs a monitor tracing to quantify variability.

A nurse is caring for a newborn immediately following birth. Which of the following actions should the nurse take first?

Dry the newborn

A nurse is caring for a client who is 8 hr postpartum and is experiencing hemorrhage. Which of the following actions should the nurse implement after notifying the provider? (SATA)

massage the fundus, administer oxytocin with IV fluids, insert an indwelling urinary catheter, place the client in a. lateral position with her legs elevated 30*

A nurse is caring for a client who has a BMI of 22.6 and expresses concern about weight gain during pregnancy. Which of the following responses should the nurse make?

"Gaining weight will promote a healthy pregnancy"

A nurse is teaching a prenatal class about pain management during labor. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"I can apply a heating pad to my back to relieve back pain"

A nurse is providing nutritional teaching for a pregnant client who had a pre pregnancy body mass index (BMI) of 38. Which of the following statements by the client demonstrate an understanding of the teaching about her recommended weight gain during pregnancy?

"I should plan to gain 5 to 9.1 kg during my pregnancy"

A nurse is discussing diaphragm use with a client. Which of the following statements by the client indicates an understanding of the teaching?

"I should replace my diaphragm every 2 years"

A nurse is providing postpartum discharge teaching about proper storage of breast milk for a client who is breastfeeding. Which of the following client statements indicates an understanding of the teaching?

"I will discard any unused breastmilk that is left in the bottle." Unused milk left in the bottle after a feeding should be discarded because bacteria can grow in the breastmilk, resulting in contamination.

A nurse is talking with a client at 20 weeks of gestation who is scheduled for a sonogram. The client states "I am here to have my regular prenatal checkup, but I do not want any pictures taken of my baby". Which of the following responses should the nurse make?

"I would like to hear more about why you do not want the sonogram, including any cultural reasons"

A nurse is providing education for a pregnant client about symptoms that should be reported immediately to the provider. Which of the following client responses indicates an understanding of the teaching?

"If I notice that my eyes are puffy, I should call my provider"

A nurse is teaching a sibling class for a group of expectant parents and their older children. Which of the following statements should the nurse include to facilitate sibling adaptation?

"Involve the siblings in decorating your newborn's room." The parents should involve the siblings as much as possible in preparing for the newborn such as by helping decorate the newborn's room and shopping with the parents for supplies for the newborn.

A nurse is providing education to a client who is 4 weeks postpartum and breastfeeding. The client asks about expected weight loss. Which of the following responses should the nurse make?

"Losing 2.2 pounds each month would be acceptable"

A nurse is teaching about preventing engorgement to a client who is planning to use formula to feed her newborn. Which of the following instructions should the nurse include?

"Apply ice packs to your breasts"

A nurse is teaching a female client about nutrition during pregnancy. Which of the following instructions should the nurse include in the teaching?

"Do not eat swordfish, shark, or king mackerel while you are pregnant"

A nurse in the labor and delivery suite is planning care for a group of 4 clients. Which of the following clients should the nurse see first?

A client who is in active labor and has late decelerations on the fetal heart monitor strip

A nurse in a newborn nursery has received reports on 4 newborns. Which of the following newborns should the nurse identify as requiring intervention?

A newborn whose axillary temperature is 36.1* C (96.9* F)

A nurse is caring for a newborn who is premature at 30 weeks gestation. Which of the following findings should the nurse expect?

Abundant lanugo