Mother Baby ATI B

A nurse is preparing to perform Leopold maneuvers. Identify correct sequence of events

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

A 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 with in 72 hrs following unprotected sexual intercourse

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

Jitteriness

A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the nurse?

Substernal chest retractions while sleeping

A nurse in a prenatal clinic is caring for a client who reports her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which response should the nurse make?

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

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 hx should the nurse recognize as a contraindication?

-Cholecystitis -HTN -Migraine headaches

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 teaching a client who is 24 weeks regarding a 1-hr glucose tolerance test. Which of the following should the nurse include in the teaching?

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

A nurse is planning discharge for a client who is 3 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 performing a vaginal exam on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which action should the nurse take next?

Apply internal upward pressuring using 2 gloved fingers

A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8cm and reports back pain. Which action should the nurse take? *

Apply sacral counter pressure

A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates her uterus to the right above the umbilicus. Which intervention should the nurse perform?

Assist client to empty her bladder

A nurse is reviewing lab results of a newborn who is 4hr old. Which of the following should the nurse report to the provider?

Bilirubin 9mg/dL

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

Biophysical profile

A nurse is reviewing the lab report of a newborn who is 24 hr old. Which of the following results should the nurse report?

Blood glucose 30mg/dL

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 newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which action should the nurse take?

Cover the newborn's eyes while under light

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

Decreased platelet count

A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-holding phase of postpartum behavioral adjustment?

Demonstrate to the client how to perform 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 adaption to pregnancy. The client states that she is, "happy one minute and crying the next". The nurse should interpret this as?

Emotional lability

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

Leave the diaphragm in for 6 hours after intercourse

A nurse is caring for a client who is 22 weeks and reports concern about the blotchy hyperpigmentation on her forehead. Which action should the nurse take?

Explain this is an expected occurrence

A nurse is teaching a client who has pregestational type 1 DM about management during pregnancy. Which of the following statements by the client indicates an understanding of teaching?

I will continue taking my insulin if I experience N/V

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 teaching?

I will have blood tests because my potassium might decrease

A nurse is teaching a client who is Rh neg about Rh immunoglobulin. Which of the following statements by the client indicates an understanding of teaching?

I will need this medication if I have an amniocentesis

A nurse is planning care for a client who is to undergo a NST. Which of the following actions should the nurse include in the plan of care?

Instruct client to press 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 8 weeks. The nurse should instruct the client to increase her daily intake of which nutrient?

Iron

A nurse is caring for a client who is pregnant at the end of her first trimester. The nurse should place the Doppler stethoscope in which location to assess for FHT?

Just above the symphysis pubis

A nurse is caring for a client following an amniocentesis at 18 weeks. Which of the following findings should the nurse report as a potential complication?

Leakage of fluid form the vagina

A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the clients abdomen should the nurse apply the transducer to assess FHR?

Left lower quadrant

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

Massage fundus

A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which action should the nurse include in the plan of care?

Monitor the client's BP Q5 min following the first dose of anesthetic solution

A nurse is reviewing the medical record of a newly admitted client who is 32 weeks. Which of the following conditions is an indication for fetal heart monitoring?

Oligohydramnios

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

Place the retainer clip at the level of the newborn's armpits

A nurse is calculating a client's EDD using Nägele's. The client tells the nurse her last menstrual cycle started Nov 27th. What is the EDD?

September 3rd

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 postpartum client about steps the nurses will take to promote the security and safety of the 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 ID

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

Stop suctioning when the newborn's cry sounds clear

A nurse is assessing a client who is 30 weeks 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 is priority?

Temperature

A nurse is caring for a client who is experiencing preterm labor at 29 weeks and has prescription for betamethasone. Which statement should the nurse make about the indication for med admin?

This medication stimulates fetal lung maturity

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 a room with your baby for the next few weeks

A nurse is caring for a newborn who was transferred to the nursery 30 min after birth bc 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 SSRI during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdraw from an SSRI?

Vomiting

A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 min apart, lasting 80-90 seconds. The vaginal exam reveals she is 9cm dilated. The nurse should identify that the client is in which phase of labor?

Transition

A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following lab results should the nurse report?

platelets 50,000 - can indicate DIC