ATI Maternal and Newborn Easy 117 Questions

Drinking alcohol during pregnancy

A charge nurse is teaching newly licensed nurses about teratogens that affect fetal development. Which of the following is an example of a teratogen?

"Let's discuss other foods that are high in protein that you could substitute for meat."

A client at 12 weeks of gestation reports practicing Hinduism. The provider states that the client needs more protein in her diet and suggests eating more meat. After the provider leaves the examination room, the client tells the nurse that eating animal products will cause her to miscarry. Which of the following responses should the nurse make?

Refer the client to a community resource that could assist with providing nutrition

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?

The newborn would benefit from skin-to-skin contact in a quiet environment.

A nurse enters a postpartum client's room and notices many visitors in the room, conversing loudly and taking turns holding the newborn. The newborn intermittently cries and attempts to suck on her hand. After a few minutes, the newborn quiets, stares, and turns her head away when someone talks to her. What teaching should the nurse provide for this family?

Turn the client's head to the side

A nurse enters the hospital room of client who has preeclampsia. The client is out of bed, falls, and begins having tonic-clonic convulsions. Which of the following actions should the nurse take?

September 14

A nurse in a clinic is caring for a client who is pregnant and reports a last menstrual period (LMP) that began on December 7. Which of the following dates would be the client's estimated date of birth (EDB)?

"A weight gain of about 25 to 35 pounds is good."

A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much weight she can gain safely during her pregnancy. Which of the following responses should the nurse offer?

Accepting the pregnancy

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?

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

A nurse in an antepartum clinic answers a phone call from a client who is at 37 weeks of gestation. The client reports, "| 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?

Dry the newborn on the mother's chest

A nurse is assessing a newborn immediately after birth. The newborn is pink and crying and has a heart rate of 108/min. Which of the following actions should the nurse take?

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

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

Assess the fetal heart rate before and after the procedure

A nurse is assisting with an amniotomy for a client who is in active labor. Which of the following actions should the nurse take?

"This test will assist in determining if my baby is okay by monitoring the heart rate."

A nurse is assisting with discussing a nonstress test with a client who is at 39 weeks of gestation. Which of the following statements indicates an understanding of the information?

Late decelerations with fetal bradycardia

A nurse is assisting with monitoring the fetal heart rate tracings of a client who is in labor. Which of the following findings should the nurse report to the provider?

Bluish-colored skin

A nurse is assisting with the assessment of a 1-day-old newborn. Which of the following findings indicates that the newborn has acrocyanosis?

Instruct the client about relaxation breathing techniques

A nurse is assisting with the care of a client in the latent stage of labor who is reporting a pain level of 4 on a scale of 0 to 10. Which of the following actions should the nurse take?

Allow the parents to keep the child in their room for as long as they wish

A nurse is assisting with the care of a client who delivered a stillborn child. Which of the following actions should the nurse take?

Weak and irregular pulse

A nurse is assisting with the care of a client who has developed hemorrhagic shock. Which of the following manifestations should the nurse expect?

Betamethasone

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

"To determine the position of your baby"

A nurse is assisting with the care of a client who is in labor. The client asks the nurse, "Why is the other nurse pressing on my abdomen?" Which of the following responses should the nurse make?

Change the client's position

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?

Dry the newborn on the mother's chest

A nurse is assisting with the care of a newborn immediately after birth. The newborn is pink and crying and has a heart rate of 108/min. Which of the following actions should the nurse take?

Dry the newborn

A nurse is assisting with the care of a newborn immediately following birth. Which of the following actions should the nurse take first?

Place an opaque mask over the newborn's eyes

A nurse is assisting with the care of a newborn who has hyperbilirubinemia and is scheduled to receive phototherapy. Which of the following actions should the nurse take?

Check the newborn's blood glucose level

A nurse is assisting with the care of a newborn who is large for gestational age, appears restless, and has tremors. Which of the following actions should the nurse take first?

Turn the newborn every 2 hours

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?

Assess the newborn's blood glucose level

A nurse is assisting with the care of a recently delivered newborn whose mother had gestational diabetes. Which of the following actions should the nurse take within the first hour after birth?

Monitor aPTT and platelet count

A nurse is assisting with the plan of care for a client who is postpartum and has a history of a pulmonary embolus. The provider has prescribed heparin therapy prophylactically. Which of the following interventions should the nurse recommend to include in the plan?

At 28 weeks of gestation

A nurse is assisting with the plan of care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) immune globulin?

Ensure the newborn's eyes are closed before applying the eye shield

A nurse is assisting with the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care?

Administer the hepatitis B vaccine

A nurse is assisting with the plan of care for a newborn. Which of the following prescriptions requires informed consent?

October 27

A nurse is calculating a client's estimated date of delivery using Naegele's rule. The client's last menstrual period started on January 20. Which of the following is the client's expected date of delivery?

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

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?

Pelvic inflammatory disease

A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the following findings is a risk factor for an ectopic pregnancy?

Discontinue the magnesium sulfate

A nurse is caring for a client who has preeclampsia with severe features and is receiving a continuous infusion of magnesium sulfate. The nurse notes that the client is difficult to arouse and has absent deep tendon reflexes. Which of the following action should the nurse take?

"You can safely have intercourse as long as you don't feel discomfort."

A nurse is caring for a client who in the first trimester of a low-risk pregnancy. The client tells the nurse that she and her partner would like to continue their sexual relationship, but she is afraid it will cause a miscarriage. Which of the following responses should the nurse make?

HbALC

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

"I think I have changed my pad every 15 minutes."

A nurse is caring for a client who is 6 hours postpartum following a dysfunctional labor. Which of the following statements by the client indicates a possible complication?

"My heart feels as if it is racing"

A nurse is caring for a client who is at 34 weeks of gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the client is the nurse's priority?

"Reduce the amount of food you eat during meals.

A nurse is caring for a client who is in the first trimester of pregnancy and asks how to manage heartburn. Which of the following responses should the nurse make?

Assist the client to ambulate in the hallway

A nurse is caring for a client who is postpartum and reports abdominal pain due to flatus. Which of the following actions should the nurse take?

"You should eat some crackers before rising from bed in the morning."

A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following instructions should the nurse provide?

January 15

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)?

Place the unwrapped newborn on the mother's bare chest

A nurse is caring for a client who recently gave birth and plans to breastfeed. Which of the following actions should the nurse take?

"Breastfeeding can cause uterine contractions."

A nurse is caring for a client who reports cramping while trying to breastfeed her newborn. Which of the following instructions should the nurse provide to the client?

April 15

A nurse is caring for a client who reports that her last menstrual period (LMP) began on July 8. Based on Naegele's rule, which of the following is the client's expected date of birth (EDB)?

"The light will help lower your baby's bilirubin level."

A nurse is caring for a newborn who has a prescription for phototherapy. The mother asks why the newborn needs to lay under a special light. Which of the following responses should the nurse make?

"Tell me how you think your life will be after the baby is born."

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?

Axillary

A nurse is checking the vital signs of a newborn. Which of the following routes should the nurse use when checking the newborn's temperature?

Obtain a stat prescription for a bilirubin level

A nurse is collecting data for a newborn who is 12 hours old and notes mild jaundice of the face and trunk. Which of the following actions should the nurse take?

Neurological disorder

A nurse is collecting data from a 7-month-old infant during a well-child visit and notes the presence of a full Moro reflex. For which of the following should the nurse screen the infant?

Ambulate the client to the bathroom

A nurse is collecting data from a client 24 hr after delivery and notes the fundus is 2 cm above the umbilicus. Which of the following actions should the nurse take?

"Decrease your intake of spicy foods."

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?

Double vision

A nurse is collecting data from a client who is at 36 weeks of gestation. Which of the following manifestations should the nurse recognize as a potential prenatal complication and report to the provider?

Changes in cervical dilation or effacement

A nurse is collecting data from a client who is at 39 weeks of gestation and shows manifestations of labor. Which of the following findings should alert the nurse to notify the provider that the client is in true labor?

Report of blurred vision

A nurse is collecting data from a client who is postpartum. Which of the following findings should the nurse report to the provider?

Auscultation of a fetal heart rate.

A nurse is collecting data from a client who missed 2 menstrual cycles and states that she might be pregnant. Which of the following findings is a positive sign of pregnancy?

Nasal flaring

A nurse is collecting data from a newborn. Which of the following findings should the nurse immediately report to the provider?

"The same hormone that is released in response to the baby's sucking, causing the milk to flow, also makes the uterus contract."

A nurse is collecting data from a postpartum client who reports strong contractions whenever she breastfeeds her newborn. The nurse should respond with which of the following statements?

"You should lie on your side when resting."

A nurse is collecting data from a pregnant client who is at 26 weeks of gestation. The client states, "I felt dizzy yesterday when I was lying on my back." Which of the following responses should the nurse make?

Place the newborn on a flat surface

A nurse is measuring the body length of a newborn. Which of the following actions should the nurse take?

Encourage the client to practice deep breathing exercises

A nurse is preparing to perform a blood draw on a client during her first prenatal visit. The client reports an extreme fear of needles causing anxiety during blood draws or injections. Which of the following actions should the nurse take?

Warm the heel with a warm washcloth prior to the procedure

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

"I should breastfeed at least 8 to 12 times in a 24-hour period."

A nurse is providing breastfeeding education to a client who delivered 12 hours ago. Which of the following client statements indicates an understanding of the teaching?

"You might want to join our support group for couples who are experiencing similar problems."

A nurse is providing counseling for a couple who is experiencing infertility issues. Which of the following statements by the nurse is appropriate?

"Fill the perineal bottle with warm water prior to use."

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?

"Crib slats should be less than 2.25 inches apart."

A nurse is reinforcing discharge instructions with the parent of a newborn. Which of the following statements should the nurse include?

"Increase fluids to help prevent constipation."

A nurse is reinforcing discharge teaching with a postpartum client regarding elimination. Which of the following statements should the nurse include in the teaching?

"My baby will receive the next immunization at 2 months old."

A nurse is reinforcing discharge teaching with the parent of a newborn regarding the immunization schedule. Which of the following parent statements indicates an understanding of the teaching?

"Your baby should be rear-facing in a car seat until 2 years of age."

A nurse is reinforcing discharge teaching with the parent of a newborn. Which of the following statements should the nurse include in the teaching?

Use a bulb syringe to help clear the newborn's nasal passages

A nurse is reinforcing discharge teaching with the parents of a newborn. Which of the following instructions should the nurse include?

"Use a soft toothbrush to gently brush your teeth."

A nurse is reinforcing education about continuous heparin therapy with a client who is 18 hr postpartum and has developed a deep vein thrombosis (DVT). Which of the following statements should the nurse include in the teaching?

Burp the newborn frequently during feedings

A nurse is reinforcing safety teaching with the parents of a newborn. Which of the following instructions should the nurse include?

Ensure the newborn's mouth covers the nipple and areola

A nurse is reinforcing teaching about breastfeeding with a client who is 4 hours postpartum. Which of the following pieces of information should the nurse include?

"I should remove the bumper pad and stuffed toys from my baby's crib."

A nurse is reinforcing teaching about home care with the parent of a newborn. Which of the following statements indicates an understanding of the teaching?

"I will place a hat on my baby's head prior to going outside."

A nurse is reinforcing teaching about newborn care with the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?

"I will purchase a firm mattress for the crib."

A nurse is reinforcing teaching about newborn safety with a client who is postpartum. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

"You should plan to gain 25 to 35 pounds during your pregnancy..

A nurse is reinforcing 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?

"I should press the button on the handheld marker when my baby moves."

A nurse is reinforcing teaching with a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?

"Try to take naps when your infant is napping."

A nurse is reinforcing teaching with a client about postpartum fatigue. Which of the following statements should the nurse include?

Consume frequent snacks to decrease episodes of nausea

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?

Use additional pillows to support extremities and abdomen

A nurse is reinforcing teaching with a client in the third trimester of pregnancy who reports difficulty sleeping. Which of the following instructions should the nurse provide?

"I will notify my doctor If I have pain during vaginal intercourse."

A nurse is reinforcing teaching with a client who has an intrauterine device (IUD). Which of the following client statements indicates an understanding of the instructions?

"You should eat dry foods that are high in carbohydrates when you wake up."

A nurse is reinforcing teaching with a client who is at 10 weeks of gestation and reports frequent nausea and vomiting. Which of the following statements should the nurse make?

"Yes, but be sure to get out of the car and walk around regularly so you don't develop blood clots in your legs."

A nurse is reinforcing teaching with a client who is at 28 weeks of gestation. The client asks, "Is it safe for me to take a 12-hour drive to visit my family?" Which of the following responses should the nurse make?

"Labor begins with consistent regular contractions."

A nurse is reinforcing teaching with a client who is at 38 weeks of gestation. The client asks, "When will I know I am in the first stages of labor?" Which of the following responses should the nurse make?

Sit at the client's eye level

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?

"Empty your bladder before and after vaginal intercourse."

A nurse is reinforcing teaching with a client who is pregnant and has been treated for a urinary tract infection (UTI) twice during this pregnancy. Which of the following statements should the nurse make?

Rooting

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

"Apply the diaper loosely over the penis."

A nurse is reinforcing teaching with the guardian of a newborn who is scheduled to undergo a circumcision. Which of the following pieces of information should the nurse include in the teaching?

"You can expect the stools to be yellow and seedy."

A nurse is reinforcing teaching with the parent of a breastfed newborn about bowel elimination. Which of the following statements should the nurse make?

"Skin-to-skin contact with the parent helps provide warmth."

A nurse is reinforcing teaching with the parent of a newborn about preventing cold stress. Which of the following statements should the nurse include?

Check for a photo identification badge before allowing a nurse to remove the newborn from the room

A nurse is reinforcing teaching with the parents of a newborn about the facility's safety measures. Which of the following pieces of information should the nurse include?

Gonorrhea

A nurse is reviewing the laboratory findings for 4 clients. Which of the following infections should be reported to the public health department?

Breastfeeding

A nurse is reviewing the plan of care before assuming the care of a newborn who is prescribed a hepatitis B vaccine, vitamin K, and an antiretroviral regimen. The plan of care indicates the newborn's mother is HIV-positive and plans to breastfeed. Which of the following findings should the nurse address with the newborn's interdisciplinary team?

November 9, 2018

A nurse is using Naegele's rule to determine the estimated date of birth (EDB) for a client whose first day of her last menstrual period was February 2, 2018. The nurse should identify which of the following as the client's EDB?

"Total abstinence from alcohol is recommended.

A nurse working in a clinic is reinforcing antenatal education about alcohol consumption during pregnancy with a group of clients who are pregnant. Which

Ibuprofen

An adolescent reports abdominal cramping due to dysmenorrhea. Which of the following analgesics should the nurse expect the provider to prescribe?

"Wear the lap belt snugly across your pelvic bones."

An antepartum client asks the nurse about safety tips for riding in a motor vehicle. Which of the following responses should the nurse make?

Measure the newborn's head at the widest part

The nurse is collecting data from a newborn. Which of the following techniques should the nurse use?