ATI - maternal newborn

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 the teaching?

"I will have blood tests because my potassium might decrease."

A nurse is preparing to perform Leopold Maneuvers for a client. Identify the sequence the nurse should follow

1 palate the clients fundus to identify the fetal part. 2 determined the location of the fetal back. 3 palate the fetal part pressing at the inlet 4 identify the attitude of the head.

A nurse is teaching a client who is at 35 weeks of gestation about clinical manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include?

Headache that is unrelieved by analgesia

A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?

Temperature

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 contraceptive.

cholecystitis hypertension migraine headaches

A nurse is teaching a new mother about newborn safety. Which of the following instructions should the nurse include in the teaching?

"You can share your room with your baby for the next few weeks."

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?

"You should leave the diaphragm in place for at least 6 hours after intercourse."

A nurse is teaching a client who is at 24 weeks of gestation regarding a 1 hour glucose tolerance test. Which of the following statements should the nurse include in the teaching?

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

A nurse is caring for a newborn who is undergoing photothearpy to treat hyperbilirubinemia. which of the following actions shoudl the nurse take?

Cover the newborn's eyes while under the phototherapy light.

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

Stop suctioning when the newborn's cry sounds clear.

A nurse is caring fora client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. which of the following actions should the nurse take?

Have calcium gluconate readily available

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 at a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. the nurse should instruct theclient to increase your daily intake of which of the following nutrients?

Iron

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

Jitteriness

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 the client's fundus

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 minutes following the first dose of anesthesia solution

A nures is providing discharge teaching to the parents of 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 expected date of birth using Naegele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth?

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 fo the following findings should the nurse instruct the client to notify the provider

Shortness of breath

A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?

Substernal chest retractions while sleeping

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

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

A nurse is preforming a vaginal exam on a client who is in labor and observes the umbilical cord is protruding from the vagina. After calling for assistance, which of the following actions should the nurse take next?

Apply internal upward pressure to the presenting part using two 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 8 cm and reports back pain. Which of the following actions should the nurse take?

Apply sacral counter pressure.

A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura( 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-hold phase of postpartum behavioral adjustment?

Demonstrate to the client how to perform a newborn bath

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 the provider as a potential complication?

Leakage of fluid from the vagina

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

Preform a vaginal exam

A nurse is teaching a new mother about steps the nurses will take to promote the security and safety of the newborn. Which of the following statements should the nurse make?

The nurse should teach the client that all staff members that care for newborns are required to wear a photo identification badge so that the client will be reassured of her newborn's safety.

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 caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests?

Biophysical profile (BPP)

A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a non-stress test. Which of the following statements should the nurse include in the teaching?

"You will be offered orange juice to drink during the test."

hello

hola

A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hr. Which of the following statements should the nurse make?

"Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions."

A nurse on an antepartum unit is caring for four 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 is reviewing the medical record at 1800 for a client who is at 34 weeks of gestation. based on the chart findings and documentation, the nursing plan of care should include which of the following actions?

Administer terbutaline

A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?

Apply cabbage leaves to the breasts

A nurse is reviewing the laboratory report of a newborn who is 24 hr old. which of the following shoudl the nurse report to teh provider?

Blood glucose 30 mg/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 in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, "happy one minute and crying the next." The nurse should interpret the client's statement as an indication of which of the following?

Emotional liability

A nurse is caring for a client who is at 22 weeks of gestation and reports concerns about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take?

Explain to the client this is an expected occurrence.

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 school nurse is providing teaching to an adolescent about levonorgestrel contraception. which of the following information should the nurse include in the teaching?

Take the medication within 72 hrs following unprotected sexual intercourse

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

Assist the client to empty her bladder

A nurse is reviewing the laboratory results for who is at 10 weeks of gestation. Which of the following laboratory findings should the nurse report to the provider

Hemoglobin 10 g/dL

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

Platelets 50,000/mm3

The nurse is providing discharge teaching for a client who is postpartum. For which of the following clincal manifestations should the nurse instruct the client to monitor and report to the provider?

Unilateral breast pain

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 the teaching?

"I will continue to take my insulin if I experience nausea and vomiting."

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 the teaching?

"I will eat foods that appeal to my taste instead of trying to balance my meals."

A nurse is teaching a client about RHO (D) immunoglobulin RHOGAM. which of the following statements by the client indicates an understanding of the teaching

"I will need this medication if I have an amniocentesis."

A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. Which of the following statements should the nurse make about the indication for medication administration.

"This medication stimulates fetal lung maturity."

A nurse is speaking with a clietn who is trying to make a decision to make a decision about tubal ligation. the client asks, what effects will this procedure have on my sex life?

"This procedure should have no effect on your sexual performance or adequacy."

A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which of the following actions should the nurse take first?

Verify the newborn's identification

A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)?

Just above the symphysis pubis

A nurse is caring for a client who is in labor and reports increasing rectal pressure. She has experience contractions 2 to 3 minutes apart, each lasting 80 to 90 seconds, and a a vaginal examination reveals that her cervix is dilated to nine centimeters. The nurse should identify that the client is in which of the following phases of Labor?

Transition

A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?

Vomiting