OB ATI Exam
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?
"I should breastfeed at least 8 to 12 times in a 24-hour period."
A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia for pain control. Which of the following statements by the client indicates an understanding of the teaching?
I will feel the affects of the nitrous oxide almost immediately
A nurse is providing teaching to the parents of a newborn about home safety. Which of the following statements by the parents indicates an understanding of the teaching?
I will place my baby on his back when putting him to sleep
An adolescent reports abdominal cramping due to dysmenorrhea. Which of the following analgesics should the nurse expect the provider to prescribe?
Ibuprofen
A nurse is assessing a client who is at 30 weeks of gestation and has gestational hypertension. Which of the following findings should the nurse identify as an indication that the client needs a biophysical profile?
Non-reactive non-stress test
A nurse is caring for a client at 36 weeks gestation who has pre-eclampsia. Which of the following findings should the nurse identify as the priority?
Nonreactive nonstress test
A nurse is assessing a postpartum client and observes a steady trickle of bright red blood from the client's vagina. The uterus is palpated as firm, midline, and located 1 cm below the umbilicus. Which of the following actions should the nurse take?
Notify the provider
A nurse is caring for a client who experienced a spontaneous rupture of membranes and has prolonged decelerations on the fetal monitor. Which of the following conditions should the nurse expect?
Prolapsed umbilical cord
A nurse is caring for a client who is postpartum and reports that her episiotomy incision is pulling and stinging. Which of the following actions should the nurse take?
Provide a sitz bath with warm water for the client
A nurse is preparing to obtain a newborn's temperature. Which of the following methods should the nurse use?
axillary
A nurse is preparing to provide umbilical cord care for a newborn 12 hours after delivery. Upon inspection, the nurse notes moderate bleeding from a blood vessel. Which of the following actions should the nurse take?
Check the integrity of the cord clamp
A nurse is teaching a client who is at 10 weeks gestation about self-care management for common discomforts during pregnancy. Which of the following instructions should the nurse include?
Consume frequent snacks to decrease episodes of nausea
A nurse is caring for a client at 35 weeks gestation who has severe pre-eclampsia. Which of the following assessments provides the most accurate information regarding the client's fluid and electrolvte status?
Daily Weight
A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the following findings should the nurse expect?
Dark red vaginal bleeding
A nurse is caring for a client in the latent phase of labor who is receiving oxytocin via continuous IV infusion. The client is having contractions every 2 min that last 100 to 110 sec, and the fetal heart rate (FHR) is reassuring. Which of the following actions should the nurse take?
Decrease the dose of oxytocin by half
A nurse is caring for a client who is pregnant and has a rupture of membranes. The nurse notes the presence of meconium-stained fluid. Which of the following actions should the nurse take?
Gather equipment for neonatal resuscitation
A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse report to the provider?
Generalized petechiae
A nurse is providing education to a female client of child-bearing age. The nurse should state that which of the following structures expels the mature ovum?
Graafian follicle
A nurse is assessing a newborn. Which of the following findings should the nurse report to the provider?
Grunting with expiration
A nurse is caring for a client who is using patterned-paced breathing during the first stage of labor. The client reports a lightheaded feeling and tingling of the fingers. Which of the following actions should the nurse take?
Have the client breathe into a paper bag
A nurse is caring for a client who is in labor and has received epidural analgesia. The client's blood pressure is 88/50 mmH, and the fetal heart tracing shows late decelerations. Which of the following actions should the nurse take?
Increase the rate of the primary IV infusion
A nurse is caring for a postpartum client 8 hr after delivery. Which of the following factors places the client at risk of uterine atony? (Select all that apply.)
Magnesium sulfate infusion Distended bladder Prolonged labor
A nurse is planning care for a client who is scheduled to have prostaglandin E2 gel inserted for cervical ripening. Which of the following actions should the nurse take?
Maintain the client in a side-lying position for 30 min after insertion
A nurse is caring for a client who is 2 hr postpartum. The nurse notes the client's perineal pad has a large amount of lochia rubra with several clots. Which of the following actions should the nurse perform first?
Massage the fundus
A nurse is caring for a newborn who is premature in the neonatal intensive care unit. Which of the following actions should the nurse take to promote development?
Position the naked newborn on the parent's bare chest
A nurse is providing care for a client who is in the second stage of labor. The fetal heart tracing indicates multiple variable decelerations. Which of the following ions should the nurse take?
Prepare an amnioinfusion
A nurse is providing care for a pregnant adolescent who is at 12 weeks gestation and verbalizes a fear 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 providing education for the parent of a premature infant on interventions to promote optimal development. Which of the following actions should the nurse instruct the parent to perform?
Provide kangaroo care for the infant
A nurse is caring for a client in active labor who has meconium staining of the amniotic fluid. The nurse notes a reassuring fetal heart rate (FHR) tracing from the external fetal monitßr. Which of the following actions should the nurse perform?
Prepare equipment needed for newborn resuscitation
A nurse is planning care for a newborn who was born at 30 weeks gestation. The nurse should plan to assess the newborn for which of the following potential complications associated with prematurity?
intraventricular hemorrhage
A nurse is assessing a newborn 1 hr after birth. Which of the following findings should the nurse report to the provider?
jaundice of sclera
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 monitoring a client who is receiving spinal anesthesia. The nurse should identify which of the following findings as a complication of the infusion?
maternal hypotension
A nurse at a prenatal clinic is assessing an adolescent who is pregnant and is visiting the clinic for the first time. Which of the following factors is the nurse's priority to evaluate?
nutritional status
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?
pelvic inflammatory disease (PID)
A nurse is discussing the expected changes related to pregnancy with a client who is at 8 weeks gestation. Which of the following findings should the client to report to the provider during the first trimester?
persistent vomiting
A postpartum nurse is caring for a client who has developed hemorrhagic shock. Which of the following manifestations should the nurse expect?
weak, irregular pulse
A postpartum nurse is providing care for a client who is breastfeeding and has a perineal hematoma. The nurse should recommend that the client use which of the following breastfeeding positions?
Side-lying
A nurse is assessing a client who is postpartum following a vacuum-assisted birth. For which of the following findings should the nurse monitor to identify a cervical laceration?
Slow trickle of bright vaginal bleeding and a firm fundus
A nurse is providing education about newborn skin care for a group of new parents. Which of the following instructions should the nurse include?
Sponge bathe the newborn every other day
A nurse is caring for a client who is in labor and is receiving IV oxytocin. The nurse notes contractions lasting 3 min each. What action should the nurse take?
Stop the oxytocin infusion.
A nurse is planning educational sessions for clients in a childbirth class. Which of the following findings should the nurse plan to instruct the clients to report immediately?
Swelling of the face and fingers
A nurse is teaching a client who is in the third trimester of pregnancy and has herpes genitalis. Which of the following instructions should the nurse include?
Talk with your doctor about a prescription for acyclovir To treat your symptoms
A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is scheduled for an external cephalic version. Which of the following statements should the nurse make?
You will receive a medication to relax your uterus prior to the procedure
A nurse is providing teaching to a client who has come to the family-planning clinic requesting an intrauterine device (IUD). Which of the following pieces of information should the nurse provide the client?
Your risk for ectopic pregnancy increases with an IUD
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 in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of the following findings should the nurse report to the provider?
frequent headaches
A nurse is reviewing the laboratory report of a newborn who has a blood type of B-negative. The mother's blood type is O-positive. The laboratory results indicate the direct antiglobulin test is positive. Which of the following complications should the nurse anticipate?
hyperbilirubinemia
A nurse is teaching a client during the client's first prenatal visit. Which of the following instructions should the nurse include?
"A doppler device can detect your baby's heart rate at 12 weeks"
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 is safe for her to gain during her pregnancy. Which of the following responses should the nurse offer?
"A weight gain of about 25 to 35 lb is good."
A nurse is caring for a client who is 32 hours postpartum. The client reports nipple soreness and breast engorgement. Which of the following recommendations should the nurse provide?
"Call me so I can check your baby's latch the next time you breastfeed."
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 health pregnancy"
A nurse is teaching a client about breastfeeding. Which of the following client statements indicates an understanding of the teaching?
"I may notice increased cramping when I am feeding my baby."
A nurse is teaching a parent how to care for his newborn's circumcision site. Which of the following client statements indicates an understanding of the teaching?
"I should apply the diaper loosely until the cicumcision site is healed."
A nurse is caring for a client who experienced a fetal loss. When initiating communication with this client, which of the following statements should the nurse make?
"I'm here for you if you would like to talk."
A nurse is teaching a client who is pregnant about nonstress testing. Which of the following pieces of information should the nurse include?
"If the test is positive, that means your baby's heart rate is healthy."
A nurse is caring for a client who is at 34 weeks gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the client is the priority?
"My heart feels like it is racing."
A client at a routine prenatal care visit asks the nurse if developing vaginal yeast infections is common during pregnancy. Which of the following responses should the nurse make?
"The hormonal changes of pregnancy alter the acidity of the vagina, making yeast infections more common."
A nurse is caring for a client who had pelvic measurements recorded by the provider. The client asks, "Since my pelvis is gynecoid, will I be able to deliver vaginally?" Which of the following responses should the nurse make?
"The shape of your pelvis is ideal for vaginal childbirth."
A nurse is assessing a 2-day-old newborn and notes an egg-shaped, edematous, bluish discoloration that does not cross the suture line. Which of the following pieces of information should the nurse provide to the mother when she asks about this finding?
"This will resolve in 3-6 weeks without treatment." Cephalhematoma
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 teaching a client who is breastfeeding about strategies for preventing mastitis. Which of the following instructions should the nurse include?
"Use your finger to release suction after feeding."
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse provide to the client about the treatment plan?
"You and your partner need to take the medication and use a condom during intercourse until cultures are negative."
A nurse is caring for a pregnant client who reports nausea and vomiting. Which of the following instructions should the nurse share with the client?
"You should eat some crackers before rising from bed in the morning."
A nurse is caring for a client who is at 35 weeks of gestation and is scheduled to undergo an amniocentesis. Which of the following statements should the nurse make?
"You will feel some mild discomfort during the procedure."
A nurse in an outpatient setting is providing education for a client who is pregnant. Which of the following statements should the nurse include in the teaching?
"You will probably first notice your baby moving when you are around 20 weeks gestation."
A nurse is caring for a client who is at 38 weeks gestation and in the active phase of the first stage of labor. The nurse notes 2 late decelerations of the fetal heart rate during the last 5 contractions. Which of the following actions should the nurse take?
Assist the client to a lateral position.
A nurse is caring for a client who reports intestinal gas pain following a cesarean section. Which of the following actions should the nurse take?
Assist the client to ambulate in the hallway.
A nurse is caring for a client who is postpartum and is having difficulty voiding. Which of the following actions should the nurse take first?
Assist the client to the bathroom
A nurse is assessing a client who delivered vaginally 8 hours ago. The nurse notes that the client's fundus is 2 fingerbreadths above the umbilicus and has shifted to the left, and there is a large amount of lochia rubra on the perineal pad. Which of the following actions should the nurse take first?
Assist the client to the toilet
A nurse is planning 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?
At 28 weeks of gestion
A nurse is assessing a client who missed 2 menstrual cycles and reports that she might be pregnant. Which of the following findings is a positive sign of pregnancy?
Auscultation of a fetal heart rate
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
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 immediately following delivery. Which of the following actions should the nurse perform first?
Please the newborn directly on the clients chest
A nurse is caring for a newborn who weighs 4 lb. How many kilograms does the newborn weigh? (Fill in the blank with the numeric value only, round the answer to the nearest tenth, and use a leading zero if applicable. Do not use a trailing zero.)
1.8kg
A nurse is providing teaching about calcium intake to a client who is breastfeeding. Which of the following is the recommended daily calcium intake for a client who is breastfeeding?
1000mg
A nurse is assessing a client who is 2 days postpartum. In which of the following locations should the nurse expect to locate the client's fundus?
3 cm below the umbilicus
A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the following findings should the nurse report to the provider?
3+ deep tendon reflexes
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
A nurse is assessing a client who is at 35 weeks of gestation and has preeclampsia without severe features. Which of the following findings should the nurse identify as the priority?
480 mL urine output in 24 hr
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy. Which of the following laboratory tests will be used to confirm this client's pregnancy?
A urine test for the presence of human chorionic gonadotropin
A community health nurse is planning care for 4 high-risk newborns who were discharged yesterday. Which of the following newborns should the nurse plan to care for first?
A 4-day-old newborn who has an elevated bilirubin level and requires phototherapy.
A nurse is caring for several clients. Which of the following clients should the nurse identify as a candidate for oral contraceptives?
A client who is breastfeeding a 7 month old infant
A nurse is assisting with fetal heart monitoring during labor for a client who is at 40 weeks of gestation. The nurse should identify that which of the following findings on the fetal monitoring tracing requires intervention?
A fetal heart rate of 180 per minute for 15 minutes
A nurse is caring for 4 newborns. Which of the following newborns is at the greatest risk of hypoglycemia?
A newborn who is large for gestational age
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?
Accepting the pregnancy
A nurse is planning care for a client who has a prescription for oxytocin. Which of the following is a contraindication to the use of this medication?
Active genital herpes
A nurse is caring for a client who is 12 hr postpartum. Which of the following interventions should the nurse implement? (Click on "Figure/Media" above the question for additional information about the client)
Administer ferrous sulfate orally
A nurse is assessing a pregnant client at 26 weeks of gestation who reports an episode of dizziness after lying on her back on the couch. Which of the following actions should the nurse take?
Advise the client to lie on her side
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to induce labor. Which of the following statements should the nurse make?
An epidural given to early can prolong labor
A nurse is caring for a client who is scheduled to undergo an amniocentesis to assess fetal lung maturity. The client is G2P1 and at 36 weeks of gestation, and she has an 0-positive blood type. Which of the following interventions should the nurse perform?
Apply an external fetal monitor to the client
A nurse is reinforcing 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 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
While caring for a client who is in active labor, a nurse notes late decelerations on the fetal monitor. Which of the following actions should the nurse take?
Apply oxygen at 10 L/min via nonrebreather face mask
A nurse is caring for a client who is in the latent phase of labor and is experiencing low back pain. Which of the following actions should the nurse take?
Apply pressure to the client's sacral area during contractions
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 a client in the third trimester of pregnancy who is scheduled to undergo a non-stress test. Which of the following actions should the nurse take prior to the test?
Ask the client to drink a glass of orange juice
A nurse is assessing a client on the first postpartum day. Findings include the following: funds firm and one fingerbreadth above and to the right of the bilicus, moderate lochia rubra with small clots, temperature 37.3°C (99.2°F), and pulse rate 52/min. Which of the following actions should the nurse take?
Ask the client when she last voided
A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of the following actions should the nurse perform?
Assess the newborn's blood glucose level
A nurse is caring for a recently delivered newborn whose mother had gestational diabetes. What action should the nurse take within 1 hr after birth?
Assess the newborn's blood glucose level
A nurse is assessing a client before administering the hepatitis B vaccine. Which of the following allergies should the nurse identify as a contraindication to receiving this vaccine?
Baker's yeast
A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of the following statements should the nurse include in the teaching?
Before bedtime is a good time to start counting the kicks
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
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 caring for a client who has a prescription for naloxone. Which of the following is the intended action of the medication in relation to the central nervous system (NS)?
Block the effects of narcotics on the CNS
A nurse is providing teaching to a client who is at 8 weeks gestation about manifestations to report to the provider during pregnancy. Which of the following pieces of information should the nurse include in the teaching?
Blurred or double vision
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 to 2 minutes
A nurse in a prenatal clinic is performing telephone triage for several clients. Which of the following client reports should the nurse identify as an expected physiological adaptation to pregnancy?
Breast tenderness
A nurse is caring for a client who is at 39 weeks gestation and shows manifestations of lafoor. Which of the following findings will alert the nurse that the client is in true labor?
Changes in cervical dilation or effacement
A nurse is teaching the guardians of a newborn about the facility's safety measures. Which of the following pieces of information should the nurse include?
Check for a photo identification badge before allowing a nurse to remove the newborn from the room
A nurse is caring for a client who is at 39 weeks gestation and in active labor. Which of the following actions should the nurse include in the plan of care?
Check the cervix prior to analgesic administration
A nurse is caring for a client who is at 33 weeks of gestation and reports dark red vaginal bleeding and contractions that do not stop. Which of the following actions should the nurse take first?
Check the fetal heart tones
A nurse is assessing a 12-hour-old newborn and notes a respiratory rate of 44/min with shallow respirations and periods of apnea lasting up to 10 sec. Which of the following actions should the nurse take?
Continue routine monitoring
A nurse receives a report for a client who is in labor and is experiencing contractions that are 4 min apart. Which of the following patterns should the nurse expect on the fetal monitor tracing?
Contractions that last for 60 sec each with a 3 min rest between contractions
A nurse is discussing contraceptive choices with a client who has a history of thrombophlebitis. Which of the following methods of contraception should the nurse recommend?
Copper intrauterine devices
A nurse is providing teaching about the selection of commercial formula to the guardian of a newborn. Which of the following pieces of information should the nurse include?
Cows milk-based formula is recommended for healthy newborns
A nurse is providing discharge instructions to the parent of a newborn. Which of the following statements should the nurse include?
Crib slats should be less than 2.25 inches apart
A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fetal lung maturity. When planning care for the newborn, which of the following conditions should the nurse identify as an adverse effect of this medication?
Decreased blood glucose Betamethasone causes hyperglycemia in the client, which predisposes the newborn to hypoglycemia in the first hours after delivery. It is important to assess the newborn's blood glucose level within the first hour following birth and frequently thereafter until blood glucose levels are stable.
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
A nurse is caring for a client in labor and observes a pattern of early decelerations on the fetal monitor. Which of the following actions should the nurse take?
Document the findings and continue to monitor
A charge nurse is teaching newly licensed nurses about teratogens that affect fetal development. The nurses should recognize that which of the following is an example of a teratogen?
Drinking alcohol during pregnancy
A nurse is caring for a newborn immediately following birth. Which of the following actions should the nurse take first?
Dry the newborn
A postpartum nurse is caring for a client who reports abdominal cramping. Which of the following actions should the nurse take?
Encourage the client to interact with the newborn
A nurse is providing teaching about breastfeeding to a client who is 4 hours postpartum. Which of the following pieces of information should the nurse include?
Ensure the newborn's mouth covers the nipple and areola
A nurse is planning care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care?
Ensure the newborns eyes are closed before applying the eye shield
A nurse is caring for a client who is in labor. Which of the following methods will determine the frequency of the client's contractions?
Evaluating the time from the beginning of the contraction to the beginning of the next contraction
A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect?
Exaggerated reflexes A newborn who has neonatal abstinence syndrome usually exhibits clinical findings of hyperactivity within the central nervous system (CNS). Exaggerated reflexes are indicative of CNS irritability.
A nurse is assessing the respiratory status of a newborn who was born 2 hours ago. Which of the following findings should the nurse identify as a manifestation of respiratory distress?
Expiratory grunting
A nurse is assessing a newborn at birth who was delivered at 32 weeks gestation. Which of the following findings should the nurse anticipate?
Extended extremities
A nurse is teaching a client with pre-eclampsia who is scheduled to receive magnesium sulfate via continuous IV infusion about expected adverse effects. Which of the following adverse effects should the nurse include in the teaching?
Feeling of warmth
A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse should monitor the client for which of the following potential adverse effects?
Fetal asphyxia
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 caring for a client who is in labor. Which of the following assessment findings should the nurse report to the provider?
Fetal heart rate baseline of 90 bpm
A nurse is caring for a client who is in labor. The client asks the nurse, "Why are you pressing on my abdomen?" Which of the following responses should the nurse make?
I can determine the position of your baby
A nurse is evaluating a client who has just received instructions about breastfeeding. Which of the following statements should the nurse identify as an indication that the client understands how to prevent mastitis?
I should avoid waiting too long between feedings
A nurse is teaching a client at 13 weeks gestation about the treatment of incompetent cervix with cervical cerclage. Which of the following statements by the client indicates an understanding of the teaching?
I should go to the hospital if I think I may be in labor
A nurse is providing nutritional teaching for a pregnant client who had a prepregnancy 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 teaching a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?
I should press the button on the handheld marker when my baby moves
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 explaining lactation suppression to a client whose newborn will be bottle-fed. Which of the following client statements indicates an understanding of the teaching?
I should wear a support bra for a few days
A nurse is teaching about mastitis to a client who is postpartum and breastfeeding her newborn. Which of the following statements by the client indicates an understanding of the teaching?
I will avoid any of my family members who are ill
A nurse is assessing a newborn. Which of the following findings should the nurse identify as an indication of recent maternal heroin use?
Incessant crying
A nurse is preparing to help with a vacuum-assisted birth. Which of the following actions should the nurse plan to take?
Inform the client that caput succedaneum resolves in a few days
A nurse is caring for a client who is scheduled to receive a spinal anesthetic. Which of the following actions should the nurse plan to perform?
Infuse a 500 mL bolus of 0.9% sodium chloride immediately prior to the procedure
A nurse is caring for a client who is 3 days postpartum and has chosen to formula-feed her newborn. During an examination of the client's breasts, the nurse notes that they are warm and firm. Which of the following actions should the nurse plan to take?
Instruct the client to apply cold compresses
A nurse is caring for a client in active labor whose fetus is in a persistent occiput posterior position. Which of the following actions should the nurse take to promote rotation of the fetal head?
Instruct the client to squat during contractions
A nurse in a clinic is assessing a client who is at 13 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse identify as the priority?
Ketones 2+
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?
Late deceleration with fetal bradycardia
A nurse is caring for a client in the latent stage of labor who is reporting a pain level of 4 on a scale of 1 to 10. Which of the following actions should the nurse take?
Lead to the client and relaxation breathing techniques
A nurse is caring for a client who is in labor and asks her partner to perform effleurage. The client has on a monitor belt for electronic fetal monitoring. Which of thee following instructions should the nurse provide to the client's partner?
Lightly stroke the upper thighs
A nurse is assessing a newborn for congenital hip dysplasia. Which of the following findings should the nurse expect?
Limited abduction of hip
A nurse is performing a physical assessment of a newborn. Which of the following actions should the nurse take?
Measure the circumference of a newborns head with a tape measure just above the eyebrows
A nurse is caring for a client who has a soft uterus and increased lochial flow. Which of the following medications should the nurse plan to administer to promote uterine contractions?
Methylergonovine
A nurse is planning care for a client who is postpartum and has cardiac disease. For which of the following prescriptions should the nurse seek clarification?
Monitor the client's weight weekly
A nurse is preparing to administer an IV infusion of oxytocin for labor induction to a client who is at 41 weeks of gestation. Which of the following actions should the nurse plan to take?
Monitor the fetal heart rate every 15 minutes initially
A nurse is teaching a prenatal class about nonpharmacological comfort measures during labor. Which of the following statements should the nurse identify as an indication that the instructions have been understood?
My baby will be monitored with a Doppler device during hydrotherapy
A nurse is assessing a 12-hour-old newborn notes mild jaundice of the face and trunk. Which of the following actions should the nurse take?
Obtain a stat prescription for a bilirubin level
A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. Which of the following actions should the nurse take?
Obtain blood samples for baseline lab values
A nurse is initiating phototherapy for a newborn who has hyperbilirubinemia. Which of the following actions should the nurse take?
Place in a opaque over the newborns eyes
A nurse is caring for a client in active labor who is experiencing hypotension following epidural placement. Which of the following actions should the nurse take?
Place the client in the lateral position.
A nurse is assessing a 4-hour-old newborn prior to breastfeeding and notes hands and feet that are cool and slightly blue. Which of the following actions should the nurse take?
Place the naked newborn on the mother's bare chest and cover both with a blanket
A nurse is teaching the guardian of a newborn about car seat safety. Which of the following pieces of information should the nurse include?
Place the shoulder harness in the slots that are level with the newborn's shoulders
A nurse is caring for a client who recently gave birth and plans to breastfeed. Which of the following actions should the nurse take?
Place the unwrapped newborn on the mothers bare chest
A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of gestation. For which of the following results should the nurse notify the provider?
Platelet count 135,000/mm^3
A nurse is caring for a client who is receiving IV oxytocin for the induction of labor and notes repetitive early decelerations on the electronic fetal heart rate (FHR) tracing. Which of the following actions should the nurse take?
Re-evaluate the FHR tracing in 15 minutes
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?
Reduce the amount of food you eat during meals
A nurse is caring for a preterm infant in the NICU. Which of the following actions by the nurse will promote the infant's optimal development?
Reducing ambient noise and lighting
A nurse is caring for a client who has oligohydramnios. Which of the following fetal anomalies should the nurse expect?
Renal agenesis
A nurse is reviewing the medical record of a client who is at 20 weeks of gestation. Which of the following findings should the nurse identify as a presumptive indication of pregnancy?
Report a fetal movement by the client
A nurse is caring for a client who is in labor and has fetal heart tracings of variable decelerations. Which of the following actions should the nurse take?
Reposition the client from side to side
A nurse is planning care for a newborn who has hyperbilirubinemia and a new prescription for phototherapy. Which of the following interventions should the nurse include in the plan?
Reposition the newborn every 3 hours
While assessing a client who is in the fourth stage of labor, the nurse suspects bladder distention. Which of the following findings should the nurse anticipate with bladder distention?
The bladder fluctuates with palpation.
A nurse is performing an admission assessment of a client who just arrived at the labor and delivery unit. Which of the following findings should the nurse identify as the priority?
The fetal heart rate is 90 per minute
A nurse is teaching a client who is at 8 weeks gestation and has a uterine fibroid about potential effects of the fibroid during pregnancy. Which of the following pieces of information should the nurse include?
The fibroid can increase the risk of postpartum hemorrhage
A nurse is assessing a newborn who was circumcised 24 hours ago. Which of the following findings should the nurse report to the provider?
The newborn has urinated once since the circumcision
A nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving to his wife since the pregnancy was announced several weeks ago. Which of the following responses should the nurse make?
These feelings are common for expecting fathers in early pregnancy
A nurse is caring for a primigravid client who is at 8 weeks gestation with twins. The client states that even though she and her husband planned this pregnancy, she is experiencing ambivalent feelings about it. Which of the following responses should the nurse make?
These feelings are quite normal at the beginning of pregnancy
A nurse is teaching the guardian of a newborn about caring for the newborn's umbilical cord. For which of the following reasons should the nurse instruct the guardian to avoid using antimicrobial agents on the cord?
They can cause delayed cord separation
A postpartum nurse is caring for a client who reports excessive sweating during the first night after delivery. Which of the following statements should the nurse make?
This is the source of your fluid loss after delivery
A nurse is preparing to administer meperidine hydrochloride to a client who is in labor. Which of the following statements should the nurse make to the client?
This medication can make you sleepy
A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The client asks what the purpose of the test is. Which of the following responses should the nurse provide?
This test will help determine if your baby is healthy
A nurse is preparing a client who is in labor for the insertion of an intrauterine pressure catheter. The client asks why this type of monitoring is needed. Which of the following responses should the nurse make?
This type of monitoring will allow us to measure the intensity of your contractions
A nurse is caring for a client in active labor whose membranes have ruptured. The fetal monitor tracing reveals late decelerations. Which of the following actions should the nurse take first?
Turn the client onto her left side
A nurse is assessing a client at 35 weeks gestation who is receiving magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which of the following findings should the nurse report to the provider?
Urinary output 20 mL/hr
A nurse is assessing a client who is receiving magnesium sulfate as a treatment for pre-eclampsia. Which of the following clinical findings is the nurse's priority?
Urinary output 40 mL in 2 hr
A nurse is caring for a client who is at 16 weeks gestation and has severe iron-deficiency anemia. The provider prescribes an injection of iron dextran IM. Which of the following methods should the nurse use to administer the medication?
Use a 20-gauage needle, and administer the medication using the Z-track method.
A nurse is caring for a client in the third trimester of pregnancy who reports difficulty sleeping. Which of the following instructions should the nurse provide?
Use additional pillows to support extremities and abdomen
A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta?
Uterine tone
A nurse is providing teaching about newborn baths to a client who is 2 days postpartum. Which of the following pieces of information should the nurse include?
Wash the newborn's face with plain warm water
A nurse is teaching 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?
We will need your consent prior To administering the vaccine
A nurse is determining an Apgar score for a newborn who was born 1 minute ago. For which of the following findings should the nurse assign a score of 1?
Weak cry
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 assessing an 18-hour-old newborn. Which of the following findings should be reported to the provider?
Yellow-tinged skin
A nurse is providing education to a client who is at 34 weeks of gestation about a non-stress test (NST). Which of the following pieces of information should the nurse include?
You might have to drink orange juice during the test
A nurse is teaching a client who is at 12 weeks gestation and has human immunodeficiency virus (HIV. Which of the following statements should the nurse include in the teaching?
You should continue to take zidovudine throughout the pregnancy; The nurse should inform the client that taking prescription antiviral medication every day decreases the risk of transmission of HIV to her newborn.
A nurse in a clinic is providing education to a client at 32 weeks of gestation who has pruritus gravidarum. Which of the following pieces of information should the nurse provide?
You should slightly increase your exposure to sunlight
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 teaching a client who is at 10 weeks gestation about an abdominal ultrasound in the first trimester. Which of the following pieces of information should the nurse include in the teaching?
You will need to have a full bladder during the ultrasound
A nurse is caring for a client who is receiving magnesium sulfate by continuous IV infusion. Which of the following medications should the nurse have available at the client's bedside?
calcium gluconate
A nurse is teaching a parent of a newborn how to care for the newborn's umbilical cord stump. Which of the following instructions should the nurse include?
clean the cord stump with tap water
A nurse is caring for a client during her first prenatal visit and notes that she is lactose-intolerant. Which of the following foods should the nurse include on a list of calcium sources for this client?
collard greens
A nurse is caring for a client who is in active labor and whose birth plan requests only nonpharmacological pain relief strategies. Which of the following strategies should the nurse offer as a form of cutaneous stimulation?
counter pressure
A nurse is monitoring a newborn for indications of septic shock. Which of the following findings should the nurse expect if the newborn develops this complication?
decreased blood pressure
A nurse is assessing a client who has hyperemesis gravidarum. Which of the following findings should the nurse expect?
presence of ketones in the urine
A nurse is reviewing the laboratory values of a client who is pregnant and has a low progesterone level. Which of the following complications should the nurse expect?
preterm labor
A nurse is assessing a client who is in the first stage of labor and has preeclampsia. Which of the following findings should the nurse expect?
proteinuria
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following clinical manifestations in the newborn indicates toxicity due to the magnesium sulfate therapy?
respiratory depression
A nurse is teaching new parents about newborn reflexes. Which of the following reflexes facilitates infant feeding?
rooting
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should the nurse expect?
urinary retention