ATI Maternal Newborn A&B

A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect? - Lochia serosa vaginal drainage - Vaginal pressure - Intermittent vaginal pain - Yellow exudate vaginal drainage

vaginal pressure

A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider? - Blood pressure 136/88 mm Hg - Report of insomnia - Weight gain of 2.2 kg (4.8lbs) - Report of Braxton Hicks contractions

weight gain of 2.2 kg

A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? - Insert two gloved fingers into the vagina and apply upward pressure to the presenting part - Wrap the visible cord tightly with sterile, dry gauze - Apply oxygen to the client at 2L/min via nasal cannula - Place the client in the lithotomy position and apply fundal pressure

insert two gloved fingers into the vagina and apply upward pressure to the presenting part

A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe? - Kleihauer-Betke test - Progesterone serum level - Lecithin/sphingomyelin (L/S) ratio - Maternal Alpha-fetoprotein (AFP)

kleihauer-betke test

A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's priority? - Check the client's capillary refill - Massage the client's fundus - Insert an indwelling urinary catheter for the client - Prepare the client for a blood transfusion

massage the client's fundus

A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider? - Fundal height 34 cm - Report of decreased fetal movement - Report of occasional ankle swelling - BP 110/80 mm Hg

report of decreased fetal movement

A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider? - Report of visual disturbances - Report of tingling of the fingers - Report of urinary frequency - Report of leg cramps

report of visual disturbances

A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take? - Verify that the parent's identification band matches the newborn's identification band - Scan the newborn's identification band to verify their identity - Check the newborn's security tag number to ensure it matches the newborn's medical record - Match the newborn's date and time of birth to the information in the parent's medical record

verify that the parent's identification band matches the newborn's identification band

A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take? - Give the client orange juice - Elevate the client's legs - Have the client change position - Establish IV access

have the client change position

A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? - Deep tendon reflexes 4+ - Fundal height 14 cm - Urine protein 2+ - FHR 152/min

FHR 152/min

A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? - "I should increase my protein intake to 60 grams each day" - "I should drink 2 liters of water each day" - "I should increase my overall daily caloric intake by 300 calories" - "I should take 600 micrograms of folic acid each day"

I should take 600 micrograms of folic acid each day

A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first? - A client who is at 11 wks of gestation and reports abdominal cramping - A client who is at 15 wks of gestation and reports tingling and numbness in right hand - A client who is at 20 wks of gestation and reports constipation for the past 4 days - A client who is at 8 wks of gestation and reports having three bloody noses in the past week

a client who is at 11 wks of gestation and reports abdominal cramping

A nurse is assessing 4 newborns. Which of the following findings should the nurse report to the provider? - A newborn who is 26 hr old and has erythema toxicum on his face - A newborn who is 32 hr old and has not passed a meconium stool - A newborn who is 12 hr old and has pink-tinged urine - A newborn who is 18 hr old and has an axillary temperature of 37.7(99.9)

a newborn who is 18 hr old and has an axillary temperature of 37.7

A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the following outcomes should the nurse expect? - Decreased uterine contractions - An increase in the client's hemoglobin levels - A reduction in respiratory distress in the newborn - Increased production of antibodies in the newborn

a reduction in respiratory distress in the newborn

A nurse is admitting a client who's in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? - Abruptio placenta - Placenta previa - Preeclampsia - Maternal bradycardia

abruptio placenta

A nurse is performing a physical assessment of a newborn upon admission to the nursery period which of the following manifestations should the nurse expect? (select all that apply.) - Yellow sclera - Acrocyanosis - Posterior fontanel larger than anterior fontanel - Positive Babinski reflex - Two umbilical arteries visible

acrocyanosis positive babinski reflex two umbilical arteries visible

A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the clients head to one side, which of the following actions should the nurse take immediately after the seizure? - Monitor the FHR - Assess uterine activity - Administer oxygen via a nonrebreather mask - Start a bolus of IV fluids

administer oxygen via a nonrebreather mask

A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity? - Calcium gluconate - Hydralazine - Medroxyprogesterone acetate - Methylergonovine

calcium gluconate

A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items? - Cold cabbage leaves - Purified lanolin cream - A snug-fitting support bra - Breast shells

cold cabbage leaves

A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? - Depression - Polyuria - Hypotension - Urticaria

depression

A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? - "Obtain an informed consent prior to obtaining the specimen" - "Collect at least 1 mL of urine for the test" - "Ensure that the newborn has been receiving feedings for 24 hrs prior to obtaining the specimen" - "Premature newborns may have false negative tests due to immature development of liver enzymes"

ensure that the newborn has been receiving feedings for 24 hrs prior to obtaining the specimen

A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? - 1-hr glucose tolerance test - Hematocrit - Fundal height measurement - Fetal heart rate (FHR)

fundal height measurement

A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care? - Protect the client's head and feet from cold air - Bathe the client within 12 hr following birth - Ambulate the client within 24 hr following birth - Offer the client a glass of cold milk with her first meal

protect the client's head and feet from cold air

A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects? - Client reports nausea - Urinary output of 40 mL/hr - Respiratory rate 10/min - Client reports feeling flushed

respiratory rate 10/min

A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure? - Check the client's temperature - Observe the uterine contractions - Administer Rho(D) immune globulin - Monitor the FHR

monitor the FHR

A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? - "You can resume sexual activity in 1 week" - "You won't need to do Kegel exercises since you had a cesarean" - "You can still become pregnant if you are breastfeeding" - "You are safe to start adding sit-ups to your exercise routine in 2 weeks"

you can still become pregnant if you are breastfeeding