ATI Maternal Newborn Online Practice Assessment 2019 A

Nurse is teaching newly licensed nurse about collecting a specimen for universal newborn screening. Which statements should the nurse include in teaching?

"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen."

Nurse is providing teaching to patient that's 40 weeks gestation and has new prescription for misoprostol. Which instructions should the nurse include in teaching?

"I can administer oxytocin 4 hours after the insertion of the medication."

Nurse teaching the patient that's 10 weeks gestation about nutrition during pregnancy. Which statements by patient indicates an understanding of teaching?

"I should take 600 micrograms of folic acid each day.":

Nurse is providing teachings to patient about physiological changes that occur during pregnancy. patient is 10 weeks gestation and has BMI WDL. Which statements indicates an understanding of teaching?

"I will likely need to use alternative positions for sexual intercourse."

Nurse is giving Teaching to patient who gave birth 2 hrs ago about facility policy for newborn safety. Which patient statements indicates an understanding of teaching?

"The person who comes to take my baby's pictures will be wearing a photo identification badge."

Nurse providing discharge teaching to patient with c-section 3 days ago. Which instructions should the nurse include?

"You can still become pregnant if you are breastfeeding."

Nurse prepares to adm. mag sulfate 2 g/hr IV to patient in preterm labor. Available is 20 g mag sulfate in 500 ml of dextrose 5% in H2O (D5W). Nurse should set IV infusion pump to adm how many ml/hr?

50 ml/hr

A nurse in a prenatal clinic is assessing a group of patients. Which of the following clients should the nurse see first?

A client who is at 11 weeks of gestation and reports abdominal cramping

Nurse is assessing 4 newborns. Which findings should the nurse report to HCP?

A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)

Nurse caring for patient who's anemic at 32 weeks gestation and in preterm labor. HCP prescribes betamethasone 12 mg IM. Which outcomes should nurse expect?

A reduction in resp distress in the newborn

Nurse is admitting a patient who's in labor. Patient admits to cocaine use. Which complications should the nurse assess?

Abruptio placenta

Nurse is caring for a client who's 26 weeks gestation and has epilepsy. Nurse enters the room and observes the patient having a seizure. After turning patient's head to one side, which actions should the nurse take immediately after the seizure?

Administer oxygen via a nonrebreather mask

Nurse is caring for a patient who has hyperemesis gravidarum and is receiving IV fluid replacement. Which findings should the nurse report to HCP?

BUN 25 mg/dL

Nurse is admitting a patient to L&D unit when patient states, "my water just broke" which interventions is nurse's priority?

Begin FHR monitoring.

Nurse is caring for a client who's 36 weeks gestation and positive contraction stress test. Nurse should plan to prepare client for which dx test?

Biophysical profile:

Nurse assessing a patient who has severe preeclampsia. Which manifestations should the nurse expect?

Blurred vision

Nurse caring for patient who's experiencing preeclampsia and has a new prescription for IV mag sulfate. Which meds should the nurse anticipate adm. if client develops mag toxicity?

Calcium gluconate

Nurse giving teaching about nonpharm pain management to patient who's breastfeeding and has engorgement. Nurse should recommend application of which items?

Cold cabbage leaves

Nurse is giving teaching for a patient who has a new prescription for combined oral contraceptives. Which findings should the nurse include as an adverse effect of this med?

Depression

Nurse is performing routine assessment on patient that's 18 weeks gestation. Which findings should the nurse expect?

FHR 152/min

Nurse is performing a physical assessment of newborn. Which clinical findings should the nurse expect? (SATA)

HR 154/min, RR 58/min, weight 2.6 kg (5 lb 12 oz)

Nurse is caring for patient that's 35 weeks gestation and undergoing a nonstress test that reveals variable deceleration in FHR. Which actions should the nurse take?

Have the client change position

Nurse is reviewing prenatal lab results for patient at 12 weeks gestation following initial prenatal visit. Which lab findings should nurse report to HCP?

Hb 10 g/dL

Nurse is assessing patient who received carboprost for postpartum hemorrhage. Which findings is an adverse effect of this med?

Hypertension

Nurse is performing a vag exam on a patient who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which actions should the nurse take?

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

Nurse is assessing a newborn 12 hr after birth. Which manifestations should the nurse report to HCP?

Jaundice

Nurse is caring for patient that's 24 weeks gestation and has suspected placental abruption. Which lab tests should the nurse expect the HCP to prescribe?

Kleihauer-Betke test

Nurse observing a new parent caring for crying newborn who is bottle feeding. Which actions by patent should the nurse recognize as a positive patenting behavior?

Lays the newborn across her lap and gently sways

Nurse is caring for a postpartum patient who is receiving heparin via continuous IV infusion for thrombophlebitis in left calf. Which actions should the nurse take?

Maintain the client on bed rest

Nurse caring for patient who has uterine atony and is experiencing postpartum hemorrhage. Which actions is the nurse's priority?

Massage the client's fundus

Nurse is assessing a newborn who was born 26 weeks gestation using new ballard score. Which findings should nurse expect?

Minimal arm recoil

Nurse is caring for patient who's 15 weeks gestation, Rh-, and just had amniocentesis. Which interventions is the nurse's priority following the procedure?

Monitor the FHR

Nurse is developing a POC for a patient who has preeclampsia and is receiving mag sulfate via continuous IV infusion. Which interventions should the nurse include in the plan?

Monitor the FHR continuously.

Nurse is assessing patient who's receiving morphine via IV bolus for pain following c-section. Nurse notes RR of 8/min. Which meds should the nurse administer?

Naloxone

Nurse is providing education about family bonding to patents who recently adopted a newborn. Nurse should make which suggestions to aid family's 7 y/o child in accepting the new family member?

Obtain a gift from the newborn to present to the sibling

A nurse is caring for a patient that's 32 weeks gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications?

PROM

A nurse is caring for a patient that's 38 weeks gestation. Which actions should the nurse take prior to applying an external transducer for fetal monitoring?

Perform Leopold maneuvers:

Nurse is assessing a newborn who has delivered vaginally and experienced a tight nuchal cord. Which findings should the nurse expect?

Petechiae over the head:

Nurse is preparing to collect blood specimen from a newborn via heel stick. Which techniques should the nurse use to help minimize pain of procedure for newborn?

Place the newborn skin to skin on the mother's chest

Nurse in a provider's office is reviewing the medical record of a client who is in the 1st trimester of pregnancy. Which findings should the nurse identify as a risk factor for development of preeclampsia?

Pregestational diabetes mellitus

Nurse creating a POC for patient who's postpartum and adheres to traditional Hispanic cultural beliefs. Which cultural practices should the nurse include in POC?

Protect the client's head and feet from cold air

Nurse is developing POC for newborn undergoing phototherapy for hyperbilirubinemia. Which actions should the nurse include in plan?

Remove all clothing from the newborn except the diaper

Nurse in an antepartum clinic is assessing a patient that's 32 weeks gestation. Which findings should the nurse report to HCP?

Report of decreased fetal movement

Nurse is assessing a patient that's 36 weeks gestation. Which findings should the nurse report to HCP?

Report of visual disturbances

Nurse caring for a patient that's 22 weeks gestation and is HIV positive. Which actions should the nurse take?

Report the client's condition to the local health department

Nurse is assessing a patient with GDM and experiencing hyperglycemia. Which findings should the nurse expect?

Reports increased urinary output

Nurse is assessing a late preterm newborn. Which manifestations is an indication of hypoglycemia?

Respiratory distress

Nurse caring for a patient who's 30 weeks gestation and has a prescription for mag sulfate IV to treat preterm labor. The nurse should notify the HCP of which adverse effects?

Respiratory rate 10/min:

Nurse is caring for prenatal patient with parvovirus B19 (5th disease). Which actions should the nurse take?

Schedule an ultrasound examination

Nurse is assessing a newborn who is 16 hr old. Which findings should the nurse report to HCP?

Substernal retractions:

Nurse is demonstrating how to bathe their newborn. Which order should the nurse perform actions?

The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus outward using plain water. The nurse should then wash the newborn's neck by lifting the newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump followed by washing the newborn's legs and feet. The last step of the bath should be to clean the newborn's diaper area.

Nurse is caring for a patient who's 36 weeks gestation and has a prescription for amniocentesis. For which reasons should the nurse prepare the patient for an ultrasound?

To locate a pocket of fluid

Nurse is assessing patient who's 1 day postpartum and has vaginal hematoma. Which manifestations should nurse expect?

Vaginal pressure

Nurse is transporting newborn back to parent's room following procedure. Which actions should the nurse take?

Verify that the parent's ID band matches the newborn's ID band

Nurse is assessing a patient that's 38 weeks gestation during weekly prenatal visit. Which findings should the nurse report to HCP?

Weight gain of 2.2 kg (4.8 lb):

Nurse is teaching patient of 37 weeks gestation and has a prescription for a nonstress test. Which instructions should the nurse include?

You should press the handheld button when you feel your baby move

Nurse performing physical assessment of a newborn upon admission to nursery. Which manifestations should the nurse expect? (SATA)

acrocyanosis, positive babinski reflex, two umbilical arteries visible

Nurse in an antepartum clinic is providing care for patient who's 26 weeks gestation. Upon review, which findings should the nurse report to HCP? Exhibit: BP 130/78, RR 20, HR 90, Hb 12 g/dL, Hct 34%, 1-hr glucose tolerance test 120 mg/dL, Fundal height 30 cm, Good fetal mvt, Not experiencing headache, dizziness, blurred vision, or vaginal bleeding, FHR 110/min

fundal height measurement

A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?

late decelerations