ATI maternal newborn practice A 2023
a nurse is caring for a patient who has hyperemesis gravidarum and is receiving IV fluid replacement. which of the following findings should the nurse report to the provider? a. Blood pressure 105/64 mm Hg b. Heart rate 98/min c. Urine output of 280 mL within 8 hr d. Urine negative for ketones
a
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia. Which of the following findings should the nurse expect? a. Decreased platelet count b. Increased erythrocyte sedimentation rate (ESR) c. Decreased megakaryocytes d. Increased WBC
a
a nurse in the antepartum clinic is assessing a client's adaption to pregnancy. The client states that they are "happy one minute and crying the next." the nurse should interpret the client's statement as an indication of which of the following? a. Emotional lability b. Focusing phase c. Cognitive restructuring d. Couvade syndrome
a
a nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as positive parenting behavior? a. Lays the newborn across their lap and gently sways b. Places the newborn in the crib in a prone position c. Offers the newborn a pacifier dipped in formula d. Prepares a bottle of formula mixed with rice cereal
a
a nurse is providing dietary teaching to a patient who has hyperemesis gravidarum. which of the following statements by the patient indicates an understanding of the teaching? a. "I will eat foods that taste good instead of balancing my meals." b. "I will avoid having a snack before I go to bed each night." c. "I will have a cup of hot tea with each meal." d. "I will eliminate products that contain dairy from my diet."
a
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 the medication? a. Depression b. Polyuria c. Hypotension d. Urticaria
a
a nurse is reviewing the medical record of a newly admitted patient who is at 32 weeks of gestation. which of the following conditions is an indication for fetal assessment using electronic fetal monitoring? a. Oligohydramnios b. Hyperemesis gravidarum c. Leukorrhea d. Periodic tingling of the fingers
a
a nurse is transporting a newborn back to the parent's room following a procedure. which of the following actions should the nurse take prior to leaving the newborn with their parent? a. Ensure that the parent's identification band number matches the newborn's identification band number. b. Ask the parent to verify their name and date of birth. c. Check the newborn's security tag number to ensure it matches the newborn's medical record. d. Match the newborn's date and time of birth to the information in the parent's medical record.
a
a school nurse is providing teaching to an adolescent about levonorgestrel contraception. which of the following information should the nurse include in the teaching? a. "You should take the medication within 72 hours following unprotected sexual intercourse." b. "You should avoid taking this medication if you are on an oral contraceptive." c. "If you don't start your period within 5 days of taking this medication, you will need a pregnancy test." d. "One dose of this medication will prevent you from becoming pregnant for 14 days after taking it."
a
which of the following findings should the nurse report to the provider? a. abdominal assessment b. vaginal discharge c. heart rate d. temperature e. dyspareunia f. condom usage
a,b,d,e,f
Select the 3 findings that should be reported. a. uterine contractions b. fetal heart rate c. gestational age d. vaginal examination e. maternal blood pressure
a,c,d
For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process. abdominal pain, greenish discharge, diabetes, pain on urination, and absense of condom use
abdominal pain: gonorrhea greenish discharge: trichomoniasis and gonorrhea diabetes: candidiasis pain and urination: trichomoniasis, gonorrhea, and candidiasis absence of condom use: trichomoniasis and gonorrhea
a nurse is caring for a client who is in labor and reports increasing rectal pressure. they are experiencing contractions 2-3 minutes apart, each lasting 80-90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the patient is in which of the following phases of labor? a. Passive descent b. Active c. Early d. Descent
b
a nurse is caring for a newborn who was transferred to the nursery 30 minutes after birth because of mild respiratory distress. which of the following actions should the nurse take first? a. Confirm the newborn's Apgar score. b. Verify the newborn's identification. c. Administer vitamin K to the newborn. d. Determine obstetrical risk factors.
b
a nurse is caring for a patient who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. which of the following actions should the nurse take? a. Restrict hourly fluid intake to 150 mL/hr. b. Have calcium gluconate readily available. c. Assess deep tendon reflexes every 6 hr. d,. Monitor intake and output every 4 hr.
b
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? a. O2 saturation b. Temperature c. Blood pressure d. Urinary output
b
a nurse in an antepartum clinic is providing care a patient 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? a. 1-hr glucose tolerance test b. Hematocrit c. Fundal height measurement d. Fetal heart rate (FHR)
c
a nurse is assessing a newborn 12 hours after birth. which of the following manifestations should the nurse report to the provider? a. Acrocyanosis b. Transient strabismus c. Jaundice d. Caput succedaneum
c
Drag words from the choices below to fill in each blank in the following sentence. the nurse should anticipate a providers prescription for ___ and ___. ceftriaxone, doxycycline, acyclovir, imiquimod, and fluconazole.
ceftriaxone and doxycycline
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? a. Administer penicillin G 2.4 million units IM to the client b. Instruct the client to schedule an annual pelvic examination. c. Tell the client they will start medication for HIV immediately after delivery. d. Report the client's condition to the local health department.
d
a nurse is admitting a client to the labor and delivery unit when the client states, "my water just broke." which of the following interventions is the nurse's priority? a. Perform Nitrazine testing. b. Assess the fluid. c. Check cervical dilation. d. Begin FHR monitoring.
d
a nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? a. A newborn who is 26 hr old and has erythema toxicum on their face b. A newborn who is 32 hr old and has not passed a meconium stool c. A newborn who is 12 hr old and has pink-tinged urine d. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
d
a nurse is assessing the newborn of a client who took a SSRI during pregnancy. Which of the following should the nurse identify as an indication of withdrawal from an SSRI? a. Large for gestational age b. Hyperglycemia c. Bradypnea d. Vomiting
d
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? a. Deep tendon reflexes 4+ b. Fundal height 14 cm c. Blood pressure 142/94 mm Hg d. FHR 152/min
d
a nurse is teaching a patient who is at 10 weeks of gestation about nutrition during pregnancy. which of the following statements by the patient indicates an understanding of the teaching? a. "I should increase my protein intake to 60 grams each day." b. "I should drink 2 liters of water each day." c. "I should increase my overall daily caloric intake by 300 calories." d. "I should take 600 micrograms of folic acid each day."
d
a nurse is teaching a postpartum patient about steps the nurses will take to promote the security and safety of the patient's newborn. which of the following statements should the nurse make? a. "The nurse will carry your baby in their arms to the nursery for scheduled procedures." b. "We will document the relationship of visitors in your medical record." c. "It's okay for your baby to sleep in the bed with you while in the hospital." d. "Staff members who take care of your baby will be wearing a photo identification badge."
d
a nurse is preparing to perform Leopold maneuvers for a patient. Identify the sequence the nurse should follow. identify the attitude of the head, palpate the fundus to identify the fetal part, determine the location of the fetal back, and palpate for the fetal part presenting at the inlet.
palpate the fundus to identify the fetal part, determine the location of the fetal back, palpate for the fetal part presenting at the inlet, and identify the attitude of the head.
Complete the following sentence by using the list of options. The adolescent is most likely developing ____ as evidenced by ____.
pelvic inflammatory disease, C-reactive protein
Complete the following sentence by using the list of options. the nurse should first implement ___ and ___.
providing education on medications and administering ceftriaxone
