MATERNAL ATI PROCTORED

A nurse is providing discharge instructions to a client who is 24 hrs. postpartum and has decided not to breastfeed. Which of the following instructions should the nurse include in the teaching?

"Apply ice packs to your breasts using a 15 minute on, 45 minutes off schedule."

A nurse is planning to teach a group of clients who are pregnant about breastfeeding after returning to work. Which of the following information should the nurse include in the teaching?

"Breast milk can be stored in a deep freezer for 12 months."

A nurse in the antepartum clinic is teaching a client who is at 28 weeks of gestation and has preeclampsia. Which of the following instructions should the nurse include in the teaching?

"Count your baby's movements daily."

A client and her partner ask the nurse for information about permanent contraception. Which of the following statements should the nurse include in the counseling

"Most sterilization procedures are considered irreversible"

A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks gestation and has preeclampsia. Which of the following responses by the nurses is appropriate?

"This medication prevents seizures"

A nurse in a provider's office is caring for a 20-year old client who is at 12 weeks of gestation and requests an amniocentesis to determine the gender of the fetus. Which of the following responses should the nurse make?

"This procedure determines if your baby has genetic or congenital disorders."

A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?

"We need to know if you are positive for GBS at the time of delivery."

A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include?

"You should expect your uterus to double in size."

A nurse is teaching a client who is at 8 weeks of gestation about self-care during pregnancy. Which of the following statements should the nurse make?

"You should take 600 micrograms of folic acid per day."

A nurse is teaching a client about the basal body temperature method of contraception. Which of the following statements should the nurse include in the teaching?

"You should take your temperature before getting up for the day."

A nurse is providing education to a client who is to receive misoprostol for induction of labor. Which of the following instructions should the nurse include in the teaching?

"You will lie on your side for 40 minutes after I administer the medication

A nurse is reviewing laboratory findings for a client who is at 20 weeks of gestation. Which of the following findings should the nurse report to the provider?

180 mg/dL

A nurse is preparing to administer metronidazole 2 g PO to a client who has pelvic inflammatory disease. Available is metronidazole 500 mg tablets. How many tablets should the nurse administer? (Round to nearest whole number)

4 tabs

A nurse is receiving report on four postpartum clients. Which of the following clients should the nurse plan to attend to first?

A client who has hyporeflexia while receiving IV magnesium sulfate

A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?

A client who is at 35 weeks of gestation and has a biophysical profile of 6

A nurse is caring for four newborns. Which of the following findings should the nurse report to the provider?

A newborn who has a high-pitched cry with exaggerated Moro reflex

A nurse is caring for a client who delivered by cesarean birth 6 hrs. ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?

Administer 500 mL lactated ringer's IV bolus

A nurse in a prenatal clinic is reviewing the lab results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take (EXHIBIT QUESTION)

Administer ceftriaxone IM

A nurse is caring for a client who is in labor. The nurse observes late decelerations of the fetal heart rate on the external fetal monitor. After placing the client in a side-lying position, which of the following actions should the nurse take?

Administer oxygen via a face mask

A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?

Allow the baby to feed at least every 3 hrs.

A nurse is providing discharge instructions to a client who is postpartum and has engorged breasts. Which of the following nonpharmacological comfort measures should the nurse include in the teaching?

Apply cabbage leaves

A nurse is caring for a client who is postpartum. The client reports no relief in perineal pain following the administration of oxycodone/acetaminophen. Which of the following actions should the nurse take first?

Assess the client's perineal area for swelling

A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?

Assist the client to the bathroom

A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hours postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication?

Blood pressure 142/92 mm Hg

A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider

Bulging fontaneles

A nurse is caring for a client who is receiving magnesium sulfate by continuous IV infusion. The nurse notes a respiratory rate of 8/min and absent DTR's. Which of the following medications should the nurse administer?

Calcium gluconate

A nurse is assessing a newborn upon admission to the nursery. Which of the following findings should the nurse expect?

Chest circumference 2 cm (0.8 in) smaller than the head circumference

A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?

Cool, clammy skin

A nurse is caring for a client who Is in the first stage of labor & the fetal head is in a posterior position. The client reports pressure and pain in her lower back. Which of the following non-pharmacological comfort measure should nurse suggest first?

Counter pressure

A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, "No, the baby is too tired to be held." Which of the following actions should the nurse take?

Demonstrate how to hold the newborn and allow the client to practice

A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. Which of the following recommendations should the nurse make to help relieve this common discomfort of pregnancy?

Drink 2 to 3 L of water each day

A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal abstinence syndrome. Which of the following findings indicates narcotic withdrawal?

Excessive crying

A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?

Facial petechiae

A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. When using an ultrasound device, the nurse hears blood rushing through the umbilical vessels in synchronization with the fetal heartbeat. Which of the following terms should the nurse use to document this finding?

Funic souffle

A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?

Heart rate 72/min

A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications?

Hemorrhage

A nurse is assessing a client who is 2 days postpartum. Which of the following findings indicates a complication?

Hypotonic uterus

A nurse is providing discharge teaching to the parent of a newborn about surgical site care following circumcision using a clamp technique. Which of the following statements by the parent indicates understanding?

I will apply petroleum jelly to area with each diaper change

A nurse in a prenatal clinic is discussing quickening with a client who is in the first trimester of her first trimester of her first pregnancy. Which of the following statements by the client indicates understanding of the teaching

I will feel movement at about 16-20 wks

A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan?

Increase the infusion rate every 30-60 min

A nurse is reviewing the laboratory report of a client who is 24 hrs. postpartum vaginal delivery. The client has a hemoglobin level of 9.0 g/dL and hematocrit of 25%. Which of the following actions should the nurse take?

Initiate IV access for isotonic solution with an 18-gauge catheter

A nurse is caring for a client who is 8 hrs. postpartum following vaginal delivery and is unable to void. Which of the following interventions should the nurse use to promote voiding?

Insert an indwelling urinary catheter

A nurse is assessing current medication use with a client who is at 6 weeks of gestation. The nurse should recognize that pregnancy is a contraindication to the administration of which of the following medications?

Isotretinoin

A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hrs. ago. Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply)

Labor induction with oxytocin History of uterine atony

A nurse is admitting a client who is in preterm labor to the labor and delivery unit. The nurse should anticipate which of the following tests to assess for fetal lung maturity?

Lecithin/sphingomyelin ratio

A nurse is calculating the estimated date of birth using Nagele's rule for a client who is pregnant and whose last menstrual cycle started June 21. Which of the following is the estimated date of delivery in the next year?

March 28

A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant. Which of the following actions should the nurse take?

Measure from the upper border of the symphysis pubis to the upper border of the fundus

A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication

Moderate fetal heart rate variability

A nurse is planning care for a newborn who is to undergo a circumcision using a plastic bell device. Which of the following interventions should the nurse include in the plan of care?

Monitor for bleeding every 15 min for the first hour

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?

Oatmeal

A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse include in the policy?

Obtain an imprint of the infants feet prior to taking him into the nursery

A nurse is discussing family planning with a client who has a history of DVT. The nurse should inform the client that this condition is a contraindication for which of the following birth control methods?

Oral contraceptive

A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?

Ovulation will remain the same

A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses. Which of the following instructions should the nurse manager include in the teaching?

Place newborn bassinets at least 3 feet apart

A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position (LOA). On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the FHR?

Place the fetal monitor on the bottom left box

A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?

Platelet count 60,000/mm HELLP Syndrome

A nurse is admitting a client to the birthing unit who reports her contractions started 1 hrs. ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?

Postpartum hemorrhage

A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take?

Prepare the client for what to expect the fetus to look like.

A nurse is assessing a newborn who is 2 hrs. old. Which of the following findings should the nurse report to the provider?

Single transverse palmar crease bilaterally

A nurse is assisting with precipitous delivery of a term newborn. After the head emerges, the nurse palpates the cord around the newborn's neck. Which of the following actions should the nurse take?

Slip the cord over the newborn's head

A nurse is reviewing the Immunization status of a client who is pregnant. The nurse should inform the client that it is safe for her to receive which of the following immunizations during pregnancy?

Tetanus

A nurse is planning care for a client in the postpartum unit. Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?

The client will have adequate nutritional intake

A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?

The newborn is beginning to cough

A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider

Transient circumoral cyanosis

A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

Transmission can occur via the saliva and urine of the newborn

A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth. Which of the following clinical findings should the nurse identify as an indication of postpartum infection?

Unilateral breast pain

A nurse in a prenatal clinic is caring for a client who has hyperemesis gravidarum. Which of the following is the initial laboratory test used to evaluate this condition?

Urine ketones

A nurse is caring for a client who is receiving magnesium sulfate by continuous IV infusion for severe preeclampsia. Which of the following findings should the nurse report to the provider?

Urine output 20 mL/hr.

A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?

Urine protein of 3+

A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take?

Use an automatic puncture device on the heel

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?

Verify that the informed consent is obtained prior to administration

A nurse is providing teaching to the parents of a newborn about the plasti bell circumcision technique. Which of the following info should the nurse include?

Yellow exudate will form at the surgical site in 24 Hours

A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?

Your contractions will become temporarily regular

In severe forms of epispadia, what is often associated with it?

bladder exstrophy where bladder develops outside of the body