Maternal Newborn ATI A
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 I am which of the following outcome should the nurse expect
A reduction in respiratory distress and the newborn
A nurse is preparing to administer magnesium sulfate 2 g/h IV to a client who is in preterm labor available is 20 g magnesium sulfate and 500 mL of dextrose 5% and water the nurse should set the IV infusion pumps to administer how many milliliters per hour run the answer to the nearest whole number use a leading zero if it applies do not use a trailing zero
50 mL per hour
A nurse is creating a plan of care for client who has 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 clients head and feet from cold air
A nurse is developing a plan of care for a newborn who is undergo photo therapy for our hyperbilirubinemia which of the following actions should the nurse include in the plan
Remove all clothing from the newborn except the diaper
A nurse in 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
Report of decreased fetal movement
A nurse is caring for a client who is at 22 weeks of gestation and has HIV positive which of the following actions should the nurse take
Report the clients condition to the local health department
A nurse is assessing a client who has gestational diabetes Molite us and is experiencing hyperglycemia which of the following findings should the nurse expect
Reports increased urinary output
A nurse is caring for a client who is at three weeks of gestation has prescription for magnesium sulfate IV to treat preterm labor the nurse to notify the provider which of the following adverse effects
Respiratory rate of 10 per minute
A nurse is performing a physical assessment of a newborn which of the following clinical findings should the nurse expect select all that apply
Respiratory rate of 58 per minute Weight of 2.6 kg
A nurse is providing teaching for a client who gave birth to hours ago about the facility policy for a newborn safety which of the following clients statement indicates an understanding of the teaching
The person who comes to take my babies pictures will be wearing photo identification badge
A nurse is caring for a client who is at 36 weeks gestation has a prescription for amniocentesis for which of the following region should the nurse prepare the client for an ultrasound
To locate a pocket of fluid
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold's maneuvers which of the following images indicates the first step of Leopold's maneuver
Two hands at the fetal buttocks
A nurse is transporting a newborn back to the parents room following a procedure which of the following actions should the nurse take
Verify that the parents identification band matches the newborns identification band
A nurse is assessing a client who is at 38 weeks of gestation during our weekly prenatal visit which of the following findings should the nurse report to the provider
Weight gain of 2.2 kg
A nurse is demonstrating to a client how to be their newborn in which order to the nurse perform the following actions
Wipe the newborns eyes from the inner canthus outward Wash the newborns neck by lifting the newborn chin Cleanse the skin around the newborns umbilical cord stump Wash the newborns legs and feet Cleanse the newborn diaper area
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test which of the following instruction should the nurse include
You should press the handheld button when you feel your baby move
A nurse and a prenatal clinic is assessing a group of clients which of the following clients should the nurse see first
A client who is 11 weeks gestation and reports abdominal cramping
A nurse is assessing for newborns which of the following findings should the nurse report to the provider
A newborn who is 18 hours old and has an axillary temperature of 37.7°C or 99.9°F
A nurse is performing a physical assessment of a newborn upon Admission to the nursery which of the following manifestation should the nurse expect
Acrocyanosis Positive Babinski reflex Two umbilical artery's visible
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy the nurse enters the room and observed the client having a seizure after trying the clients at the inside which of the following actions should the nurse take immediately after the seizure
Administer oxygen via non-rebreather mask
A nurse is assessing a client who has severe preeclampsia which of the following manifestation should the nurse expect
Blurred vision
A nurse is caring for a client who is experiencing preeclampsis in has a new prescription for IV magnesium sulfate which of the following medications to the nurse anticipate administering the client develops magnesium toxicity
Calcium gluconate
A nurse is providing teaching about nonpharmacological pain management to a client who is breast-feeding and has engorgement the nurse should recommend the application of which of the following items
Cold cabbage leaves
A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of gestation following an initial prenatal visit which of the following laboratory findings should the nurse report to the provider
Hemoglobin of 10 g/dL
A nurse is providing teaching to a client who is at 40 weeks gestation and has a new prescription for misoprostol which of the following instructions to the nurse include in the teaching
I can administer oxytocin four hours after the insertion of the medication
A nurse is observing a new parent Caring for her crying newborn who is bottlefeeding which of the following actions by the parent should the nurse recognize as a positive parenting behavior
Lays the newborn across her lap and gently sways
A nurse is providing education about family bonding to parents who recently adopted a newborn the nurse should make which of the following suggestions to aid the family's seven-year-old child in accepting the new family member
Obtain a gift from the newborn to present to the siblings
A nurse is preparing to collect a blood specimen from a newborn via he'll stick which of the following techniques for the nurses to help minimize the pain of the procedure for the newborn
Place a newborn skin to skin on the mothers chest
A nurse is assessing a client who is at 36 weeks gestation which of the following findings should the nurse report to the provider
Report of visual disturbances
A nurse is assessing a late preterm newborn which of the following manifestation is an indication of hypoglycemia
Respiratory distress
A nurse is caring for a prenatal client who has parovirus fifth disease which of the following actions should the nurse take
Schedule an ultrasound examination
A nurse is assessing a newborn who is 16 hours old which of the following findings should the nurse report to the provider
Sub sternal retractions
The nurse is assessing a client that is one day postpartum and has vaginal hematoma which of the following manifestation should the nurse expect
Vaginal pressure
A nurse is providing discharge teaching to a client who has had a cesarean birth three days ago which of the following instruction should the nurse include
You can still become pregnant if you were breast-feeding
A nurse is admitting a client who is in labor the client admits to recent cooking use for which complications sure the nurse assess
Abruptio placenta
A nurse is caring for a client who has hyper emesis gravidarum and is receiving IV fluid replacement which of the following findings should the nurse report to the provider
BUN of 25 mg/dL
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 nurses priority
Begin fetal heart rate monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has positive contraction stress test The nurse should plan to prepare the client for which of the following diagnostic tests
Biophysical profile
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 on this medication
Depression
A nurse is teaching a newly night licensed nurse about collecting a specimen for the universal newborn screening which of the following statement should the nurse include in the teaching
Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen
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
Fetal heart rate of 152 per minute
A nurse in an Instagram clinic is providing care for a client who is at 26 weeks of gestation upon reviewing the clients medical record which of the following findings should the nurse report to the provider
Fundal height measurement
A nurse is caring for a client who is at 35 weeks of gestation is undergoing a nonstress test that reveals a variable deceleration in the fetal heart rate which of the following actions should the nurse take
Have the client change position
A nurse is assessing a client who has received carboprost for postpartum hemorrhage which of the following findings as an adverse effect of this medication
Hypertension
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 take 600mcg of folic acid each day
A nurse is providing teaching to a client about the physiological changes that occur during pregnancy the client is at 10 weeks of gestation and has a BMI within the expected reference range which of the following clients statement indicates an understanding of the teaching
I will likely need to use alternate positions for sexual intercourse
A nurse is performing a vaginal examination of 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 gloves fingers into the vagina and apply upward pressure of the presenting part
A nurse is assessing a newborn 12 hours after birth which of the following manifestation should the nurse report to the provider
Jaundice
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 test should the nurse expect the provider to prescribe
Kleihauer betke test
A nurse is caring for a client who is to receive oxytocin to augment her labor which of the following findings contra indicated the initiation of oxytocin fusion and should be reported to the provider
Late decelerations
A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf which of the following actions should the nurse take
Maintain the client on bed rest
A nurse is caring for a client who has a uterine antony And is experiencing postpartum hemorrhage which of the following actions is the nurses priority
Massage clients fundus
A Nurse is assessing a newborn who is born at 26 weeks of gestation using the new Ballard score which of the following findings should the nurse expect
Minimal arm recoil
A nurse is caring for a client who is at 15 weeks of gestation and is RH negative and just had an amniocentesis which of the following interventions as the nurses priority following the procedure
Monitor the fetal heart rate
A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV Infusion which of the following intervention should the nurse include in the plan
Monitor the fetal heart rate continuously
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a cesarean birth the Nurse notes a respiratory rate of eight per minute which of the following medications to the nurse administer
Naloxone
A nurse is caring for a client who is at 38 weeks of gestation which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring
Perform Leopold's maneuver
A nurse is assessing a newborn who has delivered vaginally and experience a tight nuchal cord which of the following findings should the nurse expect
Petechiae over the head
A nurse and providers office is reviewing the medical record of a client who is in the first trimester of pregnancy which of the following findings should the nurse identify as a risk factor for development of preeclampsia
Pre-gestational diabetes mellitus
A nurse is caring for a client who is at 32 Weeks gestation and has gonorrhea The nurse should identify that the client is an increased risk for which of the following complications
Premature rupture of membranes
