maternal newborn ATI mastery
nurse in prenatal clinic is assessing a group. which client should be seen first
11wks experiencing abd cramping
nurse is caring for client who is 36wks and has positive ctx stress test. nurse should plan to prepare the client for which of the following dx testing
BPP
nurse is reviewing labs on client thats 24 hours postpartum following vaginal delivery. which lab results should indicate an infection
ESR 26mm/hr
nurse is performing an assessment on 18 wk pt. which findings should you expect
FHR 152
nurse is teaching client who is 35 wks about potential complications to report to providers. which manifestations should you include
HA that is unrelieved by analgesics
nurse is caring for client thats anemic at 32wks and is in PTL. provider prescribes betamethasone. what outcomes should the nurse expect
a reduction in respiratory distress in newborn
nurse is caring for client thats 26wks and has epilepsy. nurse enters the room and notices pt having seizure. after turning pts head to one side which is the next action you should take
admin o2 via nonrebreathable mask
nurse on postpartum is caring for client following C/S. which assessment is the nurses priority
amount of lochia
nurse is planning DC for client who is 3 days postpartum. which nonpharmacological interventions should you include for lactation suppression
apply cabbage leaves to your breasts
nurse is caring for client who is in labor and whose fetus is in rop. pt is 8cm dilated and reports back pain. which action should the nurse take
apply sacral counterpressure
nurse is providing dc teaching to parent whose newborn just had a circumcision. which instructions should the nurse include
apply slight pressure with sterile gauze pad for mild bleeding
nurse is asssessing client who gave birth vaginally 12 hours aho and palpates her fundus. its to the right of the umillicus. which intervention should the nurse take
assist client in emptying their bladder
nurse is assessing client whose 12hr postpartum. fundus is two fingerbreadths above umbillicus deviated to the right. which action should you take
assist client to bathroom to void
nurse is performing vaginal exam for pt in active labor. client is 8/100/-2. fetus is in OP. which action should you take
assist client to hands and knees position
nurse is caring for client whose 40wks and is in early labor. platelet count is 75000 and wants pain relief. which treatment modalitites should the nurse anticipate
attention focusing
nurse is admitting pt to LND because she stated "my water broke". which interventions is the nurses priority
begin FHR monitoring
nurse is reviewing med records on client who is one day postpartum. client had a vaginal delivery with a 4th degree repair. the nurse should contact the provider regarding which prescription
bisacodyl rectal suppository daily for constipation
nurse is caring for client who has hyperemesis gravidarum and is receiving iv fluids. which findings should the nurse report to the provider
bun 25 mg/dl
nurse is assessing newborn following circumcision. which findings should the nurse identify as an indication that the newborn is experiencing pain
chin quivering
nurse in family planning clinic is caring for pt who requests oral contraception. which findings in the clients history should the nurse recognize as a contraindication to oral contraceptives
cholecystitis hypertension migraine headaches
nurse on antepartum unit is caring for four clients. which patient is a priority
client thats 34wks experiencing epigastric px
nurse is providing teaching about nonpharmacological pain management to client breastfeeding and has engorgement. nurse should recommend to apply what
cold cabbage leaves
nurse is developing an education program for adolescents about nutrition during third trimester. which statement should the nurse include in the program
consume 3-4 servings of dairy a day
nurse is assessing client whose in active labor and notes early decels. client is 39 wks and receiving continuous iv of oxytocin. what action should you take
continue monitoring the client
nurse is performing vag exam on client whose in labor and reports sever pressure and pain in back. you note fetal head is in posterior position. whats the best nonpharmacological interventions to relieve discomfort
counter pressure
nurse is caring for newborn whose undergoing phototherapy to treat hyperbilirubinemia. which action should the nurse take
cover newborns eyes while under the light
nurse is performing assessment on newborn upon admission to the nursery. which manifestations should the nurse expect
creases over 2/3 of soles of the feet molding of the head lanugo on shoulders
nurse is discussing differences between true/false labor. which characteristics should the nurse include when discussing true labor
ctxs become stronger with walking
nurse is assessing client who is postpartum and has ITP. which finding should the nurse expect
decreased platelet count
nurse is assessing client whose 26wks. which manifestations should the nurse report to the provider
decreased urinary output
nurse is planning care on client whose 2 hours postpartum. which interventions should the nurse plan to implement during the taking hold phase or postpartum behavioral adjustment
demonstrate how to perform newborn bath
nurse is caring for client who becomes unresponsive upon delivery of the placenta. which action should you take first
determine resp function
nurse is caring for full term newborn immediately after birth. which action should the nurse take
dry the newborn
nurse is teaching client thats pregnant about managing N/V. which instructions should you include
eat high-carbohydrate foods
nurse in antepartum clinic is assessing pts adaptation to pregnancy. she states "happy one minute and crying the next". nurse should interpret this statment as an indication of what
emotional lability
nurse is teaching newly licensed nurse about universal newborn screening. which statement should the nurse include in the teaching
ensure newborn has been receiving feedings for 24 hours prior to test
nurse is caring for 22wk that reports concern about her blotchy hyperpigmentation on her forehead. what action should you take
explain that this is an expected occurence
nurse is demonstrating how to bathe newborn. whats the order of bathing a newborn
eyes from inner to outer wash neck by lifting chin cleanse umbillical cord wash legs and feet cleans genitals
nurse is assessing client who is in labor and notes early decels on fetal monitor. which findings should the nurse identify as possible cause of earl decels
fetal head compression
nurse is preparing to admin Oxytocin to client who is postpartum. which of the following findings is an indication for oxytocin
flaccid uterus excessive vaginal bleeding
nurse in antepartum clinic providing care for client thats 26wks. upon reviewing med records which findings should you report to the provider.
fundal height measurement of 30cm
nurse is teaching client thats 24wks regarding 1hr glucose tolerance test. which statement should the nurse include in her teaching
glucose of 130-140 is considered a positive screening result
nurse is caring for client at 35wks and is undergoing NST that has a variable deceleration. which action should the nurse take
have the client change position
nurse is performing assessment on newborn. what should you expect to find
heart rate 154 resps 58 weight 5lb 12 oz (2.6 kg)
nurse is assessing client whose received carboprost for pph. which of the following findings is an adverse effect of medications
htn
nurse is teaching client thats 10wks about nutrition in pregnancy. which statement by the client indicates and understanding
i should take 600mcg of folic acid each day
nurse is teaching client who has pregestational t1dm about management during pregnancy. which statement indicates and understanding by the client
i will continue taking insulin if i experience N.V
nurse is teaching group of parents about newborn safety. which statement by the parent indicates an understanding
i will dress my baby in flame retardent clothing
nurse is providing dietary teaching on client who has hyperemesis gravidarum. which statement indicates and understanding by the client
i will eat foods that appeal to my taste instead of trying to balance my meals
nurse is teaching client whose in PTL about terbutaline. which statement by the client indicates an understanding
i will have a blood test because my K might decrease
nurse providing teaching to client about physiological changes that occur during pregnancy. client is 10wks and has BMI within expected range. which statement indicates an understanding
i will likely need to use alternative positions for sexual intercourse
nurse is teaching client about rh0 (d) immune globulin. which statement by the client indicates and understanding
i will need this medication if i have an amniocentesis
nurse is caring for client who has recently experienced a perinatal death. which statement should the nurse make to the client
im sad for you
nurse is planning care for client undergoing NST. which action should the nurse include in the plan
instruct client to push button every time they feel fetal movement
nurse in womans clinic is providing teaching about nutritional intake to a client thats 8wks. nurse should instruct client to increase daily intake of which nutrients
iron
nurse is assessing newborn at 12 hours of birth. which manifestation should you report to the provider
jaundice
nurse is caring for client thats pregnant and at end of first trimester. where would you find the heart rate with a doppler
just above symphysis pubis
nurse is caring for client whose receiving oxytocin. which findings contraindicates the initiation of oxytocin infusion and should report to the provider
late decels
nurse is observing new mother caring for crying newborn who is bottle feeding. which action by the mother should the nurse recognize as a postive parenting behavior
lay newborn across lap and gently sway
nurse is caring for client following an amniocentesis at 18wks. which findings should the nurse report to the provider as a potential complication
leakage of fluid from the vagina
nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. which statement should the nurse include
leave the diaphragm in place for atleast 6 hours after intercourse
nurse is assessing FHR. fetal position is LOA. where should you apply the us
left lower
nurse is caring for postpartum client receiving heparin via IV infusion for thrombophlebitis in her left calf. what action should you take
maintain client on bedrest
nurse on postpartum unit is caring for client who is experiencing hypovolemic shock. after notifying the provider whats your next action
massage clients fundus
nurse is caring for client who has uterine hypotonicity and is experiencing pph. which actions the nurses priority
massage the clients fundus
nurse is assessing newborn who was born at 26wks. which findings should you expect when using the new ballard score
minimal arm recoil
nurse is caring for 15 wk pt thats RH negative and just had an amniocentesis, which intervention is the priority following the procedure
monitor FHR
nurse is developing plan of care for client with pre-e and is receiving mag. which intervention should the nurse include in the plan
monitor FHR continuously
nurse is planning care for client whose in labor and requesting an epidural. which action should the nurse include in the plan of care
monitor bp every 5 minutes following first dose
nurse is assessinf four newborns. which one should you report to the provider
newborn wihose 18hr old and has axillary temp of 37.7
nurse is teaching client in prenatal class about folic acid. nurse should instruct client to consume folic acid to prevent what abnormalitites
nueral tube defects
nurse is providing education about family bonding to parent who recently adopted. which suggestion should you make to aid the familys 7yr old in accepting the new family member
obtain a gift from the newborn to the present sibling
nurse is caring for client who is 38wks. which action should the nurse take prior to applying external fetal monitor
perform leopolds maneuver
nurse is providing teaching for client who gave birth 2 hours ago about facility policy for newborn safety. which statement by the client indicates an understanding
person who comes to take pictures will be wearing a photo id badge
nurse is assessing newborn who was delivered vaginally and experienced tight nuchal cord. which manifestations should the nurse expect
petechiae over the head
nurse is preparing to collect blood specimen from newborn via heel stick. which technique should the nurse follow to minimize pain
place newborn skin to skin on mom
nurse is reviewing medical records of client who is postpartum and has pre-e. which lab results should the nurse report to the provider
platelets 50000
nurse is providing dc teaching about car seat safety. what instructions should you include
position rear facing in the back seat
nurse in provider office is reviewing med records of client in first trimester. which findings should the nurse identify as a risk factor for the development of pre-e
pregestational DM
nurse is creating plan of care for client who is postpartum and adheres traditional hispanic cultural beliefs. which of the following cultural practices should the nurse include in the plan of care
protect clients head and feet from cold air
staff nurse on obstetric unit is caring for client who is scheduled for induced abortion. the nurse informs the manager that she has a moral issue with the pts decision. which action should be done by the manager
reassign the client to another nurse
nurse is planning care of 24wk and reports daily mild headaches. which instructions should the nurse include in the plan of care
recommend that the client perform consious relaxation techniques daily
nurse is developing plan of care for newborn who is to undergo phototherapy for hyperbilirubinemia. which actions should the nurse include in the plan
remove clothing expect diaper
nurse is assessing full term newborn 15 min after birth. which findings requires intervention
resp 18
nurse is assessing late preterm newborn. which of the following clinical manifestations is an indication of hypoglycemia
resp distress
nurse is caring for client who has parvo (fifth disease) which action should the nurse take
schedule an US
nurse is calculating clients expected due date using Naegels rule. LMP is nov 27th. whats the clients EDD
sep 3rd
nurse is providing prenatal teaching to client thats 26wks. which position should the nurse recommend the client to increase circulation to the placenta
side lying
nurse is teaching new mother about steps she will take to promote security and sefety for the newborn. which statement would you make
staff members who take care of your baby will be wearing a photo id badge
nurse is teaching new mother how to use bulb syringe to suction newborns secretions. which instructions should the nurse include
stop suction when newborns cry sounds clear
nurse is assessing newborn whose 12 hours old. which manifestations requires intervention by the nurse
substernal chest retractions while sleeping
nurse is assessing client who is 30wks during routine exam. which findings should you report to the provider
swelling of the face
nurse caring for client and partner who experiences a fetal death. which action should you take
take photos of the newborn to give to the parent
nurse is planning care for client in labor and is to have an amniotomy. which assessement should the nurse identify as the priority
temperature
charge nurse on postpartum unit observing newly licensed nurse whose administering pain meds. you should intervene when the new nurse uses which secondary identifier
the clients room number
nurse is speaking with client whose trying to make a decision about uterine tube occlusion. " what effects will this procedure have on my sex life"? whats your response
this process should have no effect on your sexual performance or adequacy
nurse caring for client who is 36wks and has prescription for amniocentesis. whats the reason to prepare the client for an US
to locate the pocket of fluid
nurse is caring for client whose in labor and reports rectal pressure. her ctxs are 2-3 min apart and lasting 80-90sec. her cervix is 9cm. which phase of labor is she in
transition
nurse is providing dc teaching to client who is postpartum. which manifestation should the nurse instruct the pt to monitor and report to the provider
unilateral breast pain
nurse is assessing client who is 1 day postpartum and has vaginal hematoma. which manifestation should the nurse expect
vaginal pressure
nurse is caring for newborn who was transferred to nursery 30 minutes after delivery. which action should the nurse take first
verify newborns id
nurse assessing newborn of client who took selective serotonin reuptake inhibitor during pregnancy. which manifestation should the nurse identify is an indication of withdrawal from SSRI
vomiting
nurse is assessing client who is 38wks during prenatal visit. which findings should the nurse report to the provider
weight gain of 2.2 kg
nurse in prenatal clinic caring for client who reports her menstrual period is 2 wks late. client appears anxious and asks if she is pregnant. which response should you make
you can miss your period for several reasons. describe your typical menstrual cycle
nurse is teaching a new mom about newborn safety. which instructions should the nurse include in the teaching
you can share your room with your baby for the next few weeks
nurse is providing dc teaching to client who had c/s 3 days ago. what instructions should the nurse include
you can still become pregnant if you are breast feeding
nurse is teaching client whose 8wks about exercise. which instructions should you include
you should exercise 30 minutes each day
nurse is providing DC instructions who is postpartum and taking insulin for GDM. which instructions should you include
you should get a 2 hour glucose test in 6-12wks
nurse is providing teaching to adolescent about levonorgestrel contraception. which information should the nurse include in the teaching
you should take the med 72 hours following unprotected sex
nurse is providing teaching about comfort measures to client breastfeeding and is experiencing engorgment. what nonpharmacological measures should the nurse include in teaching
you should use cold compresses after each feeding
nurse is teaching client who is 36wks and has a prescription for NST. which statement should the nurse include in the teaching
you will be offered orange juice to drink during the test
client is 24wks and asks nurse how she will know if she is in labor. whats your response
you will notice blood tinged discharge from your vagina
nurse is teaching about effective breastfeeding to client thats 3 days postpartum. which information should you include
your newborn should appear content after each feeding
nurse is caring for client in active labor and has no cervical change in 4 hours. which statement should you make
your provider will insert iupc to monitor strength of ctxs