ATI Maternal proctored 2021

1. A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff nurses to report to the provider? C. Absent early deceleration of fetal heart rate 2. A nurse is assisting the provider to administer a dinoprostone insert labor for a client. Which of the following actions should the nurse take? A. Place the client in semi-lower position for 1hr after administration 3. 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? B. "Breast milk can be stored in a deep freezer for 12 months." 4. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse take? D. Inset an orogastric decompression tube with low wall suction 5. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statements by the client indicates an understanding of the teaching? D. "This medication could cause me to experience heart palpitations." 6. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? B. Reassess the blood glucose level prior to the next feeding 7. A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? D. "Your contractions will become temporarily regular." 8. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statements by the client requires immediate intervention by the nurse? D. "It burns when I urinate." 9. 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? D. "You should expect your uterus to double in size." 10. A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following findings should the nurse expect? D. Sparse lanugo 11. A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for an infection? D. Meconium-stained fluid 12. A nurse in a provider's office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use the Nagele's rule to calculate the estimated date of delivery. (use the MMDD format with four numerals and no spaces or punctuation.) 1215 13. A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care? B. Avoid using lotion or ointment on the newborn's skin 14. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM every 12-hr. Available is dexamethasone 10 mg/mL. How many mL of dexamethasone should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use as trailing zero.) 0.6 15. A nurse is caring for a client who is in labor and request nonpharmacological pain management. Which of the following nursing actions promotes client comfort? C. Assisting the client into a squatting position 16. 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? A. Facial petechiae 17. A nurse is caring for a client who is receiving prenatal care and is at her 24- week appointment. Which of the following laboratory tests should the nurse plan to conduct? B. Blood type and Rh 18. A nurse is assessing a newborn upon admission to the nursery. Which of the following findings should the nurse expect? C. Chest circumference 2 cm (0.8in) smaller than the head circumference 19. A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect which of the following laboratory values to increase? B. Fasting blood glucose 20. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include? D. Breast tenderness 21. A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and request an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make? B. "We can schedule the procedure for later today if you'd like." 22. A nurse in women's health clinic is obtaining a health history from a client. Which of the following findings should the identify as increasing the client's risk for developing pelvic inflammatory disease (PID)? B. Chlamydial infection 23. A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect? A. Uterine tenderness 24. A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect? B. Nails extending over tips of fingers 25. A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? A. Hemorrhage