ATI MATERNAL NEWBORN PROCTORED 2019 (All Questions & Answers 100% Correct)

ATI MATERNAL NEWBORN PROCTORED 2019 (All Questions & Answers 100% Correct) 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 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 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 is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? “Your contractions will become temporarily regular.” 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 infant’s feet prior to taking him to the nursery 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 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 after feedings 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 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 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 in labor. Which of the following findings should prompt the nurse to reassess the client. Progressive sacral discomfort during contractions 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 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 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 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 soufflé