ATI MATERNAL NEWBORN PROCTORED 2019.

ATI MATERNAL NEWBORN PROCTORED 2019.Question 1: 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? A: Unilateral breast pain B: Persistent abdominal striae C: Lochia alba D: WBC count 12,000/mm3 Answer: A: Unilateral breast pain Question 2: A nurse is assessing client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider? A: Blood glucose 110 mg/Dl B: Deep tendon reflexes of 2+ C: Urine protein of 3+ D: Hemoglobin 13 g/Dl Answer: C: Urine protein of 3+ Question 3: A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate? A: “This medication improves tissue perfusion.” B: “This medication increases cardiac output.” C: “This medication stabilizes the fetal heart rate.” D: “This medication prevents seizures.” Answer: D: “This medication prevents seizures.” Question 4: A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? A: “You will have dilation and effacement of the cervix.” B: “Your contractions will become temporarily regular.” C: “You will have bloody show.” D: “Your contractions will become more intense when walking.” Answer: B: “Your contractions will become temporarily regular.” Question 5: 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? A: Check the newborn’s identification using the crib card. B: Replace the infant’s identification band after his name has been recorded. C: Require visitors to wear an identification band. D: Obtain an imprint of the infant’s feet prior to taking him to the nursery. Answer: D: Obtain an imprint of the infant’s feet prior to taking him to the nursery. Question 6: A nurse is caring for a client who delivered by cesarean birth 6 hr 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? A: Apply an ice pack to the incision site. B: Replace the surgical dressing. C: Administer 500 mL lactated Ringer’s IV bolus. D: Evaluate urinary output. Answer: D: Evaluate urinary output. (Please note option C is for cases of hydration. The correct answer is option D, and the nurse ought to encourage the client to empty her bladder frequently (every 2 to 3 hr) to prevent possible displacement of the uterus and atony) Question 7: 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? A: Wear nipple shields during the feeding. B: Use a breast binder for 2 days. C: Use plastic-lined breast pads. D: Apply cabbage leaves after feedings. Answer: D: Apply cabbage leaves after feedings.