ATI maternal Newborn Retake SOLUTION & ANSWERS 100% CORRECT SPRING FALL-2023/24 EDITION GUARANTEED GRADE A+

1. A nurse is assessing newborn following forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopulmonary dysplasia C Which of the following statements by client indicates an understanding of the teaching? A. "The medication could cause me to experience heart palpitations" B. "This medication could cause me to experience blurred vision" C. "This medication could cause me to experience ringing in my ears" D. "This medication could cause me to experience frequent ..." A A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? A. Urine Ketones B. Rapid plasma regains C. Prothrombin time D. Urine culture A A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort? (SATA) A. Assisting the client into squatting position B. Having the client lie in a supine position C. Applying fundal pressure during contractions D. Encouraging the client to void every 6 hr A D A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect? A. Thick, White Vaginal Discharge B. Urinary Frequency C. Vulva Lesions D. Malodorous Discharge D A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should the nurse place the Doppler device when assessing the fetal heart rate? A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis B. Left Upper Abdomen C. Two fingerbreadths above the umbilicus D. Lateral at the Xiphoid Process A 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? A. Urine protein contraction 200mg/24 hours B. Creatine 0.8 C. Hemoglobin 14.8 D. Platelet 60,000 D A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include? A. Tinnitus B. Urinary Frequency C. Breast Tenderness D. Chills C (vision disturbances). A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect? A. Bulging fontanelles B. Nasal flaring C. Length from head to heel of 40cm D. Chest circumference 2c (smaller than the head circumference D A nurse is planning care for a newborn who has necrotizing abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? A.Increase the newborn visual stimulation B. Weigh the newborn everyday C. Discourage parental interaction after a social evaluation D. Swaddle the newborn in a flexed position D A nurse is caring for a newborn who his 6 hours old had has a bedside glucometer reading of 65mg/dl. The newborns mother has type 2 diabetes mellitus. Which of the following actions should the nurse take. A. obtain a blood sampling for a serum glucose level. B. Feed the newborn immediately C. Administer 50ml of dextrose D. Reassess the blood glucose reading prior to the next feeding D A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the folioing statements by the client indicates an understanding of the teaching (SATA)? A. I will limit my time in the hot tub to 30 miniutes after exercise B. I should consume three 8 ounce glasses of water after I exercise C. I will check my heart rate every 15 minutes during D. I should limit exercise sessions to 30 minutes when the weather is humid E. I should rest by lying on my side for 10 minutes following exercise. B D E 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 members to report to the provider? A. Contractions duration 95 seconds to 100 seconds B. Contraction frequency 2-3 minutes C. Absent early decelerations of fetal heart rate C A nurse in a woman's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID)? A. Recurrent Cystitis B. Frequent Alcohol Use C. Use of Oral Contraceptives D. Chlamydia Infection D A nurse is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the nurse include in the teaching? A. Hepatitis B B. Rotavirus C. Pneumococcal D. Varicella A A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A. ½ cup cubed avocado B. 1 large banana C. 1 medium potato D. 1 cup cooked broccoli D 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. December 15 A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? A. The client expels the placenta B. The client experiences gradual dilation of the cervix C. The client begins have regular contractions. D. The client delivers the newborn D 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? A. "It burns when I urinate B. "My feet are really swollen today". A A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? A. "I should position my baby's car seat at a 45 degree angle in the car." B. "I should place the car seat rear facing until my baby is 12 months old." C. "I should place the harness snugly in a slot above my baby's sholders." D. "I should position the retainer clip at the top of my baby's abdomen. B A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first? A. A client who has diabetes mellitus and an HbA1c of 5.8% B. A client who has preeclampsia and a creatinine level of 1.1 mg/ dL C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L D. A client who has placenta previa and a hematocrit of 36% C A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider? A. A client who has a urinary output of 300 ml in 8 hr B. A client who reports abdominal cramping during breastfeeding C. A client who is receiving magnesium sulfate and has absent deep tendon reflexes D. A client who reports lochia rhubra requiring changing perineal pads every 3 h C A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer? A. Metronidazole B. Penicillin C. Acyclovir D. Gentamicin C A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? A. Hyperemesis B. Proteinuria C. Hypoxia D. Hemorrhage D A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan? A. Increase the infusion rate every 30 to 60 min. B. Maintain the client in a supine position. C. Titrate the infusion rate by 4 milliunits/min. D. Limit IV intake to 4 L per 24 hr A 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 the nurse takes? (Click on the "Exhibit" Button for additional information about the newborn. There are three tabs that contain separate categories of date.) A. Administer nitric oxide inhalation therapy to the newborn B. Insert an orogastric decompression tube with low wall suction. C. Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr. D. Measure the abdominal circumference at the level of the newborn's umbilicus every 2 hr D A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take? A. Decrease maintenance IV solution infusion rate. B. Place the client in lateral position. C. Administer misoprostol 25 mcg vaginally D. Administer oxygen via face mask at 2 L/min B A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care? A. Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation. B. Use a fetal scalp electrode during labor and delivery. C. Administer a pneumococcal immunization to the newborn within 4 hr following birth. D. Bathe the newborn before initiating skin-to-skin contact D A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? A. Blood pressure 142/92 mm Hg B. Urine output 100 mL in hr C. Pulse 58/min D. Respiratory rate 14/min A A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect which of the following laboratory values to increase? A. RBC count B. Bilirubin C. Fasting blood glucose D. Bun A OR C A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? A. A client who has an ultrasound that confirms a molar pregnancy B. A client who has a crown-rump length of 7 weeks gestation C. A client who has a positive urine pregnancy test 1 week after missed menses D. A client who has felt quickening for the first time D 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? A. Dress the newborn in lightweight clothing. B. Avoid using lotion or ointment on the newborn skin. C. Keep the newborn supine throughout treatment D. Measure the newborn's temperature every 8hr B A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which of the following results require intervention by the nurse? A. WBC count 10,000/mm3 B. Platelets 180,000/mm3 C. Hemoglobin 20g/dL D. Glucose 20 mg/d D A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (select all that apply). A. Amnionitis B. Urinary tract infection C. Polyhydramnios D. Leakage of amniotic fluid E. Preterm labor A D E A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures? A. Assisting a mother with breastfeeding B. Performing a newborn's initial bath C. Administering the measles, mumps, rubella vaccine D. Performing umbilical cord care D A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2 months of pregnancy. This of the following statements by the client indicates an understanding of the teaching. A. "I will count baby's lacks every other day. B. "I will alternate the arm use to check my blood pressure. C. I will consume 50 grams of protein daily B A nurse is caring for four newborns. Which of the following newborns should the nurse assess first? A. newborn who has nasal flaring B. newborn who has subconjunctival hemorrhage of the left eye C. A newborn who has overlapping suture lines D. A newborn who has not rust-stained urine A A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection. A. Meconium B. placenta previa C. Midline episiotomy D. Gestational hypertension A A nurse is caring for a client who is 4hr postpartum and is experiencing hypovolemic shock. Which of the following actions should the nurse take? A. Administer indomethacin B. Insert a second using a 22-gauge IV catheter, C. Insert an indwelling urinary catheter. D. Administer oxygen at 4L/min via nasal cannula. C A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth. A. Pneumococcal B. Hepatitis C. Human papillomavirus D. Rubella D A nurse is caring for a newborn who is 24 hr old. Which of the following Laboratory findings should the nurse report to the provider? A. Hgb 20 g/dL B. Bilirubin 2mg/dL C. Platelets 200 .000/mm3 D. WBC count 32.000/mm3 D A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take? A. Give the newborn a warm bath. B. Apply a cap to the newborn head. C. Reposition the newborn. D. Obtain an oxygen saturation leve B A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? A. Apply a thin layer of lotion to the newborn skin every 8 hrs. B. Give the newborn 1oz of glucose water every 4 hrs C. Ensure the newborn eyes are closed beneath the shield. D. Dress the newborn in a thin layer of clothing during therapy C A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make? A. "you will need to stay in a side-lying position for 30 minutes after each dose." B. "You will receive an IV infusion of oxytocin 1 hour after your last dose." C. " You will receive a magnesium supplement immediately following therapy." D. " You will need to have a full bladder before the therapy begins A A nurse is assessing a newborn who was born Postterm. Which of the following findings should the nurse expect? A. Nails extending over tips of fingers B. Large deposits of subcutaneous fat C. Pale, translucent skin D. Thin covering of fine hair on shoulders and back A A nurse is planning to teach a group of clients who are about breastfeeding after returning to work .Which of the following infection should the nurse include in the teaching? A. "Thawed breast milk can be refrigerated for up to 72 hours." B. "Breast milk can be stored in a deep freezer for 12 months." C. Breast milk can be stored at room temperature for up to 12 hours." D. "Thawed breast milk that is unused can be refrozen." B A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take? A. Provide a stimulating environment B. Monitor blood glucose level every hr. C. Initiate seizure precautions. D. Place the infants on his back with legs extended B A nurse is reviewing signs of effective breathing with a client who is 5 days postpartum. Which of the following information should the nurse include in the teaching? A. "You should feel a tugging sensation when the baby is sucking. B. You should expect your baby to have two to three wet diapers in 24hour period C. "Your baby's urine should appear dark and concentrated". D. "Your breast should stay firm after the baby breastfeeds A A nurse is teaching a client who is at 41 weeks of gestation about a non stress test. Which of the following information should the nurse include in the teaching? A. "This test will confirm fetal lung maturity ". B. "This test will determine adequacy of placental perfusion". C. "This test will detect fetal infection". D. "This test will predict maternal readiness for labor" B A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol? A. A client who has active genital herp CONTINUED..