ATI CAPSTONE MATERNAL NEWBORN RETAKE 2 EXAM 70 Reliable & Verified Questions & Answers

1)Which of the following assessment findings in an infantshould indicate to a nurse that suctioning of the nasopharynxis needed? A) The infant is beginning to cough B) The newborns pulse oximetry is 91 C) The infant'srespiratory rate is 32/min. D) The infant'srespiratory rate isirregular 2)A nurse is providing teaching to a postpartum client who has type 1 diabetes and is breastfeeding her newborn. Whichof the following instructions should the nurse give to the client? A) Take more insulin with each meal that you did prior to pre pregnancy B) Maintain scheduled mealtimes for yourself C)Check your blood glucose levels every 8 hours D) Limit your carbohydrate intake to 30 grams per day 3)A nurse is assessing the reflexes of a term newborn. After placing the newborn in a supine position, which of thefollowing would the nurse use to elicit the Moro reflex A) Turn the newborn’s head to one side B) Make a loud noise above the newborn C)Tap the newbornsforehead with a finger D) Touch the newborns cheek with a finger 4)A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the followingactions should the nurse include in the plan? A) Give the newborn 1 oz of glucose water every 4 hours B) Apply a thin layer of lotion to the newborns skin every 8 hours C) Dress the newborn in a thin layer of clothing during the therapy D) Ensure the newborns eyes are closed beneath the shield 5)A nurse on an antepartum unit isreviewing the medical recordsfor four clients. Which of the following clients shouldthe nurse asses first? A) A client who has hyperemesis gravidarum and a sodium level of 110 B) A client who has preeclampsia and a creatine level of 1.1 C)A client who has diabetes mellitus and an HbA1c of 5.8 D) A client who has placenta previa a hematocrit of 36 6)A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes. The test reveals noaccelerations of the fetal heart rate for 20 minutes. Which of the following actions should the nurse take? A) Perform vibroacoustic stimulation B) Collect a specimen for an indirect Coomb’stest C)Conduct a vaginal exam D) Place the client in the Trendelenburg position 7) A nurse is preparing to administer gentamycin 2 mg/kg Im to a client who has pelvic inflammatory disease and weighs132 lb. Available is gentamycin injection 40 mg/ml. How lOM oA R c P S D| 392 08 45 many ml should the nurse administer? 3 mL 8)A nurse is caring for a client who is 1-day post-partum and breastfeeding her newborn. The client reports sore nipples.Which of the following actions should the nurse take? A) Have the client limit the length of breastfeeding to 5 minutes per breast B) Assessthe newbornslatch while breastfeeding C)Offersupplemental formula between the newborn’sfeedings D) Instruct the client to wait 4 hours between daytime feedings 9)A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identifythat the client is at an increased risk for which of the following complications? A) Uterine rupture B) Precipitouslabor C)Failure to progress D) Abruptio placentae lOM oA R c P S D| 392 08 45 10) A nurse is caring for a 2-day old newborn who was born at 35 weeks gestation. Which of the following actionsshouldthe nurse take? A) Measure the abdominal circumference at the level of the newborn’s umbilicus every 12 hours B) Provide the newborn with an iron rich formula containing vitamin b12 every 12 hours C)Administer nitric oxide inhalation therapy to the newborn D) Insert an orogastric decompression tube with low suction 11) A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concernsabout preparing her 2-year-old for a new sibling. A) Move your toddler to his new bed 2 months before the baby comes home B) Avoid bringing your toddler to prenatal visits C)Require scheduled interactions between the toddler and the baby D) Let your toddler see you carry the baby into the home for the first time 12) A nurse manager in a newborn nursery isreviewing infection control procedures with a group of newly hired nurses.Which of the following instructions should the nurse manager include in the teaching? A) Place newborn bassinets at least 3 feet apart B) Maintain airborne precautions C)Allow parents to enter the nursery if wearing a mask D) Place the newborns foot on a sterile field during a heel stick