ATI OB MATERNAL NEWBORN PROCTORED EXAM

1) Which of the following assessment findings in an infant should indicate to a nurse that suctioning of the nasopharynx is needed? A) The infant is beginning to cough B) The newborns pulse oximetry is 91 C) The infant's respiratory rate is 32/min D) The infant's respiratory rate is irregular - A 2) A nurse is providing teaching to a postpartum client who has type 1 diabetes and is breastfeeding her newborn. Which of 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 - B 3) A nurse is assessing the reflexes of a term newborn. After placing the newborn in a supine position, which of the following 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 newborns forehead with a finger D) Touch the newborns cheek with a finger - B 4) 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) 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 - D 5) A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the 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 1.1C) A client who has diabetes mellitus and an HbA1c of 5.8 D) A client who has placenta previa a hematocrit of 36 - A 6) A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes. The test reveals no accelerations 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's test C) Conduct a vaginal exam D) Place the client in the Trendelenburg position - A 7) A nurse is preparing to administer gentamycin 2 mg/kg Im to a client who has pelvic inflammatory disease and weighs 132 lb. Available is gentamycin injection 40 mg/ml. How 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) Assess the newborns latch while breastfeeding C) Offer supplemental formula between the newborn's feedings D) Instruct the client to wait 4 hours between daytime feedings - B 9) A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identify that the client is at an increased risk for which of the following complications? A) Uterine rupture B) Precipitous labor C) Failure to progress D) Abruptio placentae - D 10) A nurse is caring for a 2-day old newborn who was born at 35 weeks gestation. Which of the following actions should the nurse take? A) Measure the abdominal circumference at the level of the newborn's umbilicus every 12 hoursB) 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 - A