ATI RN Maternal Newborn 2019 ATI Exam

ATI RN Maternal Newborn 2019 ATI Exam A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? Facial Palsy - Most babies delivered by forceps suffer no long-term problems, but in rare cases an injury is sustained to the facial nerve, due to the pressure of the forceps blade on the baby's head. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching? " The medication could cause me to experience heart palpitation" - This is a serious side effect of terbutaline and must be notifies to the physician immediately A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? Urine Ketones - Hyperemesis gravidarum is a severe form of this 'morning sickness', experience by less than 1% of pregnant women. It can cause dehydration and starvation and the production of compounds called ketones that can be found in the blood and urine 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? Assisting the client into squatting position 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? Malodorous Discharge 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? Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis - at 14 weeks AOG this is where to place the doppler probe to note FHT 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/ mm3 - platelet count of less than 100,000 correlates with how severe the condition is A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include? Tinnitus - this is a documented adverse effect of this medication A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect? Chest circumference 2 cm (0.8 in) smaller than the head circumference - head circumference is always 2cm more than the chest in normal term babie A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care Swaddle the newborn in a flexed position A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? Reassess the blood glucose level prior to the next feeding A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply) -I will check my heart rate every 15 minutes during exercise sessions -I should rest by lying on my side for 10 minutes following exercise. 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? Contraction durations of 95 to 100 seconds maybe this true also 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) Chlamydia Infection - STDs can cause PID 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? Hepatitis B - Part of the EINC and immunizations is Hepa B which follows just when the baby is born 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 1 cup cooked broccoli - there are 47mg of calcium in a 100 grams of broccoli. 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. Use Nagele's rule to calculate the estimated date 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? The client delivers the newborn A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse? "It burns when I urinate - sign of a UTI 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 "I should place the car seat rear facing until my baby is 12 months old. A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease? The mother is Rh-negative and the father is Rh positive - can cause sensitization from RH + from the father causing complications to the next conception 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 client who has hyperemesis gravidarum and a sodium level of 110 mEq/L A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene? Sternal retractions A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider? a client who is receiving magnesium sulfate and has absent deep tendon reflexes 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? Acyclovir A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? Hemorrhage 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? Titrate the infusion rate by 4 milliunits/min 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 takes Administer nitric oxide inhalation therapy to the newborn 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? Decrease maintenance IV solution infusion rate. - too much contraction is happening due to the oxytocin hence decreasing the dose is the correct answer 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? Administer a pneumococcal immunization to the newborn within 4 hr following birth 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 blood pressure 142/92 mm Hg - this medication is contraindicated for hypertension A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect which of the following laboratory values to increase? RBC count - the RBC normally increasing during pregnancy due to hormonal changes A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM 12 hr. Available in dexamethasome 10 mg/mL. How many mL of dexamethasome should the nurse administer per dose? (Round the answer to the nearest tenth. 0.6mL per dose