Maternal newborn ati proctored exam
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1. A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbillirubinemia. Which of the following actions should
the nurse include in the plan?: Remove all clothing form the newborn except the
diaper
2. A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative,
and has just had an amniocentesis. Which of the following interventions is the
nurse's priority following the procedure?: Monitor the FHR
3. A nurse in an antepartum clinic is assessing a client who is at 32 weeks
of gestation. Which of the following findings should the nurse report to the
provider?: Reports of decreased fetal movement
4. A nurse is admitting a client to the labor and delivery unit when the client
states, "My water just broke". Which of the following interventions is the
nurse's priority?: Begin FHR monitoring
5. A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client
for which of the following diagnostic test?: Biophysicial profile
6. A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client
who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of
dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr?: 50 ml/hr
7. A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should the
nurse report to the provider?: BUN 25 mg/dL
8. A nurse is assessing a late preterm newborn. Which of the following mani-
festations is an indication of hypoglycemia?: Respiratory distress
9. A nurse in a provider's office is reviewing the medical record of a client who
is in the first trimester of pregnancy. Which of the following should the nurse
identify as a risk factor for the development of preeclampsia: Pregestational
Diabetes Mellitus
10. A nurse in an antepartum clinic is providing care for a client who is at
26 weeks of gestation. Upon reviewing the client's medical record, which of
the following findings should the nurse report to the provider?: Fundal Height
Measurement
11. A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider?: Substernal Retractions
12. A nurse is caring for a client who is at 26 weeks of gestation and has
epilepsy. The nurse enters the room and observes the client having a seizure.
After turning the client head to the side, which of the following actions should
, Maternal newborn ati proctored exam
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the nurse take immediately after the seizure?: Administer oxygen via a nonre-
breather mask
13. A nurse is providing teaching about nonpharmological pain management
to a client who is breastfeeding and has engorgement. The nurse should
recommend the application of which of the following items?: Cold cabbage
leaves
14. A nurse is assessing a client who is 1 day postpartum and has a vaginal
hematoma. Which of the following manifestations should the nurse expect?: -
Vaginal pressure
15. A nurse is assessing a newborn who was born at 26 weeks of gestation
using the New Ballard Score. Which of the following findings should the nurse
expect?: Minimal arm recoil
16. A nurse is providing teaching for a client who have birth 2 hr ago about
the facility policy for newborn safety. Which of the following client statements
indicates an understanding of the teaching?: the person who comes to take my
baby's pictures will be wearing a photo identification badge
17. A nurse is assessing a client who is at 36 weeks of gestation. Which of the
following findings should the nurse report to the provider?: Report of visual
disturbances
18. A nurse is providing teaching to a client about the physiological changes
that occur during pregnancy. The client is at 10 weeks of gestation and has
a BMI within the expected reference range. Which of the following client
statements indicates an understanding of the teaching?: "I will likely need to
use alternative positions for sexual intercourse".
19. A nurse is caring for a client who is anemic at 32 weeks of gestation and
is in preterm labor. The provider prescribed bethamethasone 12 mg IM. Which
of the following outcomes should the nurse expect?: A reduction in respiratory
distress in the newborn
20. A nurse is caring for a client who is experiencing preeclampsia and has a
new prescription for IV magnesium sulfate. Which of the following medications
should the nurse anticipate administering if the client develops magnesium
toxicity?: Calcium Gluconate
21. A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse should
notify the provider of which of the following adverse effects?: Respiratory rate
10/min
22. A nurse is caring for a client who is to receive oxytocin to augment her
labor. Which of the following findings contraindicates the infusion of the
oxytocin infusion and should be reported to the provider?: Late Decelerations
, Maternal newborn ati proctored exam
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23. A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a non-stress test. Which of the following instructions should
the nurse include?: "You should press the handheld button when you feel your
baby move."
24. A nurse is assessing a newborn who was delivered vaginally and experi-
enced a tight nuchal cord. Which of the following findings should the nurse
expect?: Petechiae over the head
25. A nurse is transporting a newborn back to the parent's room following a
procedure. Which of the following actions should the nurse take?: Verify that
the parent's identification band matches the newborn's identification band
26. A nurse is creating a plan of care who is postpartum and adheres to
traditional Hispanic cultural beliefs. Which of the following cultural practices
should the nurse include in the plan of care?: Protects the client's head and feet
from cold air
27. A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopoid maneuvers. Which of the following images
indicates the first step of Leopoid maneuvers?: Picture of nurse palpating top
of belly; where bottom is
28. A nurse is developing a plan of care for a client who has preeclampsia
and is receiving magnesium sulfate via a continuous IV infusion. Which of the
following interventions should the nurse include in the plan?: Monitor the FHR
continously
29. A nurse is assessing a client who is at 38 weeks of gestation during a
weekly prenatal visit. Which of the following findings should the nurse report
to the provider?: Weight gain of 2.2 kg (4.8 lb)
30. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for an amniocentesis. For which of the following reasons should
the nurse prepare the client for an ultrasound?: To locate the pocket of fluid
31. A nurse is teaching a client who has a new prescription for combined oral
contraceptives about potential adverse effects of the medication. For which
of the following findings should the nurse instruct the client to notify the
provider?: A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
Answer: Shortness of breath
A. Shortness of breath
Study online at https://quizlet.com/_ew62sx
1. A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbillirubinemia. Which of the following actions should
the nurse include in the plan?: Remove all clothing form the newborn except the
diaper
2. A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative,
and has just had an amniocentesis. Which of the following interventions is the
nurse's priority following the procedure?: Monitor the FHR
3. A nurse in an antepartum clinic is assessing a client who is at 32 weeks
of gestation. Which of the following findings should the nurse report to the
provider?: Reports of decreased fetal movement
4. A nurse is admitting a client to the labor and delivery unit when the client
states, "My water just broke". Which of the following interventions is the
nurse's priority?: Begin FHR monitoring
5. A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client
for which of the following diagnostic test?: Biophysicial profile
6. A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client
who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of
dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr?: 50 ml/hr
7. A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should the
nurse report to the provider?: BUN 25 mg/dL
8. A nurse is assessing a late preterm newborn. Which of the following mani-
festations is an indication of hypoglycemia?: Respiratory distress
9. A nurse in a provider's office is reviewing the medical record of a client who
is in the first trimester of pregnancy. Which of the following should the nurse
identify as a risk factor for the development of preeclampsia: Pregestational
Diabetes Mellitus
10. A nurse in an antepartum clinic is providing care for a client who is at
26 weeks of gestation. Upon reviewing the client's medical record, which of
the following findings should the nurse report to the provider?: Fundal Height
Measurement
11. A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider?: Substernal Retractions
12. A nurse is caring for a client who is at 26 weeks of gestation and has
epilepsy. The nurse enters the room and observes the client having a seizure.
After turning the client head to the side, which of the following actions should
, Maternal newborn ati proctored exam
Study online at https://quizlet.com/_ew62sx
the nurse take immediately after the seizure?: Administer oxygen via a nonre-
breather mask
13. A nurse is providing teaching about nonpharmological pain management
to a client who is breastfeeding and has engorgement. The nurse should
recommend the application of which of the following items?: Cold cabbage
leaves
14. A nurse is assessing a client who is 1 day postpartum and has a vaginal
hematoma. Which of the following manifestations should the nurse expect?: -
Vaginal pressure
15. A nurse is assessing a newborn who was born at 26 weeks of gestation
using the New Ballard Score. Which of the following findings should the nurse
expect?: Minimal arm recoil
16. A nurse is providing teaching for a client who have birth 2 hr ago about
the facility policy for newborn safety. Which of the following client statements
indicates an understanding of the teaching?: the person who comes to take my
baby's pictures will be wearing a photo identification badge
17. A nurse is assessing a client who is at 36 weeks of gestation. Which of the
following findings should the nurse report to the provider?: Report of visual
disturbances
18. A nurse is providing teaching to a client about the physiological changes
that occur during pregnancy. The client is at 10 weeks of gestation and has
a BMI within the expected reference range. Which of the following client
statements indicates an understanding of the teaching?: "I will likely need to
use alternative positions for sexual intercourse".
19. A nurse is caring for a client who is anemic at 32 weeks of gestation and
is in preterm labor. The provider prescribed bethamethasone 12 mg IM. Which
of the following outcomes should the nurse expect?: A reduction in respiratory
distress in the newborn
20. A nurse is caring for a client who is experiencing preeclampsia and has a
new prescription for IV magnesium sulfate. Which of the following medications
should the nurse anticipate administering if the client develops magnesium
toxicity?: Calcium Gluconate
21. A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse should
notify the provider of which of the following adverse effects?: Respiratory rate
10/min
22. A nurse is caring for a client who is to receive oxytocin to augment her
labor. Which of the following findings contraindicates the infusion of the
oxytocin infusion and should be reported to the provider?: Late Decelerations
, Maternal newborn ati proctored exam
Study online at https://quizlet.com/_ew62sx
23. A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a non-stress test. Which of the following instructions should
the nurse include?: "You should press the handheld button when you feel your
baby move."
24. A nurse is assessing a newborn who was delivered vaginally and experi-
enced a tight nuchal cord. Which of the following findings should the nurse
expect?: Petechiae over the head
25. A nurse is transporting a newborn back to the parent's room following a
procedure. Which of the following actions should the nurse take?: Verify that
the parent's identification band matches the newborn's identification band
26. A nurse is creating a plan of care who is postpartum and adheres to
traditional Hispanic cultural beliefs. Which of the following cultural practices
should the nurse include in the plan of care?: Protects the client's head and feet
from cold air
27. A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopoid maneuvers. Which of the following images
indicates the first step of Leopoid maneuvers?: Picture of nurse palpating top
of belly; where bottom is
28. A nurse is developing a plan of care for a client who has preeclampsia
and is receiving magnesium sulfate via a continuous IV infusion. Which of the
following interventions should the nurse include in the plan?: Monitor the FHR
continously
29. A nurse is assessing a client who is at 38 weeks of gestation during a
weekly prenatal visit. Which of the following findings should the nurse report
to the provider?: Weight gain of 2.2 kg (4.8 lb)
30. A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for an amniocentesis. For which of the following reasons should
the nurse prepare the client for an ultrasound?: To locate the pocket of fluid
31. A nurse is teaching a client who has a new prescription for combined oral
contraceptives about potential adverse effects of the medication. For which
of the following findings should the nurse instruct the client to notify the
provider?: A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
Answer: Shortness of breath
A. Shortness of breath
