ATI Maternal Newborn Mastery Exam Questions & Answers 2024

nurse is planning DC for client who is 3 days postpartum. which nonpharmacological interventions should you include for lactation suppression - apply cabbage leaves to your breasts nurse is performing assessment on newborn. what should you expect to find - heart rate 154 resps 58 weight 5lb 12 oz (2.6 kg) nurse caring for client and partner who experiences a fetal death. which action should you take - take photos of the newborn to give to the parent nurse caring for client who is 36wks and has prescription for amniocentesis. whats the reason to prepare the client for an US - to locate the pocket of fluid nurse in antepartum clinic is assessing pts adaptation to pregnancy. she states "happy one minute and crying the next". nurse should interpret this statment as an indication of what - emotional lability nurse is teaching newly licensed nurse about universal newborn screening. which statement should the nurse include in the teaching - ensure newborn has been receiving feedings for 24 hours prior to test nurse is assessing newborn at 12 hours of birth. which manifestation should you report to the provider - jaundice nurse assessing newborn of client who took selective serotonin reuptake inhibitor during pregnancy. which manifestation should the nurse identify is an indication of withdrawal from SSRI - vomiting nurse is assessing newborn following circumcision. which findings should the nurse identify as an indication that the newborn is experiencing pain - chin quivering nurse is demonstrating how to bathe newborn. whats the order of bathing a newborn - eyes from inner to outer wash neck by lifting chin cleanse umbillical cord wash legs and feet cleans genitals nurse is assessing client who is 30wks during routine exam. which findings should you report to the provider - swelling of the face nurse is caring for client in active labor and has no cervical change in 4 hours. which statement should you make - your provider will insert iupc to monitor strength of ctxs nurse in prenatal clinic caring for client who reports her menstrual period is 2 wks late. client appears anxious and asks if she is pregnant. which response should you make - you can miss your period for several reasons. describe your typical menstrual cycle nurse is caring for client thats anemic at 32wks and is in PTL. provider prescribes betamethasone. what outcomes should the nurse expect - a reduction in respiratory distress in newborn nurse is caring for client thats pregnant and at end of first trimester. where would you find the heart rate with a doppler - just above symphysis pubis nurse is caring for postpartum client receiving heparin via IV infusion for thrombophlebitis in her left calf. what action should you take - maintain client on bedrest nurse is planning care for client undergoing NST. which action should the nurse include in the plan - instruct client to push button every time they feel fetal movement nurse is providing DC instructions who is postpartum and taking insulin for GDM. which instructions should you include - you should get a 2 hour glucose test in 6- 12wks nurse in prenatal clinic is assessing a group. which client should be seen first - 11wks experiencing abd cramping nurse is teaching client thats 10wks about nutrition in pregnancy. which statement by the client indicates and understanding - i should take 600mcg of folic acid each day nurse is teaching client thats pregnant about managing N/V. which instructions should you include - eat high-carbohydrate foods nurse is reviewing labs on client thats 24 hours postpartum following vaginal delivery. which lab results should indicate an infection - ESR 26mm/hr nurse is caring for client at 35wks and is undergoing NST that has a variable deceleration. which action should the nurse take - have the client change position client is 24wks and asks nurse how she will know if she is in labor. whats your response - you will notice blood tinged discharge from your vagina nurse is planning care for client in labor and is to have an amniotomy. which assessement should the nurse identify as the priority - temperature nurse is reviewing medical records of client who is postpartum and has pre-e. which lab results should the nurse report to the provider - platelets 50000 nurse on postpartum is caring for client following C/S. which assessment is the nurses priority - amount of lochia nurse is providing teaching about comfort measures to client breastfeeding and is experiencing engorgment. what nonpharmacological measures should the nurse include in teaching - you should use cold compresses after each feeding nurse is caring for client who has parvo (fifth disease) which action should the nurse take - schedule an US nurse is performing an assessment on 18 wk pt. which findings should you expect - FHR 152 nurse is teaching client who is 35 wks about potential complications to report to providers. which manifestations should you include - HA that is unrelieved by analgesics nurse is observing new mother caring for crying newborn who is bottle feeding. which action by the mother should the nurse recognize as a postive parenting behavior - lay newborn across lap and gently sway nurse is calculating clients expected due date using Naegels rule. LMP is nov 27th. whats the clients EDD - sep 3rd nurse is reviewing med records on client who is one day postpartum. client had a vaginal delivery with a 4th degree repair. the nurse should contact the provider regarding which prescription - bisacodyl rectal suppository daily for constipation nurse is caring for client following an amniocentesis at 18wks. which findings should the nurse report to the provider as a potential complication - leakage of fluid from the vagina nurse in antepartum clinic providing care for client thats 26wks. upon reviewing med records which findings should you report to the provider. - fundal height measurement of 30cm nurse is teaching new mother about steps she will take to promote security and sefety for the newborn. which statement would you make - staff members who take care of your baby will be wearing a photo id badge nurse is caring for full term newborn immediately after birth. which action should the nurse take - dry the newborn nurse is teaching client whose in PTL about terbutaline. which statement by the client indicates an understanding - i will have a blood test because my K might decrease nurse is caring for client who is 38wks. which action should the nurse take prior to applying external fetal monitor - perform leopolds maneuver nurse on antepartum unit is caring for four clients. which patient is a priority - client thats 34wks experiencing epigastric px nurse on postpartum unit is caring for client who is experiencing hypovolemic shock. after notifying the provider whats your next action - massage clients fundus nurse is teaching client whose 8wks about exercise. which instructions should you include - you should exercise 30 minutes each day nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. which statement should the nurse include - leave the diaphragm in place for atleast 6 hours after intercourse nurse is caring for client who becomes unresponsive upon delivery of the placenta. which action should you take first - determine resp function nurse is preparing to admin Oxytocin to client who is postpartum. which of the following findings is an indication for oxytocin - flaccid uterus excessive vaginal bleeding nurse is caring for client thats 26wks and has epilepsy. nurse enters the room and notices pt having seizure. after turning pts head to one side which is the next action you should take - admin o2 via nonrebreathable mask nurse is assessing client who is in labor and notes early decels on fetal monitor. which findings should the nurse identify as possible cause of earl decels - fetal head compression nurse is assessing newborn who was born at 26wks. which findings should you expect when using the new ballard score - minimal arm recoil staff nurse on obstetric unit is caring for client who is scheduled for induced abortion. the nurse informs the manager that she has a moral issue with the pts decision. which action should be done by the manager - reassign the client to another nurse nurse is teaching a new mom about newborn safety. which instructions should the nurse include in the teaching - you can share your room with your baby for the next few weeks nurse is caring for client who is 36wks and has positive ctx stress test. nurse should plan to prepare the client for which of the following dx testing - BPP nurse is creating plan of care for client who is postpartum and adheres traditional hispanic cultural beliefs. which of the following cultural practices should the nurse include in the plan of care - protect clients head and feet from cold air