ATI Maternal newborn Exam 70 Q & A

1. A client who is 16 weeks of gestation asks the nurse how to prepare her toddler to a younger sibling. Statements should the nurse make? - you should give your toddler a gift from the baby when she visit you in the facility 2. A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States " No, the baby is too tired to be held". Which of the following actions should the nurse take? - demonstrate how to hold a newborn and allow the client to practice 3. A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider? - . blood pressure 88/58 mmhg 4. A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171. - yellow exudate will form at the surgical site in 24 hours 5. A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care? - . Administer broad-spectrum antibiotics 6. A nurse is caring for a newborn 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The 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 7. A nurse is caring for four intra-partum clients. Which of the following clients should the nurse assess first? - . a client who is at 32 weeks of gestation and reports seeing floating spots 8. 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 pneumococcal immunization to the newborn within 4 hours following birth 9. A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect? - painless, vaginal bleeding 10. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lap. Which of the following actions should the nurse include? - c. ensure the newborn's eyes are closed beneath the shield 11. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? - b. allow the baby to feed at least every 3 hours 12. A nurse is assessing a client during her first prenatal visit the client reports March 20th as her last menstrual.. Use Niagele's rule to calculate the estimated date of delivery. Use the mmdd format with four numerals and no spaces or punctuation. - 12/27 13. A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccinations? Select all the apply - Diphtheria - acellular pertussis d. inactivated influenza 14. A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy? - d. Serum medication level 15. A nurse is caring for a client who reports spontaneous rupture. The nurse observed fetal bradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following should the nurse take next? - b. Perform vaginal examination by applying upward pressure on the presenting part 16. A nurse is caring for a client who is 36 weeks gestation and has MRSA. Which of the following isolation precautions should the nurse initiate? - contact 17. A nurse is assessing a client who is 27 weeks of gestation and has pre eclampsia. Which of the following findings should the nurse report to the provider? - Platelet count 60,000/ mm 18. A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include? - you should have your provider refit you for a new diaphragm 19. A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct? - 1 hour glucose tolerance test 20. A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia? - increased urination 21. A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider? - . platelets 100,000/ mm 3 22. A nurse is using Niagele's rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as a client expected delivery date? 07/28 - . May 5th 23. The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate? - d. your partner will apply steady pressure with a tennis ball to your lower back 24. A nurse is caring for a client who is 6 weeks of gestation and reports nausea and vomiting. Which of the following Recommendations should the nurse make? - d. consume food served at cool temperatures 25. A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching? - I should increase my calcium intake while taking this medication 26. A nurse is preparing to perform a fundal massage for a postpartum client with hearing seeing uterine atony. In which order should the nurse plan to perform the following actions? 1) Rotate the upper hand to massage that clients uterus while using slight downward pressure to compress the fundus 2) observe the client's perineum for the passage of clots and the amount of bleeding 3) Ask the client to lie on her back in with her knees flexed 4) Position one hand around the top of the client's when fundus in one hand just above the client's symphysis pubis - 1. Ask the client to lie on her back in with her knees flexed 2. Position one hand around the top of the client's when fundus in one hand just above the client's symphysis pubis 3. Rotate the upper hand to massage that clients uterus while using slight downward pressure to compress the fundus 4. observe the client's perineum for the passage of clots and the amount of bleeding 27. A nurse is providing discharge teaching to a postpartum client about caring for her five-year 5- day old male newborn at home. Which of the following statements should the nurse make to the client? - . notify your baby's pediatrician if he urinates less than 6 times per day 29. A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV trans placenta Lee. Which of the following findings should the nurse expect the newborn to exhibit? - hearing loss 30. A nurse is assessing a full-term newborn arm admission to the nursery. Which of the following clinical findings should the nurse report to the provider? - single Palmar creases - down syndrome - p.27