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Exam (elaborations)

Maternal Newborn Ati Retake Proctored Exam | Questions And Correct Answers (Verified Answers) | Latest Version | Just Released

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Preview 4 out of 33 pages

Maternal Newborn Ati Retake Proctored Exam | Questions And Correct Answers (Verified Answers) | Latest Version | Just Released

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Maternal Newborn Ati Retake Proctored Exam | Questions And Correct
Answers (Verified Answers) | Latest Version | Just Released

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? - (CORRECT ANSWER)A reduction in respiratory distress in the newborn



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? - (CORRECT ANSWER)Monitor the FHR



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? - (CORRECT ANSWER)Reports
of decreased fetal movement



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? - (CORRECT
ANSWER)Begin FHR monitoring



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? -
(CORRECT ANSWER)Biophysicial profile



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? - (CORRECT ANSWER)50
ml/hr



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? -
(CORRECT ANSWER)BUN 25 mg/dL



A nurse is assessing a late preterm newborn. Which of the following manifestations is an
indication of hypoglycemia? - (CORRECT ANSWER)Respiratory distress



1

,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 - (CORRECT ANSWER)Pregestational Diabetes Mellitus



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? - (CORRECT ANSWER)Fundal Height Measurement



A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the
nurse report to the provider? - (CORRECT ANSWER)Substernal Retractions



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 the nurse take immediately after the seizure? - (CORRECT
ANSWER)Administer oxygen via a nonrebreather mask



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? -
(CORRECT ANSWER)Remove all clothing form the newborn except the diaper



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? - (CORRECT ANSWER)Cold cabbage leaves



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? - (CORRECT ANSWER)Vaginal pressure



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? - (CORRECT
ANSWER)Minimal arm recoil



2

,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? - (CORRECT ANSWER)the person who comes to take my baby's pictures will be
wearing a photo identification badge



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? - (CORRECT ANSWER)Report of visual disturbances



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? -
(CORRECT ANSWER)"I will likely need to use alternative positions for sexual intercourse".



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? - (CORRECT ANSWER)Calcium
Gluconate



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? - (CORRECT ANSWER)Respiratory rate 10/min



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? - (CORRECT ANSWER)Late Decelerations



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? - (CORRECT
ANSWER)"You should press the handheld button when you feel your baby move."




3

, A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord.
Which of the following findings should the nurse expect? - (CORRECT ANSWER)Petechiae
over the head



A nurse is transporting a newborn back to the parent's room following a procedure. Which of the
following actions should the nurse take? - (CORRECT ANSWER)Verify that the parent's
identification band matches the newborn's identification band



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? -
(CORRECT ANSWER)Protects the client's head and feet from cold air



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? - (CORRECT ANSWER)Picture of nurse palpating top of belly; where bottom is



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? - (CORRECT ANSWER)Monitor the FHR continously



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? - (CORRECT
ANSWER)Weight gain of 2.2 kg (4.8 lb)



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? - (CORRECT ANSWER)To locate the pocket of fluid



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? - (CORRECT ANSWER)A. Shortness of breath

B. Breakthrough bleeding


4

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