2019OM

ATI RN MATERNAL NEW BORN PROCTORED EXAM 2019 1. 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 nurses to report to the provider? C. Absent early deceleration of fetal heart rate 2. A nurse is assisting the provider to administer a dinoprostone insert labor for a client. Which of the following actions should the nurse take? A. Place the client in semi-lower position for 1hr after administration 3. A nurse is planning to teach a group of clients who are pregnant about breastfeeding after returning to work. Which of the following information should the nurse include in the teaching? B. "Breast milk can be stored in a deep freezer for 12 months." 4. 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 take? D. Inset an orogastric decompression tube with low wall suction 5. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statements by the client indicates an understanding of the teaching? D. "This medication could cause me to experience heart palpitations." 6. 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? B. Reassess the blood glucose level prior to the next feeding 7. A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? D. "Your contractions will become temporarily regular." 8. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statements by the client requires immediate intervention by the nurse? D. "It burns when I urinate." 9. A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include? D. "You should expect your uterus to double in size." 10. A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following findings should the nurse expect? D. Sparse lanugo 11. A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for an infection? D. Meconium-stained fluid 12. 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 the Nagele's rule to calculate the estimated date of delivery. (use the MMDD format with four numerals and no spaces or punctuation.) 1215 13. A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care? B. Avoid using lotion or ointment on the newborn's skin 14. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM every 12-hr. Available is dexamethasone 10 mg/mL. How many mL of dexamethasone should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use as trailing zero.) 0.6 15. A nurse is caring for a client who is in labor and request nonpharmacological pain management. Which of the following nursing actions promotes client comfort? C. Assisting the client into a squatting position 16. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect? A. Facial petechiae 17. 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? B. Blood type and Rh 18. A nurse is assessing a newborn upon admission to the nursery. Which of the following findings should the nurse expect? C. Chest circumference 2 cm (0.8in) smaller than the head circumference 19. A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect which of the following laboratory values to increase? B. Fasting blood glucose 20. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include? D. Breast tenderness 21. A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and request an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make? B. "We can schedule the procedure for later today if you'd like." 22. A nurse in women's health clinic is obtaining a health history from a client. Which of the following findings should the identify as increasing the client's risk for developing pelvic inflammatory disease (PID)? B. Chlamydial infection 23. A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect? A. Uterine tenderness 24. A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect? B. Nails extending over tips of fingers 25. A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? A. Hemorrhage 26. 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 this birth method? C. Facial palsy 28. A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an indication of labor with misoprostol? B. A client who has gestational diabetes mellitus 29. A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching? B. "Ovulation will remain the same." 30. A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene? A. Sternal retractions 31. A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching? A. "Transmission can occur via the saliva and urine of the newborn." 1. 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? C. Facial Palsy 4. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? Urine Ketones 6. 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? A. Thick, White Vaginal Discharge 7. 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? A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis 8.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 11. 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. D. Swaddle the newborn in a flexed position 12. 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? D. Reassess the blood glucose level prior to the next feeding 17. 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? D. 1 cup cooked broccoli 19. A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? D. The client delivers the newborn 28. 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? Increase the infusion rate every 30 to 60 min. 29. 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 the nurse takes? (Click on the "Exhibit" Button for additional information about the newborn. There are three tabs that contain separate categories of date.) Measure the aadbominal circumference at the level of the newborn's umbilicus every 2 hr. 30. 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? Place the client in lateral position. 31. 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? Bathe the newborn before initiating skin-to-skin contact 32. 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 35. A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? D. A client who has felt quickening for the first time 37. A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which of the following results require intervention by the nurse? D. Glucose 20 mg/dL 38. A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? ( select all that apply). A. Amnionitis D. Leakage of amniotic fluid E. Preterm labor 39. A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures? D. Performing umbilical cord care 40. A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy . This of the following statements by the client indicates an understanding of the teaching. B. "I will alternate the arm use to check my blood pressure. 41. A nurse is caring for four newborns. Which of the following newborns should the nurse assess first? A. newborn who has nasal flaring 43. A nurse is caring for a client who is 4hr postpartum and is experiencing hypovolemic shock. Which of the following actions should the nurse take? D. Administer oxygen at 4L/min via nasal cannula. 45. A nurse is caring for a newborn who is 24 hr old. Which of the following Laboratory findings should the nurse report to the provider? WBC count 32.000/mm3 46. A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take? D. Obtain an oxygen saturation level 47. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? Ensure the newborn eyes are closed beneath the shield. 48. A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make? A. "You can bathe and dress your baby if you'd like to." 49. A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make? A. "you will need to stay in a side-lying position for 30 minutes after each dose." 54. A nurse is reviewing signs of effective breathing with a client who is 5 days postpartum. Which of the following information should the nurse include in the teaching? A. "You should feel a tugging sensation when the baby is sucking. 55. A nurse is teaching a client who is at 41 weeks of gestation about a non stress test. Which of the following information should the nurse include in the teaching? B. "This test will determine adequacy of placental perfusion". 57. A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider? D. urine output less than 20 58. A nurse is caring for a client who is in the transition phase of labor and reports a pain level of 7 on a scale of 0 to 10. Which of the following actions should the nurse take? B. Apply counter pressure to the client sacral. 59. A nurse is caring for newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe. (Move the streps into the box on the placing them in the selected order of performance. Use all the streps.) Compress the bulb syringe Place the bulb syringe in the newborn's mouth. Use the bulb syringe to suction the newborn's nose. Assess the newborn for reflex bradycardia. 60. A community health nurse is providing education on gestational diabetes mellitus (GDM) to a group of clients who are pregnant when discussing risk factors, which of the following ethnicities should the nurse identify as having the lowest incidence of GDM? D. African American 62. A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include? you shoud anticipate nasal stiffness 64. A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication? A. Hypnosis B. Polyuria C. Bilateral crackles Hyperglycemia 65. 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 plans to conduct? B.1-hr glucose tolerance test 66. A nurse is caring for a client who has bacterial vaginosis. Which of the following medication should the nurse expect to administer? A. Metronidale 67. A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take? B.Eusure the newborn's mouth is wide open before latching to the breast. 69. A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following information should the nurse include? C. "Hypnosis can be beneficial in you practiced it during the prenatal period" 70. A nurse is caring for client who is in active labor. Following epidural placement the nurse a maternal blood pressure of 98/58 mmHg and minimal FHR variability on the fetal monitor. Which of the following images indicates the action the nurse should take?