ATI RN Maternal Newborn Proctored 2019 (REVISED FULL EXAM) 100% Correct

ATI RN Maternal Newborn Proctored 2019 (REVISED FULL EXAM) 100% Correct A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make? a. You should hold your newborn in your arms when you introduce him to your toddler b. you should move your toddler out of her crib 2 weeks prior to your due date c. you should give your toddler a gift from the baby when she visits you in the facility d. You should place your toddler in timeout if she exhibits regressive behavior after the baby is born {{Correct Ans:- c. you should give your toddler a gift from the baby when she visits you in the facility 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? a. Insist that the mother pick up the newborn to feed him b. demonstrate how to hold a newborn and allow the client to practice c. persuade the client to breastfeed the newborn to promote bonding d. offer to take the newborn to the nursery to finish his feeding {{Correct Ans:- b. demonstrate how to hold a newborn and allow the client to practice A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider? a. fasting blood glucose 75 mg / DL b. blood pressure 88/58 mmhg c. urinary output 40 ml /hr d. FHR 120/min {{Correct Ans:- b. blood pressure 88/58 mmhg A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include? a. the plastibell will be removed 4 hours after the procedure b. notify the provider is the end of your penis appears dark red c. make sure the newborn's diaper is snug d. yellow exudate will form at the surgical site in 24 hours {{Correct Ans:- d. yellow exudate will form at the surgical site in 24 hours A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care? a. Administer broad-spectrum antibiotics b. cleanse the site with Povidone iodine c. monitor the rectal temperature every 4 hours d. prepare for surgical closure after 72 hours {{Correct Ans:- a. Administer broad-spectrum antibiotics A nurse is caring for a newborn who is 6hr old and has a bedside glucometer reading of 65 mg/dL. The newborns mother has typed type 2 diabetes mellitus. Which the following actions should the nurse take? a. Administer 50 mL of dextrose solution IV b. obtain a blood sample of serum glucose level c. reassess the blood glucose level prior to the next feeding d. Feed the newborn immediately {{Correct Ans:- c. reassess the blood glucose level prior to the next feeding A nurse is caring for four enter partum clients. Which of the following clients should the nurse assess first? a. A client who is at 7 weeks of gestation and reports urinary frequency b. a client who is at 32 weeks of gestation and reports seeing floating spots c. a client who is 38 weeks of gestation and reports leg cramps d. a client who is at 20 weeks of gestation and reports periodic numbness in her fingers {{Correct Ans:- b. a client who is at 32 weeks of gestation and reports seeing floating spots 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? a. Use a fetal scalp electrode during labor and delivery b. Bathe the newborn before initiating skin to skin contact c. instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation d. administer pneumococcal immunization to the newborn within 4 hours following birth {{Correct Ans:- b. Bathe the newborn before initiating skin to skin contact A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect? a. Firm rigid abdomen b. painless, vaginal bleeding c. uterine hypertonicity d. persistent headache {{Correct Ans:- b. painless, vaginal bleeding 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? a. Apply a thin layer lotion to the newborn skin every 8 hours b. trust in you born in a thin layer clothing during the therapy c. ensures the newborn's eyes are closed beneath the shield d. gives the newborn 1 oz of glucose water every 4 hours {{Correct Ans:- c. ensure the newborn's eyes are closed beneath the shield A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? a. Expect 2 to 4 wet diapers every 24 hours b. allows the baby to feed at least every 3 hours c. offers the newborn 30 ml (1 oz.) a water between feedings d. feed the newborn 5 to 10 minutes per breast {{Correct Ans:- b. allow the baby to feed at least every 3 hours A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Nagele's rule to calculate the estimated date of delivery. {{Correct Ans:- 1227 A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client which of the following vaccinations? Select all the apply a. Varicella b. human papillomavirus c. Diphtheria - acellular pertussis d. inactivated influenza e. measles, mumps, and rubella {{Correct Ans:- c. Diphtheria - acellular pertussis d. inactivated influenza A nurse is caring for a client who has preacher labor and receiving magnesium sulphates by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy? a. indirect Coombs test b. liver enzymes c. uric acid level d. Serum medication level {{Correct Ans:- d. Serum medication level A nurse is caring for a client who reports spontaneous rupture. The nurse observed fatal 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? a. Initiate an infusion of IV fluids for the client b. Perform vaginal examination by applying upward pressure on the presenting part c. Administer oxygen via nonrebreather mask at 8L/ min d. Cover the umbilical cord with sterile saline saturated towel. {{Correct Ans:- b. Perform vaginal examination by applying upward pressure on the presenting part A nurse is caring for a client who is 36weeks gestation and has MRSA. Which of the following isolation precautions should the nurse initiate? a. Droplet b. Contact c. Airborne d. Protective environment {{Correct Ans:- b. Contact