Maternal Newborn ATI B retake
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina after calling for assistance which of the following
actions should the nurse take next - ANSApply internal upward pressure to the presenting
part using two gloved fingers
A nurse is planning care for a client who is two hours postpartum which of the following
intervention should the nurse plan to implement during the taking hold phase of postpartum
behavioral adjustment - ANSDemonstrate to the client how to perform a newborn bath
A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a
nonstress test which of the following statements should the nurse include in the teaching -
ANSYou will be offered orange juice to drink during a test
A nurse in a women's health clinic is providing teaching about nutritional intake to a client
who is it eight weeks of gestation the nurse should instruct the client to increase her daily
intake of which of the following nutrients - ANSIron
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa which
of the following actions should the nurse take - ANSInitiate continuous external fetal
monitoring
A nurse is assessing fetal heart tones for a client who is pregnant the nurse is determined
the fetal position as left occipital anterior to which of the following areas of the clients
abdomen sure the nurse apply the ultrasound transducer to assess the point of maximum
intensity to the fetal heart - ANSLeft lower quadrant
A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation
and has a positive chlamydia culture the prescription states administer is it from ice in 1 g
Orly now available is 250 mg tablets how many tablets for the nurse administer round the
answer to the nearest whole number using leading zero if it applies do not use a trailing zero
- ANS4 tablets
A nurse is caring for a newborn who is undergoing photo therapy to treat hyperbilirubinemia
which of the following actions should the nurse take - ANSCover the newborns eyes while
under the photo therapy light
A school nurse is providing teaching to an adolescent about levonorgestrel contraception
which of the following information should the nurse include in the teaching - ANSYou should
take the medication within 72 hours following unprotected sexual intercourse
A nurse is providing teaching about family planning to a client who has a new prescription for
a diaphragm which of the following statement should the nurse include in the teaching -
ANSYou should leave the diaphragm in place for at least six hours after intercourse
, A nurse is caring for a client who is at 22 weeks of gestation and reports concern about
blotchy hyperpigmentation on her forehead which of the following actions should the nurse
take - ANSExplain to the client that this is an expected occurrence
A nurse is teaching a client who is in preterm labor about terbutaline which of the following
statements by the client indicates an understanding of the teaching - ANSI will have blood
tests because my potassium might decrease
A nurse is assessing a newborn of a client who took a selective serotonin reuptake inhibitor
during pregnancy which of the following manifestations should the nurse identify as an
indication of withdrawal from an SSRI - ANSVomiting
A nurse is assessing a newborn who is 12 hours old which of the following manifestations
require interventions by the nurse - ANSSubsternal chest retractions while sleeping
A nurse in the antepartum clinic is assessing a client adaptation of pregnancy the client
states that she is happy one minute and crying the next the nurse should interpret the clients
statement as an indication of which of the following - ANSEmotional lability
A nurse on a antepartum unit is caring for four clients which of the following client to the
nurse identify as a priority - ANSA client who is at 34 weeks of gestation and reports
epigastric pain
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit
which of the following findings should the nurse report to the provider - ANSSwelling of the
face
A nurse is providing discharge teaching to a client who has postpartum for which of the
following manifestation should the nurse instruct the client to monitor and report to the
provider - ANSUnilateral breast pain
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn
secretions which of the following instructions should the nurse include - ANSStop suctioning
when the newborns cry sound clear
A nurse is reviewing laboratory results of a newborn who is four hours old which of the
following findings should the nurse report to the provider - ANSBilirubin of 9 mg/dL
A nurse in a family planning clinic is caring for a client who request an oral contraceptive
which of the following findings in the clients history to the nurse recognizes a
contraindication to oral contraceptives select all that apply - ANSCholecystitis
Hypertension
Migraine headaches
A nurse is teaching a postpartum Kline about the steps the nurses will take to promote the
security and safety of the clients newborn which of the following statement should the nurse
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina after calling for assistance which of the following
actions should the nurse take next - ANSApply internal upward pressure to the presenting
part using two gloved fingers
A nurse is planning care for a client who is two hours postpartum which of the following
intervention should the nurse plan to implement during the taking hold phase of postpartum
behavioral adjustment - ANSDemonstrate to the client how to perform a newborn bath
A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a
nonstress test which of the following statements should the nurse include in the teaching -
ANSYou will be offered orange juice to drink during a test
A nurse in a women's health clinic is providing teaching about nutritional intake to a client
who is it eight weeks of gestation the nurse should instruct the client to increase her daily
intake of which of the following nutrients - ANSIron
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa which
of the following actions should the nurse take - ANSInitiate continuous external fetal
monitoring
A nurse is assessing fetal heart tones for a client who is pregnant the nurse is determined
the fetal position as left occipital anterior to which of the following areas of the clients
abdomen sure the nurse apply the ultrasound transducer to assess the point of maximum
intensity to the fetal heart - ANSLeft lower quadrant
A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation
and has a positive chlamydia culture the prescription states administer is it from ice in 1 g
Orly now available is 250 mg tablets how many tablets for the nurse administer round the
answer to the nearest whole number using leading zero if it applies do not use a trailing zero
- ANS4 tablets
A nurse is caring for a newborn who is undergoing photo therapy to treat hyperbilirubinemia
which of the following actions should the nurse take - ANSCover the newborns eyes while
under the photo therapy light
A school nurse is providing teaching to an adolescent about levonorgestrel contraception
which of the following information should the nurse include in the teaching - ANSYou should
take the medication within 72 hours following unprotected sexual intercourse
A nurse is providing teaching about family planning to a client who has a new prescription for
a diaphragm which of the following statement should the nurse include in the teaching -
ANSYou should leave the diaphragm in place for at least six hours after intercourse
, A nurse is caring for a client who is at 22 weeks of gestation and reports concern about
blotchy hyperpigmentation on her forehead which of the following actions should the nurse
take - ANSExplain to the client that this is an expected occurrence
A nurse is teaching a client who is in preterm labor about terbutaline which of the following
statements by the client indicates an understanding of the teaching - ANSI will have blood
tests because my potassium might decrease
A nurse is assessing a newborn of a client who took a selective serotonin reuptake inhibitor
during pregnancy which of the following manifestations should the nurse identify as an
indication of withdrawal from an SSRI - ANSVomiting
A nurse is assessing a newborn who is 12 hours old which of the following manifestations
require interventions by the nurse - ANSSubsternal chest retractions while sleeping
A nurse in the antepartum clinic is assessing a client adaptation of pregnancy the client
states that she is happy one minute and crying the next the nurse should interpret the clients
statement as an indication of which of the following - ANSEmotional lability
A nurse on a antepartum unit is caring for four clients which of the following client to the
nurse identify as a priority - ANSA client who is at 34 weeks of gestation and reports
epigastric pain
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit
which of the following findings should the nurse report to the provider - ANSSwelling of the
face
A nurse is providing discharge teaching to a client who has postpartum for which of the
following manifestation should the nurse instruct the client to monitor and report to the
provider - ANSUnilateral breast pain
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn
secretions which of the following instructions should the nurse include - ANSStop suctioning
when the newborns cry sound clear
A nurse is reviewing laboratory results of a newborn who is four hours old which of the
following findings should the nurse report to the provider - ANSBilirubin of 9 mg/dL
A nurse in a family planning clinic is caring for a client who request an oral contraceptive
which of the following findings in the clients history to the nurse recognizes a
contraindication to oral contraceptives select all that apply - ANSCholecystitis
Hypertension
Migraine headaches
A nurse is teaching a postpartum Kline about the steps the nurses will take to promote the
security and safety of the clients newborn which of the following statement should the nurse
