ATI Maternal Newborn final exam 100% Questions and Answers

ATI Maternal Newborn final exam 100% Questions and Answers ATI Maternal Newborn final exam 100% Questions and Answers ATI Maternal Newborn final exam 100% Questions and Answers 1. An expectant father tells the nurse that he feels resentful of the added at- tention others are giving to his wife since the pregnancy was first announced several weeks ago. What is the most therapeutic nursing response to the father? ANS "These feelings are very common to expectant fathers in early pregnancy." 2. A nurse checks a postpartum client's peripad and finds a large amount of lochia rubra with several clots. What is the priority nursing action? ANS Check the fundus. 3. A pregnant client is admitted with a diagnosis of preeclampsia. The provider orders an IV solution with 4 g of magnesium sulfate. The nurse realizes that magnesium sulfate will be administered because it is used as ANS a central nervous system (CNS) depressant. 4. At 6 hr postpartum, a mother and neonate are moved from the labor and delivery recovery room to the postpartum floor. On admission to the newborn nursery, the nurse notes slight jaundice of the infant's face and trunk. The initial nursing action is to ANS obtain an order for a stat bilirubin level. 5. A client has active herpes type 2. The nurse anticipates that the best plan for delivery for a client with herpes lesions would be ANS cesarean birth prior to the onset of labor. 6. A neonate's respiratory rate is irregular and 52/min with several periods of apnea lasting approximately 5 seconds. The neonate's color is pink with acrocyanosis. Which of the following nursing measures is indicated at this time? ANS Continue to routinely monitor the neonate. 7. Which of the following manifestations should most concern the nurse who is caring for a client diagnosed with pregnancy induced hypertension (PIH)?- ANS Nonreactive nonstress test 8. When a nurse assesses a client on the first postpartum day, findings include fundus firm and one fingerbreadth below and to the right of the umbilicus, lochia rubra with small clots, temperature 99.2° F, and pulse rate 52/min. The appropriate initial nursing action is to ANS ask the client when she last voided. 9. A nurse instructs a client in how to use a diaphragm. The nurse knows the client understands the instructions when the client states, ANS "If I lose or gain much weight, I'll need to be refitted." 10. A nurse recognizes intrauterine devices (IUDs) are least likely to be rec- ommended as a method of birth control for women who ANS have multiple sexual partners. 11. A nurse is caring for a client who is in labor. The client questions why an internal fetal scalp electrode must be placed on her. Which of the following is an appropriate response? ANS "We need to observe your baby more closely." 12. A nurse knows that a client is at risk for an ectopic pregnancy if her history includes which of the following? ANS Pelvic inflammatory disease (PID) 13. A client calls the antepartum clinic and tells the nurse "I became very dizzy while lying in bed this morning, but the feeling went away when I turned on my side." What is the appropriate nursing action at this time? ANS Instruct the client about vena cava syndrome and measures she can take to prevent it. 14. A nurse is preparing to administer naloxone (Narcan) to a newborn. The nurse understands the use of naloxone in a newborn is indicated in the case of respiratory depression related to ANS narcotics given to the mother in labor. 15. A nurse is caring for a client diagnosed with trichomoniasis and metron- idazole (Flagyl) is prescribed. Which instructions should the nurse give to the client regarding the treatment plan? ANS Both partners need to take the medication and abstain from intercourse until cultures are negative. 16. A nurse is caring for a client in active labor when the client's membranes rupture. An internal electrode is applied to the fetal scalp and late deceler- ations are noted. Which of the following is the first action the nurse should take? ANS Turn the client onto her left side. 17. A nurse is caring for a client who is in labor. A vaginal examination reveals the following information: 2 cm, 50%, +1, right occiput anterior ROA. Based on this information, the nurse expects the presentation of the fetus to be ANS vertex. 18. A nurse in an obstetrical clinical is caring for a client who received results from a Papanicolaou test (Pap smear). The client states, "What does Class III mean from a pap smear result?" The nurse should be aware that a Class III result ANS is not definitive for cancer and further testing is needed. 19. Which manifestation should the nurse anticipate in a neonate born to a drug addicted mother? ANS Exaggerated reflexes When teaching a pregnant client with pregnancy induced hypertension (PIH) about the preparations and procedures for a nonstress test (NST), the nurse knows the teaching to be effective when the client states, ANS "I can't get up and walk around during the test