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. A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device? ANS Mennorhagia 2. A nurse is reinforcing teaching with a client with a client who is pregnant. Which of the following instructions should the nurse include? ANS "You should use floride-based toothpaste to prevent dental caries." 3. A nurse is assisting with the plan of care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) immune globulin? ANS At 28 weeks of gestation 4. A nurse is caring for a newborn who was born to a client who was a narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn? ANS Frequent stimulation 5. A nurse is assisting with the plan of care for a client who is at 35 weeks of gestation. Which of the following laboratory tests should the nurse obtain? ANS - Group B Streptococcus B-hemolytic culture 6. A nurse is assisting in the plan of care for a newborn who requires pho- totherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care? ANS Ensure the newborn's eyes are closed before applying the eye shield 7. A nurse is caring or a client who is at 34 weeks of gestation and has a pre- scription for terbutaline for preterm labor. Which of the following statements by the client is the nurse's priority? ANS "My heart feels as if it is racing." 8. A nurse is assisting with caring for a client who is at 36 weeks of gestation and has pre-eclampsia. Which of the following should the nurse identify as the priority? ANS Nonreactive nonstress test 9. A nurse is caring for a newborn who was irregular respirations of 52/min with several periods of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take? ANS Continue to routinely monitor the newborn 10. A nurse is reinforcing teaching with a client who is postpartum and breast- feeding. Which of the following nutrients should the nurse include in the teaching as a nutrient for the client to increase the intake of while breastfeed- ing? ANS Vitamin C 11. A nurse is caring for a client who reports that her last menstrual period (LMP) began on July 8. Based on Nagele's rule, which of the following is the client's expected date of birth (EDB)? ANS April 15 12. A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the client's perineal pad has a large amount of lochia rubra with severe clots. Which of the following actions should the nurse take first? ANS Massage the fundus 13. A nurse is reinforcing discharge instructions with a client following the removal of a hydatiform mole. Which of the following statements should the nurse include in the teaching? ANS "Do not become pregnant for at least 1 year." 14. A nurse is preparing a client who is pregnant for an ultrasound. Which of the following information is the most important for the nurse to collect? ANS The time of the client's last void 15. A nurse is reinforcing teaching with a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching? ANS "I should press the button on the hand held marker when my baby moves." 16. A nurse is assisting with the care of a newborn who has a myelomeningo- cele. Which of the following actions should the nurse take? ANS Initiate a latex free environment 17. A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following information should the nurse include? ANS "Your baby should have bursts of 15 sucks or swallows at a time." 18. A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse reinforce with the client about the treatment plan? ANS "You and your partner need to take the medication and use a condom during intercourse until cultures are negative." 19. A nurse is reinforcing teaching about oxytocin with a client who is in the third trimester of pregnancy and has pre-eclampsia. Which of the following is a contraindication for the use of this medication? ANS Active genital herpes A nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving to his wife since the emer- gency was announced several weeks ago. Which of the following responses should the nurse make? ANS "These feelings are common for expectant fathers in early pregnancy.