Maternal/Newborn ATI Practice Tests Questions & Answersment of fetal hydrops. Also, the virus can cause miscarriage, IUGR, fetal anemia, or stillbirth A nurse in an antepartum clinic is providing care for a client who is at 26 weeks gestation. Upon revie

A nurse is caring for a prenatal client who has parvovirus (5th disease). Which of the following actions should the nurse take? a. administer antiviral medication b. schedule an ultrasound c. administer Haemophilus influenzae type b vaccine d. schedule and indirect Coomb's test - ANSWERSb. The nurse should schedule serial US exams to monitor the fetus during pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause miscarriage, IUGR, fetal anemia, or stillbirth A nurse in an antepartum clinic is providing care for a client who is at 26 weeks gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? Medical Record: BP 130/78, RR 20, HR 90, Hg 12, Hct 34%, 1-hr glucose tolerance test 120, fundal height 30 cm, FHR 110/min a. 1-hr glucose tolerance test b. hematocrit c. fundal height d. fetal heart rat - ANSWERSc. fundal height A fundal height measurement of 30 cm should be reported. Fundal height should be the same as the number of gestational weeks, plus or minus 2. A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure? a. check client's temperature b. observe for uterine contractions c. administer Rho immune globulin d. monitor FHR - ANSWERSd. monitor FHR The greatest risk to the client and her fetus is fetal death. Therefore, the priority nursing intervention is to monitor the FHR following amniocentesis. A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member? a. allow the sibling to hold the newborn during a bath b. make sure the sibling kisses the newborn each night c. obtain a gift from the newborn to present to the sibling d. switch the sibling's room with the nursery - ANSWERSc. obtain a gift from the newborn to present to the sibling Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age sibling's acceptance of a new family member. This ensures that the sibling doesn't feel left out and that they understand their role in the family. A nurse is admitting a client to the labor and delivery unit when the client states, "my water just broke." Which of the following interventions is the nurses priority? a. perform Nitrazine testing b. assess the fluid c. check cervical dilation d. begin FHR monitoring - ANSWERSd. begin FHR monitoring The greatest risk to the client and her fetus following a rupture of membranes is umbilical cord prolapse. The nurse should monitor the fetus closely to ensure well-being. Therefore, this is the priority aciton. A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first? a. a client who is at 11 weeks gestation and reports abdominal cramping b. a client who is at 15 weeks gestation and reports tingling/numbness in the right hand c. a client who is 20 weeks gestation and reports constipation the past 4 days d. a client who is at 8 weeks gestation and reports having three bloody noses in the past week - ANSWERSa. a client who is at 11 weeks gestation and reports abdominal cramping When using the urgent vs nonurgent approach to client care, the nurse should determine the priority finding is this. Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion. The nurse should report that the provider see this client first. A nurse is providing teaching to a client who is at 40 weeks gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? a. "I can administer oxytocin 4 hrs after the insertion of the medication" b. "you will need a full bladder prior to the insertion of the medication" c. "remain in a side-lying position for 15 mins after the medication is inserted" d. "an antacid will be given 20 mins prior to the insertion of the medication" - ANSWERSa. "I can administer oxytocin 4 hrs after the insertion of the medication" The nurse can administer oxytocin no sooner than 4 hrs after the last dose of misoprostol. Oxytocin can be administered following misoprostol for clients who have cervical ripening and haven't begun labor. A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching? a. "I will not gain more than 15-20 lbs during my pregnancy" b. "I will likely need to use alternative positions for sexual intercourse" c. "I'm glad I had a breast reduction years ago, so they will not enlarge with my pregnancy" d. "I'm glad I have a light complexion and will not get any stretch marks" - ANSWERSb. "I will likely need to use alternative positions for sexual intercourse" The weight gain of pregnancy will likely require alternative positions for sexual intercourse. This client statement indicates that she understands the nurse's teaching about the physiological changes that occur during pregnancy. A nurse is performing a routine assessment on a client who is at 18 weeks gestation. Which of the following findings should the nurse expect? a. deep tendon reflexes 4+ b. fundal height of 14 cm c. urine protein 2+ d. FHR 152/min - ANSWERSd. FHR 152/min A nurse is preparing to collect a blood specimen from a newborn via heel stick. Which of the following techniques should the nurse use to help minimize the pain of procedure for the newborn? a. apply a cool pack for 10 mins prior to heel puncture b. request a prescription for an IM analgesic c. use a manual lance blade to pierce the skin d. place the newborn skin-to-skin on the mother's chest - ANSWERSd. place the newborn skin-to-skin on the mother's chest Placing the newborn skin to skin on the mother's chest is an effective technique to significantly decrease the newborn's pain level and anxiety. A nurse is assessing a client who is at 38 weeks gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider? a. blood pressure 136/88 b. reports of insomnia c. weight gain of 2.2 kg/4.8 lb d. report of Braxton Hicks contractions - ANSWERSc. weight gain of 2.2 kg/4.8 lb A weight gain of this much in a week is above the expected reference range and could indicate complications. A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? a. "You can resume sexual activity in 1 week" b. "You won't need to do Kegel exercises since you had a cesarean" c. "You can still become pregnant if you are breastfeeding" d. "You are safe to start adding sit-ups to your exercise routine in 2 weeks" - ANSWERSc. "You can still become pregnant when breastfeeding" The nurse should instruct the client that breastfeeding doesn't prevent ovulation. Therefore, the client can become pregnant. The nurse should discuss contraception that is safe while breastfeeding. A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? a. hypertension b. hypothermia c. constipation d. muscle weakness - ANSWERSa. hypertension The nurse should recognize carboprost is a vasoconstrictor that can cause hypertension A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? a. hypertonia b. increased feeding c. hyperthermia d. respiratory distress - ANSWERSd. respiratory distress Late preterm newborns are at an increased risk for hypoglycemia due to decreased glycogen stores and immature insulin secretion. Respiratory distress is a manifestation of hypoglycemia. Other manifestations include abnormal cry, jitteriness, lethargy, poor feeding, apnea, seizures A nurse is teaching a newly licensed nurse about collecting specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? a. "Obtain an informed consent prior to obtaining the specimen" b. "Collect at least 1 mL of urine for the test: c. "Ensure that the newborn has been receiving feedings for 24 hrs prior to obtaining the specimen" d. "Premature newborns may have false negative tests due to immature development of liver enzymes" - ANSWERSc. "Ensure that the newborn has been receiving feedings for 24 hrs prior to obtaining the specimen" The nurse should ensure that the newborn has been receiving regular feedings for at least 24 hrs prior to te