Maternal Newborn ATI B 2025
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 - Answer-Apply 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 -
Answer-Demonstrate 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 - Answer-You 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 - Answer-Iron
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 - Answer-Swelling 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 - Answer-
Unilateral 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 - Answer-Stop 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 - Answer-Bilirubin 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 - Answer-Cholecystitis
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 make - Answer-Staff
member to take care of your baby will be wearing a photo identification badge
A nurse is reviewing the laboratory results for a client who is at 10 weeks gestation which of the
following laboratory findings should the nurse report to the provider - Answer-Hemoglobin 10 g/dL
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium
sulfate IV which of the following actions should the nurse take - Answer-Have calcium gluconate readily
available
A nurse is caring for a client who is in active labor and has no cervical change in the last four hours which
of the following statement should the nurse make - Answer-Your provider will insert an intrauterine
pressure catheter to monitor the strength of your contractions
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 - Answer-Initiate continuous external fetal monitoring
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 - Answer-Apply 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 -
Answer-Demonstrate 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 - Answer-You 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 - Answer-Iron
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 - Answer-Swelling 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 - Answer-
Unilateral 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 - Answer-Stop 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 - Answer-Bilirubin 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 - Answer-Cholecystitis
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 make - Answer-Staff
member to take care of your baby will be wearing a photo identification badge
A nurse is reviewing the laboratory results for a client who is at 10 weeks gestation which of the
following laboratory findings should the nurse report to the provider - Answer-Hemoglobin 10 g/dL
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium
sulfate IV which of the following actions should the nurse take - Answer-Have calcium gluconate readily
available
A nurse is caring for a client who is in active labor and has no cervical change in the last four hours which
of the following statement should the nurse make - Answer-Your provider will insert an intrauterine
pressure catheter to monitor the strength of your contractions
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 - Answer-Initiate continuous external fetal monitoring
