MATERNAL NEWBORN ATI
PROCTORED EXAM
A nurse is developing a plan of care for a newborn who is to undergo phototherapy
for hyperbillirubinemia. Which of the following actions should the nurse include in
the plan? - ANSWER Remove all clothing form the newborn except the diaper
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? - ANSWER Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider? - ANSWER Reports of decreased fetal movement
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 nurse's priority?
- ANSWER Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic test? - ANSWER Biophysicial profile A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in
preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr? - ANSWER 50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? - ANSWER BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? - ANSWER Respiratory distress
A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the development of preeclampsia - ANSWER Pregestational Diabetes Mellitus
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? - ANSWER Fundal Height Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider? - ANSWER Substernal Retractions A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client head to the side, which of the following actions should the nurse take immediately after the seizure? - ANSWER Administer oxygen via a nonrebreather mask
A nurse is providing teaching about nonpharmological pain management to a client
who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items? - ANSWER Cold cabbage leaves
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect? - ANSWER Vaginal pressure
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect? - ANSWER Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about the facility
policy for newborn safety. Which of the following client statements indicates an understanding of the teaching? - ANSWER the person who comes to take my baby's pictures will be wearing a photo identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider? - ANSWER Report of visual disturbances
PROCTORED EXAM
A nurse is developing a plan of care for a newborn who is to undergo phototherapy
for hyperbillirubinemia. Which of the following actions should the nurse include in
the plan? - ANSWER Remove all clothing form the newborn except the diaper
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? - ANSWER Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider? - ANSWER Reports of decreased fetal movement
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 nurse's priority?
- ANSWER Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic test? - ANSWER Biophysicial profile A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in
preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr? - ANSWER 50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? - ANSWER BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? - ANSWER Respiratory distress
A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the development of preeclampsia - ANSWER Pregestational Diabetes Mellitus
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? - ANSWER Fundal Height Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider? - ANSWER Substernal Retractions A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client head to the side, which of the following actions should the nurse take immediately after the seizure? - ANSWER Administer oxygen via a nonrebreather mask
A nurse is providing teaching about nonpharmological pain management to a client
who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items? - ANSWER Cold cabbage leaves
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect? - ANSWER Vaginal pressure
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect? - ANSWER Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about the facility
policy for newborn safety. Which of the following client statements indicates an understanding of the teaching? - ANSWER the person who comes to take my baby's pictures will be wearing a photo identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider? - ANSWER Report of visual disturbances
