ATI RN Maternal Newborn Proctored 2
A nurse is worrying for a purchaser who's at 36 weeks of gestation and who has a suspected
placenta previa. Which of the following findings assist this analysis?
A. Painless pink vaginal bleeding
B. Increasing stomach ache with a nonrelaxed uterus
C. Abdominal pain with scant pink vaginal bleeding
D. Intermittent stomach ache following passage of bloody mucus
A. Painless pink vaginal bleeding
A nurse is worrying for a purchaser who's 1 hr postpartum and observes a massive amount of
lochia rubra and numerous small clots at the customer's perineal pad. The fundus is midline and
corporation on the umbilicus. Which of the following movements must the nurse take?
A. Document the findings and keep to reveal the customer.
B. Notify the patron‟s company.
C. Increase the frequency of fundal massage.
D. Encourage the consumer to drain her bladder.
A. Document the findings and preserve to monitor the patron.
A nurse is caring for a new child straight away following delivery. After assuring a patent airway,
what's the concern nursing motion?
A. Administer nutrition K.
B. Dry the pores and skin.
C. Administer eye prophylaxis.
D. Place an identification bracelet.
B. Dry the pores and skin.
A nurse in a prenatal medical institution is caring for a customer who is at 7 weeks of gestation.
The customer reviews urinary frequency and asks if this can continue until shipping. Which of
the subsequent responses should the nurse make?
A. "It's a minor inconvenience, that you ought to forget about."
B. "In maximum instances it handiest lasts till the twelfth week, but it will continue if you have
poor bladder tone."
C. "There is no way to predict how lengthy it's going to final in each person patron."
D. "It takes place all through the primary trimester and close to the stop of the pregnancy."
D. "It happens in the course of the primary trimester and near the stop of the pregnancy."
,A nurse is worrying for a client throughout the primary trimester of pregnancy. After reviewing
the customer's blood work, the nurse notices she does now not have immunity to rubella. Which
of the subsequent instances have to the nurse apprehend is recommended for rubella
immunization?
A. Shortly after giving birth
B. In the 1/3 trimester
C. Immediately
D. During her subsequent try to get pregnant
A. Shortly after giving start
A nurse is worrying for a patron who simply introduced a new child. Following the transport,
which nursing movement have to be achieved first to care for the new child?
A. Clear the respiratory tract.
B. Dry the little one off and cowl the head.
C. Stimulate the infant to cry.
D. Cut the umbilical wire.
A. Clear the breathing tract.
A nurse in a circle of relatives making plans hospital is being concerned for a 17-12
months-vintage lady customer who's requesting oral contraceptives. The client states that she is
frightened due to the fact she has never had a pelvic examination. Which of the following
responses ought to the nurse make?
A. "What a part of the examination makes you most frightened?"
B. "Don't worry, I will be with you at some point of the examination."
C. "All you want to do is relax."
D. "A pelvic examination is required in case you need beginning manipulate capsules."
A. "What part of the exam makes you most worried?"
A nurse in hard work and transport is caring for a patron. Following shipping of the placenta, the
nurse examines the umbilical wire. Which of the subsequent vessels should the nurse anticipate
to look at inside the umbilical twine?
A. Two veins and one artery
B. One artery and one vein
C. Two arteries and one vein
D. Two arteries and two veins
C. Two arteries and one vein
A nurse is worrying for a patron who is thinking about several methods of contraception. Which
of the following strategies of birth control need to the nurse discover as being most reliable?
A. A male condom
,B. An intrauterine device (IUD)
C. An oral contraceptive
D. A diaphragm with spermicide.
B. An intrauterine device (IUD)
Anurseiscaringforanantepartumclientwhoselaboratoryfindingsindicateanegativerubellatiter.Which
ofthe following is the best interpretation of this facts?
A. The patron isn't experiencing a rubella infection presently.
B. The customer is proof against the rubella virus.
C. The patron requires a rubella vaccination at the moment.
D. The patron requires a rubella immunization following transport.
D. The consumer requires a rubella immunization following transport.
A nurse in a health center is worrying for a consumer who is at 38 weeks of gestation and has a
huge quantity of painless, vibrant pink vaginal bleeding. The consumer is positioned on a fetal
display indicating a regular fetal coronary heart rate of 138/min and no uterine contractions. The
customer's essential signs are: blood stress 98/fifty two mm Hg, heart price 118/min, respiration
rate 24/min, and temperature 36.Four° C (97.6° F). Which of the following is the priority nursing
action?
A. Insert an indwelling urinary catheter.
B. Initiate IV get right of entry to.
C. Witness the signature for knowledgeable consent for surgical operation.
D. Prepare the stomach and perineal regions.
B. Initiate IV get admission to.
A nurse in a prenatal clinic is worrying for a consumer who's suspected of having a hydatidiform
mole. Which of the subsequent findings must the nurse expect to look at on this purchaser?
A. Rapid decline in human chorionic gonadotropin (hCG) stages
B. Profuse, clear vaginal discharge
D. Excessive uterine growth
D. Excessive uterine enlargement
A nurse is being concerned for a new mother who is worried that her new child's eyes pass.
Which of the following statements is a healing reaction by means of the nurse?
A. "I will name your number one care provider to document your concerns."
B. "I will take your child to the nursery for further exam."
C. "This occurs due to the fact newborns lack muscle manipulate to modify eye motion."
D. "This is a challenge, however strabismus is without difficulty treated with patching."
C. "This occurs because newborns lack muscle manage to adjust eye movement."
, A nurse is worrying for a consumer who is having a nonstress test accomplished. The fetal heart
rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which of the
subsequent movements need to the nurse perform?
A. Immediately report the situation to the customer's issuer and prepare the purchaser for
induction of labor.
B. Encourage the purchaser to walk round with out the monitoring unit for 10 min, then resume
tracking.
C. Offer the consumer a snack of orange juice and crackers.
D. Turn the customer onto her left facet.
C. Offer the client a snack of orange juice and crackers.
A nurse on a hard work unit is admitting a purchaser who reports painful contractions. The
nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The
nurse obtains the subsequent critical signs and symptoms: fetal heart charge one hundred
thirty/min, maternal heart fee 128/min and maternal blood strain ninety two/fifty four mm Hg.
Which of the following is the concern action for the nurse to take?
A. Notify the company of the findings.
B. Position the customer with one hip elevated.
C. Ask the purchaser if she needs ache medicinal drug.
D. Have the client void.
B. Position the client with one hip elevated.
A nurse is worrying for a client who is a primigravida, at time period, and having contractions but
is mentioning that she is "no longer in reality certain if she is in exertions or no longer." Which of
the following need to the nurse understand as a signal of actual exertions?
A. Rupture of the membranes
B. Changes inside the cervix
C. Station of the imparting element
D. Pattern of contractions
B. Changes in the cervix
A nurse is making ready to manage magnesium sulfate IV to a consumer who's experiencing
preterm labor. Whichof the subsequent is the priority nursing evaluation for this patron?
A. Temperature
B. Fetal coronary heart charge (FHR)
C. Bowel sounds
D. Respiratory price
D. Respiratory price
A nurse is worrying for a purchaser who's at 36 weeks of gestation and who has a suspected
placenta previa. Which of the following findings assist this analysis?
A. Painless pink vaginal bleeding
B. Increasing stomach ache with a nonrelaxed uterus
C. Abdominal pain with scant pink vaginal bleeding
D. Intermittent stomach ache following passage of bloody mucus
A. Painless pink vaginal bleeding
A nurse is worrying for a purchaser who's 1 hr postpartum and observes a massive amount of
lochia rubra and numerous small clots at the customer's perineal pad. The fundus is midline and
corporation on the umbilicus. Which of the following movements must the nurse take?
A. Document the findings and keep to reveal the customer.
B. Notify the patron‟s company.
C. Increase the frequency of fundal massage.
D. Encourage the consumer to drain her bladder.
A. Document the findings and preserve to monitor the patron.
A nurse is caring for a new child straight away following delivery. After assuring a patent airway,
what's the concern nursing motion?
A. Administer nutrition K.
B. Dry the pores and skin.
C. Administer eye prophylaxis.
D. Place an identification bracelet.
B. Dry the pores and skin.
A nurse in a prenatal medical institution is caring for a customer who is at 7 weeks of gestation.
The customer reviews urinary frequency and asks if this can continue until shipping. Which of
the subsequent responses should the nurse make?
A. "It's a minor inconvenience, that you ought to forget about."
B. "In maximum instances it handiest lasts till the twelfth week, but it will continue if you have
poor bladder tone."
C. "There is no way to predict how lengthy it's going to final in each person patron."
D. "It takes place all through the primary trimester and close to the stop of the pregnancy."
D. "It happens in the course of the primary trimester and near the stop of the pregnancy."
,A nurse is worrying for a client throughout the primary trimester of pregnancy. After reviewing
the customer's blood work, the nurse notices she does now not have immunity to rubella. Which
of the subsequent instances have to the nurse apprehend is recommended for rubella
immunization?
A. Shortly after giving birth
B. In the 1/3 trimester
C. Immediately
D. During her subsequent try to get pregnant
A. Shortly after giving start
A nurse is worrying for a patron who simply introduced a new child. Following the transport,
which nursing movement have to be achieved first to care for the new child?
A. Clear the respiratory tract.
B. Dry the little one off and cowl the head.
C. Stimulate the infant to cry.
D. Cut the umbilical wire.
A. Clear the breathing tract.
A nurse in a circle of relatives making plans hospital is being concerned for a 17-12
months-vintage lady customer who's requesting oral contraceptives. The client states that she is
frightened due to the fact she has never had a pelvic examination. Which of the following
responses ought to the nurse make?
A. "What a part of the examination makes you most frightened?"
B. "Don't worry, I will be with you at some point of the examination."
C. "All you want to do is relax."
D. "A pelvic examination is required in case you need beginning manipulate capsules."
A. "What part of the exam makes you most worried?"
A nurse in hard work and transport is caring for a patron. Following shipping of the placenta, the
nurse examines the umbilical wire. Which of the subsequent vessels should the nurse anticipate
to look at inside the umbilical twine?
A. Two veins and one artery
B. One artery and one vein
C. Two arteries and one vein
D. Two arteries and two veins
C. Two arteries and one vein
A nurse is worrying for a patron who is thinking about several methods of contraception. Which
of the following strategies of birth control need to the nurse discover as being most reliable?
A. A male condom
,B. An intrauterine device (IUD)
C. An oral contraceptive
D. A diaphragm with spermicide.
B. An intrauterine device (IUD)
Anurseiscaringforanantepartumclientwhoselaboratoryfindingsindicateanegativerubellatiter.Which
ofthe following is the best interpretation of this facts?
A. The patron isn't experiencing a rubella infection presently.
B. The customer is proof against the rubella virus.
C. The patron requires a rubella vaccination at the moment.
D. The patron requires a rubella immunization following transport.
D. The consumer requires a rubella immunization following transport.
A nurse in a health center is worrying for a consumer who is at 38 weeks of gestation and has a
huge quantity of painless, vibrant pink vaginal bleeding. The consumer is positioned on a fetal
display indicating a regular fetal coronary heart rate of 138/min and no uterine contractions. The
customer's essential signs are: blood stress 98/fifty two mm Hg, heart price 118/min, respiration
rate 24/min, and temperature 36.Four° C (97.6° F). Which of the following is the priority nursing
action?
A. Insert an indwelling urinary catheter.
B. Initiate IV get right of entry to.
C. Witness the signature for knowledgeable consent for surgical operation.
D. Prepare the stomach and perineal regions.
B. Initiate IV get admission to.
A nurse in a prenatal clinic is worrying for a consumer who's suspected of having a hydatidiform
mole. Which of the subsequent findings must the nurse expect to look at on this purchaser?
A. Rapid decline in human chorionic gonadotropin (hCG) stages
B. Profuse, clear vaginal discharge
D. Excessive uterine growth
D. Excessive uterine enlargement
A nurse is being concerned for a new mother who is worried that her new child's eyes pass.
Which of the following statements is a healing reaction by means of the nurse?
A. "I will name your number one care provider to document your concerns."
B. "I will take your child to the nursery for further exam."
C. "This occurs due to the fact newborns lack muscle manipulate to modify eye motion."
D. "This is a challenge, however strabismus is without difficulty treated with patching."
C. "This occurs because newborns lack muscle manage to adjust eye movement."
, A nurse is worrying for a consumer who is having a nonstress test accomplished. The fetal heart
rate (FHR) is 130 to 150/min, but there has been no fetal movement for 15 min. Which of the
subsequent movements need to the nurse perform?
A. Immediately report the situation to the customer's issuer and prepare the purchaser for
induction of labor.
B. Encourage the purchaser to walk round with out the monitoring unit for 10 min, then resume
tracking.
C. Offer the consumer a snack of orange juice and crackers.
D. Turn the customer onto her left facet.
C. Offer the client a snack of orange juice and crackers.
A nurse on a hard work unit is admitting a purchaser who reports painful contractions. The
nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The
nurse obtains the subsequent critical signs and symptoms: fetal heart charge one hundred
thirty/min, maternal heart fee 128/min and maternal blood strain ninety two/fifty four mm Hg.
Which of the following is the concern action for the nurse to take?
A. Notify the company of the findings.
B. Position the customer with one hip elevated.
C. Ask the purchaser if she needs ache medicinal drug.
D. Have the client void.
B. Position the client with one hip elevated.
A nurse is worrying for a client who is a primigravida, at time period, and having contractions but
is mentioning that she is "no longer in reality certain if she is in exertions or no longer." Which of
the following need to the nurse understand as a signal of actual exertions?
A. Rupture of the membranes
B. Changes inside the cervix
C. Station of the imparting element
D. Pattern of contractions
B. Changes in the cervix
A nurse is making ready to manage magnesium sulfate IV to a consumer who's experiencing
preterm labor. Whichof the subsequent is the priority nursing evaluation for this patron?
A. Temperature
B. Fetal coronary heart charge (FHR)
C. Bowel sounds
D. Respiratory price
D. Respiratory price
