RN ATI MATERNAL NEWBORN PROCTORED EXAM (36 EXAM SETS), ATI RN EXAMS 2022, LATEST MULTIPLE VERSIONS

A client who is pregnant presents to a prenatal clinic for her first visit. She tells the nurse that her last normal menstrual period began Oct 13. Using Nagele’s rule, the nurse should determine the client’s estimated date of delivery as which of the following? a.July 6 b.July 13 c.July 20- Add a year, subtract 3 months, add 7 days d.July 27 A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes three contractions in 10 min with late decelerations occurring with two of the contractions. Which of the following findings should the nurse report to the provider a. Reactive b.Nonreactive c.Positive- Indicates an adverse reaction by the fetus and should be reported to the provider d.Negative A nurse is providing family planning education to a client who has decided to use a diaphragm. Which of the following should the nurse include in the plan of care? a.You should replace the diaphragm every 3 years b.You should leave the diaphragm in place for at least 6 hours after intercourse c.You should use an oil based product as a lubricant when inserting the diaphragm d.You should insert he diaphragm when your bladder is full A nurse is providing discharge teaching to a client who is postpartum about resuming sexual activity. Which of the following instructions should the nurse include in the teaching? a.You should use a water soluble gel for lubrication- This will prevent discomfort b.You can resume sexual activity in 10 days c.Your physical reaction to sexual stimulation ill not be altered d.You will not ovulate for 3 months after delivery A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? a.Abruptio placenta- Cocaines increases the risk for vasoconstriction and possible abruption placenta b.Placenta previa c.Preeclampsia d.Maternal bradycardia A nurse is providing dietary teaching with a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching? a.I should eat to taste instead of trying to balance my meals- Eat to taste to avoid nausea b.I will avoid having a snack at bedtime c.I will have 8 oz of hot tea with each meal d.I should pair my sweets with a starch instead of eating them alone A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? a.Warm the heel prior to the puncture b.Request a prescription for IM analgesic c.Use a manual lance blade to pierce the skin d.Swaddle the newborn after the heel puncture- Effective technique to diminish the pain experience for the newborn. A nurse is conducting an initial prenatal visit for a client who is at 6 weeks gestation. Which of the following laboratory tests should be performed? a.24 hour urine for protein b.Group B streptococcus culture c.3-hr glucose tolerance d.Rubella titer- Obtained at the initial prenatal visit to determine immunity to rubella A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which of the following actions should the nurse take first? a.Confirm the newborn’s Apgar score b.Verify the newborn’s identification- Mandatory to continue ongoing identification of the newborn whenever the newborn is removed from the mother’s direct presence and care. c.Administer vitamin K IM to the newborn d.Determine the obstetrical risk factors A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes three contractions in 10 min with late decelerations occurring with two of the contractions. Which of the