NGN ATI RN MATERNAL NEWBORN QUESTIONS AND VERIFIED ANSWERS (100% CORRECT ) / GRADED A+

NGN ATI RN MATERNAL NEWBORN QUESTIONS AND VERIFIED ANSWERS (100% CORRECT ) / GRADED A+ A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers. Which of the following images indicates the first step of Leopold maneuvers? - Hands on the top of the fundus A nurse in a providers office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? 1. Singleton pregnancy 2. BMI 20 3. Maternal age 32 years 4. Pregestational diabetes mellitus - 4. 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? 1. 1-hr glucose tolerance test 2. hematocrit 3. fundal height measurement 4. FHR - 3. Fundal height measurement A nurse is a prenatal clinic assessing a group of clients. Which of the following clients should the nurse see first? 1. a client who is at 11 weeks of gestation and reports abdominal cramping 2. a client who is at 15 weeks of gestation and reports tingling and numbness in right hand 3. a client who is at 20 weeks of gestation and reports constipation for the past 4 days 4. a client who is at 8 weeks of gestation and reports having three bloody noses in the past week - 1. a client who is at 11 weeks gestation and reports abdominal cramping 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? 1. perform Nitrazine testing 2. assess the fluid 3. check cervical dilation 4. begin FHR monitoring - 4. begin FHR monitoring 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? 1. abruptio placenta 2. placenta previa 3. preeclampsia nal bradycardia - 1. abruptio placenta A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? 1. reports increased urinary output 2. diaphoresis 3. reports blurred vision 4. shallow respirations - 1. reports increased urinary output 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? 1. lochia serosa vaginal discharge 2. vaginal pressure 3. intermittent vaginal pain 4. yellow exudate vaginal discharge - 2. vaginal pressure A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following finding should the nurse report to the provider? 1. blood pressure 136/88 2. report of insomnia 3. weight gain of 2.2 kg (4.8lb) 4. report of braxton hicks contractions - 3. weight gain of 2.2 kg (4.8lb) A nurse is assessing a client who is receiving morphine via IV bolus for pain following a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer? 1. fentanyl 2. butorphanol 3. naloxone 4. meperidine - 3. naloxone A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? 1. Hypertension 2. Hypothermia 3. Constipation 4. Muscle weakness - 1. Hypertension A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? 1. hypertonia 2. increased feeding 3. hyperthermia 4. respiratory distress - 4. respiratory distress A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? 1. acrocyanosis 2. transient strabismus 3. jaundice 4. caput succedaneum - 3. jaundice 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? 1. minimal arm recoil 2. popliteal angle of 90 3. creases over the entire foot sole 4. raised areolas with 3-4 mm buds - 1. minimal arm recoil A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which of the following findings should the nurse expect? 1. Bruising over the buttocks 2. hard nodules on the roof of the mouth 3. Petechiae over the head 4. Bilateral periauricular papilloma's - 3. petechiae over the head A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? 1. a newborn who is 26 hr old and has erythema toxicum on his face 2. a newborn who is 32 hr old and has not passed a meconium stool 3. a newborn who is 12 hr old and has pink-tinged urine 4. a newborn who is 18 hr old and has an axillary temperature of 37.7 C (99.9 F) - 4. a newborn who is 18 hr old and has an axillary temperature of 37.7 C (99.9 F) 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? 1. BUN 25 mg/dL 2. Serum creatinine 0.8 mg/dL 3. Urine output of 280 mL within 8 hr 4. Urine negative for ketones - 1. BUN 25 mg/dL