ATI MATERNAL NEWBORN PROCTORED EXAM - RETAKE GUIDE 2019

Which of the following assessment findings in an infant should indicate to a nurse that suctioning of the nasopharynx is needed? A) The infant is beginning to cough B) The newborns pulse oximetry is 91 C) The infant's respiratory rate is 32/min. D) The infant's respiratory rate is irregular - The infant is beginning to cough A nurse is providing teaching to a postpartum client who has type 1 diabetes and is breastfeeding her newborn. Which of the following instructions should the nurse give to the client? A) Take more insulin with each meal that you did prior to pre pregnancy B) Maintain scheduled mealtimes for yourself C) Check your blood glucose levels every 8 hours D) Limit your carbohydrate intake to 30 grams per day - Maintain scheduled mealtimes for yourself A nurse is assessing the reflexes of a term newborn. After placing the newborn in a supine position, which of the following would the nurse use to elicit the Moro reflex A) Turn the newborn's head to one side B) Make a loud noise above the newborn C) Tap the newborns forehead with a finger D) Touch the newborns cheek with a finger - Make a loud noise above the newborn A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? A) Give the newborn 1 oz of glucose water every 4 hours B) Apply a thin layer of lotion to the newborns skin every 8 hours C) Dress the newborn in a thin layer of clothing during the therapy D) Ensure the newborns eyes are closed beneath the shield - Ensure the newborns eyes are closed beneath the shield A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse asses first? A) A client who has hyperemesis gravidarum and a sodium level of 110 B) A client who has preeclampsia and a creatine level of 1.1 C) A client who has diabetes mellitus and an HbA1c of 5.8 D) A client who has placenta previa a hematocrit of 36 - A client who has hyperemesis gravidarum and a sodium level of 110 A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes. The test reveals no accelerations of the fetal heart rate for 20 minutes. Which of the following actions should the nurse take? A) Perform vibroacoustic stimulation B) Collect a specimen for an indirect Coomb's test C) Conduct a vaginal exam D) Place the client in the Trendelenburg position - Perform vibroacoustic stimulation A nurse is preparing to administer gentamycin 2 mg/kg Im to a client who has pelvic inflammatory disease and weighs 132 lb. Available is gentamycin injection 40 mg/ml. How many ml should the nurse administer? - 3 mL A nurse is caring for a client who is 1-day post-partum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take? A) Have the client limit the length of breastfeeding to 5 minutes per breast B) Assess the newborns latch while breastfeeding C) Offer supplemental formula between the newborn's feedings D) Instruct the client to wait 4 hours between daytime feedings - Assess the newborns latch while breastfeeding A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identify that the client is at an increased risk for which of the following complications? A) Uterine rupture B) Precipitous labor C) Failure to progress D) Abruptio placentae - Abruptio placentae A nurse is caring for a 2-day old newborn who was born at 35 weeks gestation. Which of the following actions should the nurse take? A) Measure the abdominal circumference at the level of the newborn's umbilicus every 12 hours B) Provide the newborn with an iron rich formula containing vitamin b12 every 12 hours C) Administer nitric oxide inhalation therapy to the newborn D) Insert an orogastric decompression tube with low suction - Measure the abdominal circumference at the level of the newborn's umbilicus every 12 hours A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concerns about preparing her 2-year-old for a new sibling. A) Move your toddler to his new bed 2 months before the baby comes home B) Avoid bringing your toddler to prenatal visits C) Require scheduled interactions between the toddler and the baby D) Let your toddler see you carry the baby into the home for the first time - Require scheduled interactions between the toddler and the baby A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses. Which of the following instructions should the nurse manager include in the teaching? A) Place newborn bassinets at least 3 feet apart B) Maintain airborne precautions C) Allow parents to enter the nursery if wearing a mask D) Place the newborns foot on a sterile field during a heel stick - Place newborn bassinets at least 3 feet apart A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse expect? A) Placenta Previa B) Amniotic fluid embolism C) Uterine rupture D) Umbilical cord prolapse - Uterine rupture A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes. Which of the following medications should the nurse expect to administer? A) Nifedipine B) Chlorpromazine C) Glyburide D) Levothyroxine - Glyburide - 1) assess the newborn for reflex bradycardia 2) compress the bulb syringe 3) place bulb in mouth 4) use the bulb syringe to suction nose A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider? A) Urine protein of 3+ B) Deep tendon reflexes of 2+ C) Hemoglobin 13 D) Blood glucose 110 - Urine protein of 3+ A nurse is admitting a client who is at 38 weeks gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take first? A) Request that the provider insert an intrauterine pressure catheter B) Initiate oxytocin via continuous IV infusion C) Place the client in a left lateral position D) Exert continuous upward pressure on the presenting parts - Exert continuous upward pressure on the presenting parts A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client? A) An urge to have a bowel movement during contractions B) Progressive sacral discomfort during contractions C) A sense of excitement and warm, flushed skin D) Intense contractions lasting 45 to 60 seconds - An urge to have a bowel movement during contractions A charge curse is teaching a newly licensed nurse about Rh immune globulin administration. Which of the following should the charge nurse include as an indication for the administration of Rh immune globulin? A) Hyperemesis gravidarum B) Rh-positive blood test results C) Prescription for amniocentesis D) Anemia - Rh-positive blood test results A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate? A) LLQ B) LUQ C) RLQ D) RUQ - A) LLQ A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider? A) Temperature 36.5 degrees C (97.7 degrees F) B) Blood pressure 80/50 mm Hg C) Respiratory rate 55/min D) Heart rate 72/min - Heart rate 72/min A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following? A) Decreased maternal hormones during pregnancy B) Congenital anomaly C) Preterm gestational age D) Ambiguous secondary sex characteristics - Preterm gestational age A nurse is reviewing the medical records of a client who had a vaginal delivery 3 hours ago. Which of the following findings place the client at risk for post-partum hemorrhage? SATA A) History of uterine atony B) Vacuum assisted birth C) Labor induction with oxytocin D) Normal weight E) History of HPV - A) History of uterine atony C) Labor induction with oxytocin A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take? A) Position the client in a knee-chest position B) Give terbutaline subcutaneously C) Apply oxygen via nonrebreather face mask D) Administer a bolus infusion of lactated Ringer's - Apply oxygen via nonrebreather face mask A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks gestation. Which of the following findings requires an intervention by the nurse? A) Uterine contractions lasting 20 to 30 seconds each B) An FHR that peaks 20 beats above baseline C) Three uterine contractions within a 20-minute period D) One acceleration of the FHR within a 20-minute period - Uterine contractions lasting 20 to 30 seconds each A nurse is caring for a client who had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect? A) Fetal bradycardia B) Maternal hypertension C) Decreased ability to bear down D) Uterine hyperstimulation - Decreased ability to bear down A nurse is assessing a client who is requesting a combined oral contraceptive. Which of the following findings should indicate to the nurse that the client has a contraindication? A) The client is breastfeeding her 4-week-old newborn B) The client is 25 years old C) The client weighs 115 kg D) The client drinks 240 ml of wine a day - The client is breastfeeding her 4-weekold newborn A nurse is admitting a client to the birthing unit who reports contractions started 1 hour ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions? A) Postpartum hemorrhage B) Incompetent cervix C) Ectopic pregnancy D) Hyperemesis gravidarum - Postpartum hemorrhage A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect? A) Increased muscle tone B) Jitteriness C) Petechiae D) Abdominal distension - Jitteriness A nurse is caring for a client who has bladder distension following a vaginal birth. Which of the following actions should the nurse take first? A) Insert a urinary catheter B) Pour warm water over the client's perineum C) Assist the client to the bathroom D) Offer the client a sitz bath - Assist the client to the bathroom A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion? A) Elevated hCG B) Scant, bright red spotting C) Cervical dilation D) Slight abdominal cramps - Scant, bright red spotting A nurse manager on the labor and deliver unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Information included in teaching? A) Mothers will receive prophylactic treatment with acyclovir prior to delivery B) Lesions are visible on the mother genitalia C) Transmission can occur via the saliva and urine of the newborn D) The infection requires that airborne precautions be initiated - Mothers will receive prophylactic treatment with acyclovir prior to delivery A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Highest in fiber content? A) Cabbage B) Oatmeal C) Asparagus D) Lentils - Oatmeal A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? A) Expect two to four wet diapers every 24 hours B) Offer the newborn 30 ml of water between feedings C) Feed the newborn 5 to 10 minutes per breast D) Allow the baby to feed at east every 3 hours - Allow the baby to feed at east every 3 hours A nurse is assessing a full-term newborn upon admission to the nursery Which of the following clinical findings should the nurse report to the provider. A) Subconjunctival hemorrhage B) Rust stained urine C) Single palmar creases D) Transient circumoral cyanosis - Single palmar creases