ATI PN Maternal Newborn Online Practice 2020 A with NGN

1. A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting. Which of the following findings should the nurse identify as an indication that the client has hyperemesis gravidarum - Ketonuria 2. A nurse is collecting data from a client who is at 36 weeks gestation during a prenatal examination. Which of the following findings should the nurse report to the provider - blurred vision 3. A nurse is caring for a newborn who has a high-pitched cry and does not respond to consoling efforts. Which of the following neonatal data collection tolls should the nurse expect to complete - Neonatal Abstinence scoring system 4. A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse take - place an opaque mask over the newborn's eyes 5. A nurse is collecting data from a newborn who is 8 hr old. which of the following findings should the nurse report to the provider - apical HR of 90/minute while crying 6. A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her newborn. The client reports perineal pain of 6 on a scale of 1 to 10. The nurse also notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the right. Which of the following actions in the nurse's priority - Help the client ambulate to the toilet 7. A nurse is assisting in the care of a newborn immediately following birth. Which of the following images should the nurse identify as an indication that the newborn has a myelomeningocele? - picture of baby's back showing with hole like structure showing. should be the first picture to come up. 8. A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has gestational diabetes mellitus. Which of the following should the nurse include in the teaching - Consume at least 2.000 cal/day 9. A nurse is reinforcing teaching about risk factors for respiratory distress syndrome (RDS) in newborns with a group of clients who are pregnant. Which of the following risk factors should the nurse include - prematurity 10. A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why folic acid supplements are necessary. The nurse should inform the client that the purpose of folic acid supplements is to do which of the following? - prevent certain kinds of birth defects 11. A nurse is reinforcing discharge teaching about methods to prevent engorgement during lactation suppression with a client who is bottle-feeding her newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions - I will apply cold cabbage leaves to my breasts throughout the day 12. A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in active labor. Which of the following findings should the nurse report to the charge nurse - prolonged decelerations of the FHR 13. A client requests information about the use of a diaphragm for birth control. Which of the following statements should the nurse make? - You will need to replace the diaphragm every 2 years 14. a nurse is reinforcing teaching with a client who is at 9 weeks gestation and reports frequent episodes of nausea and vomiting. Which of the following instructions should the nurse include? - consume small meals frequently each day 15. A nurse on a postpartum unit is assisting in the care of a client who is experiencing hypovolemic shock. Which of the following actions should the nurse take? - insert an indwelling urinary catheter 16. a nurse is assisting with planning care for a client who is breastfeeding and had mastitis. Which of the following recommendations should the nurse include - instruct the client to apply warm compresses to the affected breast 17. A nurse is reinforcing teaching about care seat safety with the parent of a newborn. Which of the following client statements indicates an understanding of the teaching - if my baby rides in a car with no backseat, the passenger airbag must be turned off 18. A nurse is planning to administer terbutaline to a client who is experiencing preterm labor. Which of the following routes of administration should the nurse plan to use - Subcutaneous 19. A nurse is reviewing the laboratory results of a 4-hr-old newborn. Which of the following findings should the nurse report to the provider - platelet count 120,000/mm3 20. A nurse is caring for a client who is at 32 weeks gestation and has a prescription for nifedipine. Which of the following outcomes should the nurse expect from this medication - cessation of uterine contractions 21. A nurse is reinforcing teaching about food sources that are high in folate with a group of clients who are pregnant. Which of the following foods should the nurse recommend to this group as a best source of folate? - 1/2 cup dried peas