ATI Maternal Newborn & Peds 2020 | Maternal Newborn & Peds

ATI Maternal Newborn & Peds Maternal Newborn 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? a. BUN 25 mg/dL b. serum creatinine 0.8 mg/dL c. urine output of 280 mL w/ 8 hr d. urine negative for ketones A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which statement should the nurse include in the teaching? a. replace the diaphragm every 5 years b. leave the diaphragm in place for at least 6 hours after intercourse c. use an oil-based product as a lubricant when inserting the diaphragm t the diaphragm when bladder is full A nurse is reviewing the med record of a client who is postpartum and has preeclampsia. Which lab results should the nurse report to the provider? a. Hct 39% b. serum albumin 4.5g/dL c. WBC 9000/mm3 d. platelets 50,000/mm3 A nurse is teaching a client about Rho(D) immune globulin. Which statement by the client indicates an understanding of the teaching? a. I will receive this med if my baby is Rh- b. I will receive this med when I'm in labor c. I will need a 2nd dose of this med when my baby is 6wks old d.I will need this med if I have an amniocentesis A nurse is assessing a client who is 30 weeks gestation during a routine prenatal visit. Which findings should the nurse report to the provider? ing of the face ose veins in the calves tting 1+ ankle edema pigmentation of the cheeks A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which actions should the nurse include in the plan? a. feed the newborn 1oz of water q4hrs b. apply lotion to newborns skin 3x/day c. remove all clothing from newborn except diaper d. discontinue therapy if the newborn develops a rash A nurse is caring for a client who is 35 weeks gestation and is undergoing nonstress test that reveals a variable deceleration in the FHR. What action should the nurse take? a. give the client oj b. elevate the client's legs c. have the client change positions d. establish IV access A nurse is assessing a client who gave birth vaginally 12hrs ago and palpates her uterus to the right above the umbilicus. What interventions should the nurse perform? a. reassess the client in 2 hrs b. administer simethicone c. assist the client to empty her bladder d. instruct the client to lie on her right side A nurse is performing a routine assessment on a client who is 18 weeks gestation. What findings should the nurse expect? a. deep tendon reflexes 4+ b. fundal height 14cm c. urine protein 2+ d. FHR 152/min A nurse is teaching a new mother about steps the nurses will take to promote security and safety of the newborn. What statement should the nurse make? a. we will prevent unidentified visitors from entering the unit b. we will document the relationship of visitors in your medical record c. your baby will stay in the nursery while you are asleep d. staff members who take care of your baby will be wearing photo identification A nurse is assessing the newborn of a client who took a SSRI during pregnancy. What manifestations should the nurse identify as an indication of withdrawal from and SSRI? a. large for gestational age b. Hyperglycemia c. bradypnea d. vomiting A nurse in an antepartum clinic is providing care for a client who is 26 weeks gestation. Upon reviewing her medical record, what findings should the nurse report to the provider? a. 1-hr glucose tolerance test b. Hematocrit c. fundal height measurement d .FHR A nurse is caring for a client following an amniocentesis at 18 wks gestation. What finding should the nurse report to the provider as a potential complication? a. increased fetal movement b. leakage of fluid from the vag c. upper abd discomfort d. urinary frequency A nurse is caring for a client who is in active labor and has no cervical change in the last 4 hrs. Which statement should the nurse make? a. let me help you into a comfortable pushing position so you can begin bearing down b. going to call the doc to get a script for meds to ripen your cervix c. i will give you some IV pain med to strengthen your contractions d. your provider will insert an intrauterine pressure cath to monitor the strength of your contractions A nurse is caring for a client who is anemic at 32 wks gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. What outcomes should the nurse expect? a. decrease uterine contractions b. increase in client's Hgb levels c. reduction in resp distress in NB d. increase production of antibodies in NB A nurse is teaching a client who is 10 wks gestation about nutrition during pregnancy. What statement by the client indicates an understanding of the teaching? a. increase my protein to 60 g/day b. i should drink 2 L of water/day c. increase my overall caloric intake by 300 calories d. take 600 mcg of folic acid each day A nurse is teaching a client who is in preterm labor about terbutaline. What statement by the client indicates an understanding of the teaching? a.i will get injections of the med once daily until my labor stops blood sugar may be low while I am on this med c. i will have blood tests because my K+ might decrease d. My BP may increase while I'm on this med A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs. What cultural practices should the nurse include? a. protect the client's head and feet from cold air b. bathe the client within 12 hr following delivery c. ambulate the client within 24 hr of delivery d. offer the client a glass of milk with her first meal A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, what action should the nurse take next? a. massage the client's fundus b. insert an indwelling urinary catheter c. administer O2 at 10L/mind d. elevate the clients right hip A nurse is caring for a client who is at 36 wks gestation and has a prescription for amniocentesis. For which reason should the nurse prepare the client for an ultrasound? a. estimate fetal weight b. locate pocket of fluid c. determine multiparity d. prescreen for fetal anomalies A nurse is demonstrating to a client how to bathe her newborn. What order should the nurse perform the following actions? the NB diaper area the newborn's neck by lifting the NB chin the NB eyes from the inner canthus outward se the skin around the newborn's umbilical cord stump the NB legs and feet A nurse is assessing a newborn 12hrs after birth. What manifestation should the nurse report to the provider? a. Acrocyanosis b. transient strabismus c. jaundice d. caput succedaneum a nurse is calculating a client's expected DOB using Naegele's rule. The client says her last menstrual cycle started Nov 27th. What date is the client's expected DOB? a. sept 3rd b. sept 20th c. aug 3rd d. aug 20th A nurse is assessing a newborn following circumcision. What finding should the nurse identify as an indication that the newborn is experiencing pain? a. decreased HR b. chin quivering c. pinpoint pupils d. slowed respirations A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 wks late. The client appears anxious and asks the nurse if she is pregnant. What response should the nurse make? a. you can miss your period for several other reason. Describe your typical menstrual cycle. A nurse is preparing to administer oxytocin to a client who is postpartum. What findings indicate the admin of the med SATA a. flaccid uterus c. excess vaginal bleeding A nurse on the postpartum unit is caring for a client following a c-section. Priority? b. amount of lochia A nurse is observing a new mother caring for her crying newborn who is bottle feeding/ What action by the mother should the nurse recognize as positive parenting behavior? a. lays the newborn across her lap and gently sways b. places the newborn in the crib in a prone position c offers the newborn a pacifier dipped in formula d. prepares a bottle of formula mixed with rice cereal - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -A nurse is providing discharge teaching to a client who is postpartum and was taking insulin for gestational diabetes mellitus. What instructions should the nurse include in the teaching? a. get a 2hr oral glucose tolerance test in 6-12 weeks b. avoid using low-dose oral contraceptives for bc c. need to monitor glucose levels daily at home for 2-3 wks d. take a lower dose of insulin than you took during your pregnancy A nurse is teaching a client who is 8 ks gestation about exercise. What instructions should the nurse include in the teaching? a. you should increase weight-bearing exercises as your pregnancy progresses b. you should lie on your back to rest for 5 minutes after exercising c. you should take your pulse every 20 minutes while you are exercising d. you should exercise for 30 min each day A nurse is assessing a client who is in labor and notes early decels on the fetal monitor. What findings should the nurse identify as the possible cause of early decels? a. prolapsed umbilical cord b. placenta previa c. fetal head compression d. maternal hypotension A client who is 34 wks gestation asks the nurse how she will know when she is in labor and should go to the hospital. What response should the nurse make? a. you feel the contractions primarily in your upper abd b. you will feel extremely fatigued when your labor starts c. your breasts will begin to excrete colostrum d. you will notice blood-tinged discharge from your vagina A staff nurse on an obstetric unit is caring for a client who is scheduled for an induced abortion. The staff nurse informs the nurse manager that she has a moral issue with the client's decision. What action should the nurse manager take? a. inform the staff nurse that she is required to care for the client b. advise the staff nurse that she will likely receive disciplinary action c. reassign the client to another staff nurse d. advise the staff nurse to transfer to another unit A nurse is caring for a client who is pregnant and undergoing a nonstress test. The client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? A. "it is used to stimulate uterine contractions." B. "it will decrease the incidence of uterine contractions." C. "it lulls the fetus to sleep." D. "it awakens a sleeping fetus." A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? A. iron deficiency anemia B. Poor bone formation C. Macrosomic fetus D. Neural tube defects. A nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. Which of the following statements by a member of the group indicates an understanding of the teaching? D. "I will continue my calcium supplements because I don't like milk." A nurse is reviewing findings of a client's biophysical profile (BPP). The nurse should expect which of the following variables to be included in this test? SATA A. fetal weight B. fetal breathing movement C. fetal tone D. fetal Position E. Amniotic fluid volume. A nurse is caring for a client who is pregnant and is to undergo a contraction stress test (CST). Which of the following findings are indications for this procedure? SATA A. Decreased fetal movement B. intrauterine growth restriction (iUgR) C. Postmaturity A nurse in the emergency department is caring for a client who reports abrupt, sharp, RLQ, ab pain and bright red vaginal bleeding. The client states she missed one menstrual cycle and cannot be pregnant because she has an intrauterine device. The nurse should suspect which of the following? A. Missed abortion B. ectopic pregnancy C. Severe preeclampsia D. Hydatidiform mole 2. A nurse is providing care for a client who is diagnosed with a marginal abruptio placentae. The nurse is aware that which of the following findings are risk factors for developing the condition? SATA A. Fetal position B. Blunt abdominal trauma C. cocaine use D. maternal age E. cigarette smoking A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? A. Hyperemesis gravidarum B. Threatened abortion C. Hydatidiform mole D. Preterm labor 5. A nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. Which of the following findings is seen with this condition? D. report of severe shoulder pain 1. A nurse is admitting a client who is in labor and has HIV. Which of the following interventions should the nurse identify as contraindicated for this client? SATA A. episiotomy B. oxytocin infusion C. forceps D. cesarean birth E. internal fetal monitoring 2. A nurse in an antepartum clinic is assessing a client who has a toRcH infection. Which should the nurse expect? SATA A. Joint pain B. Malaise C. Rash E. tender lymph nodes 3. A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? A. ceftriaxone B. fluconazole C. Metronidazole D. Zidovudine 4. A nurse is caring for a client who is in labor. The nurse should identify that which of the following infections can be treated during labor or immediately following birth? SATA A. Gonorrhea B. chlamydia C. HIV D. Group B streptococcus beta hemolytic E. toRcH infection 5. A nurse manager is reviewing ways to prevent a toRcH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching? D. "A woman should avoid consuming undercooked meat while pregnant." A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum. The nurse should identify that which of the following are risk factors for the client? SATA A. obesity B. Multifetal pregnancy C. Maternal age greater than 40 D. Migraine headache E. oligohydramnios 2. A nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client's laboratory reports. Which of the following findings is a manifestation of this condition? A. Hgb 12.2 g/dl B. Urine ketones present C. alanine aminotransferase 20 iU/l D. serum glucose 114 mg/dl A nurse is caring for a client who reports indications of preterm labor. Which of the following findings are risk factors of this condition? SATA A. Urinary tract infection B. Multifetal pregnancy D. Diabetes mellitus E. Uterine abnormalities