ATI RN Maternal Newborn Proctored 2019

1. A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling. Statements should the nurse make? - you should give your toddler a gift from the baby when she visit you in the facility 2. A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the mother States " No, the baby is too tired to be held". Which of the following actions should the nurse take? - demonstrate how to hold a newborn and allow the client to practice 3. A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medication and Report to the provider? - blood pressure 88/58 mmhg 4. A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique. Which of the following? - yellow exudate will form at the surgical site in 24 hours 5. A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care? - Administer broad-spectrum antibiotics 6. A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the nurse take? - reassess the blood glucose level prior to the next feeding 7. A nurse is caring for four enter partum clients. Which of the following clients should the nurse assess first? - a client who is at 32 weeks of gestation and reports seeing floating spots 8. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should the nurse include in the plan of care? - Bathe the newborn before initiating skin to skin contact 9. A nurse is caring for a client who has pacenta previa. Which of the following findings should the nurse expect? - painless, vaginal bleeding 10. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lap. Which of the following actions should the nurse include? - ensure the newborn's eyes are closed beneath the shield 11. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? - allow the baby to feed at least every 3 hours 12. A nurse is assessing a client during her first prenatal visit the client reports March 20th us her last menstrual.. Use Niagele's rule to calculate the estimated date of delivery. Use the mmdd format with four numerals and no spaces or punctuation. - 1227 add 7 days, go back/subtract 3 months 13. A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client which of the following vaccinations? Select all the apply - human papillomavirus Diphtheria - acellular pertussis inactivated influenza 14. A nurse is caring for a client who has preacher labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy? - Serum medication level 15. A nurse is caring for a client who reports spontaneous rupture. The nurse observed fetal bradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following should the nurse take next? - Initiate an infusion of IV fluids for the client 16. A nurse is caring for a client who is 36 weeks gestation and has MRSA. Which of the following isolation precautions should the nurse initiate? - Contact 17. A nurse is assessing a client who is 27 weeks of gestation and has pre eclampsia. Which of the following findings should the nurse report to the provider? - Platelet count 60,000/ mm 18. A nurse is providing teaching to a client who is 2 days postpartum And wants to continue using her diaphragm for contraception. Which of the following instruction should the nurse include? - you should keep the diaphragm in place for at least 4 hours after intercourse 19. A nurse is caring for a client who is receiving prenatal care and is at her 24- week appointment. Which of the following laboratory tests should the nurse plan to conduct? - blood type and Rh 20. A nurse is caring for a client who has gestational diabetes mellitus. Which of the following clinical findings should indicate to the nurse the client has hyperglycemia? - increased urination