ATI Maternal Newborn Final Review

ATI Maternal Newborn Final Review

• A nurse is assessing a newborn following a forceps assisted

birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? Facial Palsy

• A nurse is providing teaching about terbutaline to a client who is

experiencing preterm labor. Which of the following statements by client indicates an understanding of the teaching?“The medication could cause me to experience heart palpitations”

• A nurse is caring for a client who has hyperemesis gravidarum.

Which of the following laboratory tests should the nurse anticipate?Urine ketones

• A nurse is caring for a client who is in labor and requests

nonpharmacological pain management. Which of the following nursing actions promotes client comfort? Assisting the client into squatting position

• A nurse is caring for a client who is at 20 weeks of gestation and has

trichomoniasis. Which fo the following findings should the nurse expect?Malodorous Discharge

• A nurse is caring for a client who is 14 weeks of gestation. At which

of the following locations should the nurse place the doppler device when assessing the fetal heart rate?Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis

• A nurse is assessing a client who is at 27 weeks of gestation and

has preeclampsia. Which of the following findings should the nurse report to the provider?Platelet count 60,000/mm3

• A nurse is teaching about clomiphene citrate to a client who is

experiencing infertility. Which of the following adverse effect should the nurse include?Breast tenderness

• A nurse is assessing a newborn upon admission to the nursery.

Which of the following should the nurse expect?Chest circumference 2cm (0.8in) smaller than the head circumference

• A nurse is planning care for a newborn who has neonatal

abstinence syndrome. Which of the following intervention should the nurse include in the plan of care?Swaddle the newborn in a flexed position

• A nurse is caring for a newborn who is 6 hr old and has a bedside

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glucometer reading of 65 mg/dL. The newborn’s 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

• A nurse is providing teaching to a client about exercise safety

during pregnancy. Which of the following statement by the client indicates an understanding of the teaching? SATA “I should consume three 8-ounce glasses of water after I exercise.” “I should limit exercise sessions to 30 minutes.” “I should rest by lying on my side for 10 minutes following exercise.”

• A charge nurse is teaching a group of staff nurses about fetal

monitoring during labor, which of the following findings should the charge nurse instruct the staff members to report to the provider?Contraction durations of 95 to 100 seconds

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• A nurse in a woman’s health clinic is obtaining a health history

from a client. Which of the following findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory disease (PID)?Chlamydia infection

• A nurse is teaching a prenatal class about immunizations that

newborns receive following birth. Which of the following immunizations should the nurse include in the teaching? Hepatitis B

• A nurse is providing nutritional guidance to a client who is pregnant

and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?

• cup cooked broccoli
• A nurse is caring for a client who is the second stage of labor.

Which of the following manifestations should the nurse expect?The client delivers the newborn

• A nurse is assessing a client who is at 37 weeks of gestation.

Which of the following statement by the client requires immediate intervention by the nurse?“It burns when I urinate.”

• A nurse is developing an educational program about hemolytic

diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?The mother is Rh negative, and the father is Rh positive

• A nurse is assessing a newborn immediately following a vaginal

birth. For which of the following findings should the nurse intervene?Sternal retractions

• A nurse on the postpartum unit is caring for four clients. For which

of the following clients should the nurse notify the provider?A client who is receiving magnesium sulfate and has absent deep tendon reflexes.

• A nurse is caring for a client who has active genital herpes simplex

virus type 2. Which of the following medications should the nurse plan to administer?Acyclovir

• A nurse is planning care for a client who is receiving oxytocin by

continuous infusion for labor induction. Which of the following

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interventions should the nurse include in the plan? Increase the infusion rate every 30 to 60 min

• A nurse is caring for a client who is receiving oxytocin for

induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing. Which of the following actions should the nurse take?Place the client in lateral position

• 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 pan of care?Bathe the newborn before initiating skin-to-skin contact

• A nurse is preparing to administer methylergonovine 0.2mg orally

to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication?