NUR 404 Maternity ATI Proctored Exam Review PDF

l OM oAR cP SD | 75 84 8 71

NUR 404 Maternity ATI Proctored Exam Review PDF

Health & Wellness III: Care of Vulnerable Populations (Massachusetts College of Pharmacy and Health Sciences)

l OM oAR cP SD | 75 84 8 71 This study source was downloaded by 100000831777157 from CourseHero.com on 05-31-2022 03:41:58 GMT -05:00

NUR 404 Maternity ATI Proctored Exam Review

• 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 nurses to report to the provider? C. Absent early deceleration of fetal heart rate

• A nurse is assisting the provider to administer a dinoprostone insert labor for a client.

Which of the following actions should the nurse take? A. Place the client in semi-lower position for 1 hr after administration

• A nurse is planning to teach a group of clients who are pregnant about breastfeeding after

returning to work. Which of the following information should the nurse include in the teaching? B. “Breast milk can be store in a deep freezer for 12 months”

• A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of

the following actions should the nurse take? D. Insert an orogastric decompression tube with low wall suction

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

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

• A nurse if caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65

mg/dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? B. Reassess the blood glucose level prior to the next feeding

• A nurse is teaching a prenatal class regarding false labor. Which of the following information

should the nurse include? D. “Your contractions will become temporarily regular”

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

statements by the client requires immediate intervention by the nurse? D. “It burns the I urinate”

• A nurse is providing teaching about expected changes during pregnancy to a client who is

at 24 weeks gestation. Which of the following information should the nurse include? D.“You should expect your uterus to double in size”

• A nurse is assessing a preterm newborn who is at 32 weeks gestation. Which of the

following findings should the nurse expect? D. Sparse lanugo

• A nurse is reviewing the electronic medical record of a postpartum client. The nurse should

identify that which of the following factors places the client at risk for an infection? D.Meconium-stained fluid

• A nurse in a provider’s office is assessing a client at her first antepartum visit. The client

states that the first day of her last menstrual period was March 8th. Use the Nagele’s rule to calculate the estimated date of delivery (use the MMDD formate with four numerals and no spaces or punctuation). 1215

• A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of

the following actions should the nurse include in the plan of care? B. Avoid using lotion or ointment on the newborn’s skin

• A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4

doses of dexamethasone 6 mg IM every 12-hr. Available is dexamethasone 10mg/mL. How many mL of dexamethasone should the nurse administer per dose? (Round answer to the nearest tenth, use a leading zero if it applies. Do not use a trailing zero). 0.6

• A nurse is caring for a client who is in labor and request non pharmacological pain

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

• A nurse is performing an initial assessment of a newborn who was delivered with a nuchal

cord. Which of the following clinical findings should the nurse expect? Facial Petechiae

l OM oAR cP SD | 75 84 8 71 This study source was downloaded by 100000831777157 from CourseHero.com on 05-31-2022 03:41:58 GMT -05:00

• 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

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

findings should the nurse expect? C. Chest circumference 2 cm (0.8in) smaller than the head circumference

• A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect

which of the following laboratory values to increase? B. Fasting blood glucose

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

Which of the following adverse effects should the nurse include? D. Breast Tenderness

• A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks gestation

and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make? B. “We can schedule the procedure for later today if you’d like.”

• A nurse in a women’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)? B. Chlamydial infection

• A nurse if assessing a client who is 6 hr postpartum and has endometritis. Which of the

following findings should the nurse expect? A. Uterine tenderness

• A nurse is assessing a newborn who was born poster. Which of the following findings

should the nurse expect? B. Nails extending over tips of fingers

• A nurse is caring for a client following an amniocentesis. The nurse should observe the

client for which of the following complications? A. Hemorrhage

• A nurse is assessing a newborn following a forceps-assisted birth. Which of the following

clinical manifestations should the nurse identify as a complication fo this birth method? C.Facial palsy

• A nurse on the labor and delivery unit is assessing four clients. Which of the following

clients is a candidate for an indication of labor with misoprostol? B. A client who has gestational diabetes mellitus

• A nurse is providing discharge teaching to a client following tubal ligation. Which of the

following statements by the client indicated an understanding of the teaching? B.“Ovulation will remain the same”

• A nurse is assessing a newborn immediately following a vaginal birth. For which of the

following findings should the nurse intervene? A. Sternal retractions

• A nurse manager on the labor and delivery unit is teaching a group of newly licensed

nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching? A. “Transmission can occur via the saliva and urine of the newborn”

• 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 brith method? C.Facial Palsy

• A nurse is caring for a client who has hypermedia gravidarum. Which of the following

laboratory tests should the nurse anticipate? Urine Ketones

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

the following findings should the nurse expect? A. Thick, White Vaginal 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? A.Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis

• A nurse is assessing a client who is 27 weeks of gestation and has preeclampsia. Which of

the following findings should the nurse report to the provider? Platelet Count 60.00/mm^3

l OM oAR cP SD | 75 84 8 71 This study source was downloaded by 100000831777157 from CourseHero.com on 05-31-2022 03:41:58 GMT -05:00

• A nurse is planning care for a newborn who had neonatal abstinence syndrome. Which of

the following interventions should the nurse include int he plan of care? D. Swaddle the newborn in a flexed position

• A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65

mg/dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? D. Reassess the blood glucose level prior to the next feeding

• 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? D. 1 cup cooked broccoli

• A nurse is caring for a client who is in the second stage of labor. Which of the following

manifestations should the nurse expect? D. The client delivers the newborn

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

labor induction. Which of the following interventions should the nurse include in the plan?Increase the infusion rate every 30 to 60 minutes

• A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of

the following actions should the nurse take? (Click on the “Exhibit” Button for additional information about the newborn. There are three tabs that contain separate categories of data”). Measure the abdominal circumference at the level of the newborn’s umbilicus every 2 hr

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

• A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr

postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withheld the medication? Blood pressure 142/92 mm Hg

• A nurse is caring for four clients. For which of the following clients should the nurse

auscultate the fetal heart rate during the prenatal visit? D. A client who has felt quickening for the first time

• A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which fo the

following results require intervention by the nurse? D. Glucose 20 mg/dL

• A nurse is assessing a client following an amniocentesis. Which of the following findings

should the nurse recognize as complications? (Select all he apply). A. Amnionitis // D.Leakage of amniotic fluid // E. Preterm labor

• A nurse on a labor and delivery unit is reviewing inflectional control standards with a newly

licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures? D. Performing umbilical cord care

• A nurse is providing teaching to a client who has mild preeclampsia and will be caring for

herself at home during the last 2 months of pregnancy. Which of the following statements but he client indicates an understanding of the teaching? B. “I will alternate the arm use to check my blood pressure”

• A nurse is caring for four newborns. Which of the following newborns should the nurse

assess first? A. Newborn who has nasal flaring

• A nurse is caring for a client who is 4 hr postpartum and is experiencing hypovolemic

shock. Which of the following actions should the nurse take? D. Administer oxygen at 4L/ min via nasal cannula

• A nurse is caring for a newborn who is 24 hr old. Which of the following laboratory findings

should the nurse report to the provider? WBC count 32.000/mm^3