ATI Maternal Newborn Proctored Test Prep

Questions and Answers

Which of these options are correct regarding discharge teaching for a client who experiences premature rupture of membranes?

Wipe from the back to front when performing perineal hygiene

Use a condom with sexual intercourse

Avoid bubble bath solution when taking a tub bath

Keep a daily record of fetal kick counts (correct)

Which stage and phase of labor is a client with a cervix that is 2 cm dilated and 50% effaced likely experiencing?

First stage, latent phase (correct)

First stage, active phase

First stage, transition phase

Second stage of labor

What should the nurse do first when a client experiences a large gush of fluid from her vagina?

Monitor uterine contractions

Monitor FHR for distress (correct)

Check the amniotic fluid for meconium

Dry the client and make her comfortable

What actions should the nurse take for a client at 40 weeks of gestation experiencing contractions and asking for pain medication? (Select all that apply)

Encourage use of patterned breathing techniques Signup and view all the answers

What should the nurse ensure prior to performing an amniotomy?

Fetal engagement Signup and view all the answers

What should the nurse do first when a client's water breaks and a loop of pulsating umbilical cord is outside the vagina?

Apply finger pressure to the presenting part Signup and view all the answers

How should the nurse classify the discharge of a client who has a saturated perineal pad with approximately 12 cm of dark-red discharge?

Moderate Signup and view all the answers

Which statement indicates understanding of discharge teaching after receiving the varicella vaccine?

'I need a second vaccination at my postpartum visit' Signup and view all the answers

What should a nurse instruct a postpartum client experiencing breast engorgement to do?

'Apply cold compresses between feedings' Signup and view all the answers

What finding should the nurse report for a client with sore nipples after breastfeeding?

Sore nipple with cracks and fissures Signup and view all the answers

What interventions should the nurse suggest for a postpartum client reporting leaking urine when sneezing or coughing?

Kegel exercises Signup and view all the answers

Which intervention should a nurse recommend for a client with thrombophlebitis?

Measure leg circumferences Signup and view all the answers

What should the nurse say to a client with mastitis who is breastfeeding?

'Completely empty each breast at each feeding or use a pump' Signup and view all the answers

Which risk factors for urinary tract infections should a nurse include?

Urinary bladder catheterization Signup and view all the answers

What findings in a postpartum client suggest postpartum blues?

Tearfulness, insomnia, lack of appetite, and feelings of sadness Signup and view all the answers

What priority action should the nurse take for a client with postpartum psychosis?

Ask the client if she has thoughts of harming herself or her infant Signup and view all the answers

What classification should a nurse assign to a newborn born at 38 weeks of gestation weighing 3,200g?

Appropriate for gestational age Signup and view all the answers

What condition is indicated by the presence of small white nodules on a newborn's mouth?

Epstein pearls Signup and view all the answers

What action should the nurse take to check for the Moro reflex in a newborn?

Hold the newborn in a semi-sitting position, then allow the newborn's head and trunk to fall backward Signup and view all the answers

Which findings indicate that a newborn is adapting to extrauterine life? (Select all that apply)

Obligate nasal breathing Signup and view all the answers

What statement should a nurse make regarding a bluish marking across a newborn's lower back?

'This is frequently seen in newborns of African American, Asian, or Native American origin' Signup and view all the answers

Which medication should a nurse administer to prevent ophthalmia neonatorum in a newborn?

Erythromycin Signup and view all the answers

What action should the nurse take to ensure the safety of a newborn returning from circumcision?

Match the mother's identification band with the newborn's band Signup and view all the answers

What action indicates understanding of breastfeeding teaching by a mother?

When latched on, the infant's nose, cheek, and chin are touching the mother's breast Signup and view all the answers

What instruction should a nurse provide regarding bottle feeding techniques?

Keep the nipple full of formula throughout the feeding Signup and view all the answers

What indicates a newborn's readiness to feed?

Attempts to place his hand in his mouth Signup and view all the answers

What conditions should a nurse identify as contraindications for circumcision? (Select all that apply)

Hypospadias Signup and view all the answers

What should a nurse say to a client at 42 weeks of gestation about what to expect with a postmature baby?

'Your baby's skin will have a leathery appearance' Signup and view all the answers

What is the priority finding in a newborn receiving phototherapy for high bilirubin levels?

Sunken fontanels Signup and view all the answers

What findings should the nurse expect for a newborn born at 32 weeks of gestation weighing 1,100g? (Select all that apply)

Lanugo Signup and view all the answers

Which findings should the nurse expect for a postterm newborn? (Select all that apply)

Long fingernails Signup and view all the answers

What indicates understanding of neonatal abstinence syndrome by a newly licensed nurse?

'The newborn will have a continuous high-pitched cry' Signup and view all the answers

What action should a nurse take to promote father-newborn bonding when the father appears nervous?

Reinforce education about newborn care when the father is present Signup and view all the answers

What should a nurse do when a postpartum client is excited and talkative, making data collection difficult?

Give the client time to express her feelings Signup and view all the answers

What behaviors in a postpartum client indicate need for nursing intervention regarding maternal bonding? (Select all that apply)

Views the newborn's behavior as uncooperative during diaper changing Signup and view all the answers

What should a nurse say when a client expresses frustration about her 4-year-old son who is wetting himself after the arrival of a new sibling?

'Your son is exhibiting an expected behavior to having a new sibling' Signup and view all the answers

What actions should a nurse take to promote bonding with the family and siblings of a newborn?

Encourage the parents to explore the newborn's features Signup and view all the answers

Which of the following statements by an adolescent reflects an understanding of contraceptive use?

A water soluble lubricant should be used with condoms Signup and view all the answers

Which of the following manifestations should a client taking oral contraceptives report?

Shortness of breath Signup and view all the answers

Which of the following statements about using an IUD indicates an understanding of the information?

I will check to be sure the strings of the IUD are still present after my periods Signup and view all the answers

Which of the following adverse effects should the nurse include when discussing implantable progestins?

Breast changes Signup and view all the answers

Which of the following information should the nurse include for a client prescribed medroxyprogesterone?

You should increase your intake of calcium Signup and view all the answers

What is the client's estimated date of delivery if her last menstrual period was April 1st?

January 8 Signup and view all the answers

How should the nurse interpret the data G3 T1 P0 A1 L1?

The client has had two prior pregnancies Signup and view all the answers

Which of the following probable signs of pregnancy should the nurse expect?

Ballottement Signup and view all the answers

What causes episodes of hypotension during pregnancy?

This is due to the weight of the uterus on the blood vessels Signup and view all the answers

Which information should the nurse provide to a client requesting a pregnancy test after a late period?

You should collect the urine from your first morning void Signup and view all the answers

Which measures should the nurse include for relieving backache during pregnancy?

Use proper body mechanics Signup and view all the answers

Which complications should the nurse include that need to be reported during pregnancy?

Vaginal bleeding Signup and view all the answers

Which information should the nurse provide to a client experiencing nausea and vomiting in the morning?

Eat crackers or plain toast before getting out of bed Signup and view all the answers

Which discomforts of pregnancy should the nurse include in teaching?

Urinary frequency Signup and view all the answers

Which response should the nurse provide to a client expressing uncertainty about being pregnant?

It is normal to have these feelings during the first few months of pregnancy Signup and view all the answers

What source of calcium should the nurse recommend to a client who dislikes milk?

Dark green leafy vegetables Signup and view all the answers

Which client's weight gain should the nurse report to the provider?

3.6 kg weight gain in the first trimester Signup and view all the answers

Which defects can occur in the neonate from folic acid deficiency?

Neural tube defects Signup and view all the answers

With which beverage should iron supplements be taken?

Orange juice Signup and view all the answers

Which response indicates understanding of the teaching about postpartum nutrition needs?

I will continue my calcium supplements because I don't like milk Signup and view all the answers

Which variables should be included in a biophysical profile (BPP)?

Fetal tone Signup and view all the answers

Which tests should the nurse review to determine fetal lung maturity?

Lecithin/sphingomyelin (L/S) ratio Signup and view all the answers

Why is a vibroacoustic stimulation device used during a nonstress test?

It awakens a sleeping fetus Signup and view all the answers

Which statement should the nurse make about the amniocentesis procedure?

You should empty your bladder prior to the procedure Signup and view all the answers

What are indications for undergoing a contraction stress test (CST)?

Postmaturity Signup and view all the answers

What should the nurse suspect if a client reports abrupt, sharp, right lower quadrant pain and vaginal bleeding?

Ectopic pregnancy Signup and view all the answers

Which risk factors for developing marginal abruptio placentae should the nurse be aware of?

Cigarette smoking Signup and view all the answers

Which medication should be expected for a client with placenta previa who is actively bleeding?

Betamethasone Signup and view all the answers

What complication should the nurse suspect for a client at 16 weeks of gestation with nausea and vomiting and prune-colored discharge?

Hydatidiform mole Signup and view all the answers

What is an expected finding in a client with a ruptured ectopic pregnancy?

Report of severe shoulder pain Signup and view all the answers

Which interventions are contraindicated for a client with HIV during labor?

Internal fetal monitoring Signup and view all the answers

Which findings should the nurse expect from a client with a TORCH infection?

Tender lymph nodes Signup and view all the answers

Which medication is anticipated for a client diagnosed with gonorrhea?

Ceftriaxone Signup and view all the answers

Which infections can be treated during labor or immediately after birth?

HIV Signup and view all the answers

Which statement indicates understanding of preventing a TORCH infection during pregnancy?

A woman should avoid consuming undercooked meat while pregnant Signup and view all the answers

Which risk factors should the nurse note for a client with hyperemesis gravidarum?

Multifetal pregnancy Signup and view all the answers

What laboratory result indicates hyperemesis gravidarum?

Urine ketones present Signup and view all the answers

Which manifestations indicate magnesium sulfate toxicity?

Respirations less than 12/min Signup and view all the answers

What medication should the nurse anticipate administering for magnesium sulfate toxicity?

Calcium gluconate Signup and view all the answers

Which statement indicates understanding about taking ferrous sulfate?

I plan to drink more orange juice while taking this pill Signup and view all the answers

What risk factors should the nurse identify for preterm labor?

Multifetal pregnancy Signup and view all the answers

Which medication is expected for a client in preterm labor to hasten fetal lung maturity?

Betamethasone Signup and view all the answers

Which manifestations should the nurse monitor for in a client receiving nifedipine?

Dizziness Signup and view all the answers

Study Notes

Contraceptive Teaching

A water-soluble lubricant is recommended for use with condoms.
Shortness of breath is a serious indication to report while on oral contraceptives.
Clients should verify the presence of the IUD strings after menstruation.

IUD and Implantable Progestins

Adverse effects of implantable progestins include irregular vaginal bleeding, weight gain, and breast changes.
Clients on medroxyprogesterone should increase calcium intake and may experience irregular spotting.

Pregnancy Calculations and Terminology

Estimated date of delivery for a last menstrual period on April 1 is January 8.
Gravid, term, preterm, and living child information can be denoted as G3 T1 P0 A1 L1.

Signs of Pregnancy and Complications

Probable signs include Goodell's sign, ballottement, and Chadwick's sign.
Hypotension in pregnancy is often due to uterine weight on blood vessels.
Vaginal bleeding is a critical symptom that requires prompt reporting.

Common Pregnancy Discomforts

Nausea can be mitigated by eating dry foods before getting out of bed.
Common discomforts at early gestation include breast tenderness, urinary frequency, and epistaxis.

Nutritional Needs During Pregnancy

Dark green leafy vegetables are excellent calcium sources if the client dislikes milk.
Weight gain should be monitored; a gain of 3.6 kg in the first trimester may require further evaluation.

Folic Acid and Iron Supplementation

Folic acid deficiency can lead to neural tube defects.
Iron supplements should be taken with orange juice to enhance absorption.

Labor and Delivery Considerations

Clients in preterm labor at higher risk due to infections, multifetal pregnancies, and uterine abnormalities.
Betamethasone may be prescribed to promote fetal lung maturity in preterm labor scenarios.

Monitoring and Interventions

Signs of magnesium sulfate toxicity include low respiratory rate, decreased urinary output, and altered consciousness.
Continuous assessment of fetal heart rate is crucial upon signs of rupture of membranes.

Infections and Their Management

Gonorrhea may be treated with ceftriaxone.
Safety precautions include avoiding undercooked meat to prevent TORCH infections.

Pain Management and Discomfort Relief

During labor, implement breathing techniques and assess for client comfort.
Monitor uterine contractions and fetal heart rate continuously for optimal maternal-fetal care.### Labor and Delivery
Amniotomy is performed to facilitate labor progression; checking for fetal engagement is crucial prior.
In cases of cord prolapse, finger pressure on the presenting part is prioritized to prevent fetal distress.

Postpartum Monitoring

Saturated perineal pads with 12 cm dark-red discharge should be documented as moderate.
Postpartum clients with no varicella immunity should receive a second vaccination during the postpartum visit.
Breastfeeding mothers experiencing engorgement should apply cold compresses between feedings to alleviate discomfort.

Maternal Health Concerns

Following a cesarean birth, clients experiencing urine leakage should be advised to perform Kegel exercises for pelvic floor strengthening.
Persistent sore nipples with cracks and fissures warrant immediate contact with a healthcare provider for further assessment.

Newborn Care

Epstein pearls are small white nodules found in a newborn's mouth; they are a normal finding.
Assessing a newborn's reflexes, including the Moro reflex, involves allowing the newborn's head and trunk to fall backward.
The presence of small white spots on the gums signifies Epstein pearls rather than pathological conditions.

Conditions and Complications

Urinary tract infections risk factors include epidural anesthesia, urinary catheterization, and a history of UTIs.
Symptoms such as tearfulness, lack of appetite, and sadness in the postpartum period may indicate postpartum blues.

Neonatal and Infant Care

Newborns classified as appropriate for gestational age weigh 3,200g at 38 weeks.
Circumcision is contraindicated in cases of hypospadias, family history of hemophilia, and epispadias.
Postterm newborns may present with thin, loose skin and meconium staining of the umbilical cord.

Breastfeeding Guidance

Proper breastfeeding technique involves ensuring the infant's nose, cheek, and chin touch the mother’s breast during latch.
For bottle feeding, keep the nipple full of formula throughout the feeding to ensure proper intake.

Sibling Dynamics

Postpartum mothers should be informed that behavioral changes in older siblings, like wetting themselves, are expected responses to a new baby in the family, and not necessarily indicative of a problem.

Safety and Procedure Protocols

Administer erythromycin prophylactically to prevent ophthalmia neonatorum in newborns.
Always match the mother's identification band with the newborn's band to ensure safety after procedures like circumcision.

Mental Health Awareness

In cases of postpartum psychosis, priority actions include assessing for thoughts of self-harm or harm to the infant.

Newborn Adaptation

Observing normal behaviors in newborns post-birth may indicate adaptation to extrauterine life, such as obligate nasal breathing, while signs like expiratory grunting may require intervention.

Family Bonding Strategies

Promote bonding by encouraging parents to explore the newborn's features and facilitate participation of siblings in newborn care activities.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Prepare for the ATI Maternal Newborn Proctored Test with these flashcards focused on contraceptive knowledge among adolescents. Assess your understanding of various contraceptive methods, including their usage and potential effects. This quiz helps enhance your knowledge and readiness for the exam.