ATI RN Maternal Newborn 2019-2024

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Anurse is teaching a client about condom use. Which of the following client statements should the nurse identify as an understanding of the teaching?

I"can use natural-skin condoms to prevent sexually transmitted infections."

I can use petroleum jelly as a lubricant with the condom."

"I can re-use the condom one time after initial use."

I can store the condoms in the drawer of my nightstand." (correct)

Family History: breast cancer, heart disease. Allergy: Penicillin. Multiple sexual partners. ••• Anurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take?

Administer rubella vaccine.

Administer ceftriaxone IM.

Obtain a blood culture.

Obtain a maternal serum alpha-fetoprotein specime (correct)

Anurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

Ask the client to lie on her back and with her knees flexed. (correct)

Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis. (correct)

Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus. (correct)

Observe the client's perineum for the passage of clots and the amount of bleeding. (correct)

Anurse 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?

1cup cooked broccoli. Signup and view all the answers

A-nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching?

I" wil drink water before the test until my bladder feels full Signup and view all the answers

A nurse is providing discharge teaching to a postpartum client about caring for her 3-day- old male newborn at home. Which of the following statements should the nurse make to the client?

Do not retract the foreskin to clean your baby's penis during each diaper change. Signup and view all the answers

A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?

Hearing loss. Signup and view all the answers

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 Signup and view all the answers

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?

Verify that informed consent is obtained prior to administration Signup and view all the answers

Nurses providing teaching to a postpartum. Client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching?

I should avoid becoming pregnant for at least one month following the immunization. Signup and view all the answers

A nurse in a newborn nursery is receiving a change of shift report for four newborns. Which of the following newborns should the nurse assess first?

A newborn who is 10 hours old and has a new onset of tachypnea. Signup and view all the answers

A nurse is caring for a client who has hyperermesis gravidarum. Which of the following laboratory tests should the nurse anticipate?

Urine ketones Signup and view all the answers

A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?

Consume foods served at cool temperatures. Signup and view all the answers

A nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first?

Apply identification band to the newborn Signup and view all the answers

A nurse is caring for a client who is receiving oxytocin to induce labor. Which of the following occurs?

Six contractions in 10 min Signup and view all the answers

A nurse is assessing a client who is 32 weeks of gestation and is receiving magnesium sulfate via Continuous IV infusion. Which of the following findings should the nurse report to the provider?

Absent deep.-Tendon reflexes. Signup and view all the answers

A nurse is caring for a client who is postpartum and experiencing hypovolemic shock. Which of the following findings should the nurse expect?

Cool, clammy shock Signup and view all the answers

A nurse is admitting a client to the birthing unit who reports her contraction started one hour ago. The nurse determines that the client is 80% effaced and 8cm Dilated. The nurse realizes that the client is at risk. For which of the following conditions?

Postpartum hemorrhage. Signup and view all the answers

A nurse is caring for a newborn who is 6 hours 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?

Feed the newborn immediately. Signup and view all the answers

A client who is 16 weeks of gestation asks the nurse how to prepare her toddler to have a younger sibling. Which of the following Statements should the nurse make?

You should move your toddler out of her crib 2 weeks prior to your due date Signup and view all the answers

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 Signup and view all the answers

The nurse is caring for a client who is in the latent phase of the first stage of Labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all thar apply)

Apply counter pressure to the sacral area. Signup and view all the answers

A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider?

Platelets 100,000/ mm 3 Signup and view all the answers

A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?

Third-degree perineal laceration Signup and view all the answers

A nurse is planning care for a client following a chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications?

Infection Signup and view all the answers

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 Signup and view all the answers

A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

Turn the client onto their side. Signup and view all the answers

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?

Perform vaginal examination by applying upward pressure on the presenting part Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 instructions should the nurse include?

You should have your provider refit you for a new diaphragm Signup and view all the answers

A nurse is providing teaching about the expected effects of magnesium sulfate to a client was at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

This medication prevents seizures Signup and view all the answers

A nurse is caring for a client who is 32 weeks of gestation and has gestation diabetes mellitus. Which of the following findings should the nurse report to the provider?

The client has a fundal height of 38 cm Signup and view all the answers

A nurse is using Niagele's rule to calculate the expected delivery date of a client who reports the first day of the last menstrual cycle was July 28th. Which of the following dates should the nurse document as a client expected delivery date? 07/28

May 5th Signup and view all the answers

A nurse is assessing a newborn was exposed to cocaine in utero. Which of the following findings should the nurse expect?

High-pitched cry Signup and view all the answers

A nurse is performing an assessment of a newborn's but Bensky reflex. Which of the following findings should the nurse expect?

Dorsiflexion of the greater toes Signup and view all the answers

A nurse is caring for a client who has preterm 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 Signup and view all the answers

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Increased muscle weakness Signup and view all the answers

A nurse is providing prenatal teaching to a client who practices of vegan diet and is trying to increase intake on vitamin B 12. Which of the following foods should the nurse recommend?

Fortified soy milk Signup and view all the answers

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 Signup and view all the answers

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?

Lentils. Signup and view all the answers

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 her fetus. Which of the following responses should the nurse make?

" This procedure determines if your baby has genetic or congenital disorders.". Signup and view all the answers

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 Signup and view all the answers

A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?

Duration within a 10-min testing period Signup and view all the answers

A nurse is caring for a newborn who has an exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of the surgical correction?

cover the newborns bladder with a sterile non-adherent dressing Signup and view all the answers

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 Signup and view all the answers

A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make?

"You can bathe and dress your baby if you'd like to." Signup and view all the answers

A nurse is conducting a class for a group A client's about birth control. Which of the following information should the nurse include in the teaching?

You should have an annual examination to assess your diaphragm Signup and view all the answers

A nurse is caring for a client who was in active labor and has gonorrhea. Which of the following potential complications of Gonorrhea should the nurse monitor?

Chorioamnionitis Signup and view all the answers

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

Diphtheria - acellular pertussis Signup and view all the answers

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 Signup and view all the answers

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. 03/20

1227 Signup and view all the answers

A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?

I should increase my calcium intake while taking this medication Signup and view all the answers

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?

1 hour glucose tolerance test Signup and view all the answers

Nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory results should the nurse anticipate?

Urine Ketones Signup and view all the answers

A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse expect?

Painless, Vaginal Bleeding Signup and view all the answers

A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication?

Urine output 20 ml Signup and view all the answers

A nurse is assessing a full

term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?

Rust stained urine Signup and view all the answers

Nurse is performing a Heel stick on a newborn. Which of the following actions should the nurse take?

Use an automatic puncture device on the heel Signup and view all the answers

A nurse is providing discharge instructions to a client is 24 hours post partum and has decided not to breastfeed. Which of the following instruction should the nurse include in the teaching?

Apply ice packs to your breast using a 15 minutes on, 45 minutes off schedule Signup and view all the answers

Pump your breast twice-daily to relieve discomfort from engorgemen

Baked chicken Signup and view all the answers

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 Signup and view all the answers

The nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate?

Your partner will apply upward pressure on you Signup and view all the answers

After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

A primigravida whose perineal pain has worsened one hour after being medicated. Signup and view all the answers

A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk for postpartum hemorrhage that the nurse should include in the teaching?

Retaine Placental fragments Signup and view all the answers

A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?

Assist the client to the bathroom Signup and view all the answers

A nurse is caring for a newborn immediately following birth. Which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?

To facilitate bonding between the newborn and parent Signup and view all the answers

A nurse is caring for a client who delivered by cesarean birth 6hrs ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?

Evaluate urinary output. Signup and view all the answers

A nurse is reviewing the medical record of a client who had vaginal delivery 3 hr ago. Which of the following findings place the client at risk for postpartum hemorrhage? (SATA)

Vacuum-assisted delivery Signup and view all the answers

A nurse is caring for a newborn who is 5 days old. Medical history of maternal opioid use prior to pregnancy and prescribed methadone use during pregnancy .select all the apply

Weigh the newborn daily, Signup and view all the answers