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ATI MATERNAL NEWBORN PROCTORED EXAM BUNDLE
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ATI Maternal Newborn Proctored Exam: Study Set 2 (focused reviews)
A baby with neonatal abstinence syndrome may have a wide range of symtoms including CNS, metabolic, vasomotor, respiratory, and GI. These include: (list ... [Show More] 3 or more for each) - CORRECT ANSWER CNS: -increased wakefulness -high-pitched cry, incessant crying -irritability -tremors -hyperactive w/increased Moro reflex -increased DTRs -increased muscle tone -abrasions and/or excoriations on the face & knees -convulsions Metabolic, Vasomotor, Respiratory: -nasal congestion w/flaring -frequent yawning -skin mottling -tachypnea >60/min -sweating -temp >than 37.2 C (99 F) GI: -poor feeding -regurgitation (projectile vomiting) -diarrhea -excessive uncoordinated constant sucking Hypoglycemia in the newborn findings: - CORRECT ANSWER -poor feeding -jitteriness/tremors -hypothermia -diaphoresis -weak shrill cry -lethargy -flaccid muscle tone -seizures/coma -irregular respirations -cyanosis -apnea normal newborn blood glucose= normal infant (up to 2 yrs) blood glucose= - CORRECT ANSWER 40-80 mg/dl 50-80 mg/dl newborn dehydration s/s: - CORRECT ANSWER -urine output less than 1 mL/kg/hr -urine specific gravity more than 1.015 -weight loss -dry mucous membranes -absent skin turgor -depressed/sunken fontanels postterm infant s/s: - CORRECT ANSWER -wasted appearance, thin w/loose skin -peeling, cracked, dry skin, also leathery -long, thin body -meconium staining of fingernails and umbilical cord -long hair and nails -may be more alert -hypoglycemic -macrosomic -cold stress Birth injuries: subarachnoid hemorrhage s/s - CORRECT ANSWER -seizures within the 1st 72 hours -decreased levels of consciousness -irritability Birth injuries: facial paralysis s/s - CORRECT ANSWER -facial flattening -unresponsiveness to grimace that accompanies crying or stimulation -eyes remaining open Sun-setting sign is common with this newborn complication, in which the whites of the eyes are visible above the iris and the head is enlarged and fontanels are bulging: - CORRECT ANSWER Hydrocephalus Manifestations include murmurs, abnormal heart rate or rhythm, breathlessness, and fatigue when feeding: - CORRECT ANSWER patent ductus arteriosus Manifestations include respiratory difficulties, cyanosis, tachycardia, tachypnea, and diaphoresis: - CORRECT ANSWER Tetralogy of Fallot How to suction with a bulb syringe for a newborn: - CORRECT ANSWER 1. compress bulb before insertion into 1 side of the mouth 2. Avoid center of the mouth to prevent stimulating gag reflex 3. Aspirate mouth 1st, one nostril, then 2nd nostril Maternal Adaptation Dependent: Taking in Phase - CORRECT ANSWER -first 24-48 hours -focus is on meeting personal needs -rely on others for assistance -excited, talkative, need to share experience Maternal Adaptation Dependent-Independent: Taking-Hold Phase - CORRECT ANSWER -begins on day 2-3 -focus on baby & improving care-giving competency -wants to take charge but needs acceptance from others -wants to learn and practice Maternal Adaptation Independent: Letting-Go Phase - CORRECT ANSWER -focus on family as a unit -resumption of role (intimate partner, individual) How to relieve breast engorgement: - CORRECT ANSWER -completely empty breasts at each feeding -nurse often -massaging during feeding helps w/emptying -alternate breasts w/each feeding -apply cool compresses between feedings -warm compresses (or warm shower) prior to feeding -nonlactating clients: cold cabbage leaves in the bra, mild analgesics PMI (point of maximal impulse) refers to the location in which fetal heart tones are best heard based on the position of the fetus. List the location the nurse should place the doppler based on fetal position: Vertex presentation= Breech presentation= - CORRECT ANSWER vertex= PMI is either in the right or left-lower quadrant or below the maternal umbilicus breech=right or left upper quadrant above the maternal umbilicus The nurse places the doppler in the right or left-lower quadrant or below the umbilicus to auscultate fetal heart tones in a baby that is in the _______presentation. - CORRECT ANSWER vertex The nurse places the doppler in the right or left upper quadrant above the maternal umbilicus to auscultate fetal heart tones in a baby that is in the ______presentation. - CORRECT ANSWER breech findings of false labor (braxton-hick's contractions) include: - CORRECT ANSWER -painless, irregular frequency, and intermittent -decrease in frequency, duration, and intensity w/walking or position change -felt in the lower back or abdomen above umbilicus -often stop w/sleep or comfort measures such as oral hydration or emptying the bladder Breast milk may be stored at room temp in clean conditions for up to: - CORRECT ANSWER 8 hrs Breast milk may be refrigerated in sterile bottles for use within: - CORRECT ANSWER 8 days Breast milk may be frozen in sterile containers in the freezer compartment of a 2-door fridge for up to: - CORRECT ANSWER 6 months Thawing the breast milk in the refrigerator for ______is the best way to preserve the immunoglobulins in it. DO NOT... - CORRECT ANSWER -24 hours DO NOT refreeze thawed milk Used portions of breast milk must be... - CORRECT ANSWER discarded Prepared formula can be refrigerated for up to: - CORRECT ANSWER 48 hr Teach parents to do what with the formula can prior to opening it? - CORRECT ANSWER wash the lid of a can of concentrated formula with hot soapy water Expected changes during the second trimester: - CORRECT ANSWER -skin changes (stretch marks, hyperpigmentation) (chloasma, linea nigra, striae gravidarum) -breast & abdomen enlargement -fatigue -BP decreases 5-10 mmHg for both diastolic & systolic -heartburn -constipation -hemorrhoids -backaches -shortness of breath & dyspnea -varicose veins & lower-extremity edema -braxton hicks contractions -gingivitis, nasal stuffiness, epistaxis (nose bleeds) Safe Immunizations for Pregnancy: - CORRECT ANSWER -Tdap (given at 27-36 weeks) -influenza (1st or 2nd trimester) How to perform a heel stick on a newborn: - CORRECT ANSWER 1. Don clean gloves 2. Warm the newborns heel 1st to increase circulation 3. Cleanse the area w/an appropriate antiseptic & allow to dry 4. A spring-ac [Show Less]
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Maternal A, Maternal Newborn ATI B, ATI - Maternal Newborn Practice 2019 A
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal birth with a fourth-degree perineal laceration. The... [Show More] nurse should contact the provider regarding which of the following prescriptions? - CORRECT ANSWER The nurse should not administer a rectal suppository or enema. A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states, "Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - CORRECT ANSWER 0.5 mL IM. A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER The nurse should instruct the client to engage in 30 min of moderate exercise. A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of the following findings should the nurse identify as a possible cause of the early decelerations? - CORRECT ANSWER Fetal head compression A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take? - CORRECT ANSWER Take photos of the newborn to give to the parents. A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the following actions by the mother should the nurse recognize as a positive parenting behavior? - CORRECT ANSWER Lays the newborn across her lap and gently sways. A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? - CORRECT ANSWER Epigastric pain A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.) - CORRECT ANSWER Flaccid uterus Excess vaginal bleeding A nurse is teaching a new mother about newborn safety. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Room-sharing is recommended during the first few weeks. A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth? - CORRECT ANSWER September 3rd. A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers. Which of the following images indicates the first step of Leopold maneuvers? - CORRECT ANSWER the nurse palpates the client's abdomen with her palms to determine which fetal part is in the uterine fundus. A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? - CORRECT ANSWER perform Leopold maneuvers A staff nurse on an obstetric unit is caring for a client who is scheduled for an induced abortion. The staff nurse informs the nurse manager that she has a moral issue with the client's decision. Which of the following actions should the nurse manager take? - CORRECT ANSWER reassign the care of the client to another staff nurse. A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)? - CORRECT ANSWER just above the symphysis pubis. A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care? - CORRECT ANSWER press the button when she detects fetal movement A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, "happy one minute and crying the next." The nurse should interpret the client's statement as an indication of which of the following? - CORRECT ANSWER emotional lability A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? - CORRECT ANSWER ultrasound examinations A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take? - CORRECT ANSWER Having the client change position A nurse is providing teaching about comfort measures to a client who is breastfeeding and is experiencing engorgement. Which of the following nonpharmacological measures should the nurse include in the teaching? - CORRECT ANSWER applying cold compresses or ice packs A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hr. Which of the following statements should the nurse make? - CORRECT ANSWER Insertion of an intrauterine pressure catheter A nurse in an antepartal clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) - CORRECT ANSWER fundal height measurement of 30 cm A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER Swelling of the face A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse request the provider see first? - CORRECT ANSWER A client who is at 11 weeks of gestation and reports abdominal cramping A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression? - CORRECT ANSWER cabbage leaves can help to relieve swelling and discomfort caused by breast engorgement. A nurse is reviewing the laboratory report of a client who is 24 hr postpartum following a vaginal delivery. Which of the following laboratory results should the nurse identify as an indication of a postpartum infection? - CORRECT ANSWER The nurse should realize that this value exceeds the expected reference range for a postpartum client and indicates an infection. A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? - CORRECT ANSWER Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility, hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the provider. A nurse on a post [Show Less]
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ATI Proctored Exam Maternal Newborn CMS
ATI Proctored Exam Maternal Newborn CMS A nurse is providing discharge teaching to a client following tubal ligation (occlusion). Which of the following... [Show More] statement by the client indicates an understanding of the teaching? A. "premenstrual tension will no longer be present." B. "Ovulation will remain the same." C. "Hormone replacements will be needed following this procedure." D. "My monthly menstrual period will be shorter." - correct aNSWER B. "Ovulation will remain the same." Ovulation (egg release from the ovaries) will remain the same. Tubal ligation also known as having your tubes tied or tubal sterilization is a type of permanent birth control. During tubal ligation, the fallopian tubes are cut, tied or blocked to permanently prevent pregnancy. Tubal ligation prevents an egg from traveling from the ovaries through the fallopian tubes and blocks sperm from traveling up the fallopian tubes to the egg. The procedure doesn't affect your menstrual cycle it just prevents fertilization. A nurse is assessing a newborn following forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopulmonary dysplasia - correct aNSWER C. Facial Palsy Difficult delivery, with or without the use of an instrument called forceps, may lead to facial palsy. Facial paralysis 15 minutes after forceps birth or absence of movement on affected side is especially noticeable when infant cries. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statements by the client indicates understanding of the teaching? A. "This medication could cause me to experience heart palpitations." B. "This medication could cause me to experience blurred vision." C. "This medication could cause me to experience ringing in my ears." D. "This medication could cause me to experience frequent urination." - correct aNSWER A. "This medication could cause me to experience heart palpitations." Beta-adrenergic agents such as terbutaline (Brethine) are associated with various side effects, including tachycardia, irregular pulse, myocardial ischemia, and pulmonary edema. Therefore, these medications should not be used in women with known or suspected heart disease 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? A. Assisting the client into squatting position B. Having the client lie in a supine position C. Applying fundal pressure during contractions D. Encouraging the client to void every 6 hrs. - correct aNSWER C. Applying fundal pressure during contractions Applying fundal pressure by pushing on the mother's abdomen in the direction of the birth canal is often used to assist spontaneous vaginal birth, shorten the length of the second stage and reduce the need for instrumental birth (forceps- or vacuum-assisted) or caesarean section. 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 B. Urinary Frequency C. Vulva Lesions D. Malodorous Discharge - correct aNSWER D. Malodorous Discharge Although trichomoniasis may be asymptomatic, women commonly experience characteristically yellowish-to-greenish, frothy, mucopurulent, copious, malodorous discharge. Inflammation of the vulva, vagina, or both may be present; and the woman may complain of irritation and pruritus. Dysuria and dyspareunia are often present. A nurse is caring for a client who is at 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 B. Left Upper Abdomen C. Two fingerbreadths above the umbilicus D. Lateral at the Xiphoid Process - correct aNSWER A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis Toward the end of the first trimester, before the uterus is an abdominal organ, the fetal heart tones (FHTs) can be heard with an ultrasound fetoscope or an ultrasound stethoscope (Fig. 8-8). To hear the FHTs, place the instrument in the midline just above the symphysis pubis and apply firm pressure. The woman and her family should be offered the opportunity to listen to the FHTs. The health status of the fetus is assessed at each visit for the remainder of the pregnancy. 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? A. Urine protein concentration 200 mg/24 hr. B. Creatinine 0.8 mg/ dL C. Hemoglobin 14.8 g/ dL D. Platelet Count 60,000/ mm3 - correct aNSWER D. Platelet Count 60,000/ mm3 Platelets < 100,000/mm3 (60,000/mm3) is below the expected reference range, which can indicate DIC. The nurse should report this result to the provider. In a 24-hour specimen proteinuria is defined as a concentration at or > 300 mg/24 hours. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include? A. Tinnitus B. Urinary Frequency C. Breast Tenderness D. Chills - correct aNSWER C. Breast Tenderness The adverse effects of clomiphene citrate are stomach upset, bloating, abdominal/pelvic fullness, flushing ("hot flashes"), breast tenderness, headache, or dizziness may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect? A. Bulging Fontanels B. Nasal Flaring C. Length from head to heel of 40 cm (15.7 in) D. Chest circumference 2 cm (0.8 in) smaller than the head circumference - correct aNSWER D. Chest circumference 2 cm (0.8 in) smaller than the head circumference Measure at nipple line 2-3 cm (0.8-1.2 in) less than head circumference; average 30-33 cm (11.8-13 in) ≤ 30 cm. A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? A. Increase the newborn's visual stimulation B. Weigh the newborn every other day C. Discourage parental interaction until after a social evaluation D. Swaddle the newborn in a flexed position - correct aNSWER D. Swaddle the newborn in a flexed position [Show Less]
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Maternal Newborn ATI 2019 B
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should the nurse take? - correct ans... [Show More] wer ? Perform a vaginal exam to determine cervical dilation every 2hr. Fetal monitoring for fetal well-being assessment A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart times (FHT)? - correct answer Just above the symphysis pubis A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test. Which of the following statements should the nurse include in the teaching? - correct answer ? S A A A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring? - correct answer Oligohydramnios A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? - correct answer Cover the newborn's eyes while under the phototherapy light. A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take? - correct answer Have calcium gluconate readily available. A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which of the following instructions should the nurse include? - correct answer ? Rear-facing car seat till the age of 2yrs Use a car seat with a fit-point harness A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching? - correct answer "You should take the medication within 72 hours following unprotected sexual intercourse." A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next? - correct answer Massage the client's fundus A nurse is assessing a client who is at 30 weeks of gestations during a routine prenatal visit. Which of the following findings should the nurse report to the provider? - correct answer Swelling of the face A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8cm and reports back pain. Which of the following actions should the nurse take? - correct answer Apply sacral counterpressure This relieves back labor pain related to fetal posterior position A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take next? - correct answer Apply internal upward pressure to the presenting part using two gloved fingers A nurse is speaking with a client who is trying to make a decision about tubal ligation. The client asks, "What effects will this procedure have on my sex life?" Which of the following responses should the nurse make? - correct answer "This procedure should have no effect on your sexual performance or adequacy." A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? - correct answer "You should leave the diaphragm in place for at least 6 hours after intercourse." A nurse is reviewing the medical record at 1800 for a client who is at 34 weeks of gestation. Based on the chart findings and documentation, the nursing plan of care should include which of the following actions? - correct answer Administer terbutaline The nurse should administer terbutaline to stop contractions because the lab results indicate that the fetus's lungs are not mature enough for delivery. Nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment? - correct answer Demonstrate to the client how to perform a newborn bath. Demonstrating to the client how to perform a newborn bath occurs during the taking-hold phase. The new mother moves from being passively dependent to taking a stronger interest in her new role as a mother. She is now focusing on the care her newborn and acquiring parenting skills. The nurse should provide positive reinforcement during this phase to give the new mother confidence and promote maternal adjustment. A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider? - correct answer Platelets 50,000/mm3 A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? - correct answer "I will have blood tests because my potassium might decrease." An adverse effect of terbutaline is hypokalemia [Show Less]
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ATI Maternal Newborn Proctored Exam 2022 , Maternal Newborn ATI Proctored Exam 2022.pdf
Menorrhagia - correct answer A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is ... [Show More] a contraindication for the use of this device? You should use fluoride base tooth paste to prevent dental caries - correct answer A nurse is reinforcing teaching with a client who is pregnant. Which of the following instructions should the nurse include? at 28 weeks gestation - correct answer A nurse is assisting with the plan of care for a client who is pregnant and is Rh negative. In which of the following situations should the nurse administer Rh(D) Immune Globulin? frequent stimulation - correct answer A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn? group b streptococcus B-hemolytic culture - correct answer A nurse is assisting with the plan of care for a client who is at 35 weeks of gestation. Which of the following laboratory tests should the nurse obtain? ensure the newborns eyes are closed applying the eye shield - correct answer A nurse is assisting in the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care? my heart feels as it is racing - correct answer A nurse is caring for a client who is at 34 weeks of gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the client is the nurse's priority? continue to routinely monitor the newborn - correct answer A nurse is caring for a newborn who has irregular respirations of 52/min with several periods of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take? calcium - correct answer A nurse is reinforcing teaching with a client who is postpartum and breastfeeding. Which of the following nutrients should the nurse include in the teaching as a nutrient for the client to increase the intake of while breastfeeding? April 15 - correct answer A nurse is caring for a client who reports that her last menstrual period (LMP) began on July 8. Based on Nagele's rule, which of the following is the client's expected date of birth (EDB)? massage fundus - correct answer A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the client's perineal pad has a large amount of lochia rubra with several clots. Which of the following actions should the nurse take first? don't become pregnant for least a year - correct answer A nurse is reinforcing discharge instructions with a client following the removal of a hydatidiform mole. Which of the following statements should the nurse include in the teaching? time of client last void - correct answer A nurse is preparing a client who is pregnant for an ultrasound. Which of the following information is the most important for the nurse to collect? I should press the button when i feel the baby move - correct answer A nurse is reinforcing teaching with a client about a non-stress test. Which of the following statements by the client indicates an understanding of the teaching? initiate a latex free environment - correct answer A nurse is assisting with the care of a newborn who has a myelomeningocele. Which of the following actions should the nurse take? [Show Less]
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ATI Proctored Exam Maternal Newborn
When there are variables present what is the cause - CORRECT ANSWER cord compression when there are early deceleration's what is the cause - CORRECT A... [Show More] NSWER head compression when there are accelerations what is the cause - CORRECT ANSWER good oxygenation when there are late deceleration's what is the cause - CORRECT ANSWER placental insufficiency what are the interventions for early, late, and accelerations - CORRECT ANSWER reposition IV bolus what are the interventions for variables - CORRECT ANSWER reposition amnio infusion variable are how many seconds from start to the bottom - CORRECT ANSWER less than 30 seconds Late decelerations are how many seconds - CORRECT ANSWER more than 30 seconds what are the variables - CORRECT ANSWER absent minimal moderate marked accelerations are how many seconds - CORRECT ANSWER 15 beats by 15 seconds or more (15x15) early decelerations are how many seconds and how do they coincide with contractions - CORRECT ANSWER more than 30 seconds and are mirrored with contractions A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth. Which of the following clinical findings should the nurse identify as an indication of postpartum infection? - CORRECT ANSWER unilateral breast pain A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER urine protein of 3+ A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate? - CORRECT ANSWER "This medication prevents seizures" A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? - CORRECT ANSWER "your contractions will become temporarily regular" A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse include in the policy? - CORRECT ANSWER obtain an imprint of the infant's feet prior to taking him to the nursery A nurse is caring for a client who delivered by cesarean birth 6 hr 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? - CORRECT ANSWER evaluate urinary output A nurse is providing discharge instructions to a client who is postpartum and has engorged breasts. Which of the following nonpharmacological comfort measures should the nurse include in the teaching? - CORRECT ANSWER apply cabbage leaves after feedings A nurse is calculating estimated date of birth using Naegele's rule for a client who is pregnant and whose last menstrual cycle started june 21. Which of the following is the estimated delivery in the next year? - CORRECT ANSWER March 28 A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take? - CORRECT ANSWER Prepare the client for what to expect the fetus to look like a nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. when the nurse offers to pick the newborn up in place him 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? - CORRECT ANSWER demonstrate how to hold the newborn and allow the client to practice a nurse is caring for a client who is in labor. which of the following findings should prompt the nurse to reassess the client? - CORRECT ANSWER an urge to have a bowel movement during contractions 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? - CORRECT ANSWER platelet count 60,000/mm3 a nurse in a clinic is preparing to measure the fundal height of a client who is pregnant. which of the following actions should the nurse take? - CORRECT ANSWER measure from the upper border of the pubis to the upper border of the fundus [Show Less]
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ATI PROCTORED EXAM - MATERNAL NEWBORN EXAM 2022 GREADE A
A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse take?... [Show More] D. Use a photometer to monitor the lamp's energy The nurse should monitor the lamp's energy throughout the therapy to ensure the newborn is receiving the appropriate amount to be effective. A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the following findings should the nurse expect? Dark red vaginal bleeding The nurse should expect this client with a mild placental abruption to have minimal dark red vaginal bleeding. A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of the following actions should the nurse perform? Correct Answer: B. Assess the newborn's blood glucose level Infants who become cold attempt to generate heat through increased muscular and metabolic activity. This process increases glucose consumption and puts the newborn at risk of hypoglycemia. Incorrect Answers: A. The nurse should not obtain a rectal temperature from a newborn due to the risk of rectal perforation. Instead, the nurse should obtain an axillary temperature. C. Bathing a newborn will increase heat loss. The infant should not be bathed until the temperature has stabilized within the normal range. D. Placing the infant in front of a heater vent can incur heat loss through convection. Additionally, there is a potential fire risk from the bassinet linens and the vent. A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The client begins to show indications of magnesium sulfate toxicity. Which of the following medications should the nurse prepare to administer? Correct Answer: C. Calcium gluconate The nurse should discontinue the magnesium sulfate infusion immediately and prepare to administer calcium gluconate IV to reverse the effects of magnesium sulfate and to prevent cardiac and respiratory arrest. Incorrect Answers: A. Protamine sulfate helps reverse the effects of heparin, not magnesium sulfate. B. Naloxone is an opioid reversal agent. It does not reverse the effects of magnesium sulfate. D. Flumazenil reverses the effects of benzodiazepines such as lorazepam and alprazolam, not magnesium sulfate. A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast discomfort relief measures. Which of the following pieces of information should the nurse include? Correct Answer: "Place fresh cabbage leaves on your breasts." After 3 days postpartum, the client's breasts can become swollen and distended because of congestion of the vascular structures of the breasts. Fresh cabbage leaves can be applied to engorged breasts to help relieve breast discomfort. The coolness of the leaves and the phytoestrogens exert a therapeutic effect on engorged breasts. Leaves should be replaced when they become wilted. Incorrect Answers: A. The client should be instructed to wear a tight-fitting bra or breast binders to alleviate engorgement and swelling. C. Application of warmth to the breasts should be avoided because heat can stimulate milk production. An ice pack should be used to relieve engorged breasts. D. Milk should not be expressed from the breasts. This intervention would increase milk production rather than decrease it. A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and vomiting. Which of the following statements should the nurse include in the teaching? Correct Answer: D. "You should eat dry foods that are high in carbohydrates when you wake up." The nurse should instruct the client to eat foods that are high in carbohydrates such as dry toast or crackers upon waking or when nausea occurs. Incorrect Answers: A. The nurse should instruct the client to eat foods served at cool temperatures to decrease nausea and vomiting. B. The nurse should instruct the client to avoid brushing her teeth immediately after eating to decrease vomiting. C. The nurse should instruct the client to eat salty and tart foods during periods of nausea. A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client states, "I've heard that I can't use any birth control until I stop breastfeeding." Which of the following responses should the nurse make? Correct Answer: D. "A progestin-only pill or injection is available for use while you are breastfeeding." Progestin-only injections, implants, and birth control pills are acceptable options for clients who are breastfeeding, although some experts recommend waiting until 6 weeks postpartum to initiate the medication. Incorrect Answers: A. Breastfeeding can inhibit ovulation or prolong menstruation; however, it is not a reliable and effective means of birth control. The client may experience an unplanned pregnancy if she waits until her periods resume before considering birth control options. B. Estrogen-containing birth control pills, implants, patches, and vaginal rings are not recommended for clients who are breastfeeding due to the risk of inhibiting breast milk production and supply. C. Condoms and other non-hormonal birth control methods are appropriate for clients who are breastfeeding; however, there are other methods that are also appropriate. A nurse is assessing a client who is receiving morphine via a patient-controlled analgesia (PCA) pump following a cesarean birth. Which of the following findings should the nurse report to the provider? Correct Answer: D. Urine output 20 mL/hr Opioid analgesics such as morphine can cause urinary retention. The client should have a urinary output of at least 30 mL/hr. The nurse should report this finding to the provider. Incorrect Answers: A. Opioid analgesics can cause respiratory depression. However, this respiratory rate is within the expected reference range. B. This temperature is within the expected reference range. C. Dizziness is a common adverse effect of receiving opioid analgesics. The nurse should instruct the client to sit on the side of the bed before getting up, assist the client with ambulation, and implement general safety measures. However, it is not necessary to report this finding to the provider. A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is scheduled for an external cephalic version. Which of the following statements should the nurse make? Correct Answer: B."You will receive a medication to relax your uterus prior to the procedure." A client who is scheduled to undergo an external cephalic version often receives a tocolytic prior to the procedure to allow the uterus to relax. A relaxed uterus allows an easier version by the provider. Incorrect Answers: A. This action is appropriate for internal version. With external version, the provider attempts to turn the fetus around externally and not internally. C. External version is a high-risk procedure that is performed in a hospital setting in the event of an emergency. D. During the external version, the fetal heart-rate pattern is monitored continuously because the fetus is at risk of bradycardia and variable decelerations. The nurse also monitors the fetal heart rate for at least 60 minutes following the procedure. A postpartum nurse is caring for a client who reports excessive sweating during the first night after delivery. Which of the following statements should the nurse make? Correct Answer: D. "This is a source of your fluid loss after delivery." Postpartum diuresis is the loss of the remaining pregnancy-induced increase in blood volume. The loss of excess tissue fluid begins within 12 hours after birth. Fluid loss by urination and perspiration results in a weight loss of approximately 2.27 kg (5 lb) during the early postpartum period. Incorrect Answers: A. Postpartum diuresis is attributed to decreased estrogen levels, the removal of increased venous pressure in the lower extremities, and the loss of the remaining pregnancy-induced increase in blood volume. B. Postpartum diuresis is caused by decreased estrogen levels. Fluid loss by urination and perspiration results in a weight loss of approximately 2.27 kg (5 lb) during the early postpartum period. C. Postpartum diuresis is caused, in part, by the removal of increased venous pressure in the lower extremities. Urine output can exceed 3000 mL/day during the first 2 to 3 days postpartum. The parents of a child with phenylketonuria (PKU) ask the nurse if their second unborn child could have the same condition. The nurse should base the response on which of the following inheritance patterns responsible for PKU? Correct Answer: C. Autosomal recessive PKU is inherited by autosomal-recessive gene patterns. In these types of disorders, neither parent may actually have the disorder, but both mother and father must carry and contribute a variant gene for it to occur. Other autosomal-recessive disorders are cystic fibrosis and sickle cell anemia. Incorrect Answers: A. PKU does not have an X-linked recessive pattern of inheritance. In X-linked recessive disorders, the abnormal gene is carried on the X chromosome. In males, only 1 copy of the abnormal gene is required for the disorder to be expressed in males since the Y chromosome does not carry the disorder. Females must have 2 copies of the gene. Examples of this type of disorder are hemophilia and color blindness. B. PKU does not have an X-linked dominant pattern of inheritance. In X-linked dominant disorders, the abnormal gene is carried on the X chromosome. Only 1 copy of the abnormal gene is necessary for the disorder to occur. However, males are more likely to be severely affected due to the homozygous expression. There are only a few disorders that follow this pattern of inheritance. Examples include vitamin D-resistant rickets and Rett syndrome. D. PKU does not have an autosomal-dominant pattern of inheritance. In these disorders, only 1 copy of the variant gene is necessary for the disorder to occur. Examples of this type of disorder are neurofibromatosis and Treacher Collins syndrome. A nurse is teaching a client about physiological changes that can occur with menopause. Which of the following changes should the nurse include? Correct Answer: C. Stress incontinence The nurse should teach the client that stress incontinence can occur due to the shrinking of the uterus, vulva, and distal portion of the urethra. Urinary incontinence and uterine displacement can occur because of common age-related changes but are not necessarily a result of menopause-related changes. Incorrect Answers: A. The nurse sho [Show Less]
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RN Maternal Newborn Online Practice 2019 B - ATI
RN Maternal Newborn Online Practice 2019 B - ATI A nurse is teaching a client who has a new prescription for combined oral contraceptives about potentia... [Show More] l adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider? - CORRECT ANSWER Shortness of breath A. Shortness of breath The nurse should instruct the client to notify the provider immediately of any shortness of breath. Shortness of breath and chest pain can indicate a pulmonary embolus or myocardial infarction. Also, the nurse should instruct the client to notify the provider of other adverse effects that can indicate potential complications, including abdominal pain, sudden or persistent headaches, blurred vision, and severe leg pain. A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication? - CORRECT ANSWER Leakage of fluid from the vagina B. Leakage of fluid from the vagina Leakage of fluid from the vagina could indicate premature leakage of amniotic fluid and should be reported to the provider. A nurse is calculating a client's expected date of birth using Nagele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth? - CORRECT ANSWER Answer: September 3rd A. September 3rd When using Nägele's rule to calculate the estimated date of birth for a client, the nurse should subtract 3 months from the first day of the client's last menstrual cycle and then add 7 days. November 27th minus 3 months equals August 27th. August 27th plus 7 days equals September 3rd. A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client? - CORRECT ANSWER Answer: Biophysical profile (BPP) C. Biophysical profile (BPP) The nurse should prepare the client for a BPP to further assess fetal well-being. A positive contraction stress test indicates there is potential uteroplacental insufficiency. A BPP uses a real time ultrasound to visualize physical and physiological characteristics of the fetus and observe for fetal biophysical responses to stimuli. A nurse is teaching a new parent about newborn safety. Which of the following instructions should the nurse include in the teaching? - CORRECT ANSWER Answer: "You can share your room with your baby for the next few weeks." A. "You can share your room with your baby for the next few weeks." The nurse should recommend room-sharing during the first few weeks. This allows the parent to be readily available to the newborn and learn the newborn's cues. However, the nurse should instruct the parent to avoid placing the newborn in their bed as it increases the risk for sudden infant death syndrome. A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take? - CORRECT ANSWER Answer: Apply sacral counterpressure. A. Apply sacral counterpressure. The nurse should apply sacral counterpressure to assist in relieving back labor pain related to fetal posterior position. A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? - CORRECT ANSWER Answer: Cover the newborn's eyes while under the phototherapy light. A. Cover the newborn's eyes while under the phototherapy light. Applying an opaque eye mask prevents damage to the newborn's retinas and corneas from the phototherapy light. A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take next? - CORRECT ANSWER Answer: Apply internal upward pressure to the presenting part using two gloved fingers. B. Apply internal upward pressure to the presenting part using two gloved fingers. Using evidence-based practice, the first action the nurse should take is to apply internal upward pressure to the presenting part. Prolapse of the umbilical cord during labor can result in decreased perfusion to the fetus, which can lead to hypoxia. After calling for assistance, the nurse should relieve the compression on the umbilical cord by applying upward internal pressure on the presenting part with two gloved fingers. The nurse should not move their hand. A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (SATA) - CORRECT ANSWER Answer: Flaccid uterus is correct. Oxytocin increases the contractility of the uterus. [Show Less]
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ATI Maternal Newborn Proctored Exam , Maternal Newborn ATI Proctored Exam.
A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What meds should the nurse plan to administer? a. misoprostol... [Show More] b. betamethasone c. poractant alfa d. methylergonovine - CORRECT ANSWETR b. betamethasone A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy. The nurse should inform the client that what lab test will be used to confirm her pregnancy? a. urine test for presence of HCG b. urine test for the presence of HCS c. blood test for presence of estrogen d. blood test for the amount of circulating progesterone - CORRECT ANSWETR a. urine test for presence of HCG A nurse is caring for a client who believes she may be pregnant. What finding should the nurse identify as a positive sign of pregnancy? a. palpable fetal movement b. amenorrhea c. chadwick's sign d. positive pregnancy test - CORRECT ANSWETR a. palpable fetal movement A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse expect? a. renal agenesis b. atrial septal defect c. spina bifida d. hydrocephalus - CORRECT ANSWETR a. renal agenesis A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic fracture due to blunt abd trauma. What findings should the nurse expect? a. uterine contractions b. bradycardia c. seizures d. bradypnea - CORRECT ANSWETR a. uterine contractions The nurse should expect the client to be experiencing uterine contractions due to abdominal trauma. A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole. What findings should the nurse expect? a. hypothermia b. dark brown vaginal discharge c. fetal heart tones d. decreased urinary output - CORRECT ANSWETR b. dark brown vaginal discharge A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi, which gives rise to multiple cysts. The products of conception transform into a large number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark brown and can contain grapelike clusters. A nurse is assessing a client who is at 35 weeks of gestation and has mild gestational HTN. What finding should the nurse identify as the priority? a. 480 mL urine output in 24 hrs b. 1+ protein in the urine c. +2 edema of the feet d. BP 144/92 - CORRECT ANSWETR a. 480 mL urine output in 24 hrs When using the urgent vs. nonurgent approach to client care, the nurse should determine that the priority finding is 480 mL of urine output in 24 hr because the minimum acceptable urine output in an adult client is 30 mL/hr. This can indicate progression of preeclampsia to preeclampsia with severe features, which requires immediate intervention. Therefore, this is the priority finding. A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement should the nurse include in the teaching? a. you will be in isolation after delivery b. abstain from sexual intercourse throughout pregnancy c. breastfeed your newborn to provide passive immunity d. you should continue to take zidovudine throughout the pregnancy - CORRECT ANSWETR d. you should continue to take zidovudine throughout the pregnancy -can be transmitted through breastfeeding -she can continue to have sex The nurse should inform the client that taking prescription antiviral medication every day decreases the risk of transmission of HIV to her newborn. A nurse is providing teaching to a client who is at 8 wks gestation about manifestations to report to the provider during pregnancy. What info should the nurse include in the teaching? a. nausea upon awakening b. blurred or double vision c. increase in white vaginal discharge d. leg cramps when sleeping - CORRECT ANSWETR b. blurred or double vision A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via continuous IV infusion. The nurse notes that the client is having contractions every 2 min which last 100-110 seconds that the fetal heart rate is reassuring. What action should the nurse take? a. decrease the dose of oxytocin by half b. administer oxygen via nonrebreather mask c. decrease the infusion rate of the maintenance IV fluid d. administer terbutaline 0.25mg subq - CORRECT ANSWETR a. decrease the dose of oxytocin by half The nurse should decrease the dose of oxytocin by half because the client is experiencing uterine tachysystole. A nurse is caring for a client who is in active labor and has meconium staining of the amniotic fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. What action should the nurse take? a. prepare the client for emergency c-section b. perform endotrach suctioning as soon as the fetal head is delivered c. prepare equipment needed for newborn resuscitation d. prepare the client for an ultrasound exam - CORRECT ANSWETR c. prepare equipment needed for newborn resuscitation The nurse should ensure that all supplies and equipment needed for resuscitation of the newborn are readily available for every delivery. Endotracheal suctioning is recommended in cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia after delivery. A nurse is reviewing the medical record of a client who is at 33 wks gestation and has placenta previa and bleeding. What scripts should the nurse clarify with the provider? a. insert a large-bore IV catheter b. perform a vaginal exam c. perform continuous external fetal monitoring d. obtain a blood sample for lab testing - CORRECT ANSWETR b. perform a vaginal exam When a client has a placenta previa, the placenta implants in the lower part of the uterus and obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription because any manipulation can cause tearing of the placenta and increased bleeding. A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress test. The FHR is 130 without accelerations for the past 10 min. What action should the nurse take? a. request a script for an internal fetal scalp electrode b. auscultate the FHR with a doppler transducer c. report the nonreactive test result to the provider immediately d. use vibroacoustic stim on the client's abd for 3 seconds - CORRECT ANSWETR d. use vibroacoustic stim on the client's abd for 3 seconds The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal activity because the fetus is most likely sleeping. Fetal movement should cause accelerations in the FHR. A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes that the client is rubella non-immune, positive for group A beta-hemolytic strep, and has a blood type O neg. What action should the nurse take? a. instruct the client to obtain a rubella immunization after delivery b. request a script for an antibiotic until [Show Less]
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