ATI Maternal Newborn Proctored Exam 2019 Retake A nurse is reviewing the medical records of a client who had a vaginal delivery 3 hours ago. Which of the
... [Show More] following findings place the client at risk for post-partum hemorrhage? SATA A) History of uterine atony B) Vacuum assisted birth C) Labor induction with oxytocin D) Normal weight E) History of HPV A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take? A) Position the client in a knee-chest position B) Give terbutaline subcutaneously C) Apply oxygen via nonrebreather face mask D) Administer a bolus infusion of lactated Ringer's A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks gestation. Which of the following findings requires an intervention by the nurse? A) Uterine contractions lasting 20 to 30 seconds each B) An FHR that peaks 20 beats above baseline C) Three uterine contractions within a 20-minute period D) One acceleration of the FHR within a 20-minute period A nurse is caring for a client who had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect? A) Fetal bradycardia B) Maternal hypertension C) Decreased ability to bear down D) Uterine hyperstimulation A nurse is assessing a client who is requesting a combined oral contraceptive. Which of the following findings should indicate to the nurse that the client has a contraindication? A) The client is breastfeeding her 4-week-old newborn B) The client is 25 years old C) The client weighs 115 kg D) The client drinks 240 ml of wine a day A nurse is admitting a client to the birthing unit who reports contractions started 1 hour ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions? A) Postpartum hemorrhage B) Incompetent cervix C) Ectopic pregnancy D) Hyperemesis gravidarum A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect? A) Increased muscle tone B) Jitteriness C) Petechiae D) Abdominal distension A nurse is caring for a client who has bladder distension following a vaginal birth. Which of the following actions should the nurse take first? A) Insert a urinary catheter B) Pour warm water over the client's perineum C) Assist the client to the bathroom D) Offer the client a sitz bath A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion? A) Elevated hCG B) Scant, bright red spotting C) Cervical dilation D) Slight abdominal cramps A nurse manager on the labor and deliver unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Information included in teaching? A) Mothers will receive prophylactic treatment with acyclovir prior to delivery B) Lesions are visible on the mother genitalia C) Transmission can occur via the saliva and urine of the newborn D) The infection requires that airborne precautions be initiated A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Highest in fiber content? A) Cabbage B) Oatmeal C) Asparagus D) Lentils A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? A) Expect two to four wet diapers every 24 hours B) Offer the newborn 30 ml of water between feedings C) Feed the newborn 5 to 10 minutes per breast D) Allow the baby to feed at east every 3 hours 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? A) Subconjunctival hemorrhage B) Rust stained urine C) Single [Show Less]