ATI Maternal newborn proctored exam
multiple choice questions with explained
answers A+ Guaranteed.
A nurse is teaching a client who has a new
... [Show More] prescription for
combined oral contraceptives about potential adverse effects of
the medication. For which of the following findings should the
nurse instruct the client to notify the providers?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
The correct answer is 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?
A. Increased fetal movement
B. Leakage of fluid from the vagina
C. Upper abdominal discomfort
D. Urinary frequency
The correct answer is 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
Nacelle’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?
The correct answer is Answer: September 3rd
When using Nacelle’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 3months equals August 27th. August 27th plus 7days 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?
A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP)
D. Chorionic villus sampling (CVS)
The correct answer is A Percutaneous umbilical blood sampling
Percutaneous umbilical blood sampling, commonly called
cordocentesis, is the most common method used for fetal
blood sampling and transfusion. This is not a diagnostic test
used for clients who have a positive contraction stress test.
A nurse is teaching a new parent about newborn safety. Which of
the following instructions should the nurse include in the
teaching?
A. "You can share your room with your baby for the next few
weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your
hand."
D. "Your baby can nap in the car seat during the daytime."
The correct answer is 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?
A. Apply sacral counter-pressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
The correct answer is A. Apply sacral counter-pressure.
The nurse should apply sacral counter-pressure 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?
A. Cover the newborn's eyes while under the phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy light.
C. Apply a light moisturizing lotion to the newborn's skin.
D. Turn and reposition the newborn every 4hrs while undergoing
phototherapy.
The correct answer is 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?
A. Place a rolled towel beneath one of the client's hips.
B. Apply internal upward pressure to the presenting part using two
gloved fingers.
C. Administer oxygen to the client via a nonrebreather mask at 10
L/min.
D. Increase the IV infusion rate.
The correct answer is B. Apply internal upward pressure to the
presenting part using two gloved fingers.
Apply internal upward pressure to the presenting part using two
gloved fingers.
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)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature
The correct answer is A. Flaccid uterus- Oxytocin increases the
contractility of the uterus.
A nurse is caring for a client who is at 32wks gestation and is
experiencing preterm labor. What meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. Poractantalfa
d. methyl-ergonovine
The correct answer is 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
The correct answer is 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
The correct answer is 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
The correct answer is a. renal agenesis
A nurse is assessing a client who is at 37wks gestation and has a
suspected pelvic fracture due to blunt a b d trauma. What findings
should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
The correct answer is 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 12wks 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
The correct answer is b. dark brown vaginal discharge
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 24hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92
The correct answer is a. 480 mL urine output in 24hrs
When using the urgent vs. non-urgent approach to client care, the
nurse should determine that the priority finding is 480 mL of urine
output in 24hrs 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 12wks 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
The correct answer is d. you should continue to take
zidovudine throughout the pregnancy
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
can be transmitted through breastfeeding
she can continue to have sex. [Show Less]