Maternal Newborn ATI A 1. A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings sho
... [Show More] uld the nurse expect? a. Reports increased urinary output b. Diaphoresis c. Reports blurred vision d. Shallow respirations 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? a. Administer penicillin G 2.4 million units IM to the client b. Instruct the client to schedule an annual pelvic examination c. Tell the client she will start medication for HIV immediately after delivery d. Report the client’s condition to the local health department 3. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? a. Depression b. Polyuria c. Hypotension d. Urticaria 4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? a. “I can administer oxytocin 4 hours after the insertion of the medication” b. “You will need a full bladder prior to the insertion of the medication” - no need to empty bladder first c. “Remain in a side-lying position for 15 minutes after the medication is inserted” d. “An antacid will be given 20 minutes prior to the insertion of the medication” 5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? a. Administer antiviral medication b. Schedule an ultrasound examination c. Administer Hemophilus influenza type b vaccine d. Schedule an indirect Coombs’ test 6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? a. Apply a cool back for 10 minutes to the heel prior to the puncture b. Request a prescription for IM analgesic c. Use a manual lace blade to pierce the skin d. Place the newborn skin to skin on the mother’s chest 7. 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? a. Insert two gloved fingers into the vagina and apply upward pressure to the presenting part b. Wrap the visible cord tightly with sterile, dry gauze c. Apply oxygen to the client at 2 L/min via nasal cannula d. Place the client in the lithotomy position and apply fundal pressure 8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption? Which of the following laboratory tests should the nurse expect the provider to prescribe? a. Kleihauer-Betke test b. Progesterone serum level c. Lecithin/sphingomyelin (L/S) ration d. Maternal Alpha-fetoprotein (AFP) 9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? a. Abruptio placenta b. Placenta previa c. Preeclampsia d. Maternal bradycardia 10. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? a. 2 deep tendon reflex b. Proteinuria of 200mg in a 24-hr specimen c. Polyuria d. Blurred vision 11. A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family’s 7-year-old child in accepting the new family member? a. Allow the sibling to hold the newborn during a bath b. Make sure the sibling kisses the newborn each night c. Obtain a gift from the newborn to present to the sibling d. Switch the sibling’s room with the nursery 12. A nurse is assessing a client who is receiving morphine via IV bolus following a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer? a. Fentanyl b. Butorphanol c. Naloxone d. Meperidine 13. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? a. “I should increase my protein intake to 60 grams each day” b. “I should drink 2 liters of water each day” c. “I should increase my overall daily caloric intake by 300 calories” d. “ I should take 600 micrograms of folic acid each day” 14. A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? a. Acrocyanosis b. Transient strabismus c. Jaundice d. Caput succedaneum 15. A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior? a. Lays the newborn across her lab and gently sways b. Places the newborn in the crib in a prone position c. Offers the newborn a pacifier dipped in formula d. Prepares a bottle of formula mixed with rice and cereal 16. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? a. “obtain an informed consent prior to obtaining the specimen” b. “collect at least 1 milliliter of urine for the test” c. “ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen” d. “premature newborns may have false negative tests due to immature development of the liver enzymes” 17. A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse’s priority? a. Check the client’s capillary refill b. Massage the client’s fundus c. Insert an indwelling urinary catheter for the client d. Prepare the client for a blood transfusion 18. A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestation should the nurse expect? Select all that apply a. Yellow sclera b. Acrocyanosis c. Posterior fontanel larger than the anterior fontanel. - no anterior bigger than posterior d. Positive Babinski reflex e. Two umbilical arteries visible 19. A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions? a. Wipe the newborn’s eyes from the inner canthus outward b. Wash the newborn’s neck by lifting the newborn’s chin c. Cleanse the skin around the newborn’s umbilical cord stump d. Wash the newborn’s legs and feet e. Clean the newborn’s diaper area 20. A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? a. Hypertension b. Hypothermia c. Constipation d. Muscle weakness 21. A nurse is caring for a client who is 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? a. Five the client orange juice b. Elevate the client’s legs c. Have the client change positions - d. Establish IV access 22. A nurse is caring for a client who is 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? a. Determine progression of dilation and effacement b. Perform Leopold’s maneuvers - c. Complete a sterline speculum exam d. Prepare a nitrazien paper test 23. A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first? a. A client who is at 11 weeks of gestation and reports abdominal cramping - b. A client who is at 15 weeks of gestation and reports tingling and numbness in right hand c. A client who is at 20 weeks of gestation and reports constipation for the past 4 days d. A client who is 8 weeks of gestation and reports having three bloody noses in the past week 24. A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications? a. Excessive bleeding b. Oligohydramnios c. Premature rupture of membranes - d. Proteinuria 25. A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? a. A newborn who is 26 hr old and has erythema toxicum on his face b. A newborn who is 32 hr old and has not passed a meconium stool c. A newborn who is 12 hr old and has pink-tinged urine d. A newborn who is 18 hr old and has an axillary temperature of 37.7 C (99.9 F) 26. A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take? a. Administer aspirin for pain b. Maintain the client on bed rest- c. Massage the affected leg every 12 hours d. Apply cold compresses to the affected calf 27. A nurse is providing discharge teaching to a client who has a cesarean birth 3 days ago. Which of the following instructions should the nurse include? a. “you can resume sexual activity in 1 week” b. “you won’t need to do Kegel exercises since you had a cesarean” c. “you can still become pregnant if you are breastfeeding” - d. “you are safe to start adding sit-ups to your exercise routine in 2 weeks” 28. A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? a. Heart rate 154/min b. Axillary temperature 36 c. Respiratory rate 58/min d. Length 43 cm e. Weight 2,600 g (5 lb 12 oz) 29. A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? a. Deep tendon reflexes 4 b. Fundal height 14 cm c. Urine protein 2 d. FHR 152/min 30. A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider? a. Hemoglobin 10g/dL b. WBC count 10,000/mm3 c. Platelets 250,000/mm3 d. Fo use alternative positions for sexual intercourse” c. “I’m glad I had a breast reduction years ago, so they will not enlarge with my pregnancy” d. “I’m glad I have a light complexion and will not get any stretch marks” 49. A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the following outcomes should the nurse expect? a. Decreased uterine contractions b. An increase in the client’s hemoglobin levels c. A reduction in respiratory distress in the newborn d. Increased production of antibodies in the newborn 50. A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity? a. Calcium gluconate b. Hydralazine c. Medroxyprogesterone acetate d. Methylergonovine 51. A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects? a. Client reports nausea b. Urinary output of 40 mL/hr c. Respiratory rate 10/min d. Client reports feeling flushed 52. A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the following oxytocin infusion and should be reported to the provider? a. Late decelerations b. Moderate variability of the FHR c. Cessation of uterine dilation d. Prolonged active phase of labor 53. A nurse is teaching a client who [Show Less]