ati-maternal-retake-ati-proctored-level-3 Answers
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lOMoARcPSD|10866105
Maternal Retake #2: Level
... [Show More] 2-Corrected
1) Which of the following assessment findings in an infant should indicate to a nurse that suctioning of the nasopharynx is needed?
A) The infant is beginning to cough
B) The newborns pulse oximetry is 91
C) The infant's respiratory rate is 32/min.
D) The infant's respiratory rate is irregular
2) A nurse is providing teaching to a postpartum client who has type 1 diabetes and is breastfeeding her newborn. Which of the following instructions should the nurse give to the client?
A) Take more insulin with each meal that you did prior to pre pregnancy
B) Maintain scheduled mealtimes for yourself
C) Check your blood glucose levels every 8 hours
D) Limit your carbohydrate intake to 30 grams per day
3) A nurse is assessing the reflexes of a term newborn. After placing the newborn in a supine position, which of the following would the nurse use to elicit the Moro reflex
A) Turn the newborn’s head to one side
B) Make a loud noise above the newborn
C) Tap the newborns forehead with a finger
D) Touch the newborns cheek with a finger
4) A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
A) Give the newborn 1 oz of glucose water every 4 hours
B) Apply a thin layer of lotion to the newborns skin every 8 hours
C) Dress the newborn in a thin layer of clothing during the therapy
D) Ensure the newborns eyes are closed beneath the shield
5) A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse asses first?
A) A client who has hyperemesis gravidarum and a sodium level of 110
B) A client who has preeclampsia and a creatine level of 1.1
C) A client who has diabetes mellitus and an HbA1c of 5.8
D) A client who has placenta previa a hematocrit of 36
6) A nurse is performing a nonstress test on a client who is at 35 weeks of gestation and has diabetes. The test reveals no accelerations of the fetal heart rate for 20 minutes. Which of the following actions should the nurse take?
A) Perform vibroacoustic stimulation
B) Collect a specimen for an indirect Coomb’s test
C) Conduct a vaginal exam
D) Place the client in the Trendelenburg position
7) A nurse is preparing to administer gentamycin 2 mg/kg Im to a client who has pelvic inflammatory disease and weighs 132 lb. Available is gentamycin injection 40 mg/ml. How many ml should the nurse administer? 3 mL
8) A nurse is caring for a client who is 1-day post-partum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
A) Have the client limit the length of breastfeeding to 5 minutes per breast
B) Assess the newborns latch while breastfeeding
C) Offer supplemental formula between the newborn’s feedings
D) Instruct the client to wait 4 hours between daytime feedings
9) A nurse is admitting a client who is in active labor and has had two prior cesarean births. The nurse should identify that the client is at an increased risk for which of the following complications?
A) Uterine rupture
B) Precipitous labor
C) Failure to progress
D) Abruptio placentae
10) A nurse is caring for a 2-day old newborn who was born at 35 weeks gestation. Which of the following actions should the nurse take?
A) Measure the abdominal circumference at the level of the newborn’s umbilicus every 12 hours
B) Provide the newborn with an iron rich formula containing vitamin b12 every 12 hours
C) Administer nitric oxide inhalation therapy to the newborn
D) Insert an orogastric decompression tube with low suction
11) A nurse in a clinic is caring for a client who is in her second trimester of pregnancy. The client expresses concerns about preparing her 2-year-old for a new sibling.
A) Move your toddler to his new bed 2 months before the baby comes home
B) Avoid bringing your toddler to prenatal visits
C) Require scheduled interactions between the toddler and the baby
D) Let your toddler see you carry the baby into the home for the first time
12) A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses. Which of the following instructions should the nurse manager include in the teaching?
A) Place newborn bassinets at least 3 feet apart
B) Maintain airborne precautions
C) Allow parents to enter the nursery if wearing a mask
D) Place the newborns foot on a sterile field during a heel stick
13) A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client’s blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse expect?
A) Placenta Previa
B) Amniotic fluid embolism
C) Uterine rupture
D) Umbilical cord prolapse
14) A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes. Which of the following medications should the nurse expect to administer?
A) Nifedipine
B) Chlorpromazine
C) Glyburide
D) Levothyroxine
15) Identify the sequence the nurse should follow when performing suction w/ a bulb syringe. (Use all the steps)
1) assess the newborn for reflex bradycardia
2) compress the bulb syringe
3) place bulb in mouth
4) use the bulb syringe to suction nose
16) 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?
A) Urine protein of 3+
B) Deep tendon reflexes of 2+
C) Hemoglobin 13
D) Blood glucose 110
17) A nurse is admitting a client who is at 38 weeks gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. Which of the following actions should the nurse take first?
A) Request that the provider insert an intrauterine pressure catheter
B) Initiate oxytocin via continuous IV infusion
C) Place the client in a left lateral position
D) Exert continuous upward pressure on the presenting parts
18) A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?
A) An urge to have a bowel movement during contractions
B) Progressive sacral discomfort during contractions
C) A sense of excitement and warm, flushed skin
D) Intense contractions lasting 45 to 60 seconds
19) A charge curse is teaching a newly licensed nurse about Rh immune globulin administration. Which of the following should the charge nurse include as an indication for the administration of Rh immune globulin?
A) Hyperemesis gravidarum
B) Rh-positive blood test results
C) Prescription for amniocentesis
D) Anemia
20) A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?
A) LLQ
B) LUQ
C) RLQ
D) RUQ
21) A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?
A) Temperature 36.5 degrees C (97.7 degrees F)
B) Blood pressure 80/50 mm Hg
C) Respiratory rate 55/min
D) Heart rate 72/min
22) A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following?
A) Decreased maternal hormones during pregnancy
B) Congenital anomaly
C) Preterm gestational age
D) Ambiguous secondary sex characteristics
23) A nurse is reviewing the medical records of a client who had a vaginal delivery 3 hours ago. Which of the 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
24) 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
25) 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
26) 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 [Show Less]