ATI MATERNITY Study Guide 1. A nurse is caring for an infant who begins displaying manifestations of neonatal abstinence syndrome (NAS). Which of the
... [Show More] following actions should the nurse take? - Avoid eye contact during feedings 2. A nurse is teaching a client about squatting exercises during pregnancy. Which of the following statements should the nurse include? - 3. A nurse is caring for a client at 39 weeks gestation who is in the active phase of labor. The nurse observes late decelerations in the fatal heart rate. Which of the following findings should the nurse identify as the cause of late decelerations? - 4. A nurse is caring for a client in the third trimester of pregnancy who reports difficulty sleeping. Which of the following instructions should the nurse provide? - 5. A nurse is teaching a female client about nutrition during pregnancy. Which of the following instructions should the nurse include in the teaching? - 6. A nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving to his wife since the pregnancy was announced several weeks ago. Which of the following responses should the nurse make? - 7. A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - 8. A nurse is teaching a parent how to care for his newborn’s circumcision site. Which of the following client statements indicates an understanding of the teaching? - 9. A nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of the following instructions should the nurse include in the teaching? - 10. A nurse is teaching a client during the clients first prenatal visit. Which of the following instructions should the nurse include? - 11. A nurse is preparing to perform Leopold maneuvers on a client who is in labor. Which of the following actions should the nurse plan to take? - 12. A nurse is assessing a 2-day old newborn and notes an egg shaped, edematous. Bluish discoloration that does not cross the suture line. Which of the following pieces of information should the nurse provide to the mother when she asks about this finding? - 13. A nurse is teaching a client who is postpartum and breastfeeding. Which of the following statements should the nurse include? - 14. A nurse is reviewing the laboratory findings for 4 clients. Which of the following infections should be reported to the public health department? - 15. A nurse is assessing an 18-hour old newborn. Which of the following findings should be reported to the provider? - 16. A nurse is assessing a newborn and notes an axillary temperature of 96.9 degrees F (36 degree C). which of the following actions should the nurse perform? - 17. A nurse is caring for a client who is in active labor and whose birth plan requests only nonpharmacological pain relief strategies. Which of the following strategies should the nurse offer as a form of cutaneous stimulations? - 18. A nurse is monitoring a newborn who is receiving phototherapy. The nurse should identify which of the following findings as requiring intervention? - 19. A nurse is assessing the respiratory status of a newborn who was born 2 hours ago. Which of the following findings should the nurse identify as a manifestation of respiratory distress? - 20. A nurse in a provider’s office is caring for a client who is in the first trimester of pregnancy. Which of the following psychological tasks should the nurse expect the client to accomplish during this trimester? - 21. The parents of a child with phenylketonuria 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? - 22. A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of the following findings should the nurse report to the provider? - 23. A nurse is caring for a client who experienced a fetal loss. When initiating communication with this client. Which of the following statements should the nurse make? - 24. A nurse is assessing a client who is at 35 weeks gestation and has mild gestational hypertension. Which of the following findings should the nurse identify as the priority? - 25. A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta? - 26. A nurse is caring for a client who has a BMI of 22.6 and expresses concern about weight gain during pregnancy. Which of the following responses should the nurse make? - 27. A nurse is determining an Apgar score for a newborn who was born 1 minute ago. For which of the following findings should the nurse assign a score of 1? - 28. A nurse is caring for a client who is 12 hour postpartum. Which of the following interventions should the nurse implement? - 29. A nurse in the labor and delivery suite is planning care for a group of 4 clients. Which of the following clients should the nurse see first? - 30. A nurse is caring for a client at 37 weeks gestation who is undergoing a nonstress test. The fetal heart rate is 130/min without acceleration for the past 10 min. which of the following actions should the nurse take? - 31. A nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the medication in relation to the central nervous system? - 32. A nurse is providing care for a pregnant adolescent who is at 12 weeks gestation and verbalizes a fear of gaining weight during pregnancy. Which of the following actions should the nurse take? - 33. A nurse is providing care to a client who is 2 hours postpartum and is receiving an oxytocin iv. The client asks the nurse, “why is there so little bleeding”? which of the following responses should the nurse make? - 34. A nurse is teaching a client who is at 12 weeks gestation and has human immunodeficiency virus. which of the following statement should the nurse include in the teaching? - 35. A nurse is caring for a client who is pregnant and whose last menstrual period began on April 8th. using Naegele’s rule, which of the following dates would be the clients estimated date of birth (Estimated date of birth)? - 36. A nurse is preparing to administer routine medications to a newborn following birth. Which of the following actions should the nurse take? - A nurse is discussing risk factors for necrotizing enterocolitis in the newborns with a newly licensed nurse. Which of the following risks factors should the nurse include? - 38. A nurse is reviewing the laboratory findings of a 24-hour old newborn. Which of the following findings should the nurse report to the provider? - 39. A nurse is assessing the Moro response of a newborn. Which of the following findings should the nurse expect? - 40. A nurse is caring for a newborn who has a prescription of phototherapy. The mother asks why the newborn needs to lay under a special light. Which of the following responses should the nurse make? - 41. A nurse is caring for a client who recently gave birth and plans to breastfeed. Which of the following actions should the nurse take? - 42. A nurse is preforming a physical assessment of a newborn. Which of the following actions should the nurse take? - 43. A nurse is caring for a newborn who has neonatal abstinence syndrome. Which of the following clinical findings should the nurse expect? - 44. A nurse is assessing a client at 37 weeks gestation who has a suspected pelvic fracture due to blunt abdominal trauma. Which of the following findings should the nurse expect? - 45. A nurse is planning care for a newborn who was born at 30 weeks gestation. The nurse should plan to assess the newborn for which the following potential complications associated with prematurity? - 46. A nurse is assessing a 4-hour old newborn prior to breastfeeding and notes hands and feet that are cold and slightly blue. Which of the following actions should the nurse take? - 47. A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of the following actions? - 48. A nurse is testing the reflexes of a newborn to assess neurological maturity. Which of the following reflexes is the nurse assessing by quickly and gently turning the newborn’s head to one side? - 49. A nurse is caring for a client who is in labor and is receiving an infusion of oxytocin. The nurse should monitor the client for which of the following potential adverse effect? - 50. A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following pieces of information should the nurse include about the hepatitis B immunization? - [Show Less]