ATI RN Proctored Maternal Newborn Form A Questions and answers 100 % verified
1. A client and her partner ask the nurse for information about permanent
... [Show More] contraception. Which of the following statements should the nurse include in the counseling?
a. "A woman should use contraception for 1 to 2 months after a tubal ligation."
b. "Most sterilization procedures are considered irreversible"
c. "A man is usually sterile immediately after a vasectomy,"
d. "The menstrual cycle is shorter after a tubal ligation."
2. A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?
a. Swaddle the newborn in a flexed position.
b. Weigh the newborn every other day.
c. Increase the newborn's visual stimulation.
d. Discourage parental interaction until after a social service evaluation.
3. A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
a. Lentils
b. Oatmeal
c. Cabbage
d. Asparagus
4. A nurse is teaching a client who is pregnant about a new prescription for iron supplements. Which of the following instructions should the nurse include in the teaching?
a. Take an extra pill if you miss a dose.
b. Increase intake of foods rich in vitamin C.
c. Report black stools to the provider.
d. Drink 8 oz of milk with each pill.
5. A nurse is caring for a preterm newborn immediately after delivery. Which of the following actions should the nurse take first?
a. Take the infant's temperature.
b. Dry the infant under a radiant warmer.
c. Weigh the infant.
d. Obtain the infant's blood glucose level.
6. A nurse is discussing family planning with a client who has a history of deep-vein thrombosis. The nurse should inform the client that this condition is a contraindication for which of the following birth control methods?
a. Oral contraceptive
b. Cervical cap
c. Diaphragm
d. Intrauterine device
7. A nurse is teaching a client who is postpartum about car seat safety. Which of the following statements indicates an understanding of the instructions?
a. "I will make sure the retainer clip is at the level of my baby's abdomen."
b. "1 will position the car seat in the front passenger seat facing the front of the car."
c. "I will adjust the angle of the car seat so that my baby sits at a 90-degree angle."
d. "I will place the shoulder harness slightly below my baby's shoulders."
8. A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal abstinence syndrome. Which of the following findings indicates narcotic withdrawal?
a. Hypotonia
b. Respiratory rate 50/min
c. Unequal pupils
d. Excessive crying
9. A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex?
a. Make a loud noise above the newborn.
b. Touch the newborn's cheek With a finger.- (rooting reflex)
c. Turn the newborn's head to one side.
d. Tap the newborn's forehead with a finger.
10. A nurse is providing teaching to a client who is postpartum about car seat safety. Which of the following statements by the client indicates an understanding of the teaching?
a. "I will put my baby facing forward in the middle of the back seat of the car. "
b. "I will ensure that my baby is positioned at a 45-degree angle in the car seat.
c. "I will fasten the harness clip 1 inch above my baby's underarms. "
d. "I will swaddle my baby in a blanket before placing her in the car seat."
11. A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following statements by the client indicates an understanding of the teaching?
a. "I should apply warm compresses after the feeding."
b. "1 should apply lanolin to the infection site daily."
c. "I should use a nipple shield while breastfeeding.'
d. "I should stop breastfeeding until the infection has healed." (continue to breastfeed)
12. A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?
a. "You should name the baby so she can have an identity."
b. "If you don't hold the baby, it will make letting go much harder,"
c. "You can bathe and dress your baby if you'd like to."
d. "I'm sure you will be able to have another baby when you're ready."
13. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
a. Erythema toxicum
b. Facial petechiae
c. Periauricular papilloma’s
d. Telangiectatic nevi
14. A charge nurse is discussing sexually transmitted infections with a newly licensed nurse. Which of the following infections should the nurse include in the teaching as an indication for a cesarean birth?
a. Chlamydia
b. HIV (Also Heb B)
c. Gonorrhea
d. Syphilis
15. A nurse is reviewing the medication prescriptions for a newborn who is 6 hrs. old and whose mother is HBsAg-positive. The nurse should anticipate administering which of the following medications?
a. Hepatitis A immune globulin
b. Hepatitis B immune globulin
c. Hemophilus influenzae type 3 vaccine
d. Hepatitis A vaccine
16. A nurse is assessing a client immediately following the placement of an epidural. The nurse obtains a maternal blood pressure of 96/54 mm Hg and a fetal heart rate of 102/min. Which of the following actions should the nurse take?
a. Prepare the client for an amnioinfusion.
b. Position the client in a lateral position.
c. Place the client in knee-chest position.
d. Administer naloxone to the client.
17. A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?
a. Dress the newborn in lightweight clothing.
b. Keep the newborn supine throughout treatment.
c. Avoid using lotion or ointment on the newborn's skin.
d. Measure the newborn's temperature every 8 hr.
18. A nurse on the labor and delivery unit is caring for a client who is at 33 weeks of gestation and was admitted with placenta previa. Which of the following interventions should the nurse include in the client's plan of care?
a. Routine vaginal exams
b. A nonstress test twice weekly
c. Administration of magnesium sulfate
d. Ambulation as tolerated
19. A nurse is admitting a client who is in preterm labor to the labor and delivery unit. The nurse should anticipate which of the following tests to assess for fetal lung maturity?
a. Direct Coombs' test
b. Lecithin/sphingomyelin ratio (L/S)
c. Biophysical profile
d. Chorionic villus sampling (CVS)
20. A nurse is caring for a client who is in labor and is prescribed an amnioinfusion. Which of the following findings is an indication for this procedure?
a. Increased uterine tone
b. Fetal macrosomia
c. Variable decelerations
d. Early decelerations [Show Less]