Maternal Newborn Practice 2016 ATI questions and answers 100% correct
A nurse in a woman's health clinic is providing teaching about nutritional intake
... [Show More] to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients?
A. Calcium
B. Vitamin E
C. Iron
D. Vitamin D Correct Answer: C. Iron
The recommendation for iron intake during pregnancy is higher than that for women who are not pregnant. For women who are pregnant, it is 27mg/day. For women who are not pregnant, it is 15mg/day for women younger than 19 years old and 18mg/day for women between the ages of 19 and 50 years old
A nurse is caring for a client who has uterine hypotonicity 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. Correct Answer: B. Massage the client's fundus
Uterine hypotonicity and postpartum hemorrhage indicate that this client is at the greatest risk for hypovolemic shock. This can compromise the perfusion to the client's vital organs, causing death to occur. Therefore, the nurse's priority is to massage the client's fundus in order to minimize blood loss.
A nurse is providing discharge teaching to a parent whose newborn has just had circumcision. Which of the following instructions should the nurse include?
A. Apply slight pressure with sterile gauze pad for mild bleeding
B. Inspect the circumcision site every 6 to 8 hours
C. Use baby wipes containing alcohol to cleanse the penis with each diaper change.
D. Remove yellow exudate daily using a warm, wet washcloth. Correct Answer: A. Apply slight pressure with a sterile gauze pad for milk bleeding
The nurse should instruct the client to attempt to stop mild bleeding by applying pressure with sterile gauze. If bleeding continues, the client should notify the provider
A nurse is teaching about effective breastfeeding to a client who is 3 days postpartum. Which of the following information should the nurse include?
A. "Your milk will replace colostrum in about 10 days."
B. "Your breasts should feel firm after breastfeeding."
C. "Your newborn should urinate at least 10 times per day."
D. "Your newborn should appear content after each feeding." Correct Answer: D. "Your newborn should appear content after each feeding."
The nurse should inform the client that a baby who is sated will appear content after feedings. A baby who continues to show indications of hunger (for example, rooting, sucking, on the hands, or crying) might not be effectively emptying the breasts during feedings.
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
A. "I should have a goal of maintaining my fasting blood glucose between 100 and 120."
B. "I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater."
C. "I will continue taking my insulin if I experience nausea and vomiting."
D. "I will ensure that my bedtime snack is high in refined sugar." Correct Answer: C. "I will continue taking my insulin if I experience nausea and vomiting."
The nurse should teach the client to continue to take her insulin as prescribed during illness to prevent hypoglycemic and hyperglycemic episodes
A nurse is discussing the difference between true labor and false labor with a group of expectant parents. Which of the following characteristics should the nurse include when discussing true labor?
A. Contractions become stronger with walking
B. Discomfort can be suppressed with a back massage
C. Contractions becoming irregular with a change in activity
D. Discomfort is felt above the umbilicus Correct Answer: A. Contractions become stronger with walking
The contractions that occur during true labor become stronger and more regular with a change in activity, such as walking.
A nurse is teaching a group of parents about newborn safety. Which of the following statements by a parent indicates an understanding of the teaching?
A. "I will put a bib on my baby at night to keep her clothing dry."
B. "I will cover the crib mattress with plastic to prevent staining."
C. "I will warm my baby's formula using the lowest setting in the microwave."
D. "I will dress my baby in flame-retardant clothing." Correct Answer: D. "I will dress my baby in flame-retardant clothing."
The parents should dress their newborns in flame-retardant clothing to prevent injury.
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
A. Decreased platelet count
B. Increased erythrocyte sedimentation rate (ESR)
C. Decreased megakaryocytes
D. Increased WBC Correct Answer: A. Decreased platelet count
a client who has ITP has an autoimmune response that results in a decreased platelet count
A nurse is caring for a newborn who was transferred to the nursery 30 minutes after delivery. Which of the following actions should the nurse take first?
A. Confirm the newborn's Apgar score
B. Verify the newborn's identification
C. Administer vitamin K to the newborn
D. Determine obstetrical risk factors Correct Answer: B. Verify the newborn's identification
When using the safety/risk reduction approach to client care, the first action the nurse should take is to verify the newborn's identity upon arrival to the nursery
A nurse is assessing a client who is in active labor and notes early decelerations in the FHR on the monitor tracing. The client is at 39 weeks of gestation and is receiving a continuous IV infusion of oxytocin. Which of the following actions should the nurse take?
A. Discontinue the oxytocin infusion
B. Continue monitoring the client
C. Request that the provider assess the client
D. Increase the infusion rate of the maintenance IV fluid Correct Answer: B. Continue monitoring the client
Early decelerations in the FHR are considered benign. Early decelerations occur due to compression of the fetal head during contractions, vaginal examinations, and pushing during the second stage of labor. No interventions are necessary for early decelerations. Therefore, the nurse should continue to monitor the client.
A nurse in a provider's office is reviewing the medical record of a client who is in her first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia?
A. Singleton pregnancy
B. BMI of 20
C. Maternal age 32 years
D. Pregestational diabetes mellitus Correct Answer: D. Pregestational diabetes mellitus
Pregestational diabetes mellitus increases a client's risk for the development of preeclampsia. Other risk factors include preexisting hypertension, renal disease, systemic lupus erythematosus, and rheumatoid arthritis
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 Correct Answer: A. Hypertension
The nurse should recognize that carboprost is a vasoconstrictor that can cause hypertension.
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 4 hour while undergoing phototherapy Correct Answer: 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 caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 minutes apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9cm. The nurse should identify that the client is in which if the following phases of labor? [Show Less]