ATI PRACTICE B MATERNAL NEWBORN Questions and answers, Graded A+, 2022.

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ATI PRACTICE B MATERNAL NEWBORN Questions and answers, Graded A+, 2022. A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of... the medication. For which of the following findings should the nurse instruct the client to notify the provider? A. Shortness of breath B. Breakthrough bleeding C. Vomiting D. Breast tenderness - ✔✔A. Shortness of breath A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication? A. Increased fetal movement B. Leakage of fluid from the vagina C. Upper abdominal discomfort D. Urinary frequency - ✔✔B. Leakage of fluid from the vagina A nurse is calculating a client's expected date of birth using Nagele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth? - ✔✔September 3rd A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client? A. Percutaneous umbilical blood sampling B. Amnioinfusion C. Biophysical profile (BPP) D. Chorionic villus sampling (CVS) - ✔✔C. Biophysical profile (BPP) A nurse is teaching a new parent about newborn safety. Which of the following instructions should the nurse include in the teaching? A. "You can share your room with your baby for the next few weeks." B. "Cover your baby with a light blanket while sleeping." C. "Check the temperature of your baby's bath water with your hand." D. "Your baby can nap in the car seat during the daytime." - ✔✔A. "You can share your room with your baby for the next few weeks." A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take? A. Apply sacral counterpressure. B. Perform transcutaneous electrical nerve stimulation (TENS). C. Initiate slow-paced breathing. D. Assist with biofeedback. - ✔✔A. Apply sacral counterpressure. 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 hr while undergoing phototherapy - ✔✔A. Cover the newborn's eyes while under the phototherapy light. 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 next? A. Place a rolled towel beneath one of the client's hips. B. Apply internal upward pressure to the presenting part using two gloved fingers C. Administer oxygen to the client via a nonrebreather mask at 10 L/min D. Increase the IV infusion rate. - ✔✔B. Apply internal upward pressure to the presenting part using two gloved fingers A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (SATA) A. Flaccid uterus B. Cervical laceration C. Excess vaginal bleeding D. Increased afterbirth cramping E. Increased maternal temperature - ✔✔A. Flaccid uterus. C. Excess vaginal bleeding A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make? A. "The nurse will carry your newborn to the nursery for procedures." B. "We will document the relationship of visitors in your medical record." C. "Your baby will stay in the nursery while you are asleep." D. "Staff members who take care of your baby will be wearing a photo identification badge." - ✔✔D. "Staff members who take care of your baby will be wearing a photo identification badge." A nurse is assessing the newborn of a client who took selective serotonin reuptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI? A. Large for gestational age B. Hyperglycemia C. Bradypnea D. Vomiting - ✔✔D. Vomiting A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart? A. Left upper quadrant B. Right upper quadrant C. Left lower quadrant D. Right lower quadrant - ✔✔C. Left lower quadrant A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse include? A. Insert the syringe tip before compressing the bulb. B. Suction each of the nares before suctioning the mouth. C. Insert the tip of the syringe into the center of the newborn's mouth. D. Stop suctioning when the newborn's cry sounds clear. - ✔✔D. Stop suctioning when the newborn's cry sounds clear. A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider? A. Hct 39% B. Serum albumin 4.5 g/dL C. WBC 9,000/mm3 D. Platelets 50,000/mm3 - ✔✔D. Platelets 50,000/mm3 A nurse is performing a newborn assessment. Which of the following images should the nurse identify as an indication of spina bifida occulta? - ✔✔ A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? A. A client who has gestational diabetes and a fasting blood glucose level of 120 mg/dL B. A client who is at 34 weeks of gestation and reports epigastric pain C. A client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL D. A client who is at 39 weeks of gestation and reports urinary frequency and dysuria - ✔✔B. A client who is at 34 weeks of gestation and reports epigastric pain A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicated an understanding of the teaching? A. "I will eat foods that taste good instead of balancing my meals." B. "I will avoid having a snack before I go to bed each night." C. "I will have a cup of hot tea with each meal." D. "I will eliminate products that contain dairy from my diet." - ✔✔A. "I will eat foods that taste good instead of balancing my meals." A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment? A. Discuss contraceptive options with the client and her partner. B. Repeat information to ensure client understanding. C. Listen to the client and her partner as they reflect upon the birth experience. D. Demonstrate to the client how to perform a newborn bath. - ✔✔D. Demonstrate to the client how to perform a newborn bath. A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? A. Swelling of the face B. Varicose veins in the calves C. Nonpitting 1+ ankle edema D. Hyperpigmentation of the cheeks - ✔✔A. Swelling of the face A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following findings should the nurse expect? A. Jitteriness B. Hypertonia C. Abdominal distention D. Mottling - ✔✔A. Jitteriness A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? A. "I will get injections of the medication once daily until my labor stops." B. "My blood sugar may be low while I'm on this medication." C. "I will have blood tests because my potassium might decrease." D. "My blood pressure may increase while I'm on this medication." - ✔✔C. "I will have blood tests because my potassium might decrease." A nurse is planning care for a client who is in labor and is having an amniotomy. Which of the following assessments should the nurse identify as the priority? A. O2 saturation B. Temperature C. Blood pressure D. Urinary output - ✔✔B. Temperature A nurse is planning discharge for a client who is 3 days postpartum. Which of the following non-pharmacological interventions should the nurse include in the plan of care for lactation suppression? A. Place warm, moist packs on the breasts. B. Apply cabbage leaves to the breasts. C. Wear a loose-fitting bra. D. Put green tea bags on the breasts. - ✔✔B. Apply cabbage leaves to the breasts. A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first? A. Determine respiratory function. B. Increase the IV fluid rate. C. Access emergency medications from cart. D. Collect a maternal blood sample for coagulopathy studies. - ✔✔A. Determine respiratory function 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." - ✔✔C. "I will continue taking my insulin if I experience nausea and vomiting." A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain? A. Decreased heart rate B. Chin quivering C. Pinpoint pupils D. Slowed respirations - ✔✔B. Chin [Show More]

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