Biology > STUDY GUIDE > ATI Maternal Newborn Study Guide,100% CORRECT (All)

ATI Maternal Newborn Study Guide,100% CORRECT

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A nurse on the postpartum unit is caring for a client following a cesarean birth. Which of the following assessments is the nurse’s priority? A nurse is caring for a client who is in labor and whos... e 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 nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take? A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests? 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 nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect? A nurse is assessing a newborn following circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain? A nurse is assessing the newborn of a client who took a 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 nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan? A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care? A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hours. Which of the following statements should the nurse make? A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next? A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of the following prescriptions? A nurse is caring for a client who is at 26 weeks gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client’s head to one side, which of the following actions should the nurse take immediately after the seizure? A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make? A nurse is providing discharge teaching to a client who is postpartum and was taking insulin for gestational diabetes mellitus. Which of the following instructions should the nurse include in the teaching? A nurse on an antepartum unit is caring for 4 clients. Which of the following clients should the nurse identify as the priority? 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? A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first? A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? A nurse in an Antepartal clinic is providing care for a client who is at 26 weeks gestation. Upon reviewing the client’s medical record, which of the following findings should the nurse report to the provider? A nurse is performing a routine assessment on a client who is at 18 weeks gestation. Which of the following findings should the nurse expect? A nurse is teaching a client who is Rh negative about Rh0(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching? . A nurse is caring for a client who is anemic at 32 weeks gestation and is in preterm labor. The provider prescribed betamethasone 12mg IM. Which of the following outcomes should the nurse expect? A nurse is teaching a client who is at 8 weeks gestation about exercise. Which of the following instructions should the nurse include in the teaching? A nurse is assessing a newborn 12 hours after birth. Which of the following manifestations should the nurse report to the provider? A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care? A nurse is teaching a client who is at 35 weeks gestation about clinical manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include? A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority? A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? A client who is at 34 weeks gestation asks the nurse how she will know when she is in labor and should go to the hospital. Which of the following responses should the nurse make? A nurse is caring for a client who is at 35 weeks gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take? A staff nurse on an obstetric unit is caring for a client who is scheduled for an induced abortion. The staff nurse informs the nurse manager that she has a moral issue with the client’s decision. Which of the following actions should the nurse manager take? A nurse in the antepartum clinic is assessing a client’s adaptation to pregnancy. The client states that she is, “happy one minute and crying the next.” The nurse should interpret the client’s statement as an indication of which of the following? A nurse is teaching a client who is at 10 weeks gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers. Which of the following images indicates the first step of Leopold maneuvers? ** ** A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the Doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)? A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states, “Administer 5 mcg IM once today.” Available is a 5 mL vial with 10 mcg/mL. How many mL should the nurse administer (rounded to the nearest tenth)? A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of the following findings should the nurse identify as a possible cause of the early decelerations? A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? A nurse is caring for a client who is 36 weeks gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound? 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 nurse is teaching a client who is pregnant about managing nausea and vomiting. Which of the following instructions should the nurse include in the teaching? A nurse is calculating a client’s expected date of birth using Naegele’s rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the clients expected date of birth? A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the following actions by the mother should the nurse recognize as positive parenting behavior? 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 nurse is reviewing the laboratory report of a client who is 24 hours postpartum following a vaginal delivery. Which of the following laboratory results should the nurse identify as an indication of a postpartum infection? A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression? A nurse is caring for a client following an amniocentesis at 18 weeks gestation. Which of the following findings should the nurse report to the provider as a potential complication? A nurse is teaching a new mother about newborn safety. Which of the following instructions should the nurse include in the teaching? A nurse is assessing a client who is at 30 weeks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse request the provider see first? A nurse is assessing a client who gave birth vaginally 12 hours ago and palpates her uterus to the right above the umbilicus. Which of the following interventions should the nurse perform? A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take? A nurse is providing teaching about comfort measures to a client who is breastfeeding and is experiencing engorgement. Which of the following nonpharmacological measures should the nurse include in the teaching? A nurse is teaching a new mother about steps the nurses will take to promote the security and safety of the newborn. Which of the following statements should the nurse make? A nurse is assessing a late preterm newborn. Which of the following clinical manifestations is an indication of hypoglycemia? A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching? 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 nurse is teaching a client who is 36 weeks gestation and has a prescription for a nonstress test. Which of the following statements should the nurse include in the teaching? A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia pupura (ITP). Which of the following findings should the nurse suspect? A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? 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 nurse is assessing a client who is in active labor and notes early decelerations in the FHR on the monitor tracing. The client is 39 weeks gestation and is receiving a continuous IV infusion of oxytocin. Which of the following actions should the nurse take? 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 nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect? A charge nurse on the postpartum unit is observing a newly licensed nurse who is preparing to administer pain medication to a client. The charge nurse should intervene when the newly licensed nurse uses which of the following secondary identifiers to identify the client? A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? A nurse is providing discharge teaching to a client who is postpartum. For which of the following clinical manifestations should the nurse instruct the client to monitor and report to the provider? A nurse is caring for a client who is 15 weeks gestation, Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse’s priority following the procedure? A nurse is admitting a client to the labor and delivery unit when the client states, “My water just broke.” Which of the following interventions is the nurse’s priority? A nurse is caring for a client who has recently experienced a perinatal death. Which of the following statements should the nurse make to the client? A nurse is assessing a client who is 38 weeks gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider? 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 nurse in a provider’s office is reviewing the medical record of a client who is in her first trimester. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care? A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding and has engorgement. The nurse should recommend the application of which of the following items? A nurse is providing prenatal teaching to a client who is 26 weeks gestation. Which of the following positions should the nurse recommend for the client to increase circulation to the placenta? A nurse is speaking with a client who is trying to make a decision about uterine tube occlusion. The client asks, “What effects will this procedure have on my sex life?” Which of the following responses should the nurse make? A nurse is discussing the differences 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 nurse is teaching a client who has pregestational type 1 diabetes about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which of the following clinical manifestations should the nurse expect? A nurse is teaching a client who is 24 weeks gestation regarding 1-hour glucose tolerance testing. Which of the following statements should the nurse include in her teaching? A nurse is assessing a newborn who is 12 hours old. Which of the following clinical manifestations requires intervention by the nurse? A nurse is caring for a client who is 22 weeks gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take? A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? A nurse is planning care for a client who is 24 weeks gestation and reports daily mild headaches. Which of the following instructions should the nurse include in the plan of care? A nurse is providing discharge teaching to a parent whose newborn has just had a circumcision. Which of the following instructions should the nurse include? A nurse is reviewing the medical record at 1800 for a client who is 34 weeks gestation. Based on the chart findings and documentation, the nursing plan of care should include which of the following actions? A nurse is developing a plan of care for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan? A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. Available is 20g magnesium sulfate in 500mL dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr? (Whole number) A nurse in a woman’s health clinic is providing teaching about nutritional intake to a client who is 8 weeks gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? A nurse is teaching clients in a prenatal class about the importance of taking folic acid during pregnancy. The nurse should instruct the clients to consume an adequate amount of folic acid from various sources to prevent which of the following fetal abnormalities? 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 nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? 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 is providing teaching for a client who gave birth 2 hours ago about the facility policy for newborn safety. Which of the following client statements indicate an understanding of the teaching? A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the nurse should follow. A nurse is assessing a full-term newborn 15 minutes after birth. Which of the following findings requires intervention by the nurse? A nurse is caring for a client who is 40 weeks gestation and in early labor. The client has a platelet count of 75,000/mm3 and is requesting pain relief. Which of the following treatment modalities should the nurse anticipate? A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching? A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2-3 minutes apart, each lasting 80-90 seconds, and a vaginal exam reveals her cervix is dilated to 9cm. The nurse should identify that the client is in which of the following phases of labor? A nurse is performing a vaginal exam on a client who is in labor and reports severe pressure and pain in the lower back. The nurse notes that the fetal head is in a posterior position. The nurse should identify that which of the following is the best nonpharmacological intervention to perform to relieve the client’s discomfort? A nurse is developing an educational program for adolescents about nutrition during the third trimester. Which of the following statements should the nurse include in the program? A nurse is planning care for a client who is 2 hours postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment? A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? 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 nurse is performing a physical assessment of a newborn upon administration to the nursery. Which of the following clinical manifestations should the nurse expect? A nurseproviding dietary teaching to a client who has hyperemesis gravidarum. Which of the following statements by the client indicates understanding of the teaching? 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 in order to assess the point of maximum intensity of the fetal heart? A nurse is providing discharge teaching to the parents of a newborn about using a car seat properly. Which of the following instructions should the nurse include? A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family’s 7 year old child in accepting the new family member? A nurse is assessing 4 newborns. Which of the following findings should the nurse report to the provider? A nurse is performing a vaginal exam for a client who is in active labor and reports back pain. The nurse determines that the client is 8cm dilated, 100% effaced, -2 station, and that the fetus is in the occiput posterior position. Which of the following actions should the nurse take? A nurse is assessing a client who is 12 hours postpartum. The client’s fundus is 2 fingerbreadths above the umbilicus, deviated to the right of midline, and less firm than previously noted. Which of the following actions should the nurse take? A nurse is assessing a client who is 26 weeks gestation. Which of the following manifestations should the nurse report to the provider? [Show More]

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