ATI Practice Assessment-Maternal Newborn Online Practice 2016 A & B | Maternal Newborn Online Practice 2016 A & B

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ATI Practice Assessment-Maternal Newborn Online Practice 2016 A & B Maternal Newborn Online Practice 2016 A 1) A nurse is caring for a full-term newborn immediately following birth. Which of the f... ollowing actions should the nurse take first? Dry the newborn-- cold stress on the newborn 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should pan to prepare the client for which of the following diagnostic tests? Biophysical profile-- eval of the fetus is necessary with a real-time ultrasound 3) 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 client who is at 11 weeks of gestation and reports abdominal cramping-- cramping could indicate an ectopic pregnancy and manifestations of a spontaneous abortion 4) A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? Step 1: Wipe the newborn's eyes from the inner canthus outward Step 2: Wash the newborn's neck by lifting the newborn's chin Step 3: Cleanse the skin around the newborn's umbilical cord stump Step 4: Wash the newborn's legs and feet Step 5: Clean the newborn's diaper area 5) A nurse is assessing a client who is at 30 weeks gestation during a routine prenatal visit. Which of the findings should the nurse report to the provider? Swelling of the face-- facial, sacral and hand swelling can indicate gestational hypertension or preeclampsia 6) 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 a positive parenting behavior? Lays the newborn across her lap and gently sways-- tactile stimulation promotes a sense of security for a newborn 7) A nurse is assessing a newborn 12 hours after birth. Which of the following manifestations should the nurse report to the provider? Jaundice 8) A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following instructions should the nurse include in the teaching? You should exercise for 30 minutes each day-- improves muscle tone 9) 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? Chin quivering-- behavioral responses like grimacing and furrowing of the brow could indicate pain in the newborn 10) 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? You should leave the diaphragm in place for at least 6 hours after intercourse 11) A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? I should take 600mcg of folic acid each day-- folic acid assists with preventing neural tube defects 12) 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? Bisacodyl rectal suppository daily as needed for constipation-- a suppository or enema could cause separation of the suture line, bleeding or infection 13) 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 client's expected date of birth? September 3rd-- subtract 3 months from the first day of the client's period, then add 7 days 14)A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states, "Administer 5mcg IM once today." Available is a 5mL vial with 10mcg/mL. How many mL should the nurse administer? 0.5mL 15) 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? Remove all clothing from the newborn except the diaper-- maximum skin exposer is needed to break down excess bilirubin 16) A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? A client who is at 34 weeks gestation and reports epigastric pain-- epigastric pain is a clinical manifestation of preeclampsia and indicates hepatic involvement 17) 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? Staff members who take care of your baby will be wearing a photo identification badge 18) A nurse is teaching a client who is at 35 weeks of gestation about clinical manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include? Headache that is unrelieved by analgesia-- unrelieved headache with meds may indicate preeclampsia 19) 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? I will have blood tests because my potassium might decrease-- adverse effect of terbutaline is hypokalemia 20) 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? Platelets 50,000mm3-- this value is below expected reference ranges with can indicate disseminated intravascular coagulation 21) A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? Schedule an ultrasound examination-- a series of ultrasounds are needed to detect the possible development of fetal hydrops 22) A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12mg IM. Which of the following outcomes should the nurse expect? A reduction in respiratory distress in the newborn-- betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent respiratory distress 23) 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? Determine respiratory function-- airway is always first to evaluate 24) A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound? - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - - - - - - - - - - - 48) 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? Demonstrate to the client how to perform a new born bath 49) A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has BMI within expected reference range. Which of the following client statements indicated an understanding of the teaching? I will likely need to use alternative positions for sexual intercourse 50) 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? Neural tube defect 51) A nurse is preparing to preform Leopold maneuvers for a client. Identify the sequence the nurse should follow. 1- Palpate the fundus 2-Determine the location 3- Palpate for the fetal part 4- Identify the attitude the head 52) A nurse is providing prenatal teaching to a client who is at 26 weeks of gestation. Which of the following positions should the nurse recommend for the client to increase circulation to the placenta? Side-lying 53) 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? Petechiae 54) A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding and had engorgement. The nurse should recommend the application of which of the following items Cold cabbage leaves 55) 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? Vaginal pressure 56) A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for newborn safety. Which of the following clients statements indicated an understanding of the teaching? The person who comes to take my baby's pictures will be wearing a photo identification badge 57) 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? Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution 58) A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? Cover the newborn's eyes while under the phototherapy light 59) 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? Late decelerations 60) A nurse is providing education about family binding 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 Obtain a gift from the newborn to present to the sibling. [Show More]

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