MATERNAL NEWBORN ATI PROCTORED EXAM

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MATERNAL NEWBORN ATI PROCTORED EXAM A nurse is reviewing laboratory results for a client who is at 37 weeks gestation. The nurse notes that the client is rubella non-immune, is positive for group A... beta-hemolytic streptococcus, and has a blood type of O negative. Which of the following actions should the nurse take? a) administer a dose of Rho(D) immune globulin b) request a prescription for an antibiotic until delivery c) instruct the client to obtain a rubella immunization after delivery d) inform the client that she will need to deliver via cesarean birth A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) immune globulin? a) while the client is in labor b) following an episode of influenza during pregnancy c) prior to a blood transfusion d) at 28 weeks gestation - A nurse is caring for a client who is scheduled to undergo an amniocentesis to assess fetal lung maturity. The client is G2P1 and at 36 weeks of gestation, and she has an O-positive blood type. Which of the following interventions should the nurse perform? a) apply an external fetal monitor to the client b) instruct the client to drink fluids and not to void prior to the procedure c) administer Rho(D) immunoglobin after the procedure d) instruct the client to take a deep breath and hold it during the entry of the needle A nurse is teaching a client who has active genital herpes simplex virus, type 2. Which of the following statements should the nurse include in the teaching? a) "You will have a cesarean birth prior to the onset of labor" b) "Your baby will receive erythromycin eye ointment after birth to treat the infection" c) "You should take oral metronidazole for 7 days prior to 37 weeks gestation" d) "You should schedule a cesarean birth after your water breaks" - A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast discomfort relief measures. Which of the following pieces of information should the nurse include? a) "Wear a loose-fitting bra to alleviate breast discomfort" b) "Place fresh cabbage leaves on your breasts" c) "Apply warm, moist compresses to your breasts" d) "Express small amounts of milk from your breasts frequently " A nurse is assessing a postpartum client who reports strong contractions whenever she breastfeeds her newborn. The nurse should respond with which of the following statements? a) "Prolactin is increasing the blood supply to your uterus, and you are feeling blood vessel engorgement" b) "You probably have a small blood clot in your uterus, which is causing the uterus to contract in order to expel it" c) "Your breasts are secreting a hormone that enters the bloodstream and causes your abdominal muscles to contract" d) "The same hormone that is released in response to the baby's sucking and causes milk to flow also makes the uterus contract" A nurse is providing teaching to a client who is planning to breastfeed her newborn. Which of the following statements by the client indicates an understanding of the teaching? a) "I must drink milk every day in order to assure good-quality breast milk" b) "Drinking lots of fluids will increase my breast milk production" c) "After the first few weeks, my nipples will toughen, and breastfeeding won't hurt anymore" d) "My baby may sometimes feed every hour for several hours in a row" A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of the following actions? a) administering erythromycin ophthalmic ointment b) conducting a newborn hearing screening c) giving the hepatitis B vaccine d) screening for critical congenital heart disease A nurse is planning care for a client in labor who is positive for HIV. Which of the following actions should the nurse take after the baby is born? a) encourage the mother to breastfeed b) administer the hepatitis B vaccine prior to discharge c) implement contact and droplet precautions when providing care for the infant d) collect a cord blood specimen to test for the presence of HIV A nurse is assessing a client before administering the hepatitis B vaccine. Which of the following allergies should the nurse identify as a contraindication to receiving this vaccine? a) shellfish b) gelatin c) baker's yeast d) eggs - A nurse is assessing a newborn who is 2 hr old. Which of the following findings should the nurse report to the provider? a) overlapping suture lines b) generalized petechiae c) acrocyanosis d) transient strabismus A nurse is teaching a prenatal class for a group of antepartum clients. Which of the following pieces of information should the nurse include about the hepatitis B immunization? a) "The first dose should be administered at 3 months of age" b) "Your baby will receive this immunization subcutaneously, which means under the skin" c) "We will need your consent prior to administering the vaccine" d) "Your baby will receive this vaccine in a series of 5 doses" A nurse is caring for a client who is in the first trimester of pregnancy and asks how to manage heartburn. Which of the following responses should the nurse make? a) "Reduce the amount of food you eat during meals" b) "Sip carbonated beverages between meals" c) "Lie down and rest immediately after meals" d) "Drink iced tea with meals" " A nurse is caring for a client who is at 33 weeks of gestation and reports dark red vaginal bleeding and contractions that do not stop. Which of the following actions should the nurse take first? a) check the fetal heart tones b) assess the uterine contraction pattern c) measure maternal vital signs d) obtain a biophysical profile A nurse is providing discharge teaching about circumcision care to the parent of a newborn who has undergone a Gomco clamp procedure. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a) "I will apply petroleum jelly to my baby's penis for the first few days" b) "I will use pre-moistened towelettes to clean my baby's penis" c) "I will remove any yellow crusts when I clean my baby's penis" d) "I will wrap my baby's penis in dry gauze until it heals" [Show More]

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