ATI Maternal Newborn Online Practice

ATI Maternal Newborn Online Practice 1. A nurse is collecting data from a 28 year old client who Frequent is requesting a prescription for an oral contraceptive. headaches with Which of the following information in the clients histo- visual changes ry should the nurse identify as a contraindication for the use of oral contraceptives 2. A nurse is reinforcing teaching with a client who is try- 1 cup cooked ing to become pregnant. Which of the following foods spinach should the nurse recommend as the best source of folate? 3. A nurse is contributing to the plan of care for a new- GBS born following a vaginal birth. Which of the following Apgar score information should the nurse include when helping to Type of birth develop the newborns plan of care? 4. A nurse is reinforcing teaching about preventing uri- You should empnary tract infections with a client who is at 25 weeks of ty your bladder begestation. Which of the following instructions should fore you go to bed the nurse include? at night. You should ensure 5. A nurse is reinforcing teaching about home safety precautions with a group of guardians. Which of the that crib slats are no more than 2.25 following instructions should the nurse include? inches apart 6. A nurse on a postpartum unit is contributing to the Use a firm matdischarge teaching plan for a client. Which of the fol- tress in the newlowing instructions should the nurse suggest for the borns crib plan? 7. A nurse is assisting with the care of a client who is in Green fluid from the active phase of the first stage of labor. Which of the vagina the following findings should the nurse report to the charge nurse? have the client 8. A nurse is caring for a client following a cesarean birth. Which of the following actions should the nurse ambulate several take to decrease the client's risk of developing throm- times a day bophlebitis? 1/7 ATI Maternal Newborn Online Practice 9. a nurse is collecting data from a client who is 38 weeks glycosuria of gestation. Which of the following findings should the nurse report to the provider? 10. a nurse is planning to reinforce discharge teaching provide the newabout formula feeding with the guardian of a newborn. born with six to Which of the following instructions should the nurse eight feedings durplan to include? ing a 24 hour period avoid caffeine the 11. a nurse is reinforcing teaching with a client who is pregnant and will undergo a 1 hour oral glucose toler- morning of the test ance test. Which of the following instructions should the nurse include? 12. a nurse is reinforcing discharge teaching with a client Pump the affected who has mastitis of the left breast. Which of the fol- breast immediately lowing instructions should the nurse include? 13. a nurse is planning to perform a blood collection via heel stick on a newborn. After performing hand hygiene and donning gloves, which of the following actions should the nurse plan to take next Wrap the newborns heel with a cloth moistened with warm water 14. a nurse is preparing to to administer phytonadine to Intramuscular a newborn. The nurse should plan to administer this medication by which of the following routes? 15. A nurse is caring for a client who delivered vaginally 6 Perineal pad hours ago. Which of the following findings should the soaked in 15 minutes nurse report to the provider? 16. A nurse is collecting data from the parent of a new- Demonstrate to born immediately following birth. The parent states the parent how to hold the newborn "she is so tiny we don't know how to pick her up without hurting her" which of the following actions should the nurse take first to promote parent-newborn attachment? 2/7 ATI Maternal Newborn Online Practice 17. A nurse is reinforcing teaching about breastfeeding I should wake my with a client who has a 12- hour old newborn. Which of baby up to feed the following statements should the nurse identify as during the night. an indication that the client understands the instructions? 18. a nurse is caring for a client who is 48 hours postpar- Warm, tender area tum following a vaginal birth. Which of the following on the calf Dysuria findings should the nurse report to the provider? Cracked nipples 19. A nurse is reinforcing discharge teaching about home Ensure the water care with the patient of a newborn. Which of the fol- temperature durlowing instructions should the nurse include? ing your newborns bath is maintained at 100 degrees Fahrenheit 20. A nurse is assisting with the care of a client who is 150mL/hr postpartum and is receiving lactated ringers 1,500 ml IV to infuse over 10 hours. The nurse should verify that the IV pump's settings will deliver how many mL/hour? 21. A nurse is reinforcing teaching about car safety with the guardian of a newborn. Which of the following statements by the guardian indicates an understanding of the teaching? I will position the retainer clip at the level of my baby's armpits 22. A nurse is reinforcing teaching with a client who has I am likely to gain a new prescription for medroxyprogesterone acetate weight while takinjection for contraception. Which of the following ing this medication statements by the client indicates understanding of the teaching? 23. A nurse is contributing to the plan of care for a client Drink 2L of water who is pregnant and has intermittent constipation. per day Which of the following interventions should the nurse recommend in the plan? 3/7 ATI Maternal Newborn Online Practice 24. A nurse is assisting with the care of a client who is Turn the client on pregnant and has preeclampsia. While the nurse is their side collecting data, the client has a seizure. Which of the following actions should the nurse take first? 25. a nurse is collecting data from a client who is receiv- Respiratory rate of ing magnesium sulfate IV for preeclampsia. The nurse 10/minute should identify which of the following findings as an indication of toxicity to report to the provider? 26. A nurse is contributing to the plan of care for a client Monitor intake and who has hyperemesis gravidarum. Which of the fol- output lowing interventions should the nurse recommend? 27. A nurse is assisting in the care of a client during the Have the client active phase of labor. Which of the following actions perform relaxing should the nurse take to promote the clients comfort? breathing techniques. 28. a nurse is collecting data from a client who is receiv- absent deep tening magnesium sulfate. Which of the following find- don reflexes ings should the nurse report to the provider? 29. a nurse is assisting with monitoring a client after an FHR 120/min amniocentesis. Which of the following findings should the nurse expect? 30. a nurse is assisting with the admission of a newborn who has respiratory distress. While collecting data, which of the following should the nurse report to the provider? Nasal flaring Intercostal retractions Grunting 31. A nurse is reinforcing teaching about formula prepa- Over-diluted forration with the parent of a newborn. Which of the mula can result in inadequate growth following information should the nurse include? 32. a nurse is reinforcing teaching with a client who re- You must be at quests hydrotherapy for pain management during la- least 37 weeks of gestation before bor. Which of the following statements should the nurse include? 4/7 ATI Maternal Newborn Online Practice you can use hydrotherapy 33. a nurse is reinforcing teaching with a client who is at 8 weeks of gestation. Which of the following responses by the client indicates an understanding of the teaching? I should expect to have white vaginal discharge during pregnancy 34. a nurse is reinforcing teaching about a nonstress test You will press a with a client who is at 33 weeks of gestation. Which of button when you the following statements should the nurse include? feel the baby move 35. A nurse is assisting in care with a client who is at 39 I have pain in weeks of gestation. Which of the following statements my upper right abshould alert the nurse as a sign of a potential compli- domen cation 36. A nurse is collecting data from a client who gave birth Fundus is palpable 18 hours ago. Which of the following findings should at 2cm above the umbilicus the nurse identify as an indication of a postpartum complication? 37. A nurse is contributing to the plan of care for a client Genetic counselwho is at 18 weeks gestation and has just learned that ing the fetus has a trisomy 21. Which of the following resources should the nurse recommend for the client? 38. A nurse is caring for a client who is in preterm labor inject the medicaand receiving betamethasone. Which of the following tion into the Bastia lateral is muscle actions should the nurse take? 39. Tonic neck reflex turning the head to one side, extending the arm and leg on that side, and flexing the limbs on the opposite side. (fencing position) 5/7 ATI Maternal Newborn Online Practice 40. a nurse is contributing to the plan of care for a client Administer oxygen who has eclampsia. Which of the following interven- via face mask at tions should the nurse plan to include as the priority 10L/min immediately following a seizure? 41. a nurse in postpartum unit is caring for a client who Heart rate of 110 has endometriosis and is 48 hours postpartum following a cesarean birth. Which of the following findings should the nurse anticipate 42. A nurse is reinforcing education about the prevention An alarm will of newborn abduction with a client who recently gave sound if somebirth. Which of the following statements should the one removes my nurse identify as an indication that the client under- baby's safety device stands the instructions? 43. A nurse in a clinic is collecting data from a client who Use an ultrasound stethoscope to lisis at 12 weeks of gestation. Which of the following ten to fetal heart actions should the nurse take? tones. 44. a nurse is collecting data from a client who is at 37 weeks of gestation. Which of the following findings should the nurse report to the provider? blurred vision 45. A nurse is reinforcing teaching about newborn umbili- I will report any cal cord care with a client who is postpartum. Which of drainage from my the following statements should the nurse identify as baby's umbilical an indication that the client understands the instruc- cord. tions? 46. a nurse in an antepartum clinic is reviewing laboratory Hematocrit 31% test results for a group of clients. The nurse should notify the provider of which results? 47. a nurse is caring for a 12 hr old male newborn who Skin appears jaunwas delivered from a breech position. Which of the fol- diced lowing findings should the nurse report to the charge nurse? 6/7 ATI Maternal Newborn Online Practice 48. a nurse is collecting data from a client who is primi- diaphoresis gravida and has hyperthyroidism. Which of the following findings should the nurse expect? 49. A nurse in a providers office is reinforcing teaching You might expewith a client. Which of the following statements should rience a metallic taste in your the nurse include? Exhibit question. mouth while taking your medication Provider Prescriptions Norgestrel 0.075mg PO daily. Metronidazole 500mg PO twice a day for 7 days. History and Physical Spontaneous vaginal birth 6 months ago. History of hypertension. Client reports vaginal discharge with a fish-like odor. Thin, watery vaginal secretions noted on pelvic examination. Diagnostic Results pH 5.0. Whiff test positive. Positive microscopic screening for bacterial vaginosis. 50. a nurse is collecting data from a client who is one day WBC 35,000/mm3 postpartum. Which of the following findings should the nurse identify as an indication of infection 7/7