
Maternal Newborn ATI - A
Quiz by Heather Silvani
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A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
A nurse is teaching a client who is pregnant about a new prescription for iron supplements. Which of the following instructions should the nurse include in the teaching?
A nurse is caring for a preterm newborn immediately after delivery. Which of the following actions should the nurse take first?
A nurse is discussing family planning with a client who has a history of DVT. The nurse should inform the client that this condition is a contraindication for which of the following birth control methods?
A nurse is teaching a client who is postpartum about car seat safety. Which of the following statements indicate an understanding of the instructions?
A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal abstinence syndrome. Which of the following findings indicates narcotic withdrawal?
A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine position, which of the following methods should the nurse use to elicit the Moro reflex?
A nurse is providing teaching to a client who is postpartum about her car seat safety. Which of the following statements by the client indicates an understanding of the teaching?
A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following statements by the client indicate an understanding of the teaching?
A nurse is caring for a client following vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?
A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect?
A charge nurse is discussing STIs with a newly licensed nurse. Which of the following infections should the nurse include in the teaching as an indication for cesarean birth?
15) A nurse is reviewing the medication prescriptions for a newborn who is 6 hours old and whose mother is HBsAg-positive. The nurse should anticipate administering which of the following medications?
A nurse is assessing a client immediately following the placement of an epidural. The nurse obtains a maternal blood pressure of 96/54 and a fetal HR of 102/min. Which of the following actions should the nurse take?
A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care?
A nurse on the labor and delivery unit is caring for a client who is at 33 weeks of gestation and was admitted with placenta previa. Which of the following interventions should the nurse include in the clientâs plan of care?
A nurse is admitting a client who is in preterm labor to the labor and delivery unit. The nurse should anticipate which of the following tests to assess for fetal lung maturity?
A nurse is caring for a client who is in labor and prescribed an amnioinfusion. Which of the following findings is an indication for this?
A nurse is caring for a client who is postpartum following repair of a vaginal laceration. The client has a firm fundus, moderate lochia rubra, and reports moderate perineal discomfort and pressure. Which of the following actions should the nurse take?
A nurse is assessing a full-term newborn 1 hr following a vaginal birth. Which of the following is an expected assessment finding?
A nurse is providing discharge teaching to the parent of a newborn about surgical site care following circumcision using a clamp technique. Which of the following statements by the parent indicates an understanding of the teaching?
A nurse in a providerâs office is caring for a 20-year-old client who is 12 weeks of gestation and requests an amniocentesis to determine the gender of the fetus. Which of the following responses should the nurse make?
A nurse is teaching a prenatal client about listeriosis and dietary modifications during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
A nurse is providing education to a client who is to receive misoprostol for induction of labor. Which of the following instructions should the nurse include in the teaching?
A nurse is reviewing the laboratory findings of a client who is 10 weeks gestation. Which of the following findings should the nurse report to the provider?
A nurse on the postpartum unit is reviewing prevention of newborn diaper rash with a client. Which of the following statements indicates an understanding of the teaching?Â
A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?
A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?
A nurse is caring for a client who is in the second stage of labor. The nurse observes the fetal head retract against the clientâs perineum immediately following emergence. Which of the following actions should the nurse take?
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hour ago. The nurse determines the client is 80% and 8cm. The nurse realizes that the client is at risk for which of the following conditions
A nurse is assessing a client who is at 37 weeks gestation. Which of the following statements by the client requires immediate intervention by the nurse?
A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect?Â
A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. When using an ultrasound device, the nurse hears blood rushing through the umbilical vessels in synchronization with the fetal heartbeat. Which of the following terms should the nurse use to document this finding?
A nurse at an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?
A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit?
A nurse is assessing a newborn who is 2 hours old. Which of the following findings should the nurse report to the provider?
A nurse is reviewing the laboratory report of a client who is 24 hrs postpartum vaginal delivery. The client has a hemoglobin level of 9.0 g/dL and hematocrit of 25%. Which of the following actions should the nurse take?
A nurse is caring for a client who is at 24 weeks of gestation and has a glucose screening test result of 150 mg/dL. Which of the following actions should the nurse take?
A nurse is assessing the results of a non-stress test for an antepartum client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?
A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?
A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for which of the following findings as an adverse effect?
A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider?Â
A nurse is caring for a client who is 1 day postpartum following the birth of her first baby. The clientâs partner states, âIâve been having nightmares that we are homeless and the baby is starving.â Which of the following is an appropriate response by the nurse?
A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4 days ago. The nurse should instruct the client to contact the provider for which of the following findings?
A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?
A nurse is performing a physical examination of a term newborn upon admission to the nursery. In which order should the nurse perform the following assessments
PUT THEM IN ORDER
A nurse in a prenatal clinic is discussing quickening with a client who is in the first trimester of her first pregnancy. Which of the following statements by the client indicates understanding of the teaching?
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
A nurse is assessing a client who is in her second trimester for common physiological changes during pregnancy. The nurse notes a blotchy discoloration on the clientâs forehead, nose, and cheeks. Which of the following changes should the nurse document?
A nurse is conducting a class for a group of clients about birth control. Which of the following information should the nurse include in the teaching?
A nurse is caring for a client who is in the first stage of labor and the fetal head is in a posterior position. The client reports pressure and pain in her lower back. Which of the following nonpharmacological comfort measures should the nurse suggest first?
A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse report to the provider?
A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. The nurse should monitor for which of the following adverse effects?
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
A nurse is reviewing a clientâs rubella titer of 1:8 at her second prenatal visit. Which of the following statements by the nurse is appropriate?
A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take?
A nurse in a postpartum unit is caring for several clients. Which of the following tasks should the nurse delegate to assistive personnel?
A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicate an understanding of the teaching?
A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? (Select all that apply.)
A nurse in a providerâs office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Nageleâs rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)Â
A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? (Click on the âExhibitâ button for additional information about the client. There are three tabs that contain separate categories of data.) THIS QUESTION REQUIRES âEXHIBITâ HEARING, SO SINCE YOU CANâT LISTEN, USE YOUR BEST JUDGMENT TO ANSWER THIS, POSSIBLY.
A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?
A nurse is assessing a client who is 1 hr postpartum. The nurse notes a large amount of vaginal bleeding with several large blood clots on the clientâs peripad. The clientâs blood pressure is 70/42 mm Hg and her heart rate is 150/min. Which of the following actions should the nurse take first?
A nurse is assisting the provider to administer a dinoprostone (Cervidil) insert to induce labor for a client. Which of the following actions should the nurse take?
A nurse is planning care for a newborn who is large for gestational age due to maternal gestational diabetes mellitus. The nurse should recognize that the newborn is at risk for which of the following conditions?
A nurse is providing prenatal teaching to a group of clients who are in their third trimester of pregnancy. Which of the following statements by a client indicates an understanding of the teaching?
A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?