NUR 4870 Maternal Newborn ATI A_2020 | NUR4870 Maternal Newborn ATI A_Graded A

NUR 4870 Maternal Newborn ATI A 1. A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect? a. Reports increased urinary output b. Diaphoresis c. Reports blurred vision d. Shallow respirations 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? a. Administer penicillin G 2.4 million units IM to the client b. Instruct the client to schedule an annual pelvic examination c. Tell the client she will start medication for HIV immediately after delivery d. Report the client’s condition to the local health department 3. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? a. Depression b. Polyuria c. Hypotension d. Urticaria 4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? a. “I can administer oxytocin 4 hours after the insertion of the medication” b. “You will need a full bladder prior to the insertion of the medication” - no need to empty bladder first c. “Remain in a side-lying position for 15 minutes after the medication is inserted” d. “An antacid will be given 20 minutes prior to the insertion of the medication” 5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? a. Administer antiviral medication b. Schedule an ultrasound examination c. Administer Haemophilus influenza type b vaccine d. Schedule an indirect Coombs’ test 6. 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. Apply a cool back for 10 minutes to the heel prior to the puncture b. Request a prescription for IM analgesic c. Use a manual lace blade to pierce the skin d. Place the newborn skin to skin on the mother’s chest 7. A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? a. Insert two gloved fingers into the vagina and apply upward pressure to the presenting part b. Wrap the visible cord tightly with sterile, dry gauze c. Apply oxygen to the client at 2 L/min via nasal cannula d. Place the client in the lithotomy position and apply fundal pressure 8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption? Which of the following laboratory tests should the nurse expect the provider to prescribe? a. Kleihauer-Betke test b. Progesterone serum level c. Lecithin/sphingomyelin (L/S) ration d. Maternal Alpha-fetoprotein (AFP) 9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? a. Abruptio placenta b. Placenta previa c. Preeclampsia d. Maternal bradycardia 10. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? a. 2+ deep tendon reflex b. Proteinuria of 200mg in a 24-hr specimen c. Polyuria d. Blurred vision 11. 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. Allow the sibling to hold the newborn during a bath - quizlet b. Make sure the sibling kisses the newborn each night c. Obtain a gift from the newborn to present to the sibling d. Switch the sibling’s room with the nursery 12. A nurse is assessing a client who is receiving morphine via IV bolus following a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer? a. Fentanyl b. Butorphanol c. Naloxone d. Meperidine 13. 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? a. “I should increase my protein intake to 60 grams each day” b. “I should drink 2 liters of water each day” c. “I should increase my overall daily caloric intake by 300 calories” d. “ I should take 600 micrograms of folic acid each day” 14. A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? a. Acrocyanosis b. Transient strabismus c. Jaundice -quizlet d. Caput succedaneum 15. A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior? a. Lays the newborn across her lab and gently sways - quizlet b. Places the newborn in the crib in a prone position c. Offers the newborn a pacifier dipped in formula d. Prepares a bottle of formula mixed with rice and cereal 16. 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. “obtain an informed consent prior to obtaining the specimen” b. “collect at least 1 milliliter of urine for the test” c. “ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen” – quizlet d. “premature newborns may have false negative tests due to immature development of the liver enzymes” 17. A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse’s priority? a. Check the client’s capillary refill b. Massage the client’s fundus c. Insert an indwelling urinary catheter for the client d. Prepare the client for a blood transfusion 18. A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestation should the nurse expect? Select all that apply a. Yellow sclera b. Acrocyanosis c. Posterior fontanel larger than the anterior fontanel.- no anterior bigger than posterior d. Positive Babinski reflex e. Two umbilical arteries visible 19. A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse perform the following actions? a. Wipe the newborn’s eyes from the inner canthus outward b. Wash the newborn’s neck by lifting the newborn’s chin c. Cleanse the skin around the newborn’s umbilical cord stump d. Wash the newborn’s legs and feet e. Clean the newborn’s diaper area 20. 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. Hypertension b. Hypothermia c. Constipation d. Muscle weakness 21. A nurse is caring for a client who is 35 weeks of 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. Five the client orange juice b. Elevate the client’s legs c. Have the client change positions - quizlet d. Establish IV access