1. A nurse is reviewing the laboratory results of a 4-hr-old newborn. Which of the following
findings should the nurse report to the provider?
-Platelet count 120,000/mm3.
2. A nurse is collecting data from a newborn whose mother had gestational diabetes
mellitus. Which of the following findings should the nurse report to the provider?
-Blood glucose 28 mg/dL.
3. A nurse is assisting in the care of a client during the active phase of labor. Which of the
following actions should the nurse take to promote the client's comfort?
-Have the client perform relaxing breathing techniques.
4. A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine
hypotension with a client who is at 16 weeks of gestation. Which of the following
m
er as
responses by the client indicates an understanding of the teaching?
-"I will lie on my left side with my head elevated on a pillow."
co
eH w
o.
5. A nurse is planning to administer terbutaline to a client who is experiencing preterm
rs e
labor. Which of the following routes of administration should the nurse plan to use?
ou urc
-Subcutaneous.
6. A nurse is reviewing the medication administration record for a client who is receiving
o
nifedipine for gestational hypertension. The nurse should identify that which of the
aC s
following medications is contraindicated for use with nifedipine?
vi y re
-Magnesium sulfate.
ed d
7. A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labor.
ar stu
Which of the following client statements indicates an understanding of the teaching?
-This medication might make me dizzy.
is
8. A nurse is caring for a newborn who is receiving phototherapy. Which of the following
Th
actions should the nurse take?
-Place an opaque mask over the newborn's eyes.
sh
9. A nurse is caring for a newborn who is large for gestational age and is jittery. Which of
the following actions should the nurse take first?
-Check the newborns blood glucose.
10. A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The
This study source was downloaded by 100000809733538 from CourseHero.com on 05-04-2021 06:16:45 GMT -05:00
https://www.coursehero.com/file/68148261/ATI-Maternal-Newborn-Brtf/
, newborn's grandfather asks if he may take the newborn to his daughter's room. Which
of the following responses should the nurse make?
-Let me wash my hands and then I'll take your grandson to his mother.
11. A nurse is planning to administer phytonadione to a newborn. Which of the following
actions should the nurse take?
-Use the vastus lateralis as the injection site.
12. A nurse is collecting data from a newborn who is 8 hr old. Which of the following
findings should the nurse report to the provider?
-Apical HR of 90/min while crying.
13. A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports
frequent episodes of nausea and vomiting. Which of the following instructions should
the nurse include?
m
-Consume small meals frequently each day.
er as
co
14. A nurse is reinforcing teaching about interventions to treat breast engorgement with a
eH w
client who is breastfeeding. Which of the following instructions should the nurse include
o.
in the teaching?
rs e
-Breastfeed the newborn at least every 2 hours.
ou urc
15. A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has
respiratory distress. Which of the following findings should the nurse report to the
o
provider? (Select all that apply.)
aC s
-Tachypnea,Nasal flaring,Retractions, Expiratory.
vi y re
16. A nurse is reinforcing teaching with a client who requests hydrotherapy for pain
ed d
management during labor. Which of the following statements should the nurse include?
ar stu
-“You will need to be in active labor before using hydrotherapy."
17. A nurse is assisting with the neuromuscular assessment of a newborn by eliciting
is
primitive reflexes. Which of the following images indicates a characteristic response of
Th
the tonic neck reflex?
-The nurse should identify this as the tonic neck reflex. When the newborn's head is
quickly turned to one side, the arm and leg on the same side extend, while the arm and
sh
leg on the opposite side extends. Looks like a fencer.
18. A nurse is caring for a client who has received methylergonovine. Which of the following
should the nurse identify and document as an adverse effect of the medication?
-Hypertension.
This study source was downloaded by 100000809733538 from CourseHero.com on 05-04-2021 06:16:45 GMT -05:00
https://www.coursehero.com/file/68148261/ATI-Maternal-Newborn-Brtf/
findings should the nurse report to the provider?
-Platelet count 120,000/mm3.
2. A nurse is collecting data from a newborn whose mother had gestational diabetes
mellitus. Which of the following findings should the nurse report to the provider?
-Blood glucose 28 mg/dL.
3. A nurse is assisting in the care of a client during the active phase of labor. Which of the
following actions should the nurse take to promote the client's comfort?
-Have the client perform relaxing breathing techniques.
4. A nurse in an antepartum clinic is reinforcing teaching about how to prevent supine
hypotension with a client who is at 16 weeks of gestation. Which of the following
m
er as
responses by the client indicates an understanding of the teaching?
-"I will lie on my left side with my head elevated on a pillow."
co
eH w
o.
5. A nurse is planning to administer terbutaline to a client who is experiencing preterm
rs e
labor. Which of the following routes of administration should the nurse plan to use?
ou urc
-Subcutaneous.
6. A nurse is reviewing the medication administration record for a client who is receiving
o
nifedipine for gestational hypertension. The nurse should identify that which of the
aC s
following medications is contraindicated for use with nifedipine?
vi y re
-Magnesium sulfate.
ed d
7. A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labor.
ar stu
Which of the following client statements indicates an understanding of the teaching?
-This medication might make me dizzy.
is
8. A nurse is caring for a newborn who is receiving phototherapy. Which of the following
Th
actions should the nurse take?
-Place an opaque mask over the newborn's eyes.
sh
9. A nurse is caring for a newborn who is large for gestational age and is jittery. Which of
the following actions should the nurse take first?
-Check the newborns blood glucose.
10. A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The
This study source was downloaded by 100000809733538 from CourseHero.com on 05-04-2021 06:16:45 GMT -05:00
https://www.coursehero.com/file/68148261/ATI-Maternal-Newborn-Brtf/
, newborn's grandfather asks if he may take the newborn to his daughter's room. Which
of the following responses should the nurse make?
-Let me wash my hands and then I'll take your grandson to his mother.
11. A nurse is planning to administer phytonadione to a newborn. Which of the following
actions should the nurse take?
-Use the vastus lateralis as the injection site.
12. A nurse is collecting data from a newborn who is 8 hr old. Which of the following
findings should the nurse report to the provider?
-Apical HR of 90/min while crying.
13. A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports
frequent episodes of nausea and vomiting. Which of the following instructions should
the nurse include?
m
-Consume small meals frequently each day.
er as
co
14. A nurse is reinforcing teaching about interventions to treat breast engorgement with a
eH w
client who is breastfeeding. Which of the following instructions should the nurse include
o.
in the teaching?
rs e
-Breastfeed the newborn at least every 2 hours.
ou urc
15. A nurse is assisting with collecting data from a newborn who was born 2 hr ago and has
respiratory distress. Which of the following findings should the nurse report to the
o
provider? (Select all that apply.)
aC s
-Tachypnea,Nasal flaring,Retractions, Expiratory.
vi y re
16. A nurse is reinforcing teaching with a client who requests hydrotherapy for pain
ed d
management during labor. Which of the following statements should the nurse include?
ar stu
-“You will need to be in active labor before using hydrotherapy."
17. A nurse is assisting with the neuromuscular assessment of a newborn by eliciting
is
primitive reflexes. Which of the following images indicates a characteristic response of
Th
the tonic neck reflex?
-The nurse should identify this as the tonic neck reflex. When the newborn's head is
quickly turned to one side, the arm and leg on the same side extend, while the arm and
sh
leg on the opposite side extends. Looks like a fencer.
18. A nurse is caring for a client who has received methylergonovine. Which of the following
should the nurse identify and document as an adverse effect of the medication?
-Hypertension.
This study source was downloaded by 100000809733538 from CourseHero.com on 05-04-2021 06:16:45 GMT -05:00
https://www.coursehero.com/file/68148261/ATI-Maternal-Newborn-Brtf/
