Virtual Ati Maternal Newborn Pre-Assessment Exam
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A nurse is collecting data from a client who is 3 hr postpartum. The nurse
notes that the clients fundus is displaced to the right of the midline, is firm,
and is 2 fingrbreadths above the umbilicus. Which of the following actions
should the nurse take?
1. Massage the fundus
2. Insert a urinary catheter
3. Have the client urinate
4. Administer analgesia
3. Have the client urinate
A nurse is reinforcing teaching with a client who is 34 weeks of gestation and
at risk for placental abruption. The nurse recognizes that which of the
following is the most common risk factor for a placental abruption?
1. Maternal cocaine use
2. Maternal hypertension
3. Maternal battering
4. Maternal cigarette smoking
2. Maternal hypertension
A nurse is reinforcing teachihng with a client who is in the first trimester of
pregnancy and has a new prescription for ferrous sulfate. The nurse should
encourage the client to avoid taking the medication with which of the following
liquids?
1. Orange juice
2. Tomato juice
3. Coffee
4. Carbonated beverages
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3. Coffee
A nurse is caring for a client who has unrelieved episiotomy pain 8 hr
following delivery. Which of the following actions should the nurse take?
1. Apply an ice pack to the perineum
2. Prepare a warm sitz bath
3. Place a soft pillow under the clients buttocks
4. Position a heating lamp toward the episiotomy
1. Apply an ice pack to the perineum
A nurse in a prenatal clinic is caring for a client who is at 12 weeks of
gestation. The client asks about the cause of her heartburn. Which of the
following responses should the nurse make?
1. Increased pancreatic activity results in intolerance of fat in the diet
2. Increased estrogen production causes increased secretion of hydrochloric
acid
3. Pressure from the growing uterus displaces the stomach
4. Increased progesterone production causes decreased motility of smooth
muscle
4. Increased progesterone production causes decreased motility of smooth muscle
A nurse is reinforcing teaching with a client who is pregnant about expected
changes related to pregnancy. Which of the following statements by the client
indicated an understanding of the teaching?
1. "It is normal to have a white vaginal discharge"
2. "I should recognize fetal movement by 12 weeks"
3. "I will take fluid pills for the swelling in my ankles"
4. "My nipples and areolae will become pale as my breasts enlarge"
1. "It is normal to have a white vaginal discharge"
A nurse is reinforcing teaching about reducing the risk of perineal infection
with a client who had a vaginal birth. Which of the following information
should the nurse include in the teaching?
1. Blot the perineal area dry after voiding
2. clean the perineal area from front to back
3. perform hand hygiene before and after voiding
4. Apply ice packs to the perineal area several times daily
5. Sit on an inflatable donut to protect the perineum
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1. Blot the perineal area dry after voiding
2. Clean the perineal area from front to back
3. Perform hand hygiene before and after voiding
A nurse is reinforcing teaching with a client hwo is at 30 weeks of gestation
and scheduled for a nonstress test. Which of the following statements by the
client indicated a need for further teaching?
1. "I will have to lie on my back during the test"
2." the babies heart rate will be monitored during the test"
3. "I need to schedule the test when the baby is usually active"
4. "i will be able to go to the bathroom during the test as necessary"
1. "I will have to lie on. my back during the test"
A nurse is caring for a newborn immediately after birth. which of the following
actions by the nurse reduces evaporative heat loss by the newborn?
1. Placing the newborn on a warm surface
2. Preventing air drafts
3. Drying the newborns skin thoroughly
4. Maintaining ambient room temp 75 degrees F
3. Drying the newborns skin thoroughly
A nurse is assisting with the care of a client who is in labor. The client's labor
is difficult and prolonged and she reports a severe backache. Which of the
following factors is a contributing cause of difficult, prolonged labor?
1. Fetal attitude is in general flexion
2. Fetal lie is longitudinal
3. Maternal pelvis is gynecoid
4. Fetal position is persistent occiput posterior
4. Fetal position is persistent occiput posterior
A nurse is caring for a newborn whois 24 hr old and has sepsis. Which of the
following findings should the nurse expect?
1. Temperature instability
2. Acrocyanosis
3. Hypertension
4. Increased appetite
1. Temperature instability