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Maternal child proctored 2022.

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Maternal child proctored 2022.

ANOTHER SET OF ATI QUESTIONS FOR MATERNAL

NEWBORN NEWBORN

1. A nurse is assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous
delivery. During the assessment the nurse notes that the client’s prenatal pad is fully saturated.
Which of the following actions should the nurse anticipate?

Message uterus until firm

Administer terbutaline

sulfate Discontinue oxytocin

Insert vaginal packing

2. A NURSE is providing teaching to a client who now has mild preeclampsia and will be caring for
herself at home for the last two months of her pregnancy. Which of the following statements by
the client indicates understanding of the teaching?

I will Double check my urine for protein

daily I will consume 15 grams of protein

daily

I will alternate my arms each time I take my blood pressure

I will count my baby’s kicks every other day

3. a nurse is assessing a client and observes umbilical cord hanging from the vagina. Which of
the following is the nurses priority?

Place a rolled towel under the client’s right hip

Apply upward pressure against the presenting

part Wrap the cord with a sterile towel

Administer oxygen

4. a nurse is reviewing the laboratory results of a client who is 20 wks of gestation and has type
1 diabetes. Which of the following values should the nurse report to the provider?

BUN



5. a nurse on the delivery unit is assessing four client’s. which of the following client’s is a
candidate for induction of labor with misoprostol?

Placenta previa

Client that has congenital heart

A client who has previous uterine incision

,Maternal child proctored 2022.

A client who has gestational diabetes

6. a nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which
of the following instructions should the nurse include?

Allow the baby to feed at least every 3 hr

Offer the baby 30ml/1 oz of water in between

feedings Expect 10 wet diapers within 24 hr

Feed the newborn 5 to 10mins per breast

7. a nurse is providing education about Rh Globulin to a client who is pregnant and is Rh negative.
The nurse should recognize which of the following indications of administering

The client is at 16wks gestation

Client has a history of placenta previa

A client delivers an Rh negative newborn

The client had a spontaneous abortion

8. a nurse is caring for a client who is at 8wks gestation has an ectopic pregnancy. Which of
the following manifestations should the nurse expect?

Elevated blood

pressure Scaphoid

Abdominal Sharp pelvic

pain White Vaginal

discharge

9. a nurse is providing care for a client who is 2 days postpartum and wants to continue using
her diaphragm for contraception. Which of the following instructions should the nurse include?

You should keep the diaphragm in place for 4 hours after intercourse

You should have your provider refit you for a new diaphragm

You should store your diaphragm in warm water after each use

You should use oil base vaginal lubricant for inserting your diaphragm

10. a nurse is assessing four newborns. Which of the following clinical findings should the nurse
report to the provider?

16 hr old infant who has yet to pass a meconium stool

2 hr old infant who has a respiratory rate 70

16 hr old infant who has blood glucose 50

,Maternal child proctored 2022.

2 day old infant who is excreting white discharge from both nipples

11. a nurse is caring for a client who is 12hr postpartum and has a 4th degree laceration of
the perineum. Which of the following actions should the nurse take?

Apply povidone iodine to the client’s perineum after she voids

Administer methylergonovine

Apply warm moist compress to the perineum

Apply the client to a cool sitz bath

12. a nurse is performing an initial assessment of a newborn who was delivered with a nuchal
cord. Which of the following findings should the nurse expect?

Facial petechiae

13. the nurse is assisting the provider to administer a dinoprostone insert to induce labor for a
client. Which of the following findings should the nurse take?

Make sure authorized signature is completed

14. a nurse is assessing a newborn 2 hrs after delivery. Which of the following findings will the
nurse identify as erythema toxicum? (picture selection)

Pink rash anywhere on the body. Can appear as red dots or like pimples in a cluster



15. a nurse is providing teaching about increasing dietary fiber to an antepartum client who
reports constipation. Which of the following is the highest cup of fiber?

Lentils on other test info

16. a nurse is providing information to a client who is to receive misoprostol induction of labor.
Which of the following instructions should the nurse include?

You will receive an antacid with magnesium before taking this medication

You will lie on your side for 40 minutes after administering

You will receive a urinary catheter before administering the medication

Before I administer I will infuse oxytocin

17. A nurse is teaching a client who is postpartum about her newborn’s circumcision. Which of
the following statements by the client indicates an understanding of the instuctions?

On other test info

18. a nurse is providing dietary teaching to a client who is 32 wks gestation and has
cholelithiasis. Which of the following foods should the nurse recommend for the client to
include in her die?

Baked chicken

, Maternal child proctored 2022.

19. a nurse is teaching a client who is at 13wks gestation and reports constipation. Which of
the following instructions should the nurse give to the client?

Decrease the amount of raw fruits and vegetables you eat daily

You should stop taking your iron supplements until you have reg bowel movements for 1 wk

Engage in moderate exercise for at least 15 mins a day

Administer yourself an enema

20. a nurse is assessing four clients in a prenatal clinic. Which of the following clients should the
nurse recommend the provider see first?

Client has Proteinuria 3+

Client has a FHR of 60

Client has a blood glucose of 190

Client has 2+ deep tendon

reflexes

21. a nurse in a women’s clinic is obtaining a health history from the client. Which of the
following findings should the nurse identify as an increase risk of developing did not get it all

22. a nurse is providing teaching to a client who reports that her baby has yellow discharge forming
at the circumcision site. Which is an appropriate response from the nurse?

Wipe the discharge gently

Soak in warm water for the next 48

hrs Obtain a sample

23. a nurse is caring for a client who is in active labor and is requesting an epidural. Which of
the following actions should the nurse take?

Give aldosterone IV

Initiate oxygen

Administer IV fluid bolus to the client to delay the epidural

Fentanyl is given with epidural/remain in side lying position to prevent hypotension

24. a nurse is providing teaching to a client about postpartum care. Which of the following
information should the nurse include?

You do not need to use birth control if you are exclusively breastfeeding

Perform Kegel exercises 6 -7wks after delivery

You can expect your breast to be firm and tender 3 to 5 days after delivery

Your bleeding will remain bright read for the next 6 to 8 wks

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