ATI PN Maternal Newborn 2021 A
A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic
uterus and excessive vaginal bleeding. Which of the following actions should the nurse
take first? Correct Provide fundal massage for the client
A nurse is caring for a client who is at 11 weeks of gestation and reports frequent
vomiting. Which of the following findings should the nurse identify as an indication that
the client has hyperemesis gravidarum? Correct Ketonuria
A nurse is assisting with the care of a client who has preeclampsia and is receiving
magnesium sulfate via continuous IV infusion. The client has a respiratory rate of
10/min. Which of the following medications should the nurse expect a charge nurse to
administer to the client? Correct Calcium gluconate
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? Correct Platelet count 120,000/mm3
A nurse is caring for a client who is at 20 weeks gestation and is in the clinic for a
routine prenatal visit. Which of the following findings in the data from the clients medical
record should the nurse report to the provider? Correct Fundal height
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients
should the nurse recommend the provider see first? Correct A client who is at 37
weeks of gestation and reports a persistent headache.
A nurse is assisting with planning care for a client who is breastfeeding and has
mastitis. Which of the following recommendations should the nurse include? Correct
Instruct the client to apply warm compresses to the affected breast
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
responses by the client indicates an understanding of the teaching? Correct I will lie
on my left side with my head elevated on a pillow
A nurse is reinforcing teaching with a client who has preeclampsia and is receiving
magnesium sulfate via continuous IV infusion. Which of the following statements should
the nurse include in the teaching? Correct Your fluid intake will be limited to no more
than 125 milliliters per hour
A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal
examination. Which of the following findings should the nurse report to the provider?
Correct Blurred vision
A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her
newborn. The client reports a perineal pain of 6 on a scale from 0 to 10. The nurse also
notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the
, umbilicus with deviation to the right. Which of the following actions is the nurse's
priority? Correct Help the client ambulate to the toilet
A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in
active labor. Which of the following findings should the nurse report to the charge
nurse? Correct Prolonged deceleration of FHR
A nurse is collecting date from a newborn who is 8 hr old. Which of the following
findings should the nurse report to the provider? Correct Apical heart rate of 90/min
while crying
A nurse is reinforcing teaching about food sources that are high in folate with a group of
women who are pregnant. Which of the following foods should the nurse recommend to
this group as the best source of folate? Correct 1/2 cup dried peas
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?
Correct Hypertension
A nurse is caring for a client who is planning to become pregnant. The client asks the
nurse why folic acid supplements are necessary. The nurse should inform the client that
the purpose of the folic acid supplements is to do which of the following? Correct
Prevent certain kinds of birth defects
A nurse is preparing to administer clindamycin 450 mg PO to a client who has
endometritis. The amount available is clindamycin 150 mg/capsule. How many capsules
should the nurse administer? Correct 3
A nurse in a prenatal clinic is caring for a client who is at 16 weeks of gestation and has
a positive hepatitis B test result. Which of the following actions should the nurse take?
Correct Explain to the client that she will receive the hepatitis B immune globulin
immediately
A nurse is collecting data from a client who is 32 hr postpartum. Which of the following
findings should the nurse expect? Correct Urine output of 3,000 mL in 24 hr
A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which
of the following statements should the nurse identify as an indication that the client
understands the instructions? Correct If my baby rides in a car with no back seat, the
passenger airbag must be turned off
A nurse is observing a client bathe her 1 day old newborn. Which of the following
actions should the nurse identify as an indication that the client understands how to
bathe her newborn? Correct The client washes the newborn's hair before unwrapping
her
A nurse on a postpartum unit is assisting with the care of a client who has a hypotonic
uterus and excessive vaginal bleeding. Which of the following actions should the nurse
take first? Correct Provide fundal massage for the client
A nurse is caring for a client who is at 11 weeks of gestation and reports frequent
vomiting. Which of the following findings should the nurse identify as an indication that
the client has hyperemesis gravidarum? Correct Ketonuria
A nurse is assisting with the care of a client who has preeclampsia and is receiving
magnesium sulfate via continuous IV infusion. The client has a respiratory rate of
10/min. Which of the following medications should the nurse expect a charge nurse to
administer to the client? Correct Calcium gluconate
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? Correct Platelet count 120,000/mm3
A nurse is caring for a client who is at 20 weeks gestation and is in the clinic for a
routine prenatal visit. Which of the following findings in the data from the clients medical
record should the nurse report to the provider? Correct Fundal height
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients
should the nurse recommend the provider see first? Correct A client who is at 37
weeks of gestation and reports a persistent headache.
A nurse is assisting with planning care for a client who is breastfeeding and has
mastitis. Which of the following recommendations should the nurse include? Correct
Instruct the client to apply warm compresses to the affected breast
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
responses by the client indicates an understanding of the teaching? Correct I will lie
on my left side with my head elevated on a pillow
A nurse is reinforcing teaching with a client who has preeclampsia and is receiving
magnesium sulfate via continuous IV infusion. Which of the following statements should
the nurse include in the teaching? Correct Your fluid intake will be limited to no more
than 125 milliliters per hour
A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal
examination. Which of the following findings should the nurse report to the provider?
Correct Blurred vision
A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her
newborn. The client reports a perineal pain of 6 on a scale from 0 to 10. The nurse also
notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the
, umbilicus with deviation to the right. Which of the following actions is the nurse's
priority? Correct Help the client ambulate to the toilet
A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in
active labor. Which of the following findings should the nurse report to the charge
nurse? Correct Prolonged deceleration of FHR
A nurse is collecting date from a newborn who is 8 hr old. Which of the following
findings should the nurse report to the provider? Correct Apical heart rate of 90/min
while crying
A nurse is reinforcing teaching about food sources that are high in folate with a group of
women who are pregnant. Which of the following foods should the nurse recommend to
this group as the best source of folate? Correct 1/2 cup dried peas
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?
Correct Hypertension
A nurse is caring for a client who is planning to become pregnant. The client asks the
nurse why folic acid supplements are necessary. The nurse should inform the client that
the purpose of the folic acid supplements is to do which of the following? Correct
Prevent certain kinds of birth defects
A nurse is preparing to administer clindamycin 450 mg PO to a client who has
endometritis. The amount available is clindamycin 150 mg/capsule. How many capsules
should the nurse administer? Correct 3
A nurse in a prenatal clinic is caring for a client who is at 16 weeks of gestation and has
a positive hepatitis B test result. Which of the following actions should the nurse take?
Correct Explain to the client that she will receive the hepatitis B immune globulin
immediately
A nurse is collecting data from a client who is 32 hr postpartum. Which of the following
findings should the nurse expect? Correct Urine output of 3,000 mL in 24 hr
A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which
of the following statements should the nurse identify as an indication that the client
understands the instructions? Correct If my baby rides in a car with no back seat, the
passenger airbag must be turned off
A nurse is observing a client bathe her 1 day old newborn. Which of the following
actions should the nurse identify as an indication that the client understands how to
bathe her newborn? Correct The client washes the newborn's hair before unwrapping
her
