ATI QUESTIONS FOR MATERNAL NEWBORN CHILD PROCTORED

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 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 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