ATI RN Maternal Newborn A Proctored Exam

1. A nurse is planning discharge for a client who is 3 days postpartum. Which of the following non pharmacological interventions should the nurse include in the plan of care for lactation suppression? A) Place warm, moist packs on the breast. B) Apply cabbage leaves to the breast. C) Wear a loose- fitting bra. D) Put green tea bags on the breasts. - B) Apply cabbage leaves to the breasts. 2. A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? (Select all that apply). A) Heart Rate 154/min B) Axillary temperature 96.8 F C) Respiratory rate 58/min D) Length 43 cm (16.9in) Weight 5lb 12 oz - Heart rate Respiratory Weight 3. A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take? A) Take photos of the newborn to give to the parents. B) Tell the parents that they can consider organ donations. C) Encourage the parents to avoid allowing older children to visit them in the hospital. D) Explain to the parents the need to name the newborn. - Take photos of the newborn to give to the parents.4. A nurse is caring for a client who is 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound? A) to estimate fetal weight B) to locate a pocket of fluid C) to determine multiparity D) to pre-screen for fetal anomalies - B) to locate a pocket of fluid 5. A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, ''happy one min and crying the next.'' The nurse should interpret the client's statement as an indication of which of the following? A) Emotional lability B) Focusing phase C) Cognitive restructuring D) Couvade syndrome - A) Emotional lability 6. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? A) Obtain an informed consent prior to obtaining the specimen B) Collect at least milliliter of the urine for the test C) Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen. D) Premature newborns may have false negative tests due to immature development of liver enzymes. - C) Ensure that the newborn has been receiving feedings for 24 hrs prior to obtaining the specimen. 7. A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? A) Acrocyanosis B) Transient strabismusC) Jaundice D) Caput succedaneum - c) jaundice 8. A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor ( SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI? A) Large for gestational age B) Hyperglycemia C) Bradypnea D) Vomiting - D) Vomiting 9. A nurse is assessing a newborn following a circumcision. Which of the following should the nurse identify as an indication that the newborn is experiencing pain ? A) Decreased heart rate B) Chin quivering C) Pinpoint pupils D) Slowed respirations - B) Chin quivering 10.A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? ( Use all the steps and list them in order) A) Clean the newborn's diaper area B) Wash the newborn's neck by lifting the newborn's chin. C) Wipe the newborn's eyes from the inner canthus outward. D) Cleanse the skin around the newborn's umbilical cord stump. E) Wash the newborn's legs and feet. - C,B,D,E,A