ATI PN Maternal Newborn Proctored Exam 2020

1. A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first? ~assign Apgar scores to the newborn ~weigh the newborn ~place identification bracelets on the newborn ~dry the newborn - dry the newborn 2. A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? ~clean the newborn's diaper area ~wash the newborn's neck by lifting the newborn's chin ~wipe the newborn's eyes from the inner canthus outward ~wash the newborns legs and feet ~cleanse the skin around the newborn's umbilical cord stump – Answers: ~wipe the newborn's eyes from the inner can this outward ~wash the newborn's neck by lifting the newborn's chin ~cleanse the skin around the newborn's umbilical cord stump ~wash the newborn's legs and feet ~clean the newborn's diaper area 3. A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse request the provider see first? ~a client who is at 11 weeks gestation and reports abdominal cramping ~a client who is at 15 weeks of gestation and reports tingling and numbness in her right hand ~a client who is at 20 weeks of gestation and reports constipation for the past four days ~a client who is at 8 weeks of gestation and reports having three bloody noses in the past week – Answer: a client who is at 11 weeks gestation and reports abdominal cramping 4. A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests? ~biophysical profile~amniocentesis ~cordocentesis ~Keilhauer-Betke test - Biophysical profile 5. A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? ~swelling of the face ~varicose veins in the calves ~nonpitting 1+ ankle edema ~hyperpigmentation of the cheeks - Swelling of the face 6. A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the following actions by the mother nurse recognize as a positive parenting behavior? ~lays the newborn across her lap and gently sways ~places the newborn in the crib in a prone position ~offers the newborn a pacifier dipped in formula ~prepares a bottle of formula mixed with rice cereal - Lays the newborn across her lap and gently sways 7. A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? ~acrocyanosis ~transient strabismus ~jaundice ~caput succedaneum - Jaundice 8. A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following instructions should the nurse include in the teaching? ~"You should increase the weight-bearing exercises as your pregnancy progresses." ~"You should lie on your back to rest for 5 minutes after exercising." ~"You should take your pulse every 20 minutes while you are exercising." ~"You should exercise for 30 minutes each day." - "You should exercise for 30 minutes each day." 9. A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain? ~decreased heart rate~chin quivering ~pinpoint pupils ~slowed respirations - Decreased heart rate 10.A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? ~"You should replace the diaphragm every 5 years." ~"You should leave the diaphragm in place for at least 6 hours after intercourse." ~"You should use an oil-based product as a lubricant when inserting the diaphragm." ~"You should insert the diaphragm when your bladder is full." - "You should leave the diaphragm in place for at least 6 hours after intercourse."