NUR 276 ATI Maternal Newborn Proctored Exam QUESTIONS AND ANSWERS

NUR 276 ATI Maternal Newborn Proctored Exam QUESTIONS AND ANSWERS 1. A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina after calling for assistance which of the following actions should the nurse take next ANS Apply internal upward pressure to the presenting part using two gloved fingers 2. A nurse is planning care for a client who is two hours postpartum which of the following intervention should the nurse plan to implement during the taking hold phase of postpartum behavioral adjustment ANS Demonstrate to the client how to perform a newborn bath 3. A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test which of the following statements should the nurse include in the teaching ANS You will be offered orange juice to drink during a test 4. A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is it eight weeks of gestation the nurse 1 / 7 should instruct the client to increase her daily intake of which of the following nutrients ANS Iron 5. A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa which of the following actions should the nurse take ANS Initiate continuous external fetal monitoring 6. A nurse is assessing fetal heart tones for a client who is pregnant the nurse is determined the fetal position as left occipital anterior to which of the following areas of the clients abdomen sure the nurse apply the ultrasound transducer to assess the point of maximum intensity to the fetal heart ANS Left lower quadrant 7. A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture the prescription states administer is it from ice in 1 g Orly now available is 250 mg tablets how many tablets for the nurse administer round the answer to the nearest whole number using leading zero if it applies do not use a trailing zero ANS 4 tablets 8. A nurse is caring for a newborn who is undergoing photo therapy to treat hyperbilirubinemia which of the following actions should the 2 / 7 nurse take ANS Cover the newborns eyes while under the photo therapy light 9. A school nurse is providing teaching to an adolescent about lev- onorgestrel contraception which of the following information should the nurse include in the teaching ANS You should take the medication within 72 hours following unprotected sexual intercourse 3 / 7 S - The Marketplace to Buy and Sell your Study Material 10.A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm which of the following statement should the nurse include in the teaching ANS You should leave the diaphragm in place for at least six hours after intercourse 11.A nurse is caring for a client who is at 22 weeks of gestation and reports concern about blotchy hyperpigmentation on her forehead which of the following actions should the nurse take ANS Explain to the client that this is an expected occurrence 12.A nurse is teaching a client who is in preterm labor about terbutaline which of the following statements by the client indicates an understanding of the teaching ANS I will have blood tests because my potassium might decrease 13.A nurse is assessing a newborn of a client who took a selective serotonin reuptake inhibitor during pregnancy which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI ANS Vom- iting 14.A nurse is assessing a newborn who is 12 hours old which of the fol- lowing manifestations require interventions by the nurse ANS 4 / 7 S - The Marketplace to Buy and Sell your Study Material Substernal chest retractions while sleeping 15.A nurse in the antepartum clinic is assessing a client adaptation of pregnancy the client states that she is happy one minute and crying the next the nurse should interpret the clients statement as an indication of which of the following ANS Emotional lability 16.A nurse on a antepartum unit is caring for four clients which of the following client to the nurse identify as a priority ANS A client who is at 34 weeks of gestation and reports epigastric pain 17.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 ANS Swelling of the face 18.A nurse is providing discharge teaching to a client who has postpartum for which of the following manifestation should the nurse instruct the client to monitor and report to the provider ANS Unilateral breast pain 19. A nurse is teaching a new mother how to use a bulb syringe to suction her newborn secretions which of the following instructions should the nurse include ANS Stop suctioning when the newborns cry sound clear 5 / 7 S - The Marketplace to Buy and Sell your Study Material 20. A nurse is reviewing laboratory results of a newborn who is four hours old which of the following findings should the nurse report to the provider- ANS Bilirubin of 9 mg/Dl 21.A nurse in a family planning clinic is caring for a client who request an oral contraceptive which of the following findings in the clients history to the nurse recognizes a contraindication to oral contraceptives select all that apply ANS Cholecystitis Hypertension Migraine headaches 22.A nurse is teaching a postpartum Kline about the steps the nurses will take to promote the security and safety of the clients newborn which of the following statement should the nurse make ANS Staff member to take care of your baby will be wearing a photo identification badge 23.A nurse is reviewing the laboratory results for a client who is at 10 weeks gestation which of the following laboratory findings should the nurse report to the provider ANS Hemoglobin 10 g/dL 24.A nurse is caring for a client who has preeclampsia and is receiving a 6 / 7 continuous infusion of magnesium sulfate IV which of the following actions should the nurse take ANS Have calcium gluconate readily available 25.A nurse is caring for a client who is in active labor and has no cervical change in the last four hours which of the following statement should the nurse make ANS Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions 26.A nurse is caring for a newborn who was transferred to the nursery 30 minutes after birth because of mild respiratory distress which of the following actions should the nurse take ANS Verify the newborns identification 27.A nurse is assessing a newborn for manifestations of hypoglycemia which of the following findings should the nurse expect ANS Jitteriness 28. A nurse and a prenatal clinic is caring for a client who reports that her menstrual period is two weeks late client appears anxious and asked the nurse if she's pregnant which of the following responses to the nurse make ANS You can miss your period for several other reasons describe your typical menstrual cycle 7 / 7 29. A nurse is caring for a client who is pregnant and is at the end of her first trimester the nursing place the Doppler ultrasound stethoscope in which of 8 / 7 the following locations to begin assessing the fetal heart tones ANS Just above the symphysis pubis 30.A nurse is preparing to perform Leopold's Maneuvers for a client identify the sequence the nurse should follow ANS Palpate the funds to identify the fetal part Determine the location of the fetal back Palpate for the fetal part presenting at the inlet Identify the altitude of the head 31. A nurse is performing a newborn assessment which of the following images should the nurse identify as an indication of spina bifida occulta- ANS Caucasian baby with small bruise-like/birthmark at the base of the back above buttocks 32.A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone which of the following statements for the nurse make about the indication for the medication and administration ANS This medication stimulates fetal lung maturity 33. A nurse is caring for a client who is in labor and reports increasing rectal pressure she's experiencing contractions 2 to 3 minutes apart each lasting 80 to 90 seconds in a vaginal examination reveals in her cervix is dilated to 9 cm the nurse should identify that the client is in which of the following phases of labor ANS Transition 34.A nurse is teaching a new parent about Nyborg safety which of the 9 / 7 following instructions to the nurse include in the teaching ANS You can share your room with your baby for the next few weeks 35.A nurse is providing dietary teaching to a client who has hyper emesis gravidarum which of the following statements by the client indicates under- standing of the teaching ANS I will eat foods that taste good instead of balancing my meals 36.A nurse is caring for a client following an amniocentesis at 18 weeks of gestation which of the following findings should the nurse report to the provider is a potential complication ANS Leakage of fluid from the vagina 37.A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura which of the following findings should the nurse expect ANS Decrease platelet count 38. A nurse is planning discharge for a client who is three days post partum which of the following non-pharmacological intervention should the nurse 10 / include in the plan of care for lactation suppression ANS Apply cabbage leaves to the breasts 39.A nurse is preparing to administer oxytocin to a client who is post partum which of the following findings as an indication for the administration of the medication select all that apply ANS Flaccid uterus Excess vaginal bleeding 40.A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control which of the following actions should the nurse include in the plan of care ANS Monitor the clients blood pressure every five minutes following the first dose of the anesthetic solution 41.A nurse on postpartum unit is caring for a client who is expecting hy- povolemic shock after notifying the provider which of the following actions should the nurse take next ANS Massage clients fundus 42.A nurse is planning care for a client who is in labor and is to have an amniotomy which of the following assessments for the nurse identify as a priority ANS Temperature 43.A nurse is reviewing the laboratory report of a newborn he was 24 hours old which of the following results should the nurse expect to report to the provider ANS Blood glucose 30 mg/dL 44.A nurse is speaking with a client who is trying to make a decision about tubal ligation the client asks what effect will this procedure have on my sex life which of the following responses should the nurse make ANS This procedure should have no effect on your sexual performance or 11 / adequacy 45.A nurse is reviewing the medical record of a client who has postpartum and has preeclampsia which of the following laboratory results should the nurse report to the provider ANS Platelets 50,000/mm3 46.A nurse is teaching a client who is Rh negative about Rh0(D) immune globulin which of the following statements by the client indicated under- standing of the teaching ANS I will need this medication if I have an amniocentesis 47.A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication for which of the following findings should the nurse instruct the client to notify the provider ANS Shortness of breath 48. A nurse is teaching a client who is at 24 weeks of gestation regarding a one hour glucose tolerance test which of the following statements should 12 / the nurse include in the teaching ANS Blood glucose of 130 to 140 is considered a positive screening result 49.A nurse is assessing a client who gave birth vaginally 12 hours ago and palpate her uterus to the right above the umbilicus which of the following interventions should the nurse perform ANS Assist the client to empty her bladder 50.A nurse is caring for a client who is in labor and who's fetus is in the right occiput posterior position the client is dilated to 8 cm and reports back pain which of the following actions should the nurse take ANS Apply sacral counterpressure 51. A nurse is reviewing the medical record at 1800 for client who is at 34 weeks of gestation based on the chart findings and documentation the nursing plan of care should include which of the following actions ANS Administer terbutaline 52.A nurse is reviewing the medical record of a newly admitted client it was at 32 weeks gestation which of the following conditions is an indication for fetal assessment using electronic fetal monitoring ANS Oligohydramnios 53.A nurse is teaching a client who is at 35 weeks of gestation about man- ifestations of potential pregnancy complications to report to the provider which of the following manifestation should the nurse include ANS Headache that is unrelieved by analgesia 54. A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test for which of the following diagnostic 13 / test should the nurse prepare the client ANS Biophysical profile BPP 55.A nurse is providing discharge teaching to the parents of a newborn about car seat safety which of the following instruction should the nurse include ANS Place the retainer clip at the level of the newborns armpits 56.A nurse is calculating a client expected date of birth using Nägeles rule the client tells the nurse that her last menstrual period started on November 27 which of the following dates as the clients expected date of birth ANS Septem- ber 3 57. A nurse is planning care for a client who is to undergo a nonstress test which of the following actions should the nurse include in the plan of care ANS Instruct the client to press the provided button each time fetal movement is detected 14 / 58.A nurse is caring for a client who becomes unresponsive upon delivery of the placenta which of the following actions should the nurse take first ANS - Determine respiratory function 59.A nurse is teaching a client who has pregestational type 1 diabetes melli- tus about management during pregnancy which of the following statements by the client indicated understanding of the teaching ANS I will continue taking my insulin if I experience nausea and vomiting 60.A nurse is assessing a newborn following circumcision which of the following findings should the nurse identify as an indication of the newborn is experiencing pain ANS Chin quivering 15 /