ATI maternal newborn 2023/2024
GRADED A LATEST
a nurse is caring for a client who has uterine atony and is experiencing pp
hemorrhage the following actions is the nurse's priority? - CORRECT ANSWER
Massage the clients fundus
a nurse is caring for a client who is to receive oxytocin to augment her labor.
which of the following findings contraindicates the initiation of the oxytocin
infusion and should be reported to the provider/ - CORRECT ANSWER late
decelerations
A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect? - CORRECT ANSWER blurred vision
explanation: due to dec blood flow to retina
severe preeclampsia would have >500 mg proteinuria
can have hyperactive reflexes of 3+
a nurse is assessing a client who is 1 day PP and has vaginal hematoma. Which os
the following manifestations should the nurse expect? - CORRECT ANSWER
vaginal pressure
explanation: due to blood that leaked into the tissues
,A nurse is caring for a client who is at 36 W of gestation and has a positive
contraction stress test. the nurse should plan to prepare the client for which of
the following diagnostic tests? - CORRECT ANSWER
a nurse is providing teaching to a client who is 40 weeks of gestation and has a
new prescription of misoprostol. which of the following instructions should the
nurse include in the teaching? - CORRECT ANSWER "i can administer oxytocin 4
hours after the insertion of the medications"
explanation: oxytocin can be administered following misoprostol for clients who
have cervical ripening and have not begun labor.
A nurse is assessing 4 newborn. which of the following findings should the nurse
report to the provider. - CORRECT ANSWER a newborn who is 18 hr old and has
an axillary temp 37.7 degress celsisus (99.9).
a nurse is caring for a client who is 30 weeks of gestation and has a prescription
for mag sulfate IV to treat preterm labor. the nurse should notify the provider of
which of the following?
nausea,
urinary output of 40 ml/hr
respiratory rate 10/min
client reports feeling flushed - CORRECT ANSWER resp rate of 10
a nurse is teaching a client who is 10 weeks gestation about nutrition during
pregnancy. which of the following statements by the client indicates an
understanding of the teaching?
inc protein to 60 g
drink 2L of water each day
,inc overall daily caloric intake by 300 calories
i should take 600 micrograms of folic acid each day" - CORRECT ANSWER "i
should take 600 micrograms of folic acid each day"
explanation:
protein should be 71g each day during 2nd and 3rd trimester
should consume 3L of water a day
340 cal during second and 452 cal during 3rd
A nurse is assessing a late preterm newborn. which of the following
manifestations is an indication of hypoglycemia?
hypertonia
inc feeding
hyperthermia
resp distress - CORRECT ANSWER respiratory distress
late preterm newborn are at an in risk for hypoglycemia due to dec glycogen
stores and immature insulin secretion. Resp distress is a manifestation of
hypoglycemia. other manifestations include abnormal cry, jitteriness, poor
feeding, apnea, and seizures
A nurse in an antepartum clinic is providing care for a client who si at 26 weeks of
gestation:
1 hr glucose tolerance of 120
hematocrit 34%
fundal height measurement of 30
FHR of 110 - CORRECT ANSWER fundal height measurement of 30
explanation:
, not 1 hr normal range, 130-140 or > is a positive test
hematocrit normal >33%
FHR normal 110-160BPM
nurse is caring for a client who is scheduled to recieve contin IV infusion of
oxytocin following vaginal birth. which of the following assessment findings
should the nurse monitor to evaluate the effectiveness of the med? - CORRECT
ANSWER fundal consistency
A nurse is caring for a client who is 24 years old and at 13 weeks of gestation.
clients history includes BMI of 31 prior to pregnancy, a prior post-term delivery,
and a newborn birth weight of 9lb and 3 oz. Which of the following lab values
should the nurse expect to collect?
a maternal serum alpha-fetoprotein
b preg assoc plasma protein A
c chorionic villus sampling
d HbA1c - CORRECT ANSWER HbA1c
measures the average plasma glucose concentration over the 12 weeks preceding
the test. at risk for impaired glucose metabolism and should be screened at the
end of the 1st trimester.
a nurse is providing discharge instructions for a client who had a c-section 4 days
ago. hemoglobin is 9.2 and the provider prescribed iron supp. Which of the
following foods should the nurse recommend to help in the clients iron intake?
a spinach
b. citrus fruit
c. milk
GRADED A LATEST
a nurse is caring for a client who has uterine atony and is experiencing pp
hemorrhage the following actions is the nurse's priority? - CORRECT ANSWER
Massage the clients fundus
a nurse is caring for a client who is to receive oxytocin to augment her labor.
which of the following findings contraindicates the initiation of the oxytocin
infusion and should be reported to the provider/ - CORRECT ANSWER late
decelerations
A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect? - CORRECT ANSWER blurred vision
explanation: due to dec blood flow to retina
severe preeclampsia would have >500 mg proteinuria
can have hyperactive reflexes of 3+
a nurse is assessing a client who is 1 day PP and has vaginal hematoma. Which os
the following manifestations should the nurse expect? - CORRECT ANSWER
vaginal pressure
explanation: due to blood that leaked into the tissues
,A nurse is caring for a client who is at 36 W of gestation and has a positive
contraction stress test. the nurse should plan to prepare the client for which of
the following diagnostic tests? - CORRECT ANSWER
a nurse is providing teaching to a client who is 40 weeks of gestation and has a
new prescription of misoprostol. which of the following instructions should the
nurse include in the teaching? - CORRECT ANSWER "i can administer oxytocin 4
hours after the insertion of the medications"
explanation: oxytocin can be administered following misoprostol for clients who
have cervical ripening and have not begun labor.
A nurse is assessing 4 newborn. which of the following findings should the nurse
report to the provider. - CORRECT ANSWER a newborn who is 18 hr old and has
an axillary temp 37.7 degress celsisus (99.9).
a nurse is caring for a client who is 30 weeks of gestation and has a prescription
for mag sulfate IV to treat preterm labor. the nurse should notify the provider of
which of the following?
nausea,
urinary output of 40 ml/hr
respiratory rate 10/min
client reports feeling flushed - CORRECT ANSWER resp rate of 10
a nurse is teaching a client who is 10 weeks gestation about nutrition during
pregnancy. which of the following statements by the client indicates an
understanding of the teaching?
inc protein to 60 g
drink 2L of water each day
,inc overall daily caloric intake by 300 calories
i should take 600 micrograms of folic acid each day" - CORRECT ANSWER "i
should take 600 micrograms of folic acid each day"
explanation:
protein should be 71g each day during 2nd and 3rd trimester
should consume 3L of water a day
340 cal during second and 452 cal during 3rd
A nurse is assessing a late preterm newborn. which of the following
manifestations is an indication of hypoglycemia?
hypertonia
inc feeding
hyperthermia
resp distress - CORRECT ANSWER respiratory distress
late preterm newborn are at an in risk for hypoglycemia due to dec glycogen
stores and immature insulin secretion. Resp distress is a manifestation of
hypoglycemia. other manifestations include abnormal cry, jitteriness, poor
feeding, apnea, and seizures
A nurse in an antepartum clinic is providing care for a client who si at 26 weeks of
gestation:
1 hr glucose tolerance of 120
hematocrit 34%
fundal height measurement of 30
FHR of 110 - CORRECT ANSWER fundal height measurement of 30
explanation:
, not 1 hr normal range, 130-140 or > is a positive test
hematocrit normal >33%
FHR normal 110-160BPM
nurse is caring for a client who is scheduled to recieve contin IV infusion of
oxytocin following vaginal birth. which of the following assessment findings
should the nurse monitor to evaluate the effectiveness of the med? - CORRECT
ANSWER fundal consistency
A nurse is caring for a client who is 24 years old and at 13 weeks of gestation.
clients history includes BMI of 31 prior to pregnancy, a prior post-term delivery,
and a newborn birth weight of 9lb and 3 oz. Which of the following lab values
should the nurse expect to collect?
a maternal serum alpha-fetoprotein
b preg assoc plasma protein A
c chorionic villus sampling
d HbA1c - CORRECT ANSWER HbA1c
measures the average plasma glucose concentration over the 12 weeks preceding
the test. at risk for impaired glucose metabolism and should be screened at the
end of the 1st trimester.
a nurse is providing discharge instructions for a client who had a c-section 4 days
ago. hemoglobin is 9.2 and the provider prescribed iron supp. Which of the
following foods should the nurse recommend to help in the clients iron intake?
a spinach
b. citrus fruit
c. milk
