ATI RN Maternal Newborn Proctored Exam 2019 B Retake Questions and Verified Answers

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? - Apply internal upward pressure to the presenting part using two gloved fingers 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 - Demonstrate to the client how to perform a newborn bath A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a non-stress test. Which of the following statements should the nurse include in the teaching? - You will be offered orange juice to drink during the test A nurse in a woman's health clinic is providing teaching about nutritional intake to a client who is at eight weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients - Iron 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? - Initiate continuous external fetal monitoring A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has a term in the fetal position as left a simple anterior. To which of the following areas of the clients I have dementia the nurse supply the ultrasound transducer to assess the point of maximum intensity of the fetal heart - Left lower quadrant Nursery for praying to administer azithromycin to a client who is at 16 weeks of gestation and has a positive chlamydia culture. The prescription states administer azithromycin 1 g orally now. Available is 250 mg tablets. How many tablets should the nurse administer? - Four A nurse is caring for a newborn who is undergoing photo therapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? - Cover the newborn size white under the photo light therapy The school nurse is providing teaching to an adolescent about Lebanon gestural contraception. Which of the following information should the nurse include in the teaching? - You should take this medication within 72 hours following unprotected sexual intercourse A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statement sure the nurse include in the teaching? - You should leave the diaphragm in place for at least six hours after intercourse The nurse is caring for a client who is at 22 weeks of gestation and reports concern about the bocce hyperpigmentation on her for head. What should the following action should the nurse take? - Explain to the client this is an expected occurrence The 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? - I will have blood test because my potassium might decrease A nurse is assessing a newborn of a client who took a selective serotonin reuptake inhibitor her during pregnancy. Which of the following manifestation should the nurse identify as an indication of withdrawal from an SSRI - Vomiting I nurse is assessing a newborn who is 12 hours old. Which of the following manifestations requires intervention by the nurse? - Sub sternal chest retractions while sleeping I nurse in the antepartum clinic is assessing a client adaptation to 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? - Emotional liability I know it's on antepartum unit is caring for for clients. Go to the phone client shared the nurse identified as the priority? - A client who is at 34 weeks of gestation reports epigastric pain A nurse is assessing a client who is at 30 weeks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? - Swelling of the face A nurse is providing discharge teaching to a client who has postpartum period for which of the following manifestation should the nurse instruct the client to monitor and report to the provider? - Unilateral breast pain A nurse is teaching a new mother how to use a bulb syringe to suction her newborn secretions. Which of the following instruction should the nurse include? - Stop sectioning when the new ones cry sounds clear 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 - BilliRubin 9 mg/dL 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 show the nurse recognized as a contraindication to oral contraceptives. select all that apply - Cholecystitis, hypertension, migraine headaches A nurse is teaching a postpartum Kayaa about steps the nurse will take to promote the security and safety of the clients newborn. Which of the following statement sure the nurse make? - Staff members who take care of your baby will be wearing a photo identification badge I nurse is reviewing the laboratory results for a client who is at 10 weeks of gestation period which of the following laboratory findings should the nurse report to the provider - Hemoglobin 10 g/dL A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of the following actions should the nurse take? - Have calcium gluconate readily available A nurse is caring for a client who is in active labor and has had no cervical change in the last four hours. Which of the following statements are the nurse make? - Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions Nurse is caring for a newborn who was transferred to the nursery 30 minutes after birth because of my respiratory distress. Which of the following actions should the nurse take first? - Verify the newborns identification A nurse is assessing a newborn for manifestations of hypo glycemia. Which of the following findings should the nurse expect? - Jitteriness