Science Medicine Nursing
ATI PROCTORED EXAM - MATERNAL
NEWBORN
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RN 2023 Adult Medical Surgical ATI ... WHAAAA - RN Comprehensive Onli... chapter 27 adult hea
90 terms 150 terms 14 terms
FrancelysVeloz Preview gennieg69 Preview Mattie-Jarrett
A nurse is planning care for a D. Use a photometer to monitor the lamp's energy
newborn who is receiving
phototherapy for an elevated The nurse should monitor the lamp's energy throughout the
bilirubin level. Which of the therapy to ensure the newborn is receiving the appropriate
following actions should the amount to be effective.
nurse take?
A nurse is assessing a client at Dark red vaginal bleeding
34 weeks gestation who has a
mild placental abruption. Which The nurse should expect this client with a mild placental
of the following findings should abruption to have minimal dark red vaginal bleeding.
the nurse expect?
, Correct Answer:
B.
Assess the newborn's blood glucose level
Infants who become cold attempt to generate heat through
increased muscular and metabolic activity. This process increases
glucose consumption and puts the newborn at risk of
hypoglycemia.
A nurse is assessing a newborn
and notes an axillary
Incorrect Answers:
temperature of 96.9°F (36°C).
A. The nurse should not obtain a rectal temperature from a
Which of the following actions
newborn due to the risk of rectal perforation. Instead, the nurse
should the nurse perform?
should obtain an axillary temperature.
C. Bathing a newborn will increase heat loss. The infant should
not be bathed until the temperature has stabilized within the
normal range.
D. Placing the infant in front of a heater vent can incur heat loss
through convection. Additionally, there is a potential fire risk from
the bassinet linens and the vent.
Correct Answer:
C. Calcium gluconate
The nurse should discontinue the magnesium sulfate infusion
immediately and prepare to administer calcium gluconate IV to
A nurse is caring for a client who
reverse the effects of magnesium sulfate and to prevent cardiac
is in preterm labor and is
and respiratory arrest.
receiving magnesium sulfate.
The client begins to show
Incorrect Answers:
indications of magnesium sulfate
A. Protamine sulfate helps reverse the effects of heparin, not
toxicity. Which of the following
magnesium sulfate.
medications should the nurse
prepare to administer?
B. Naloxone is an opioid reversal agent. It does not reverse the
effects of magnesium sulfate.
D. Flumazenil reverses the effects of benzodiazepines such as
lorazepam and alprazolam, not magnesium sulfate.
, Correct Answer:
"Place fresh cabbage leaves on your breasts."
After 3 days postpartum, the client's breasts can become
swollen and distended because of congestion of the vascular
structures of the breasts.
Fresh cabbage leaves can be applied to engorged breasts to
help relieve breast discomfort.
A nurse is providing postpartum
discharge teaching to a client The coolness of the leaves and the phytoestrogens exert a
who is non-lactating about therapeutic effect on engorged breasts.
breast discomfort relief Leaves should be replaced when they become wilted.
measures. Which of the
following pieces of information Incorrect Answers:
should the nurse include? A. The client should be instructed to wear a tight-fitting bra or
breast binders to alleviate engorgement and swelling.
C. Application of warmth to the breasts should be avoided
because heat can stimulate milk production. An ice pack should
be used to relieve engorged breasts.
D. Milk should not be expressed from the breasts. This
intervention would increase milk production rather than decrease
it.
Correct Answer:
D.
"You should eat dry foods that are high in carbohydrates when
you wake up."
The nurse should instruct the client to eat foods that are high in
A nurse is educating a client carbohydrates such as dry toast or crackers upon waking or
who is at 10 weeks gestation and when nausea occurs.
reports frequent nausea and
vomiting. Which of the following Incorrect Answers:
statements should the nurse A. The nurse should instruct the client to eat foods served at cool
include in the teaching? temperatures to decrease nausea and vomiting.
B. The nurse should instruct the client to avoid brushing her teeth
immediately after eating to decrease vomiting.
C. The nurse should instruct the client to eat salty and tart foods
during periods of nausea.
, Correct Answer:
D.
"A progestin-only pill or injection is available for use while you
are breastfeeding."
Progestin-only injections, implants, and birth control pills are
acceptable options for clients who are breastfeeding, although
some experts recommend waiting until 6 weeks postpartum to
initiate the medication.
A nurse is providing postpartum
discharge teaching for a client
Incorrect Answers:
who is breastfeeding. The client
A. Breastfeeding can inhibit ovulation or prolong menstruation;
states, "I've heard that I can't use
however, it is not a reliable and effective means of birth control.
any birth control until I stop
The client may experience an unplanned pregnancy if she waits
breastfeeding." Which of the
until her periods resume before considering birth control
following responses should the
options.
nurse make?
B. Estrogen-containing birth control pills, implants, patches, and
vaginal rings are not recommended for clients who are
breastfeeding due to the risk of inhibiting breast milk production
and supply.
C. Condoms and other non-hormonal birth control methods are
appropriate for clients who are breastfeeding; however, there
are other methods that are also appropriate.
Correct Answer:
D.
Urine output 20 mL/hr
Opioid analgesics such as morphine can cause urinary retention.
The client should have a urinary output of at least 30 mL/hr. The
A nurse is assessing a client who nurse should report this finding to the provider.
is receiving morphine via a
patient-controlled analgesia Incorrect Answers:
(PCA) pump following a A. Opioid analgesics can cause respiratory depression. However,
cesarean birth. Which of the this respiratory rate is within the expected reference range.
following findings should the
nurse report to the provider? B. This temperature is within the expected reference range.
C. Dizziness is a common adverse effect of receiving opioid
analgesics. The nurse should instruct the client to sit on the side
of the bed before getting up, assist the client with ambulation,
and implement general safety measures. However, it is not
necessary to report this finding to the provider.
ATI PROCTORED EXAM - MATERNAL
NEWBORN
Save
Students also studied
Flashcard sets Study guides
RN 2023 Adult Medical Surgical ATI ... WHAAAA - RN Comprehensive Onli... chapter 27 adult hea
90 terms 150 terms 14 terms
FrancelysVeloz Preview gennieg69 Preview Mattie-Jarrett
A nurse is planning care for a D. Use a photometer to monitor the lamp's energy
newborn who is receiving
phototherapy for an elevated The nurse should monitor the lamp's energy throughout the
bilirubin level. Which of the therapy to ensure the newborn is receiving the appropriate
following actions should the amount to be effective.
nurse take?
A nurse is assessing a client at Dark red vaginal bleeding
34 weeks gestation who has a
mild placental abruption. Which The nurse should expect this client with a mild placental
of the following findings should abruption to have minimal dark red vaginal bleeding.
the nurse expect?
, Correct Answer:
B.
Assess the newborn's blood glucose level
Infants who become cold attempt to generate heat through
increased muscular and metabolic activity. This process increases
glucose consumption and puts the newborn at risk of
hypoglycemia.
A nurse is assessing a newborn
and notes an axillary
Incorrect Answers:
temperature of 96.9°F (36°C).
A. The nurse should not obtain a rectal temperature from a
Which of the following actions
newborn due to the risk of rectal perforation. Instead, the nurse
should the nurse perform?
should obtain an axillary temperature.
C. Bathing a newborn will increase heat loss. The infant should
not be bathed until the temperature has stabilized within the
normal range.
D. Placing the infant in front of a heater vent can incur heat loss
through convection. Additionally, there is a potential fire risk from
the bassinet linens and the vent.
Correct Answer:
C. Calcium gluconate
The nurse should discontinue the magnesium sulfate infusion
immediately and prepare to administer calcium gluconate IV to
A nurse is caring for a client who
reverse the effects of magnesium sulfate and to prevent cardiac
is in preterm labor and is
and respiratory arrest.
receiving magnesium sulfate.
The client begins to show
Incorrect Answers:
indications of magnesium sulfate
A. Protamine sulfate helps reverse the effects of heparin, not
toxicity. Which of the following
magnesium sulfate.
medications should the nurse
prepare to administer?
B. Naloxone is an opioid reversal agent. It does not reverse the
effects of magnesium sulfate.
D. Flumazenil reverses the effects of benzodiazepines such as
lorazepam and alprazolam, not magnesium sulfate.
, Correct Answer:
"Place fresh cabbage leaves on your breasts."
After 3 days postpartum, the client's breasts can become
swollen and distended because of congestion of the vascular
structures of the breasts.
Fresh cabbage leaves can be applied to engorged breasts to
help relieve breast discomfort.
A nurse is providing postpartum
discharge teaching to a client The coolness of the leaves and the phytoestrogens exert a
who is non-lactating about therapeutic effect on engorged breasts.
breast discomfort relief Leaves should be replaced when they become wilted.
measures. Which of the
following pieces of information Incorrect Answers:
should the nurse include? A. The client should be instructed to wear a tight-fitting bra or
breast binders to alleviate engorgement and swelling.
C. Application of warmth to the breasts should be avoided
because heat can stimulate milk production. An ice pack should
be used to relieve engorged breasts.
D. Milk should not be expressed from the breasts. This
intervention would increase milk production rather than decrease
it.
Correct Answer:
D.
"You should eat dry foods that are high in carbohydrates when
you wake up."
The nurse should instruct the client to eat foods that are high in
A nurse is educating a client carbohydrates such as dry toast or crackers upon waking or
who is at 10 weeks gestation and when nausea occurs.
reports frequent nausea and
vomiting. Which of the following Incorrect Answers:
statements should the nurse A. The nurse should instruct the client to eat foods served at cool
include in the teaching? temperatures to decrease nausea and vomiting.
B. The nurse should instruct the client to avoid brushing her teeth
immediately after eating to decrease vomiting.
C. The nurse should instruct the client to eat salty and tart foods
during periods of nausea.
, Correct Answer:
D.
"A progestin-only pill or injection is available for use while you
are breastfeeding."
Progestin-only injections, implants, and birth control pills are
acceptable options for clients who are breastfeeding, although
some experts recommend waiting until 6 weeks postpartum to
initiate the medication.
A nurse is providing postpartum
discharge teaching for a client
Incorrect Answers:
who is breastfeeding. The client
A. Breastfeeding can inhibit ovulation or prolong menstruation;
states, "I've heard that I can't use
however, it is not a reliable and effective means of birth control.
any birth control until I stop
The client may experience an unplanned pregnancy if she waits
breastfeeding." Which of the
until her periods resume before considering birth control
following responses should the
options.
nurse make?
B. Estrogen-containing birth control pills, implants, patches, and
vaginal rings are not recommended for clients who are
breastfeeding due to the risk of inhibiting breast milk production
and supply.
C. Condoms and other non-hormonal birth control methods are
appropriate for clients who are breastfeeding; however, there
are other methods that are also appropriate.
Correct Answer:
D.
Urine output 20 mL/hr
Opioid analgesics such as morphine can cause urinary retention.
The client should have a urinary output of at least 30 mL/hr. The
A nurse is assessing a client who nurse should report this finding to the provider.
is receiving morphine via a
patient-controlled analgesia Incorrect Answers:
(PCA) pump following a A. Opioid analgesics can cause respiratory depression. However,
cesarean birth. Which of the this respiratory rate is within the expected reference range.
following findings should the
nurse report to the provider? B. This temperature is within the expected reference range.
C. Dizziness is a common adverse effect of receiving opioid
analgesics. The nurse should instruct the client to sit on the side
of the bed before getting up, assist the client with ambulation,
and implement general safety measures. However, it is not
necessary to report this finding to the provider.
