ATI PROCTORED MATERNAL NEWBORN EXAM / Q & A

A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse take? (ANS- D. Use a photometer to monitor the lamp's energy A nurse ...

A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse take? (ANS- D. Use a photometer to monitor the lamp's energy A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the following findings should the nurse expect? (ANS- Dark red vaginal bleeding A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of the following actions should the nurse perform? (ANS- Assess the newborn's blood glucose level A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The client begins to show indications of magnesium sulfate toxicity. Which of the following medications should the nurse prepare to administer? (ANS- C. Calcium gluconate A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast discomfort relief measures. Which of the following pieces of information should the nurse include? (ANS- "Place fresh cabbage leaves on your breasts." A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and vomiting. Which of the following statements should the nurse include in the teaching? (ANS- "You should eat dry foods that are high in carbohydrates when you wake up." A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client states, "I've heard that I can't use any birth control until I stop breastfeeding." Which of the following responses should the nurse make? (ANS- "A progestin-only pill or injection is available for use while you are breastfeeding." A nurse is assessing a client who is receiving morphine via a patient-controlled analgesia (PCA) pump following a cesarean birth. Which of the following findings should the nurse report to the provider? (ANS- Urine output 20 mL/hr A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is scheduled for an external cephalic version. Which of the following statements should the nurse make? (ANS- B."You will receive a medication to relax your uterus prior to the procedure. A postpartum nurse is caring for a client who reports excessive sweating during the first night after delivery. Which of the following statements should the nurse make? (ANS- "This is a source of your fluid loss after delivery." The parents of a child with phenylketonuria (PKU) ask the nurse if their second unborn child could have the same condition. The nurse should base the response on which of the following inheritance patterns responsible for PKU? (ANS- Autosomal recessive A nurse is teaching a client about physiological changes that can occur with menopause. Which of the following changes should the nurse include? (ANS- C. Stress incontinence A nurse is providing education about newborn skin care for a group of new parents. Which of the following instructions should the nurse include? (ANS- B.Sponge bathe the newborn every other day A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree perineal laceration. Which of the following interventions should the nurse take? (ANS- Apply cold ice packs to the client's perineaium A nurse is providing teaching to the parents of a newborn about home safety. Which of the following statements by the parents indicates an understanding of the teaching? (ANS- "I will place my baby on his back when putting him to sleep." A nurse is caring for a newborn who is premature at 30 weeks gestation. Which of the following findings should the nurse expect? (ANS- Abundant lanugo A nurse is caring for a client who is in labor and received meperidine for pain 1 hr prior to entering the second stage of labor. Which of the following actions should the nurse take? (ANS- Assess the newborn for respiratory depression A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should the nurse expect? (ANS- Urinary retention A nurse is reviewing the medical record of a client at 39 weeks gestation who has polyhydramnios. Which of the following findings should the nurse expect? (ANS- Fetal gastrointestinal anomaly A nurse in a clinic is providing education to a client at 32 weeks of gestation who has pruritus gravidarum. Which of the following pieces of information should the nurse provide? (ANS- "You should slightly increase your exposure to sunlight."