ATI PN MATERNAL NEWBORN PROCTORED
EXAM
20. A nurse is preparing to administer oxytocin to a client who is postpartum.
Which of the following findings is an indication for the administration of the
medication? (Select
...
ATI PN MATERNAL NEWBORN PROCTORED
EXAM
20. A nurse is preparing to administer oxytocin to a client who is postpartum.
Which of the following findings is an indication for the administration of the
medication? (Select all that apply.)
Flaccid uterus is correct. Oxytocin increases the contractility of the uterus.
Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing
vaginal
bleedin
g.
21. A nurse is caring for a full-term newborn immediately following birth. Which of
the following actions should the nurse take first?
Dry the newborn
When using the urgent vs. nonurgent approach to client care, the nurse should determine that
the greatest risk to the newborn is cold stress. Therefore, the first action the nurse should take
immediately after delivery is to dry the newborn.
22. A nurse is performing a physical assessment of a newborn. Which of the
following clinical findings should the nurse expect? (Select all that apply.)
A heart rate of 154/min is correct. The expected reference range for a newborn's heart rate is
from 110/min to 160/min while awake.
A respiratory rate of 58/min is correct. The expected reference range for a newborn's
respiratory rate is from 30/min to 60/min.
A weight of 2.6 kg (5 lb 12 oz) is correct. The expected reference range for a newborn's
weight is from 2.5 to 4 kg (5.5 lb to 8.8 lb).
23. A nurse in an antepartal clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following findings should
the nurse report to the provider? (Click on the "Exhibit" button for additional information
about the client. There are three tabs that contain separate categories of data.)
Progress Notes
Fundal height 30 cm
Good fetal movement
Not experiencing headache, dizziness, blurred vision, or vaginal bleeding
Fetal heart rate 110/min
Fundal height measurement
A fundal height measurement of 30 cm should be reported to the provider. Fundal height
should be measured in centimeters and is the same as the number of gestational weeks plus or
minus 2 weeks from 18 to 32 weeks gestation. Therefore, the nurse should report this finding
to the provider.
24. A nurse is performing a routine assessment on a client who is at 18 weeks of
gestation. Which of
[Show More]
.png)
