ATI practice asssessment 2016A & 2016 B maternal new born,100% CORRECT

ATI Practice Assessment-Maternal Newborn Online Practice 2016 A 1) A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first? 2) A nurse is cari ...

ATI Practice Assessment-Maternal Newborn Online Practice 2016 A 1) A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first? 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should pan to prepare the client for which of the following diagnostic tests? 3) A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse request the provider see first? 4) A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? 5) A nurse is assessing a client who is at 30 weeks gestation during a routine prenatal visit. Which of the findings should the nurse report to the provider? 6) A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the following actions by the mother should the nurse recognize as a positive parenting behavior? 7) A nurse is assessing a newborn 12 hours after birth. Which of the following manifestations should the nurse report to the provider? 8) A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following instructions should the nurse include in the teaching? 9) A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain? 10) A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? 11) A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? 12) A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of the following prescriptions? 13) A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth? 14)A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states, "Administer 5mcg IM once today." Available is a 5mL vial with 10mcg/mL. How many mL should the nurse administer? 15) A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan? 16) A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? 17) A nurse is teaching a new mother about steps the nurses will take to promote the security and safety of the newborn. Which of the following statements should the nurse make? 18) A nurse is teaching a client who is at 35 weeks of gestation about clinical manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include? A 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? 19) A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider? 20) A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? 21) A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12mg IM. Which of the following outcomes should the nurse expect? 22) A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first? 23) A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound? 24) A nurse is teaching a client about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching? 25) A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take? 26) A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? 27) A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? 28) A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)? 29) A nurse is an antepartum 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? 30) A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care? 31) A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client's head to one side, which of the following actions should the nurse take next? 32) A nurse is on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next? 33) A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect? 34) A nurse on the postpartum unit is caring for a client following a cesarean birth. Which of the following assessments is the nurse's priority? 35) A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care? Instruct the client to press the provided button each time fetal movement is detected-- 36) A nurse is planning discharge for a client who is 3 days postpartum. Which of the following non-pharmacological interventions should the nurse include in the plan of care for lactation suppression? 37) A nurse is teaching a new mother about newborn safety. Which of the following instructions should the nurse include in the teaching? 38) A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers. Which of the following images indicates the first step of Leopold maneuvers? 39) A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hours. Which of the following statements should the nurse make? 40) A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should then nurse identify as the priority? 41) A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following actions should the nurse take? 42) A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? 43) A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication? 44) 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? 45) A nurse is providing teaching about comfort measures to a client who is breastfeeding and is experiencing engorgement. Which of the following nonpharmacological measures should the nurse include in the teaching? 46) A nurse is providing discharge teaching to a client who is postpartum and was taking insulin for gestational diabetes mellitus. Which of the following instructions should the nurse include in the teaching? 47) A nurse is assessing a client who gave birth vaginally 12 hours ago and palpates her uterus to the right above the umbilicus. Which of the following interventions should the nurse perform? 48) A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take? 49) bA nurse is reviewing the laboratory report of a client who is 24 hours postpartum following a vaginal delivery. Which of the following laboratory results should the nurse identify as an indication of a postpartum infection? 50) A nurse is teaching a client who is pregnant about managing nausea and vomiting. Which of the following instructions should the nurse include in the teaching? 51) A nurse is assessing the newborn of a client who took a selective serotonin re-uptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI? 52) A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? 53) A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make? 54) A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, "happy one minute and crying the next." The nurse should interpret the client's statement as an indication of which of the following? 55) A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of the following findings should the nurse identify as a possible cause of the early decelerations? 56) A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8cm and reports back pain. Which of the following actions should the nurse take? 57) A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? 58) A client who is at 34 weeks of gestation asks the nurse how she will know when she is in labor and should go to the hospital. Which of the following responses should the nurse make? 59) A staff nurse on an obstetric unit is caring for a client who is scheduled for an induced abortion. The staff nurse informs the nurse manager that she has a moral issue with the client's decision. Which of the following actions should the nurse manager take? ATI Practice Assessment-Maternal Newborn Online Practice 2016 B 1) A nurse is preforming a newborn assessment. Which of the following images should the nurse Identify as an indication of spina bifida occulta? 2) A nurse is assessing a client who is 12 hr postpartum. The client's fundus is two fingerbreadths above the umbillicus, deviated to the right of the midline, and less firm than previously noted. Which of the following actions should the nurse take? 3) A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test. Which of the following statements should the nurse include in the teaching? 4) A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke." Which of the following interventions is the nurse's priority? 5) A nurse is developing an educational program for adolescents about nutrition during the third trimester of pregnancy. Which of the following statements should the nurse include in the program? 6) A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider? 7) A nurse is providing discharge teaching tothe parents of a newborn about using a car seat properly. Which of the following instructions should the nurse include? 8) A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? 9) A nurse is developing a plan for a client who has preeclampsia and is receiving magnesium sulfate via a continuous IV infusion. Which of the following interventions should the nurse include in the plan? 10) A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 mins apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor? 11) A nurse is preforming a vaginal exam on client who is in labor and reports severe pressure and pain in the lower back. The nurse notes that the fetal head is in a posterior position. The nurse should identify that which of the following is the best nonpharmacological intervention to preform to relieve the client's discomfort? 12) A nurse is planning care for a client who is at 24 weeks of gestation and reports daily mild headaches. Which of the following instructions should the nurse include in the plan of care? 13) A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse include? 14) A nurse is assessing a newborn who is 12 hr old. which of the following clinical manifestations requires intervention by the nurse? 15) A nurse is teaching about effective breastfeeding to a client who is 3 days postpartum. which of the following information should the nurse include? 16) A nurse is caring for a client who had uterine hypotonicity and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's priority? 17) A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Which of the following statement should the nurse include in her teaching? 18) A nurse is teaching a client who has pre-gestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? 19) A nurse is assessing a late preterm newborn. Which of the following clinical manifestations is an indication of hypoglycemia? 20) A nurse is teaching a group about newborn safety. Which of the following statements by a parent indicated an understanding of the teaching? 21) A nurse is assessing a client who is in active labor and notes early deceleration in the FHR on the monitor tracing. The client is at 39 weeks of gestation and is receiving a continuous IV infusion of oxytocin. Which of the the following actions should the nurse take? 22) A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart? 23) A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? 24) A nurse is assessing a client who is postpartum and has isiopathicthrombocytopenia purpura (ITP). Which of the following findings should the nurse expect? 25) A nurse is preforming a vaginal examination for a client who is in active labor and reports back pain. the nurse determines that the client is 8 cm dilated, 100% effaced, -2 stations, and that the fetus is in the occiput posterior position. Which of the following actions should the nurse take? 26) A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take? 27) A nurse in a family planning clinic for a client who requests an oral contraceptive. Which of the following findings in the client's history should the nurse recognize as a contraindication to oral contraceptives? 28) A nurse is caring for a client who is at 40 weeks of gestation and is in a early labor. The client has a platelet count of 75,000/mm^3 and is requesting pain relief. Which of the following treatment modalities should the nurse anticipate? 29) A nurse is caring for a client who has recently experienced a perinatal death. Which of the following statements should the nurse make to the client? 30) A nurse is assessing a full-term newborn 15 min after birth. Which of the following findings require interventions by the nurse? 31) A nurse is assessing four newborns. Which of following findings should the nurse report tothe provider? 32) A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? 33) A nurse is providing discharge teaching to a parent whose newborn has just had a circumcision. Which of the following instructions should the nurse include? 34) A nurse is providing discharge teaching to a client who is postpartum. For which of the following clinical manifestations should the nurse instruct the client to monitor and report to the provider? 35) A nurse is caring for a newborn who was transferred to the nursery 30 min after delivery. Which of the following actions should the nurse take first? 36) A nurse is preparing to administer magnesium sulfate 2g/hr IV 37) A nurse is speaking with a client who is trying to make a decision about uterine tube occlusion. The client asks, "What effects will this procedure have on my sex life?" Which of the following responses should the nurse make? 38) A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure? 39) A charge nurse on the postpartum unit is observing a newly licensed nurse who is preparing to administer pain medication to a client. The charge nurse should intervene when the newly licensed nurses uses which of the following secondary identifiers to identify the client? 40) A nurse is assessing a client who is at 26 weeks of gestation. Which of the following clinical manifestations should the nurse report to the provider? 41) A nurse in a woman's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? 42) A nurse is reviewing the medical record at 1800 for a client who is at 34 weeks of gestation. Based on the chart findings and documentation, the nursing plan of care should include which of the following actions? 43) A school nurse is providing teaching to an adolescent about lenonorgestrek contraception. Which of the following information should the nurse include in the teaching? 44) A nurse is providing dietary teaching to a client who has hyperemesis gravidarum. which of the following statements by the client indicates an understanding of the teaching? 45) A nurse is preforming a physical assessment of a newborn upon admission to the nursery. Which of the following clinical manifestations should the nurse expect? 46) A nurse is discussing the differences between true labor and false labor with a group of expectant parents. Which of the following characteristics should the nurse include when discussing true labor? 47) A nurse in a provider's office is reviewing the medical record of a client who is in her first trimester of pregnancy. Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia? 48) A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment? 49) A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has BMI within expected reference range. Which of the following client statements indicated an understanding of the teaching? 50) A nurse is teaching clients in a prenatal class about the importance of taking folic acid during pregnancy. The nurse should instruct the clients to consume an adequate amount of folic acid from various sources to prevent which of the following fetal abnormalities? 51) A nurse is preparing to preform Leopold maneuvers for a client. Identify the sequence the nurse should follow. 52) A nurse is providing prenatal teaching to a client who is at 26 weeks of gestation. Which of the following positions should the nurse recommend for the client to increase circulation to the placenta? 53) A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which of the following clinical manifestations should the nurse expect? 54) A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding and had engorgement. The nurse should recommend the application of which of the following items 55) A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect? 56) A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for newborn safety. Which of the following clients statements indicated an understanding of the teaching? 57) A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care? 58) A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? 59) 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? 60) A nurse is providing education about family binding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member