ATI Proctored Exam Maternal Newborn latest 2022

A nurse is providing discharge teaching to a client following tubal ligation (occlusion). Which of the following statement by the client indicates an understanding of the teaching? A. "premenstrual tension will no l ...

A nurse is providing discharge teaching to a client following tubal ligation (occlusion). Which of the following statement by the client indicates an understanding of the teaching? A. "premenstrual tension will no longer be present." B. "Ovulation will remain the same." C. "Hormone replacements will be needed following this procedure." D. "My monthly menstrual period will be shorter. - ANSWER B. "Ovulation will remain the same." A nurse is assessing a newborn following forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopulmonary dysplasia - ANSWER C. Facial Palsy Facial paralysis 15 minutes after forceps birth or absence of movement on affected side is especially noticeable when infant cries. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statements by the client indicates understanding of the teaching? A. "This medication could cause me to experience heart palpitations." B. "This medication could cause me to experience blurred vision." C. "This medication could cause me to experience ringing in my ears." D. "This medication could cause me to experience frequent urination." - ANSWER A. "This medication could cause me to experience heart palpitations." Beta-adrenergic agents such as terbutaline (Brethine) are associated with various side effects, including tachycardia, irregular pulse, myocardial ischemia, and pulmonary edema. A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect? A. Thick, White Vaginal Discharge B. Urinary Frequency C. Vulva Lesions D. Malodorous Discharge - ANSWER D. Malodorous Discharge yellowish-to-greenish, frothy, mucopurulent, copious, malodorous discharge. Inflammation of the vulva, vagina, or both may be present; and the woman may complain of irritation and pruritus. Dysuria and dyspareunia are often present A nurse is caring for a client who is at 14 weeks of gestation. At which of the following locations should the nurse place the doppler device when assessing the fetal heart rate? A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis B. Left Upper Abdomen C. Two fingerbreadths above the umbilicus D. Lateral at the Xiphoid Process - ANSWER A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis Toward the end of the first trimester, before the uterus is an abdominal organ, the fetal heart tones (FHTs) can be heard with an ultrasound fetoscope or an ultrasound stethoscope A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? A. Urine protein concentration 200 mg/24 hr. B. Creatinine 0.8 mg/ dL C. Hemoglobin 14.8 g/ dL D. Platelet Count 60,000/ mm3 - ANSWER D. Platelet Count 60,000/ mm3 A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effect should the nurse include? A. Tinnitus B. Urinary Frequency C. Breast Tenderness D. Chills - ANSWER C. Breast Tenderness The adverse effects of clomiphene citrate are stomach upset, bloating, abdominal/pelvic fullness, flushing ("hot flashes"), breast tenderness, headache, or dizziness may occur A nurse is assessing a newborn upon admission to the nursery. Which of the following should the nurse expect? A. Bulging Fontanels B. Nasal Flaring C. Length from head to heel of 40 cm (15.7 in) D. Chest circumference 2 cm (0.8 in) smaller than the head circumference - ANSWER D. Chest circumference 2 cm (0.8 in) smaller than the head circumference Measure at nipple line 2-3 cm (0.8-1.2 in) less than head circumference; average 30-33 cm (11.8-13 in) ≤ 30 cm A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? A. Increase the newborn's visual stimulation B. Weigh the newborn every other day C. Discourage parental interaction until after a social evaluation D. Swaddle the newborn in a flexed position - ANSWER D. Swaddle the newborn in a flexed position Swaddling in a flexed position with hands midline against chest and legs loosely swaddled in lumbar flexion to decrease sensory stimulation A nurse is caring for a newborn who is 6 hrs. old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? A. Obtain a blood sample for a serum glucose level B. Feed the newborn immediately C. Administer 50 mL of dextrose solution IV D. Reassess the blood glucose level prior to the next feeding. - ANSWER D. Reassess the blood glucose level prior to the next feeding. 12. A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?(Select all that apply). A. "I will limit my time in the hot tub to 30 minutes after exercise." B. "I should consume three 8-ounce glasses of water after I exercise." C. "I will check my heart rate every 15 minutes during exercise sessions." D. "I should limit exercise sessions to 30 minutes when the weather is humid." E. "I should rest by lying on my side for 10 minutes following exercise. - ANSWER B, C, E A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider? A. Contraction durations of 95 to 100 seconds B. Contraction frequency of 2 to 3 min apart C. Absent early deceleration of fetal heart rate D. Fetal heart rate is 140/min - ANSWER A. Contraction durations of 95 to 100 seconds For a normal uterine activity during labor contraction duration remains fairly stable throughout first and second stages, ranging from 45-80 seconds, not generally exceeding 90 seconds 14. A nurse in a woman's health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID)? A. Recurrent Cystitis B. Frequent Alcohol Use C. Use of Oral Contraceptives D. Chlamydia Infection - ANSWER D. Chlamydia Infection Pelvic inflammatory disease is an infection of a woman's reproductive organs. It is a complication often caused by some STDs, like chlamydia and gonorrhea A nurse is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the nurse include in the teaching? A. Hepatitis B B. Rotavirus C. Pneumococcal D. Varicella - ANSWER A. Hepatitis B Hepatitis B immunization is recommended at birth, 1 to 2 months, and between 6 to 18 months. A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A. ½ cup cubed avocado B. 1 large banana C. 1 medium potato D. 1 cup cooked broccoli - ANSWER D. 1 cup cooked broccoli A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? A. The client expels the placenta. B. The client experiences gradual dilation of the cervix C. The client begins to have regular contractions. D. The client delivers the newborn - ANSWER D. The client delivers the newborn A nurse is assessing a client who is at 37 weeks (about 8 and a half months) of gestation. Which of the following statement by the client requires immediate intervention by the nurse? A. "It burns when I urinate." B. "My feet are really swollen today." C. "I didn't have lunch today, but I have breakfasted this morning." D. "I have been seeing spot this morning. - ANSWER A. "It burns when I urinate." A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? A. "I should position my baby's car seat at a 45-degree angle in the car." B. "I should place the car seat rear facing until my baby is 12 months old." C. "I should place the harness snugly in a slot above my baby's shoulders." D. "I should position the retainer clip at the top of my baby's abdomen. - ANSWER A. "I should position my baby's car seat at a 45-degree angle in the car." A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease? A. The mother is Rh positive, and the father is Rh negative. B. The mother is Rh negative, and the father is Rh positive. C. The mother and the father are both Rh positive. D. The mother and the father are both Rh negative - ANSWER B. The mother is Rh negative, and the father is Rh positive. A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first? A. A client who has diabetes mellitus and an HbA1c of 5.8% B. A client who has preeclampsia and a creatinine level of 1.1 mg/ dL C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L D. A client who has placenta previa and a hematocrit of 36 - ANSWER C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene? A. Molding B. Vernix Caseosa C. Acrocyanosis D. Sternal retractions - ANSWER D. Sternal retractions Sternal retraction is a common clinical sign of respiratory distress in premature infants. A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider? A. A client who has a urinary output of 300 ml in 8 hr. B. A client who reports abdominal cramping during breastfeeding C. A client who is receiving magnesium sulfate and has absent deep tendon reflexes. D. A client who reports lochia rubra requiring changing perineal pads every 3 hr. - ANSWER C. A client who is receiving magnesium sulfate and has absent deep tendon reflexes. Others s/s: loss of deep tendon reflexes (9.6-12 mg/dL) (> 7 mEq/L), respiratory depression (12-18 mg/dL) (> 10 mEq/L), and cardiac arrest (24-30mg/dL) (> 25mEq/L). A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer? A. Metronidazole B. Penicillin C. Acyclovir D. Gentamici - ANSWER C. Acyclovir A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? A. Hyperemesis