ATI PN Comprehensive Exit Exam 2020 – Kaplan
University
Maternal Newborn Practice B
1. A nurse is reinforcing teaching about newborn home safety precautions
with a group of new mothers. Which of the following instruc
...
ATI PN Comprehensive Exit Exam 2020 – Kaplan
University
Maternal Newborn Practice B
1. A nurse is reinforcing teaching about newborn home safety precautions
with a group of new mothers. Which of the following instructions should
the nurse include?
"Crib slats should be no more than 2.25 inches apart."
2. A nurse is reinforcing teaching with a client who is at 16 weeks of
gestation, has diabetes mellitus, and has a BMI of 31. Which of the
following statements should the nurse identify as an indication that the
client understands the teaching?
"My intake should be 25 calories per kilogram of my body weight or
less per day."
3. A nurse is planning to reinforce discharge teaching about formula
feeding with the guardian of a newborn. Which of the following
instructions should the nurse plan to include?
Provide the newborn with six to eight feedings during a 24-hr period.
4. A nurse in a clinic is collecting data from a client who is at 12 weeks of
gestation. Which of the following actions should the nurse take?
Use an ultrasound stethoscope to listen to fetal heart tones.5. A nurse is caring for a client who is 18 hr postpartum and has a fourthdegree perineal laceration. The client reports a pain rating of 4 on a scale
from 0-10. Which of the following should the nurse take? (SATA)
1) Promote the use of witch hazel pads
2) Give the client ice packs
3) Have the client take a cool water sitz bath
4) Encourage the client to practice relation techniques
6. A nurse is reinforcing teaching with a client who has a new prescription
of medroxyprogesterone acetate injection for contraception. Which of
the following statements by the client indicates understanding of the
teaching?
"I am likely to gain weight while taking this medication."
7. A nurse is collecting data from a client who is at 38 weeks of gestation.
Which of the following findings should the nurse report to the provide?
Glycosuria
8. A nurse is reinforcing teaching with a client who is trying to become
pregnant. Which of the following foods should the nurse recommend as
the best source of folate?
1 cup cooked spinach
9. A nurse is caring for a client who is in preterm labor and is receiving
betamethasone. Which of the following actions should the nurse take?
Inject the medication into the client's vastus lateralis muscles.
10. A nurse is collecting data from a 28-year-old client who is requesting
a prescription for an oral contraceptive. Which of the following
information in the client's history should the nurse identify as a
contraindication for the use of oral contraceptives?
Frequent headaches with visual changes.11. A nurse is reinforcing teaching about preventing urinary tract infections
with a client who is at 25 weeks of gestation. Which of the following
instructions should the nurse include?
"You should empty your bladder before you go to bed at night."
12.A nurse is reinforcing education about the prevention of newborn
abduction with a client who recently delivered. Which of the following
statements should the nurse identify as an indication that the client
understands the instructions?
"An alarm will sound if someone removes my baby's safety device."
13.A nurse is reinforcing teaching about a nonstress test with a client who is
at 33 weeks of gestation. Which of the following statements should the
nurse include?
"You will press a button when you feel the baby move."
14.A nurse on a postpartum unit is contributing to the discharge teaching
plan for a client. Which of the following instructions should the nurse
suggest for the plan?
Use a firm mattress in the newborn's crib.
15.A nurse is reinforcing teaching about car seat safety with the guardian of
a newborn. Which of the following statements by the guardian indicates
an understanding of the teaching?
"I will position the retainer clip at the level of the baby's armpits."
16.A nurse is contributing to the plan of care for a client who is pregnant
and has intermittent constipation. Which of the following interventions
should the nurse recommend in the plan?
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42. A nurse is collecting data from a client who is at 37 weeks of
gestation. Which of the following findings should the nurse report to the
provider?
Blurred vision
43. A nurse is reinforcing teaching about newborn umbilical cord care
with a client who is postpartum. Which of the following statements
should the nurse identify as an indication that the client understands the
instructions?
"I will report any drainage from my baby's umbilical cord."
44. A nurse is reinforcing discharge teaching with a client who has
mastitis of the left breast. Which of the following instructions should the
nurse include?
Pump the affected breast frequently
45. A nurse is reinforcing teaching with a client who is at 8 weeks of
gestation. Which of the following responses by the client indicates an
understanding of the teaching?
"I should expect to have a white vaginal discharge during pregnancy."
46. A nurse is caring for a client who gave birth to a newborn who is large
for gestation age (LGA) 16 hr. ago. Which of the following findingsshould the nurse identify as a complication of the birth of a newborn
who is LGA?
Hemorrhage
47. A nurse is collecting data from a client who is receiving magnesium
sulfate IV for preeclampsia. The nurse should identify which of the
following findings as an indication of toxicity to report to the provider?
Respiratory rate 10/min
48. A nurse in a postpartum unit is caring for a client who has
endometritis and is 48 hr. postpartum following a cesarean birth. Which
of the following findings should the nurse anticipate?
Heart rate 110/min
49. A nurse is collecting data from the parent of a newborn immediately
following birth. The parent states, "She is so tiny. We don't know how to
pick her up without hurting her." Which of the following actions should
the nurse take first to promote parent-newborn attachment?
Demonstrate to the parent how to hold the newborn.
50. A nurse is reinforcing teaching with a client who has a bacterial
infection. Which of the following statements should the nurse include in
the teaching?
"You should suspend breastfeeding for 8-10 days."
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