ATI Maternal Newborn Online Practice B
2020 Already Passed
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 cli
...
ATI Maternal Newborn Online Practice B
2020 Already Passed
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 clients history should the nurse identify
as a contraindication for the use of oral contraceptives
Frequent headaches with visual changes
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
A nurse is contributing to the plan of care for a newborn following a vaginal birth. Which of the
following information should the nurse include when helping to develop the newborns plan of
care?
GBS
Apgar score
Type of birth
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.
A nurse is reinforcing teaching about home safety precautions with a group of guardians. Which
of the following instructions should the nurse include?
You should ensure that crib slats are no more than 2.25 inches apart
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 newborns crib
A nurse is assisting with the care of a client who is in the active phase of the first stage of labor.
Which of the following findings should the nurse report to the charge nurse?
Green fluid from the vagina
A nurse is caring for a client following a cesarean birth. Which of the following actions should
the nurse take to decrease the client's risk of developing thrombophlebitis?
have the client ambulate several times a day
a nurse is collecting data from a client who is 38 weeks of gestation. Which of the following
findings should the nurse report to the provider?
glycosuria
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 hour period
a nurse is reinforcing teaching with a client who is pregnant and will undergo a 1 hour oral
glucose tolerance test. Which of the following instructions should the nurse include?
avoid caffeine the morning of the test
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 immediately
a nurse is planning to perform a blood collection via heel stick on a newborn. After performing
hand hygiene and donning gloves, which of the following actions should the nurse plan to take
next
Wrap the newborns heel with a cloth moistened with warm water
a nurse is preparing to to administer phytonadine to a newborn. The nurse should plan to
administer this medication by which of the following routes?
Intramuscular
A nurse is caring for a client who delivered vaginally 6 hours ago. Which of the following
findings should the nurse report to the provider?
Perineal pad soaked in 15 minutes
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
A nurse is reinforcing teaching about breastfeeding with a client who has a 12- hour old
newborn. Which of the following statements should the nurse identify as an indication that the
client understands the instructions?
I should wake my baby up to feed during the night.
a nurse is caring for a client who is 48 hours postpartum following a vaginal birth. Which of the
following findings should the nurse report to the provider?
Warm, tender area on the calf
Dysuria
Cracked nipples
A nurse is reinforcing discharge teaching about home care with the patient of a newborn. Which
of the following instructions should the nurse include?
Ensure the water temperature during your newborns bath is maintained at 100 degrees Fahrenheit
A nurse is assisting with the care of a client who is postpartum and is receiving lactated ringers
1,500 ml IV to infuse over 10 hours. The nurse should verify that the IV pump's settings will
deliver how many mL/hour?
150mL/hr
A nurse is reinforcing teaching about car 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 my baby's armpits
A nurse is reinforcing teaching with a client who has a new prescription for
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
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?
Drink 2L of water per day
A nurse is assisting with the care of a client who is pregnant and has preeclampsia. While the
nurse is collecting data, the client has a seizure. Which of the following actions should the nurse
take first?
Turn the client on their side
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 of 10/minute
A nurse is contributing to the plan of care for a client who has hyperemesis gravidarum. Which
of the following interventions should the nurse recommend?
Monitor intake and output
A nurse is assisting in the care of a client during the active phase of labor. Which of the
following actions should the nurse take to promote the clients comfort?
Have the client perform relaxing breathing techniques.
a nurse is collecting data from a client who is receiving magnesium sulfate. Which of the
following findings should the nurse report to the provider?
absent deep tendon reflexes
a nurse is assisting with monitoring a client after an amniocentesis. Which of the following
findings should the nurse expect?
FHR 120/min
a nurse is assisting with the admission of a newborn who has respiratory distress. While
collecting data, which of the following should the nurse report to the provider?
Nasal flaring
Intercostal retractions
Grunting
A nurse is reinforcing teaching about formula preparation with the parent of a newborn. Which
of the following information should the nurse include?
Over-diluted formula can result in inadequate growth
a nurse is reinforcing teaching with a client who requests hydrotherapy for pain management
during labor. Which of the following statements should the nurse include?
You must be at least 37 weeks of gestation before you can use hydrotherapy
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 white vaginal discharge during pregnancy
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
A nurse is assisting in care with a client who is at 39 weeks of gestation. Which of the following
statements should alert the nurse as a sign of a potential complication
I have pain in my upper right abdomen
A nurse is collecting data from a client who gave birth 18 hours ago. Which of the following
findings should the nurse identify as an indication of a postpartum complication?
Fundus is palpable at 2cm above the umbilicus
A nurse is contributing to the plan of care for a client who is at 18 weeks gestation and has just
learned that the fetus has a trisomy 21. Which of the following resources should the nurse
recommend for the client?
Genetic counseling
A nurse is caring for a client who is in preterm labor and receiving betamethasone. Which of the
following actions should the nurse take?
inject the medication into the Bastia lateral is muscle
Tonic neck reflex
turning the head to one side, extending the arm and leg on that side, and flexing the limbs on the
opposite side. (fencing position)
a nurse is contributing to the plan of care for a client who has eclampsia. Which of the following
interventions should the nurse plan to include as the priority immediately following a seizure?
Administer oxygen via face mask at 10L/min
a nurse in postpartum unit is caring for a client who has endometriosis and is 48 hours
postpartum following a cesarean birth. Which of the following findings should the nurse
anticipate
Heart rate of 110
A nurse is reinforcing education about the prevention of newborn abduction with a client who
recently gave birth. 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
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.
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
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.
a nurse in an antepartum clinic is reviewing laboratory test results for a group of clients. The
nurse should notify the provider of which results?
Hematocrit 31%
a nurse is caring for a 12 hr old male newborn who was delivered from a breech position. Which
of the following findings should the nurse report to the charge nurse?
Skin appears jaundiced
a nurse is collecting data from a client who is primigravida and has hyperthyroidism. Which of
the following findings should the nurse expect?
diaphoresis
A nurse in a providers office is reinforcing teaching with a client. Which of the following
statements should the nurse include? Exhibit question.
Provider Prescriptions
Norgestrel 0.075mg PO daily.
Metronidazole 500mg PO twice a day for 7 days.
History and Physical
Spontaneous vaginal birth 6 months ago.
History of hypertension.
Client reports vaginal discharge with a fish-like odor.
Thin, watery vaginal secretions noted on pelvic examination.
Diagnostic Results
pH 5.0.
Whiff test positive.
Positive microscopic screening for bacterial vaginosis.
You might experience a metallic taste in your mouth while taking your medication
a nurse is collecting data from a client who is one day postpartum. Which of the following
findings should the nurse identify as an indication of infection
WBC 35,000/mm3
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