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?
Dry the newborn-- c
...
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?
Dry the newborn-- cold stress on the newborn
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?
Biophysical profile-- eval of the fetus is necessary with a real-time ultrasound
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?
A client who is at 11 weeks of gestation and reports abdominal cramping-- cramping
could indicate an ectopic pregnancy and manifestations of a spontaneous abortion
4) A nurse is demonstrating to a client how to bathe her newborn. In which order
should the nurse perform the following actions?
Step 1: Wipe the newborn's eyes from the inner canthus outward
Step 2: Wash the newborn's neck by lifting the newborn's chin
Step 3: Cleanse the skin around the newborn's umbilical cord stump
Step 4: Wash the newborn's legs and feet
Step 5: Clean the newborn's diaper area
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?
Swelling of the face-- facial, sacral and hand swelling can indicate gestational
hypertension or preeclampsia
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?
Lays the newborn across her lap and gently sways-- tactile stimulation promotes a
sense of security for a newborn
7) A nurse is assessing a newborn 12 hours after birth. Which of the following
manifestations should the nurse report to the provider?
Jaundice
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?
You should exercise for 30 minutes each day-- improves muscle tone
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?
Chin quivering-- behavioral responses like grimacing and furrowing of the brow could
indicate pain in the newborn
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?
You should leave the diaphragm in place for at least 6 hours after intercourse
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?
I should take 600mcg of folic acid each day-- folic acid assists with preventing neural
tube defects
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?
Bisacodyl rectal suppository daily as needed for constipation-- a suppository or
enema could cause separation of the suture line, bleeding or infection
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?
September 3rd-- subtract 3 months from the first day of the client's period, then add
7 days
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?
0.5mL
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?
Remove all clothing from the newborn except the diaper-- maximum skin exposer is
needed to break down excess bilirubin
16)A nurse on an antepartum unit is caring for four clients. Which of the following
clients should the nurse identify as the priority?
A client who is at 34 weeks gestation and reports epigastric pain-- epigastric pain is
a clinical manifestation of preeclampsia and indicates hepatic involvement
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?
Staff members who take care of your baby will be wearing a photo identification
badge
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?
Headache that is unrelieved by analgesia-- unrelieved headache with meds may
indicate preeclampsia
19)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?
I will have blood tests because my potassium might decrease-- adverse effect of
terbutaline is hypokalemia
20)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?
Platelets 50,000mm3-- this value is below expected reference ranges with can
indicate disseminated intravascular coagulation
21)A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease).
Which of the following actions should the nurse take?
Schedule an ultrasound examination-- a series of ultrasounds are needed to detect
the possible development of fetal hydrops
22)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?
A reduction in respiratory distress in the newborn-- betamethasone is a
glucocorticoid that is given to stimulate fetal lung maturity and prevent respiratory
distress
23)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?
Determine respiratory function-- airway is always first to evaluate
24)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?
To locate a pocket of fluid-- an US is done to locate the fluid and decrease the risk of
injury to the fetus
25)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?
I will need this medication if I have an amniocentesis-- Rho(D) immune globulin is
given following an amniocentesis because of the potential of fetal RBC's entering the
maternal circulation
26)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?
Have the client change position-- changing position may help relieve umbilical cord
compression
27)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?
Perform Leopold maneuvers-- this assesses the position of the fetus to best
determine the optimal placement for the external fetal monitoring transducer
28)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?
FHR 152/min--fetal heart rate, expected range 110/min-160/min
29)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)?
Just above the symphysis pubis-- the uterus is positioned low in the pelvis slightly
above the symphysis pubis
30)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?
Fundal height measurement-- fundal height should be measured in cm and is the
same as the number of gestational weeks plus or minus 2 weeks from 18-32 weeks
31)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?
Protect the client's head and feet from cold air-- this is traditional Hispanic practice
during the postpartum period
32)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?
Administer oxygen via a non-rebreather mask-- this helps both mother and baby to
ensure adequate oxygenation
33)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?
Massage the client's fundus-- this will expel clots and promote contractions
34)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?
Minimal arm recoil-- at 26 weeks gestation the newborn has decreased muscular
tone
35)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?
Amount of lochia-- greatest risk to the client is bleeding and postpartum hemorrhage
36)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-
- this helps ensure that fetal movement is noted
37)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?
Apply cabbage leaves to the breasts-- plant sterols and salicylates can help relieve
swelling and discomfort caused by breast engorgement
38)A nurse is teaching a new mother about newborn safety. Which of the
following instructions should the nurse include in the teaching?
You can share your room with your baby for the next few weeks-- co-sleeping can
increase SIDS, bedroom sharing helps parents learn the newborns cues
39)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?
Image 3
40)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?
Your provider will insert an intrauterine pressure catheter to monitor the strength of
your contractions-- this will determine if contractions are adequate for progression of
labor
41)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?
Temperature-- greatest risk is infection, so monitor the temp
42)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?
Maintain the client on bed rest-- this helps decrease the risk of dislodging the clot
43)A nurse is performing a physical assessment of a newborn. Which of the
following clinical findings should the nurse expect?
A heart rate of 154/min
A respiratory rate of 58/min
A weight of 2.6kg (5lb 12oz)
44)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?
Leakage of fluid from the vagina-- could indicate premature leakage of amniotic fluid
45)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?
Flaccid uterus
Excess vaginal bleeding
46)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?
You should use cold compresses after each feeding
47)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?
You should get a 2-hour oral glucose tolerance test in 6 to 12 weeks
48)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?
Assist the client to empty her bladder-- this could prevent the uterus from
contracting, resulting in increased vaginal bleeding or postpartum hemorrhage
49)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?
Take photos of the newborn to give to the parents-- create a memory box that
includes mementos of the newborn
50)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?
Erythrocyte Sedimentation Rate (ESR) 26mm/hr
51)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?
Eat high-carbohydrate foods-- avoid spicy, fatty or fried foods
52)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?
Vomiting-- fetal exposer of an SSRI can include irritability, agitation, tremors,
diarrhea, and vomiting
53)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?
BUN 25mg/dL-- an elevated BUN could indicate dehydration
54)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?
You can miss your period for several other reasons. Describe your typical menstrual
cycle-- amenorrhea is presumptive sign of pregnancy, not a positive sign
55)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?
Emotional lability
56)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?
Fetal head compression
57)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?
Apply sacral counterpressure
58)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?
Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
the specimen
59)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?
You will notice blood-tinged discharge from your vagina-- a sign of true labor is the
bloody show, this occurs when the cervix begins to efface and dilate
60)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?
Reassign the client to another staff nurse
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?
tuff of hair
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?
assist the client to the bathroom to void
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?
You will be offered orange juice to drink during the test
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?
Begin FHR(Fetal Heart Rate) monitoring
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?
Consume three to four servings of dairy each day
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?
Weight gain of 2.2 kg (4.8 lb)
7) A nurse is providing discharge teaching to the parents of a newborn about
using a car seat properly. Which of the following instructions should the nurse
include?
Position the car seat rear-facing in the back seat of the vehicle
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?
Place the newborn skin to skin on the mother's chest
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?
Monitor the FHR continuously
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?
Transition
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?
Counter-pressure
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?
Recommend that the client preform conscious relaxation techniques daily
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?
Stop suctioning when the newborn's cry sounds clear
14)A nurse is assessing a newborn who is 12 hr old. which of the following
clinical manifestations requires intervention by the nurse?
substernal chest retractions while sleeping
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?
Your newborn should appear content after each feeding
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?
Massage the client's fundus
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?
A blood glucose of 130 to 140 is considered a positive screening result
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?
I will continue taking my insulin if I experience nausea and vomiting
19)A nurse is assessing a late preterm newborn. Which of the following clinical
manifestations is an indication of hypoglycemia?
Respiratory distress
20)A nurse is teaching a group about newborn safety. Which of the following
statements by a parent indicated an understanding of the teaching?
I will dress my baby in flame-retardant clothing
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?
Continue monitoring the client
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?
Left lower quadrant
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?
Hypertension
24)A nurse is assessing a client who is postpartum and has isiopathic
thrombocytopenia purpura (ITP). Which of the following findings should the
nurse expect?
Decreases platelet count
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?
Assist the client to the hands and knees position
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?
Explain to the client this is an expected occurrence
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?
1- Cholecystitis
2-Hypertension
3-Migraine headaches
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?
Attention- focusing
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?
I'm sad for you
30)A nurse is assessing a full-term newborn 15 min after birth. Which of the
following findings require interventions by the nurse?
Respiratory rate 18/min
31)A nurse is assessing four newborns. Which of following findings should the
nurse report to the provider?
A newborn who is 18 hrs. old and has an axillary temperature of 37.7
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?
You can still become pregnant if you are breastfeeding
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?
Apply slight pressure with a sterile gauze pad for mild bleeding
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?
Unilateral breast pain
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?
Verify the new born' identification
36)A nurse is preparing to administer magnesium sulfate 2g/hr IV
50
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?
This process should have no effect on your sexual performance or adequacy
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?
Monitor the FHR( Fetal Heart Rate)
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?
The client's room number
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?
Decreased urine output
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?
Iron
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?
Administer terbutaline
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?
You should take the medication within 72 hours following unprotected sexual
intercourse
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?
I will eat foods that appeal to my taste instead of trying to balance my meals
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?
1- creases
2-molding
3-Lanugo
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?
Contractions become stronger with walking
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?
Progestational diabetes mellitus
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 takinghold phase of postpartum behavioral adjustment?
Demonstrate to the client how to perform a new born bath
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?
I will likely need to use alternative positions for sexual intercourse
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?
Neural tube defect
51)A nurse is preparing to preform Leopold maneuvers for a client. Identify the
sequence the nurse should follow.
1- Palpate the fundus
2-Determine the location
3- Palpate for the fetal part
4- Identify the attitude the head
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?
Side-lying
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?
Petechiae
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
Cold cabbage leaves
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?
Vaginal pressure
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?
The person who comes to take my baby's pictures will be wearing a photo
identification badge
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?
Monitor the client's blood pressure every 5 min following the first dose of anesthetic
solution
58)A nurse is caring for a newborn who is undergoing phototherapy to treat
hyperbilirubinemia. Which of the following actions should the nurse take?
Cover the newborn's eyes while under the phototherapy light
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?
Late decelerations
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
Obtain a gift from the newborn to present to the sibling.
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