ATI practice asssessment 2016A & 2016 B maternal new born

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