ATI RN MATERNAL NEWBORN PROCTORED EXAM
A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of the
following statements by the client indicated an understanding of the teaching?
a. I will receive t
...
ATI RN MATERNAL NEWBORN PROCTORED EXAM
A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of the
following statements by the client indicated an understanding of the teaching?
a. I will receive this medication if my baby is Rh-negative
b. I will receive this medication at time of delivery
c. I will need a second dose of this medication when my baby is 6 weeks old
d. I will need this medication if I have an amniocentesis- Recommended because of the
potential of fetal RBCs entering the maternal circulation
2. A nurse is caring for a client who is to receive oxytocin (Pitocin) to augment her labor. Which
of the following contraindicates the initiation of the oxytocin infusion and requires
notification of the provider?
a. Late decelerations- Oxytocin is contraindicated based on late decelerations noted on
fetal assessment findings because they indicate uteroplacental insufficiency.
b. Baseline variability
c. Cessation of uterine dilation
d. Prolonged active phase of labor
3. A nurse on the newborn unit is planning discharge for four clients. Which of the following
will require care beyond that of a standard follow-up visit with the provider after delivery?
a. A newborn being sent home after 22 hr after birth- Screening tests must be repeated
if they were performed before he newborn was 24 hr. old.
b. A newborn at 38 weeks of gestational age
c. A newborn who is bottle feeding
d. Twin newborns with Apgar scores of 8 and 9
4.
5. 01. 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?
6.
7. Amount of lochia
8. When using the airway, breathing, circulation approach to client care, the nurse should place
the priority in the immediate postpartum period on assessing the amount of postpartum
lochia.
9. The greatest risk to the client is bleeding and postpartum hemorrhage.
10.
11. 02. 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 8 cm and reports back pain. Which of the following
actions should the nurse take?
12.
13. Apply sacral counterpressure
14. The nurse should apply sacral counterpressure to assist in relieving back labor pain related to
fetal posterior position.
15.
16. 03. A nurse is demonstrating to a client how to bathe her newborn. In which order should
the nurse perform the following actions? (Move the steps into the box on the right, placing
them in the selected order of performance. Use all the steps.)
17.
18. Wipe the newborn’s eyes from the inner canthus outward.
19. Wash the newborn’s neck by lifting the newborn’s chin.
20. Cleanse the skin around the newborn’s umbilical cord stump.
21. Wash the newborn’s legs and feet.
22. Clean the newborn’s diaper area.
23. The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to
dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the inner
canthus outward using plain water. The nurse should then wash the newborn's neck by lifting
the newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump
followed by washing the newborn's legs and feet. The last step of the bath should be to clean
the newborn's diaper area.
24.A nurse is caring for a client who desires an intrauterine device (IUD) for
contraception. Which of the following findings is a contraindication for the
use of this device? Menorrhagia
25.A nurse is reinforcing teaching with a client who is pregnant. Which of the
following instructions should the nurse include?
26.You should use fluoride base tooth paste to prevent dental caries
27.A nurse is assisting with the plan of care for a client who is pregnant and is
Rh-negative. In which of the following situations should the nurse
administer Rh(D) Immune Globulin? at 28 weeks gestattion
28.A nurse is caring for a newborn who was born to a client who has a
narcotic use disorder. Which of the following nursing actions should the
nurse identify as a contraindication for the care of the newborn?
29.frequent stimulation
30.A nurse is assisting with the plan of care for a client who is at 35 weeks of
gestation. Which of the following laboratory tests should the nurse obtain?
31.group b streptococcus B-hemolytic culture
32.A nurse is assisting in the plan of care for a newborn who requires
phototherapy for hyperbilirubinemia. Which of the following actions should
the nurse include in the plan of care?
33.ensure the newborns eyes are closed applying the eye shield
34.A nurse is caring for a client who is at 34 weeks of gestation and has a
prescription for terbutaline for preterm labor. Which of the following
statements by the client is the nurse's priority?
35.my heart feels as it is racing
36.A nurse is assisting with caring for a client who is at 36 weeks of gestation
and has pre-eclampsia. Which of the following findings should the nurse
identify as the priority? nonreactive stress test
37.A nurse is caring for a newborn who has irregular respirations of 52/min
with several periods of apnea lasting approximately 5 seconds. The
newborn is pink with acrocyanosis. Which of the following actions should
the nurse take?
38.continue to routi
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