ATI MATERNAL NEWBORN PROCTORED 2019

ATI MATERNAL NEWBORN PROCTORED 2019 A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct staff to report to the pr ...

ATI MATERNAL NEWBORN PROCTORED 2019 A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct staff to report to the provider? - AnsC. Absent early deceleration of fetal heart rate A nurse is assisting the provider administer a dinoprostone insert labor for a client. Which of the following actions should the nurse take? - AnsA. Place the client in semi-fowler position for 1 hr after administration A nurse is planning to teach a group of clients who are pregnant about breastfeeding after returning to work. Which of the following information should the nurse include in the teaching? - Ans"Breast milk can be store in a deep freezer for 12 months" A nurse is caring for a 2-day-old newborn who was born t 35 weeks gestation. Which of the following actions should the nurse take? - AnsD. Insert an orogastric decompression tube with low wall suction A nurse is proving teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statements by the client indicated an understanding of the teaching? - AnsD. "This medication could cause me to experience heart palpitations" A nurse is caring for a newborn who is 6 hr old and has type 2 diabetes mellitus. Which of the following actions should the nurse take? - AnsB. Reassess the blood glucose level prior to the next feeding A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? - AnsD. "Your contractions will become temporarily regular" A nurse is assessing a client who is at 37 weeks gestation. Which of the following statements by the client requires immediate intervention by the nurse? - AnsD. "It burns when I urinate" A nurse is proving teaching about expected changes during pregnancy to a client who is at 24 weeks gestation. Which of the following information should the nurse include? - AnsD. "You should expect yours uterus to double in size" A nurse is assessing a preterm newborn who is at 32 weeks gestation. Which of the following findings should the nurse expect? - AnsD. Sprase lanugo A nurse is reviewing the electronic medical record for a postpartum client, The nurse should identify that which of the following factors places the client at risk for infection? - AnsD. Meconium-stained fluid A nurse in a providers office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual cycle was March 8th. Use the Nagele's rule to calculate the estimated date of delivery. - Ans1215 A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care? - AnsB. Avoid using lotion or ointment on the newborn's skin A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM every 12-hr. Available is dexamethasone 10 mg/mL. How many mL of dexamethasone should the nurse administer per dose? (round answer to the nearest tenth) - Ans0.6 mL A nurse is caring for a client who is in labor and request non pharmacological pain management. Which of the following nursing actions promotes client comfort? - AnsC. Assisting the client into a squatting position A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect? - AnsFacial Petechiae A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct? - AnsBlood type and Rh A nurse is assessing a newborn upon admission to the nursery. Which o fit following findings should the nurse expect? - AnsC. Chest circumference 2 cm (0.8in) smaller than the head circumference A nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect with of the following laboratory values to increase? - AnsB. Fasting blood glucose A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include? - AnsD. Breast Tenderness A nurse in a provider's office is caring for a 20-year old client who is at 12 weeks gestation and requests an amniocentesis to determine the sex of her fetus. Which of the following responses should the nurse make? - AnsB. "We can schedule the procedure for later today if you'd like" A nurse in a women's health client is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client's risk for developing pelvic inflammatory disease (PID)? - AnsB. Chlamydial infection A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect? - AnsA. Uterine Tenderness A nurse is assessing a newborn who was born post-term. Which of the following findings should the nurse expect> - AnsB. Nails extending over the tips of fingers A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? - AnsA. Hemorrhage A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication for this birth method? - AnsC. Facial Palsy A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for induction of labor with misoprostol? - AnsB. A client who has gestational diabetes mellitus A nurse is proving discharge teaching to a client following a tube ligation. Which of the following statements by the client indicates an understanding of the teaching? - AnsB. "Ovulation will remain the same" A nurse is assessing a newborn immediately following a gavial birth. For which of the following findings should the nurse intervene? - AnsA. Sternal retractions A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching? - AnsA. "Transmission can occur via the saliva and urine of the newborn" A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method? - AnsC. Facial Palsy A nurse is caring for a client who has hypermedia gravidarum. Which of the following laboratory tests should the nurse anticipate? - AnsUrine Ketones A nurse is caring for a client who is at 20 weeks gestation and has trichomoniasis. Which of the following findings should the nurse expect? - AnsA. Thick, White vaginal discharge A nurse is caring for a client who is 14 weeks of gestation. AT which of the following locations should the nurse place the doppler device when assessing the fetal heart rate? - AnsA. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis A nurse is assessing a client who is 27 weeks gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? - AnsPlatelet count 60.00/mm^3 A nurse is planning care for a newborn who had neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? - AnsD. Swaddle the newborn in a flexed position A nurse is caring for a newborn who is 6 hr old and has a beside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? - AnsD. Reassess the blood glucose level prior to the next feeding A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? - AnsD. 1 cup cooked broccoli A nurse is caring for a client who is int he second stage of labor. Which of the following manifestations should the nurse expect? - AnsD. The client delivers the newborn A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan of care? - AnsIncrease the infusion rate every 30 to 60 minutes A nurse is caring for a 2-day-old newborn who was at 35 weeks gestation. Which of the following actions should the nurse take? - AnsMeasure the abdominal circumference at the level of the newborns umbilicus every 2 hr A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late deceleration of the fetal heart rate on the monitor tracing. Which of the following actions should the nurse take? - AnsPlace the client in the lateral position A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care? - AnsBathe the newborn before initiating skin-to-skin contact A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? - AnsBlood pressure 142/92 mm Hg A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? - AnsD. A client who has felt quickening for the first time A nurse is receiving laboratory results for a term newborn who is 24 hr old. Which of the following results requires intervention by the nurse? - AnsGlucose 20 mg/dL A nurse is assessing a client following an aminocentesis. Which of the following findings should the nurse recognize as complications? (SATA) - AnsA. Amnionitis // D. Leakage of amniotic fluid // E. Preterm Labor