ATI-Maternal Newborn Practice 2017 A & B

ATI-Maternal Newborn Practice 2017 A & B

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