ATI MATERNAL BUNDLE PACKAGE TEST

A nurse is teaching the parents of a term newborn how to bathe him. Which of the following instructions should the nurse include? Bathe him every day. Give him a bath after he has had a feeding. Give him a sponge bath until his cord stump falls off. Clean his ears and nose with cotton swabs. C...

A nurse is caring for a newborn whois 24 hr old and has sepsis. Which of the following findings should the nurse expect? 1. Temperature instability 2. Acrocyanosis 3. Hypertension 4. Increased appetite Correct Answer - 1. Temperature instability A nurse is assisting with the care of a client ...

A nurse is caring for a client who is at 15 week of gestation, is Rh- negative, and has just had amniocentesis. Correct Answer - Monitor FHR A nurse is assessing a newborn who is 16hr old. Which of the following findings shou Correct Answer - substernal retractions A nurse is performing a phys...

Normal Axillary Temp for a Newborn Correct Answer - 37.5 C or 99.5F Newborn respiratory rate during first phase of transition to extrauterine life Correct Answer - 20-100 RPM Bilateral periarticular papillomas Correct Answer - benign skin tags that can be expected finding Inclusion cysts Co...

What kind of lubricant should be used with condoms? Correct Answer - Water-soluble A diaphragm should be removed __-__ hours after intercourse Correct Answer - 6-24 Acne is __ when taking oral contraceptives Correct Answer - Reduced Contraceptive patches are replaced __ a week Correct Answe...

A nurse is caring for a newborn. The nurse should obtain informed consent before taking which of the following actions? a) administering erythromycin ophthalmic ointment b) conducting a newborn hearing screening c) giving the hepatitis B vaccine d) screening for critical congenital heart disease...

A nurse is reinforcing discharge teaching with the parent of a newborn. Which of the following statements should the nurse include in the teaching? A) "Your baby should be rear-facing in a car seat until 2 years of age." B) "Cover your baby with a light blanket during naps." C) "Set your h...

A nurse in a health clinic is reviewing contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms" B. "A diaphragm should be removed 2 hours after intercourse" C. "Oral contracep...

a nurse is caring for a client who has uterine atony and is experiencing pp hemorrhage the following actions is the nurse's priority? Correct Answer - Massage the clients fundus a nurse is caring for a client who is to receive oxytocin to augment her labor. which of the following findings contra...

APGAR what stands for? Correct Answer - APGAR is taken at 1 minute and 5 minutes after delivery and then every 5 minutes until baby is stable (score of 7 or higher) APGAR *Activity* (muscle tone) *Pulse* *Grimace* (Reflex irritability) *Appearance* (Skin color) *Respiration* Point Score for APGAR...

A nurse is reinforcing teaching with a group of clients about pregnancy prevention during the postpartum period. Which of the following statements should the nurse include? A. "Non-lactating clients can ovulate immediately after giving birth." B. "Non-lactating clients ovulate in their third ...

A nurse is reinforcing discharge teaching about crib safety with the parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching? Correct Answer - I will dress my baby in a one piece sleeper before putting him to bed A nurse is reinforcing teach...

Hgb Non-preg woman Correct Answer - 12-16 gm/dl Hgb Preg woman Correct Answer - decreases to 11.5-15 gm/dl Hct Non-preg woman Correct Answer - 36-48% Hct Preg woman Correct Answer - decreases to 32-36.5% RBC Non-preg woman Correct Answer - 4-5.3 RBC Preg woman Correct Answer - no chan...

A nurse in a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." ...

A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication. For which of the following findings should the nurse instruct the client to notify the provider? A. Shortness of breath B. Breakthrough bleeding C. Vomitin...

Pre-eclampsia Correct Answer - starts after 20 weeks -elevated BP 140/90 -transient headaches irritability -changes in vision (blurring/floaters) -Edema- swelling of hands and face -sudden weight gain of more than 2lbs per day or 5 lbs in a week -right upper quadrant pain -proteinuria 1+ ...

(1st Stage) Causes of Internal visceral pain that can be felt as back and leg pain. Correct Answer - -Dilation, effacement, and stretching of the cervix. -Distention of the lower segment of the uterus. -Contractions of the uterus with resultant uterine ischemia. (2nd Stage) Causes of Pain tha...

A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? 1) reports increased urinary output 2) sweating 3) blurred vision 4) shallow respirations Correct Answer - Reports increased urinary o...

11.1 A nurse in the labor and delivery unit receives a phone call from a client who reports that her contractions started about 2 hr ago, did not go away when she had two glasses of water and rested, and became stronger since she started walking. Her contractions occur every 10 min and last about 30...

Acute, Urgent, and Unstable take priority Correct Answer - Priorities of care: Acute vs. Chronic Urgent vs Nonurgent Stable vs Unstable Ectopic pregnancy or miscarriage Correct Answer - Abdominal cramping in the first trimester can indicate what airway, breathing, circulation Correct Answe...

A nurse is caring for a client who is at 32 weeks of gestation and is expriencing preterm labor. Which of the following medications should the nurse plan to administer? A. Betamethasone B. Misoprostol C. Methylergonovine D. Proactant alfa Correct Answer - A. Betamethasone Rationale: The nu...

Types of barrier methods Correct Answer - condoms, diaphragms A client must be fitted every ___ years for a diaphragm. Correct Answer - 2 Reasons clients will have to be refitted for diaphragm: Correct Answer - -Every 2 years -Gained 15 pounds (7 kg) -had full term pregnancy -had 2nd term a...

How many cm do you need to be dilated to receive epidural? Correct Answer - 4 cm or more client in labor with contractions 4 minutes apart. what should fetal monitor show Correct Answer - A contraction interval is how often a uterine contraction occurs. The nurse will measure the interval from th...

How many cm do you need to be dilated to receive epidural? Correct Answer - 4 cm or more client in labor with contractions 4 minutes apart. what should fetal monitor show Correct Answer - A contraction interval is how often a uterine contraction occurs. The nurse will measure the interval from th...

a nurse is caring for a client who reports manifestations of preterm labor. which of the following findings are risk factors of this condition? (select all that apply) A. urinary tract infection B. multifetal pregnancy C. oligohydraminos D. diabetes mellitus E. uterine abnormalities Correct Ans...

What is the physiologic response of a newborn to birth? Correct Answer - 1) Adjustments to extrauterine life occur as a newborns respiratory and circulatory systems are required to rapidly adjust to life outside of uterus 2) The establishment of respiratory function with the cutting of the umbilica...

A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. Which of the following actions should the nurse take? A. Offer the newborn glucose water between feedings B. Keep the newborns eye patches on during feedings C. Apply barrier ointment to the newb...

A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What meds should the nurse plan to administer? a. misoprostol b. betamethasone c. poractant alfa d. methylergonovine Correct Answer - b. betamethasone A nurse at a prenatal clinic is caring for a clie...

Select the 3 findings that should be reported. a. uterine contractions b. fetal heart rate c. gestational age d. vaginal examination e. maternal blood pressure correct answer - a,c,d A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following a...

Basal Body Temperature Correct Answer - Decreases slightly prior to ovulation and rises during ovulation Cervical mucus during ovulation Correct Answer - Thin and flexible under the influence of estrogen and progesterone to allow for sperm motility Spinnbarkeit Sign Correct Answer - the abilit...

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? Correct Answer - C. Absent early deceleration of fetal heart rate A nurse is assisting the provider administer ...

common side effects with oral contraceptives Correct Answer - nausea breast tenderness fluid retention break through bleeding headache contraindications for oral contraceptives Correct Answer - those who: smoke have a history or are at high risk for blood clots have at high risk for stroke...

A nurse is caring for a client who has eclampsia and just had a tonic-clonic seizure. After turning the client's head to the side, which of the following actions should the nurse take next? A. Administer magnesium sulfate 4 g IV bolus B. Insert an indwelling urinary catheter C. Give oxygen ...

patient bleeding with placenta previa Correct Answer - avoid vaginal exam during nonstress test, FHR is 130 w/o accelerations Correct Answer - when to use an acoustic stim on abdomen for 3 seconds mom is rubella non-immune positive for beta hemolytic strep blood is type O negative Correct An...

intervention for a pt. who is 12 hr postpartum (with exhibit) Correct Answer - administer ferrous sulfate orally R: pt. hemoglobin level was less than 10.5, ferrous sulfate will help that a nurse assesses a postpartum pt. with steady trickle of bright red blood from the pts. vagina. The uterus...

A nurse in a health clinic is reinforcing teaching about contraceptive use with a group of clients. Which of the following client statements demonstrates understanding? A. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." ...

Maternal Hematocrit Correct Answer - 34.9 to 44.5 percent Maternal hgb Correct Answer - 12.0 to 15.5 grams per deciliter Maternal Albumin Correct Answer - 3.5 to 5.5 g/dL Maternal WBCs Correct Answer - 4,500 to 11,000 Maternal Platelets Correct Answer - 150,000 to 450,000 Maternal BUN...

A nurse is caring for a client who is pregnant and states that their last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? A. January 8 B. January 15 C. February 8 D. February 15 Correct Answer - A. CORRECT: April 1st minus 3 months plus 7 day...

Prenatal education should include Correct Answer - Assisting the client in self care of discomforts Promoting a safe outcome Fostering positive feelings regarding childbearing experience A majority of birth defects occur between Correct Answer - 2 and 8 weeks gestation Nursing assessment in...

Day 1-7 Menstrual cycle Correct Answer - Menstruation Day 8-11 Menstrual cycle Correct Answer - lining of womb thickens Day 14 Menstrual cycle Correct Answer - Ovulation Day 18-25 Menstrual cycle Correct Answer - Corpus luteum fades away Day 26-28 Menstrual cycle Correct Answer - Uterine...

What is preterm labor? Correct Answer - Uterine contractions and cervical changes before 37 weeks. What are the categories of preterm labor? Correct Answer - Very preterm, moderately preterm, and late preterm. What are the risks associated with shorter gestation? Correct Answer - Increased neo...

Betamethasone Correct Answer - Glucocorticoid; stimulates fetal maturity Misoprostol Correct Answer - Stimulates uterine contractions; indicated for induction (Cytotec) Methylergonovine Correct Answer - Stimulates uterine contractions; indicated for PP hemorrhages (Methergine) * Contraindic...