1.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 the birth method?
Facial Palsy
2. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor.
Whi...
ATI Maternal Newborn Final Review
1.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 the birth method?
Facial Palsy
2. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor.
Which of the following statements by client indicates an understanding of the teaching?
“The medication could cause me to experience heart palpitations”
3. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following
laboratory tests should the nurse anticipate?
Urine ketones
4. A nurse is caring for a client who is in labor and requests nonpharmacological pain
management. Which of the following nursing actions promotes client comfort?
Assisting the client into squatting position
5. A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which fo
the following findings should the nurse expect?
Malodorous Discharge
6. 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?
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
7. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of
the following findings should the nurse report to the provider?
Platelet count 60,000/mm3
8. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which
of the following adverse effect should the nurse include?
Breast tenderness
9. A nurse is assessing a newborn upon admission to the nursery. Which of the following should
the nurse expect?
Chest circumference 2cm (0.8in) smaller than the head circumference
10. A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of
the following intervention should the nurse include in the plan of care?
Swaddle the newborn in a flexed position
11. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65
mg/dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions
should the nurse take?
Reassess the blood glucose level prior to the next feeding
12. A nurse is providing teaching to a client about exercise safety during pregnancy. Which of
the following statement by the client indicates an understanding of the teaching? SATA
“I should consume three 8-ounce glasses of water after I exercise.”
“I should limit exercise sessions to 30 minutes.”
“I should rest by lying on my side for 10 minutes following exercise.”
13. 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 the staff members to report to the
provider?
Contraction durations of 95 to 100 seconds
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, 14. A nurse in a woman’s health clinic 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)?
Chlamydia infection
15. A nurse is teaching a prenatal class about immunizations that newborns receive following
birth. Which of the following immunizations should the nurse include in the teaching?
Hepatitis B
16. 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?
1 cup cooked broccoli
17. A nurse is caring for a client who is the second stage of labor. Which of the following
manifestations should the nurse expect?
The client delivers the newborn
18. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following
statement by the client requires immediate intervention by the nurse?
“It burns when I urinate.”
19. A nurse is developing an educational program about hemolytic diseases in newborns for a
group of newly licensed nurses. Which of the following genetic information should the nurse
include in the program as a cause of hemolytic disease?
The mother is Rh negative, and the father is Rh positive
20. A nurse is assessing a newborn immediately following a vaginal birth. For which of the
following findings should the nurse intervene?
Sternal retractions
21. A nurse on the postpartum unit is caring for four clients. For which of the following clients
should the nurse notify the provider?
A client who is receiving magnesium sulfate and has absent deep tendon reflexes.
22. A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the
following medications should the nurse plan to administer?
Acyclovir
23. A nurse is planning care for a client who is receiving oxytocin by continuous infusion for
labor induction. Which of the following interventions should the nurse include in the plan?
Increase the infusion rate every 30 to 60 min
24. A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late
decelerations of the fetal heart rate on the monitor tracing. Which of the following actions
should the nurse take?
Place the client in lateral position
25. 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 pan of care?
Bathe the newborn before initiating skin-to-skin contact
26. A nurse is preparing to administer methylergonovine 0.2mg 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?
This study source was downloaded by 100000831777157 from CourseHero.com on 05-31-2022 03:55:14 GMT -05:00
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