ATI Maternal Newborn & Peds EXAMS WITH ANSWERS 2024 UPDATE
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Course
ATI MATERNAL NEWBORN
Institution
ATI MATERNAL NEWBORN
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? a. BUN 25 mg/dL b. serum creatinine 0.8 mg/dL c. urine output of 280 mL w/ 8 hr d. urine negative for ketones A nurse is prov...
A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should the
nurse report to the provider?
a. BUN 25 mg/dL b. serum creatinine 0.8 mg/dL c. urine output of 280 mL w/ 8
hr d. urine negative for ketones
A nurse is providing teaching about family planning to a client who has a
new prescription for a diaphragm. Which statement should the nurse
include in the teaching?
a. replace the diaphragm every 5 years b. leave the diaphragm in place for at least 6
hours after intercourse
c. use an oil-based product as a lubricant when inserting the diaphragm d.insert the
diaphragm when bladder is full
A nurse is reviewing the med record of a client who is postpartum and has
preeclampsia. Which lab results should the nurse report to the provider?
a. Hct 39% b. serum albumin 4.5g/dL c. WBC 9000/mm3 d. platelets
50,000/mm3
A nurse is teaching a client about Rho(D) immune globulin. Which
statement by the client indicates an understanding of the teaching?
a. I will receive this med if my baby is Rh- b. I will receive this med when I'm in
labor
c. I will need a 2nd dose of this med when my baby is 6wks old d.I will need this med
if I have an amniocentesis
,A nurse is assessing a client who is 30 weeks gestation during a routine
prenatal visit. Which findings should the nurse report to the
provider? a.swelling of the face b.varicose veins in the calves c.nonpitting
1+ ankle edema d.hyperpigmentation of the cheeks
A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbilirubinemia. Which actions should the nurse
include in the plan?
a. feed the newborn 1oz of water q4hrs b. apply lotion to newborns skin 3x/day
c. remove all clothing from newborn except diaper d. discontinue therapy if the
newborn develops a rash
A nurse is caring for a client who is 35 weeks gestation and is undergoing
nonstress test that reveals a variable deceleration in the FHR. What action
should the nurse take?
a. give the client oj b. elevate the client's legs c. have the client change
positions d. establish IV access
A nurse is assessing a client who gave birth vaginally 12hrs ago and palpates
her uterus to the right above the umbilicus. What interventions should the
nurse perform?
a. reassess the client in 2 hrs b. administer simethicone
c. assist the client to empty her bladder d. instruct the client to lie on her right
side
A nurse is performing a routine assessment on a client who is 18 weeks
gestation. What findings should the nurse expect? a. deep tendon reflexes
4+ b. fundal height 14cm c. urine protein 2+ d. FHR 152/min
A nurse is teaching a new mother about steps the nurses will take to
,promote security and safety of the newborn. What statement should the
nurse make?
a. we will prevent unidentified visitors from entering the unit
b. we will document the relationship of visitors in your medical record
c. your baby will stay in the nursery while you are asleep
d. staff members who take care of your baby will be wearing photo identification
A nurse is assessing the newborn of a client who took a SSRI during
pregnancy. What manifestations should the nurse identify as an indication
of withdrawal from and SSRI?
a. large for gestational age b. Hyperglycemia c. bradypnea d. vomiting
A nurse in an antepartum clinic is providing care for a client who is 26
weeks gestation. Upon reviewing her medical record, what findings should
the nurse report to the provider?
a. 1-hr glucose tolerance test b. Hematocrit c. fundal height measurement d
.FHR
A nurse is caring for a client following an amniocentesis at 18 wks gestation.
What finding should the nurse report to the provider as a potential
complication?
a. increased fetal movement b. leakage of fluid from the vag c. upper abd
discomfort d. urinary frequency
A nurse is caring for a client who is in active labor and has no cervical
change in the last 4 hrs. Which statement should the nurse make?
a. let me help you into a comfortable pushing position so you can begin bearing down
b. going to call the doc to get a script for meds to ripen your cervix
c. i will give you some IV pain med to strengthen your contractions
d. your provider will insert an intrauterine pressure cath to monitor the strength of your
contractions
, A nurse is caring for a client who is anemic at 32 wks gestation and is in
preterm labor. The provider prescribed betamethasone 12 mg IM. What
outcomes should the nurse expect?
a. decrease uterine contractions b. increase in client's Hgb levels
c. reduction in resp distress in NB d. increase production of antibodies in NB
A nurse is teaching a client who is 10 wks gestation about nutrition during
pregnancy. What statement by the client indicates an understanding of the
teaching?
a. increase my protein to 60 g/day b. i should drink 2 L of water/day
c. increase my overall caloric intake by 300 calories d. take 600 mcg of folic acid
each day
A nurse is teaching a client who is in preterm labor about terbutaline. What
statement by the client indicates an understanding of the teaching?
a.i will get injections of the med once daily until my labor stops b.my blood sugar may
be low while I am on this med
c. i will have blood tests because my K+ might decrease d. My BP may
increase while I'm on this med
A nurse is creating a plan of care for a client who is postpartum and adheres
to traditional Hispanic cultural beliefs. What cultural practices should the
nurse include?
a. protect the client's head and feet from cold air b. bathe the client within 12
hr following delivery
c. ambulate the client within 24 hr of delivery d. offer the client a glass of milk
with her first meal
A nurse on a postpartum unit is caring for a client who is experiencing
hypovolemic shock. After notifying the provider, what action should the
nurse take next?
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