ATI Maternal Newborn 2023 Proctored Exam
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A nurse is assisting the provider ad-
minister a dinoprostone insert labor for A. Place the client in semi-fowler position
a client. Which of the following actions for 1 hr after administration
should the nurse take?
A nurse is caring for a 2-day-old new-
born who was born t 35 weeks gestation. D. Insert an orogastric decompression
Which of the following actions should the tube with low wall suction
nurse take?
A nurse is proving teaching about terbu-
taline to a client who is experiencing
D. "This medication could cause me to
preterm labor. Which of the following
experience heart palpitations"
statements by the client indicated an un-
derstanding of the teaching?
A nurse in a provider's office is caring for
a 20-year old client who is at 12 weeks
gestation and requests an amniocente-
sis to determine the sex of her fetus.
Which of the following responses should
the nurse make?
A."You cannot have an amniocentesis
C." This procedure determines if your
until you are at least 35 years of age.".
baby has genetic or congenital disor-
B."We can schedule the procedure for
ders."
later today if you'd like.".
C." This procedure determines if your
baby has genetic or congenital disor-
ders.".
D,"Your provider will schedule a chorion-
ic villus sampling to determine the sex of
your baby.".
A nurse is assessing a client who is 6 hr
postpartum and has endometritis. Which
A. Uterine Tenderness
of the following findings should the nurse
expect?
A nurse manager on the labor and de-
livery unit is teaching a group of new- A. "Transmission can occur via the saliva
ly licensed nurses about maternal cy- and urine of the newborn"
tomegalovirus. Which of the following in-
, ATI Maternal Newborn 2023 Proctored Exam
Study online at https://quizlet.com/_fi2pi3
formation should the nurse manager in-
clude in the teaching?
D. Urine Ketones
A nurse is caring for a client who has hy-
perermesis gravidarum. Which of the fol- When using the urgent vs nonurgen ap-
lowing laboratory tests should the nurse proach to client care, the nurse should
anticipate? determine that the priority laboratory test
A. complete blood count to check is urine ketones. Excessive ke-
B. Liver enzymes tones in the urine indicate the body is not
C. Bilirubin Level using carbohydrates from food as fuel
D. Urine ketones and is inadequately trying to break down
fat.
A nurse is caring for four clients. For
which of the following clients should the D. A client who has felt quickening for the
nurse auscultate the fetal heart rate dur- first time
ing the prenatal visit?
A nurse is monitoring a client who has
preeclampsia and is receiving magne-
sium sulfate by continuous IV infusion. D. Urine output less than 20
Which of the following findings should
the nurse report to the provider?
B. "Ovulation will remain the same."
A nurse is providing discharge teaching
to a client following tubal ligation (occlu-
Ovulation (egg release from the ovaries)
sion). Which of the following statement will remain the same. Tubal ligation also
by the client indicates an understandingknown as having your tubes tied or tubal
of the teaching? sterilization is a type of permanent birth
control. During tubal ligation, the fallopi-
A. "premenstrual tension will no longer an tubes are cut, tied or blocked to per-
be present." manently prevent pregnancy. Tubal liga-
B. "Ovulation will remain the same." tion prevents an egg from traveling from
C. "Hormone replacements will be need- the ovaries through the fallopian tubes
ed following this procedure." and blocks sperm from traveling up the
D. "My monthly menstrual period will be fallopian tubes to the egg. The procedure
shorter." doesn't affect your menstrual cycle it just
prevents fertilization.
, ATI Maternal Newborn 2023 Proctored Exam
Study online at https://quizlet.com/_fi2pi3
A nurse is assessing a newborn following
forceps-assisted birth. Which of the fol- C. Facial Palsy
lowing clinical manifestations should the
nurse identify as a complication of the Difficult delivery, with or without the use
birth method? of an instrument called forceps, may lead
to facial palsy. Facial paralysis 15 min-
A. Hypoglycemia utes after forceps birth or absence of
B. Polycythemia movement on affected side is especially
C. Facial Palsy noticeable when infant cries.
D. Bronchopulmonary dysplasia
A nurse is caring for a client who is in
labor and requests nonpharmacological
pain management. Which of the follow-
ing nursing actions promotes client com-
fort?
A. Assisting the client into squatting po- A. Assisting the client into squatting po-
sition sition
B. Having the client lie in a supine posi-
tion
C. Applying fundal pressure during con-
tractions
D. Encouraging the client to void every 6
hrs.
D. Malodorous Discharge
A nurse caring for a client who is at 20
weeks of gestation and has trichomo- Although trichomoniasis may be asymp-
niasis. Which of the following findings tomatic, women commonly experience
should the nurse expect? characteristically yellowish-to-greenish,
frothy, mucopurulent, copious, malodor-
A. Thick, White Vaginal Discharge ous discharge. Inflammation of the vulva,
B. Urinary Frequency vagina, or both may be present; and the
C. Vulva Lesions woman may complain of irritation and
D. Malodorous Discharge pruritus. Dysuria and dyspareunia are of-
ten present.
A. Midline 2 to 3 cm (0.8 to 1.2 in) above
A nurse is caring for a client who is at 14
the symphysis pubis
weeks of gestation. At which of the fol-
, ATI Maternal Newborn 2023 Proctored Exam
Study online at https://quizlet.com/_fi2pi3
Toward the end of the first trimester, be-
lowing locations should the nurse place fore the uterus is an abdominal organ,
the doppler device when assessing the the fetal heart tones (FHTs) can be heard
fetal heart rate? with an ultrasound fetoscope or an ultra-
sound stethoscope (Fig. 8-8). To hear the
A. Midline 2 to 3 cm (0.8 to 1.2 in) above FHTs, place the instrument in the mid-
the symphysis pubis line just above the symphysis pubis and
B. Left Upper Abdomen apply firm pressure. The woman and her
C. Two fingerbreadths above the umbili- family should be offered the opportunity
cus to listen to the FHTs. The health status of
D. Lateral at the Xiphoid Process the fetus is assessed at each visit for the
remainder of the pregnancy.
A nurse is assessing a client who
is at 27 weeks of gestation and has D. Platelet Count 60,000/ mm3
preeclampsia. Which of the following
findings should the nurse report to the Platelets < 100,000/mm3 (60,000/mm3)
provider? is below the expected reference range,
which can indicate DIC. The nurse
A. Urine protein concentration 200 should report this result to the provider.
mg/24 hr. In a 24-hour specimen proteinuria is de-
B. Creatinine 0.8 mg/ dL fined as a concentration at or > 300
C. Hemoglobin 14.8 g/ dL mg/24 hours.
D. Platelet Count 60,000/ mm3
A nurse is teaching about clomiphene C. Breast Tenderness
citrate to a client who is experiencing
infertility. Which of the following adverse The adverse effects of clomiphene cit-
effect should the nurse include? rate are stomach upset, bloating, abdom-
inal/pelvic fullness, flushing ("hot flash-
A. Tinnitus es"), breast tenderness, headache, or
B. Urinary Frequency dizziness may occur. If any of these ef-
C. Breast Tenderness fects last or get worse, tell your doctor or
D. Chills pharmacist promptly.
A nurse is assessing a newborn upon
admission to the nursery. Which of the D. Chest circumference 2 cm (0.8 in)
following should the nurse expect? smaller than the head circumference
A. Bulging Fontanels Measure at nipple line 2-3 cm (0.8-1.2 in)
B. Nasal Flaring
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