ATI Practice Assessment Maternal Newborn Online Practice Form A | LATEST

ATI Practice Assessment Maternal Newborn Online Practice Form A | LATEST 1. 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 2. 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 3. 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 4. 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 5. A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? I will have blood tests because my potassium might decrease-- adverse effect of terbutaline is hypokalemia 6. A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider? Platelets 50,000mm3-- this value is below expected reference ranges with can indicate disseminated intravascular coagulation 7. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? Schedule an ultrasound examination-- a series of ultrasounds are needed to detect the possible development of fetal hydrops 8. A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12mg IM. Which of the following outcomes should the nurse expect? A reduction in respiratory distress in the newborn-- betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent respiratory distress 9. A nurse is caring for a client who becomes unresponsive upon delivery of the placenta. Which of the following actions should the nurse take first? Determine respiratory function-- airway is always first to evaluate 10. A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound? To locate a pocket of fluid-- an US is done to locate the fluid and decrease the risk of injury to the fetus 11. A nurse is teaching a client about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching? I will need this medication if I have an amniocentesis-- Rho(D) immune globulin is given following an amniocentesis because of the potential of fetal RBC's entering the maternal circulation 12. A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take? Have the client change position-- changing position may help relieve umbilical cord compression 13. A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? Perform Leopold maneuvers-- this assesses the position of the fetus to best determine the optimal placement for the external fetal monitoring transducer 14. A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? FHR 152/min--fetal heart rate, expected range 110/min-160/min 15. A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)? Just above the symphysis pubis-- the uterus is positioned low in the pelvis slightly above the symphysis pubis 16. A nurse is an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? Fundal height measurement-- fundal height should be measured in cm and is the same as the number of gestational weeks plus or minus 2 weeks from 18-32 weeks 17. A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care? Protect the client's head and feet from cold air-- this is traditional Hispanic practice during the postpartum period