ATI proctored exam maternal newborn|
83 Answered Questions 2023
When there are variables present what is the cause - -cord compression
-when there are early deceleration's what is the cause - -head compression
-when there are accelerations what is the cause - -good oxygenation
-when there are late deceleration's what is the cause - -placental
insufficiency
-what are the interventions for early, late, and accelerations - -reposition
IV bolus
-what are the interventions for variables - -reposition
amnio infusion
-variable are how many seconds from start to the bottom - -less than 30
seconds
-Late decelerations are how many seconds - -more than 30 seconds
-what are the variables - -absent
minimal
moderate
marked
-accelerations are how many seconds - -15 beats by 15 seconds or more
(15x15)
-early decelerations are how many seconds and how do they coincide with
contractions - -more than 30 seconds and are mirrored with contractions
-A nurse is caring for a client who is 2 weeks postpartum following a
cesarean birth. Which of the following clinical findings should the nurse
identify as an indication of postpartum infection? - -unilateral breast pain
-A nurse is assessing a client who has preeclampsia during a prenatal visit.
Which of the following findings should the nurse report to the provider? - -
urine protein of 3+
-A nurse is providing teaching about the expected effects of magnesium
sulfate to a client who is at 28 weeks of gestation and has preeclampsia.
, Which of the following responses by the nurse is appropriate? - -"This
medication prevents seizures"
-A nurse is teaching a prenatal class regarding false labor. Which of the
following information should the nurse include? - -"your contractions will
become temporarily regular"
-A nurse manager is revising a maternal unit policy to ensure proper
identification of newborns. Which of the following should the nurse include in
the policy? - -obtain an imprint of the infant's feet prior to taking him to the
nursery
-A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The
nurse notes a steady trickle of vaginal bleeding that does not stop with
fundal massage. Which of the following actions should the nurse take? - -
evaluate urinary output
-A nurse is providing discharge instructions to a client who is postpartum
and has engorged breasts. Which of the following nonpharmacological
comfort measures should the nurse include in the teaching? - -apply
cabbage leaves after feedings
-A nurse is calculating estimated date of birth using Naegele's rule for a
client who is pregnant and whose last menstrual cycle started june 21. Which
of the following is the estimated delivery in the next year? - -March 28
-A nurse is caring for a client immediately following the delivery of a stillborn
fetus. Which of the following actions should the nurse take? - -Prepare the
client for what to expect the fetus to look like
-a nurse is observing an adolescent client who is offering her newborn a
bottle while he is lying in the bassinet. when the nurse offers to pick the
newborn up in place him in the client's arms, the mother States, "no the
baby is too tired to be held." which of the following actions should the nurse
take? - -demonstrate how to hold the newborn and allow the client to
practice
-a nurse is caring for a client who is in labor. which of the following findings
should prompt the nurse to reassess the client? - -an urge to have a bowel
movement during contractions
-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
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