Maternal newborn ati proctored
exam- 66 Questions & Answers
A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbillirubinemia. Which of the following actions should
the nurse include in the plan? - -Remove all clothing form the newborn
except the diaper
-A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative,
and has just had an amniocentesis. Which of the following interventions is
the nurse's priority following the procedure? - -Monitor the FHR
-A nurse in an antepartum clinic is assessing a client who is at 32 weeks of
gestation. Which of the following findings should the nurse report to the
provider? - -Reports of decreased fetal movement
-A nurse is admitting a client to the labor and delivery unit when the client
states, "My water just broke". Which of the following interventions is the
nurse's priority? - -Begin FHR monitoring
-A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client
for which of the following diagnostic test? - -Biophysicial profile
-A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client
who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of
dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr? - -50 ml/hr
-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? - -BUN 25 mg/dL
-A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia? - -Respiratory distress
-A nurse in a provider's office is reviewing the medical record of a client who
is in the first trimester of pregnancy. Which of the following should the nurse
identify as a risk factor for the development of preeclampsia - -
Pregestational Diabetes Mellitus
-A nurse in 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
-A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider? - -Substernal Retractions
-A nurse is caring for a client who is at 26 weeks of gestation and has
epilepsy. The nurse enters the room and observes the client having a
seizure. After turning the client head to the side, which of the following
actions should the nurse take immediately after the seizure? - -Administer
oxygen via a nonrebreather mask
-A nurse is providing teaching about nonpharmological pain management to
a client who is breastfeeding and has engorgement. The nurse should
recommend the application of which of the following items? - -Cold cabbage
leaves
-A nurse is assessing a client who is 1 day postpartum and has a vaginal
hematoma. Which of the following manifestations should the nurse expect? -
-Vaginal pressure
-A nurse is assessing a newborn who was born at 26 weeks of gestation
using the New Ballard Score. Which of the following findings should the nurse
expect? - -Minimal arm recoil
-A nurse is providing teaching for a client who have birth 2 hr ago about the
facility policy for newborn safety. Which of the following client statements
indicates an understanding of the teaching? - -the person who comes to take
my baby's pictures will be wearing a photo identification badge
-A nurse is assessing a client who is at 36 weeks of gestation. Which of the
following findings should the nurse report to the provider? - -Report of visual
disturbances
-A nurse is providing teaching to a client about the physiological changes
that occur during pregnancy. The client is at 10 weeks of gestation and has a
BMI within the expected reference range. Which of the following client
statements indicates an understanding of the teaching? - -"I will likely need
to use alternative positions for sexual intercourse".
-A nurse is caring for a client who is anemic at 32 weeks of gestation and is
in preterm labor. The provider prescribed bethamethasone 12 mg IM. Which
of the following outcomes should the nurse expect? - -A reduction in
respiratory distress in the newborn
, -A nurse is caring for a client who is experiencing preeclampsia and has a
new prescription for IV magnesium sulfate. Which of the following
medications should the nurse anticipate administering if the client develops
magnesium toxicity? - -Calcium Gluconate
-A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse
should notify the provider of which of the following adverse effects? - -
Respiratory rate 10/min
-A nurse is caring for a client who is to receive oxytocin to augment her
labor. Which of the following findings contraindicates the infusion of the
oxytocin infusion and should be reported to the provider? - -Late
Decelerations
-A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a non-stress test. Which of the following instructions should
the nurse include? - -"You should press the handheld button when you feel
your baby move."
-A nurse is assessing a newborn who was delivered vaginally and
experienced a tight nuchal cord. Which of the following findings should the
nurse expect? - -Petechiae over the head
-A nurse is transporting a newborn back to the parent's room following a
procedure. Which of the following actions should the nurse take? - -Verify
that the parent's identification band matches the newborn's identification
band
-A nurse is creating a plan of care 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? - -Protects the client's head and
feet from cold air
-A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopoid maneuvers. Which of the following images
indicates the first step of Leopoid maneuvers? - -Picture of nurse palpating
top of belly; where bottom is
-A nurse is developing a plan of care for a client who has preeclampsia and
is receiving magnesium sulfate via a continuous IV infusion. Which of the
following interventions should the nurse include in the plan? - -Monitor the
FHR continously
exam- 66 Questions & Answers
A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbillirubinemia. Which of the following actions should
the nurse include in the plan? - -Remove all clothing form the newborn
except the diaper
-A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative,
and has just had an amniocentesis. Which of the following interventions is
the nurse's priority following the procedure? - -Monitor the FHR
-A nurse in an antepartum clinic is assessing a client who is at 32 weeks of
gestation. Which of the following findings should the nurse report to the
provider? - -Reports of decreased fetal movement
-A nurse is admitting a client to the labor and delivery unit when the client
states, "My water just broke". Which of the following interventions is the
nurse's priority? - -Begin FHR monitoring
-A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the client
for which of the following diagnostic test? - -Biophysicial profile
-A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client
who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of
dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr? - -50 ml/hr
-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? - -BUN 25 mg/dL
-A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia? - -Respiratory distress
-A nurse in a provider's office is reviewing the medical record of a client who
is in the first trimester of pregnancy. Which of the following should the nurse
identify as a risk factor for the development of preeclampsia - -
Pregestational Diabetes Mellitus
-A nurse in 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
-A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider? - -Substernal Retractions
-A nurse is caring for a client who is at 26 weeks of gestation and has
epilepsy. The nurse enters the room and observes the client having a
seizure. After turning the client head to the side, which of the following
actions should the nurse take immediately after the seizure? - -Administer
oxygen via a nonrebreather mask
-A nurse is providing teaching about nonpharmological pain management to
a client who is breastfeeding and has engorgement. The nurse should
recommend the application of which of the following items? - -Cold cabbage
leaves
-A nurse is assessing a client who is 1 day postpartum and has a vaginal
hematoma. Which of the following manifestations should the nurse expect? -
-Vaginal pressure
-A nurse is assessing a newborn who was born at 26 weeks of gestation
using the New Ballard Score. Which of the following findings should the nurse
expect? - -Minimal arm recoil
-A nurse is providing teaching for a client who have birth 2 hr ago about the
facility policy for newborn safety. Which of the following client statements
indicates an understanding of the teaching? - -the person who comes to take
my baby's pictures will be wearing a photo identification badge
-A nurse is assessing a client who is at 36 weeks of gestation. Which of the
following findings should the nurse report to the provider? - -Report of visual
disturbances
-A nurse is providing teaching to a client about the physiological changes
that occur during pregnancy. The client is at 10 weeks of gestation and has a
BMI within the expected reference range. Which of the following client
statements indicates an understanding of the teaching? - -"I will likely need
to use alternative positions for sexual intercourse".
-A nurse is caring for a client who is anemic at 32 weeks of gestation and is
in preterm labor. The provider prescribed bethamethasone 12 mg IM. Which
of the following outcomes should the nurse expect? - -A reduction in
respiratory distress in the newborn
, -A nurse is caring for a client who is experiencing preeclampsia and has a
new prescription for IV magnesium sulfate. Which of the following
medications should the nurse anticipate administering if the client develops
magnesium toxicity? - -Calcium Gluconate
-A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse
should notify the provider of which of the following adverse effects? - -
Respiratory rate 10/min
-A nurse is caring for a client who is to receive oxytocin to augment her
labor. Which of the following findings contraindicates the infusion of the
oxytocin infusion and should be reported to the provider? - -Late
Decelerations
-A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a non-stress test. Which of the following instructions should
the nurse include? - -"You should press the handheld button when you feel
your baby move."
-A nurse is assessing a newborn who was delivered vaginally and
experienced a tight nuchal cord. Which of the following findings should the
nurse expect? - -Petechiae over the head
-A nurse is transporting a newborn back to the parent's room following a
procedure. Which of the following actions should the nurse take? - -Verify
that the parent's identification band matches the newborn's identification
band
-A nurse is creating a plan of care 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? - -Protects the client's head and
feet from cold air
-A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopoid maneuvers. Which of the following images
indicates the first step of Leopoid maneuvers? - -Picture of nurse palpating
top of belly; where bottom is
-A nurse is developing a plan of care for a client who has preeclampsia and
is receiving magnesium sulfate via a continuous IV infusion. Which of the
following interventions should the nurse include in the plan? - -Monitor the
FHR continously
