ATI RN MATERNAL NEW BORN OB EXAM VERSION 1 1. A nurse is caring for a client who has uterine atony & is experiencing postpartum hemorrhage. Which of the following actions is the nurse’s priority ? Massage the client’s fundus. 2. A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the follow ing findings contraindications the initiation of the oxytocin infusion & should be reported to the provider? Late decelerations. 3. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? Blurred vision. 4. A nurse is assessing a client who is 1 day postpartum & has a vaginal hematoma. Which of the following manifestations should the nurse expect? Vaginal pressure. 5. A nurse is caring for a client who is at 36 weeks of gestation & has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests? Biophysical profile. 6. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the f ollowing findings should the nurse include as an adverse effect of this medication? Depression. 7. A nurse is caring for a postpartum client who is receiving heparin via a continuous IV infusion for thrombophlebitis in her left calf. Which of the following a ctions should the nurse take? Maintain the client on bed rest. 8. A nurse is providing teaching to a client who is at 40 weeks of gestation & has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teachin g? “I can administer oxytocin 4 hours after the insertion of the medication.” 9. A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? A newborn who is 18 hr old & has an axillary temperature of 37.7o C (99.9o F). 10. A nurse is caring for a client who is at 30 weeks of gestation & 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. 11. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? “I should take 600 micrograms of folic acid each day.” 12. A nurse is assess ing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? Respiratory distress. 13. A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first? A client who is at 11 weeks of gestation & reports abdominal cramping. 14. A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? Wipe the newborn's eyes from the inner canthus outward. Wash the newbo rn's neck by lifting the newborn's chin. Cleanse the skin around the newborn's umbilical cord stump. Wash the newborn's legs & feet. Clean the newborn's diaper area. 15. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal n ewborn screening. Which of the following statements should the nurse include in the teaching? “Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen.” 16. A nurse is creating a plan of care for a client who is postpar tum & 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 & feet from cold air. 17. A nurse is assessing a newborn who was born at 26 weeks of gest ation using the New Ballard Score. Which of the following findings should the nurse expect? Minimal arm recoil. 18. A nurse is caring for a client who is at 15 weeks of gestation, is Rh -negative, & just had an amniocentesis. Which of the following interventio ns is the nurse’s priority following the procedure? Monitor the FHR. 19. 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. 20. A nurse is performing a physical assess ment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? (SATA) Acrocyanosis. Positive Babinksi reflex. Two umbilical arteries visible. 21. A nurse is caring for a client who is experiencing preeclampsia & 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. 22. A nurse is teaching a client who is at 37 weeks of gestation & ha s a prescription for a nonstress test. Which of the following instructions should the nurse include? “You should press the handheld button when you feel your baby move.” 23. A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid in the family’s 7 -year -old child in accepting the new family member? Obtain a gift from the newborn to present to the sibling. 24. A nurse is caring for a client who is at 35 weeks of ge station & 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. 25. A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider? Weight gain of 2.2 kg (4.8 lb). 26. A nurse is providing teaching for a client who gave birt h 2 hours 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.” 27. A nurse is ass essing a client who is receiving morphine via IV bolus for pain following a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer? Naloxone. 28. A nurse is performing a routine assessment o n a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? FHR 152/min. 29. 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, w hich of the following findings should the nurse report to the provider? Fundal height measurement. 30. 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 i nclude in the plan? Remove all clothing from the newborn except the diaper. 31. A nurse is assessing a newborn who was delivered vaginally & experienced a tight nuchal cord. Which of the following findings should the nurse expect? Petechiae over the head. 32. 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.
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