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Maternal Newborn ATI B 2025
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina after calling for assistance which of the following actions should the nurse take next - Answer-Apply internal upward pressure to the presenting part using two gloved fingers
A nurse is planning care for a client who is two hours postpartum which of the following intervention should the nurse plan to implement during the taking hold phase of postpartum behavioral adjustment - Answer-Demonstrate to the client how to perform a newborn bath
A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test which of the following statements should the nurse include in the teaching - Answer-You will be offered orange juice to drink during a test
A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is it eight weeks of gestation the nurse should instruct the client to increase her daily intake of which of the following nutrients - Answer-Iron
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit which of the following findings should the nurse report to the provider - Answer-Swelling of the face
A nurse is providing discharge teaching to a client who has postpartum for which of the following manifestation should the nurse instruct the client to monitor and report to the provider - Answer- Unilateral breast pain
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn secretions which of the following instructions should the nurse include - Answer-Stop suctioning when the newborns cry sound clear
A nurse is reviewing laboratory results of a newborn who is four hours old which of the following findings should the nurse report to the provider - Answer-Bilirubin of 9 mg/dL
A nurse in a family planning clinic is caring for a client who request an oral contraceptive which of the following findings in the clients history to the nurse recognizes a contraindication to oral contraceptives select all that apply - Answer-Cholecystitis
Hypertension
Migraine headaches
A nurse is teaching a postpartum Kline about the steps the nurses will take to promote the security and safety of the clients newborn which of the following statement should the nurse make - Answer-Staff member to take care of your baby will be wearing a photo identification badge
A nurse is reviewing the laboratory results for a client who is at 10 weeks gestation which of the following laboratory findings should the nurse report to the provider - Answer-Hemoglobin 10 g/dL
A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV which of the following actions should the nurse take - Answer-Have calcium gluconate readily available
A nurse is caring for a client who is in active labor and has no cervical change in the last four hours which of the following statement should the nurse make - Answer-Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa which of the following actions should the nurse take - Answer-Initiate continuous external fetal monitoring
A nurse is assessing a newborn who is 12 hours old which of the following manifestations require interventions by the nurse - Answer-Substernal chest retractions while sleeping
A nurse in the antepartum clinic is assessing a client adaptation of pregnancy the client states that she is happy one minute and crying the next the nurse should interpret the clients statement as an indication of which of the following - Answer-Emotional lability
A nurse on a antepartum unit is caring for four clients which of the following client to the nurse identify as a priority - Answer-A client who is at 34 weeks of gestation and reports epigastric pain
A nurse is caring for a newborn who was transferred to the nursery 30 minutes after birth because of mild respiratory distress which of the following actions should the nurse take - Answer-Verify the newborns identification
A nurse is assessing a newborn for manifestations of hypoglycemia which of the following findings should the nurse expect - Answer-Jitteriness
A nurse and a prenatal clinic is caring for a client who reports that her menstrual period is two weeks late client appears anxious and asked the nurse if she's pregnant which of the following responses to the nurse make - Answer-You can miss your period for several other reasons describe your typical menstrual cycle
A nurse is caring for a client who is pregnant and is at the end of her first trimester the nursing place the Doppler ultrasound stethoscope in which of the following locations to begin assessing the fetal heart tones - Answer-Just above the symphysis pubis
A nurse is preparing to perform Leopold's Maneuvers for a client identify the sequence the nurse should follow - Answer-Palpate the funds to identify the fetal part
Determine the location of the fetal back
Palpate for the fetal part presenting at the inlet
Identify the altitude of the head
A nurse is performing a newborn assessment which of the following images should the nurse identify as an indication of spina bifida occulta - Answer-Caucasian baby with small bruise-like/birthmark at the base of the back above buttocks
A nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone which of the following statements for the nurse make about the indication for the medication and administration - Answer-This medication stimulates fetal lung maturity
A nurse is caring for a client who is in labor and reports increasing rectal pressure she's experiencing contractions 2 to 3 minutes apart each lasting 80 to 90 seconds in a vaginal examination reveals in her cervix is dilated to 9 cm the nurse should identify that the client is in which of the following phases of labor - Answer-Transition
A nurse is teaching a new parent about Nyborg safety which of the following instructions to the nurse include in the teaching - Answer-You can share your room with your baby for the next few weeks
A nurse is providing dietary teaching to a client who has hyper emesis gravidarum which of the following statements by the client indicates understanding of the teaching - Answer-I will eat foods that taste good instead of balancing my meals
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation which of the following findings should the nurse report to the provider is a potential complication - Answer-Leakage of fluid from the vagina
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura which of the following findings should the nurse expect - Answer-Decrease platelet count
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential adverse effects of the medication for which of the following findings should the nurse instruct the client to notify the provider - Answer-Shortness of breath
A nurse is teaching a client who is at 24 weeks of gestation regarding a one hour glucose tolerance test which of the following statements should the nurse include in the teaching - Answer-Blood glucose of 130 to 140 is considered a positive screening result
A nurse is assessing a client who gave birth vaginally 12 hours ago and palpate her uterus to the right above the umbilicus which of the following interventions should the nurse perform - Answer-Assist the client to empty her bladder
A nurse is caring for a client who is in labor and who's fetus is in the right occiput posterior position the client is dilated to 8 cm and reports back pain which of the following actions should the nurse take - Answer-Apply sacral counterpressure
A nurse is reviewing the medical record at 1800 for client who is at 34 weeks of gestation based on the chart findings and documentation the nursing plan of care should include which of the following actions
- Answer-Administer terbutaline
A nurse is reviewing the medical record of a newly admitted client it was at 32 weeks gestation which of the following conditions is an indication for fetal assessment using electronic fetal monitoring - Answer- Oligohydramnios
A nurse is teaching a client who is at 35 weeks of gestation about manifestations of potential pregnancy complications to report to the provider which of the following manifestation should the nurse include - Answer-Headache that is unrelieved by analgesia
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test for which of the following diagnostic test should the nurse prepare the client - Answer-Biophysical profile BPP
A nurse is providing discharge teaching to the parents of a newborn about car seat safety which of the following instruction should the nurse include - Answer-Place the retainer clip at the level of the newborns armpits
A nurse is calculating a client expected date of birth using Nägeles rule the client tells the nurse that her last menstrual period started on November 27 which of the following dates as the clients expected date of birth - Answer-September 3
A nurse is planning care for a client who is to undergo a nonstress test which of the following actions should the nurse include in the plan of care - Answer-Instruct the client to press the provided button each time fetal movement is detected
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 - Answer-Determine respiratory function
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy which of the following statements by the client indicated understanding of the teaching - Answer-I will continue taking my insulin if I experience nausea and vomiting
A nurse is assessing a newborn following circumcision which of the following findings should the nurse identify as an indication of the newborn is experiencing pain - Answer-Chin quivering
