Exam (elaborations)

Maternal newborn ati proctored exam Practice Questions and Answers

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Course
Maternal

Institution
Maternal

Maternal newborn ati proctored exam Practice Questions and 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? - ANSWER- Remove all clothing form the newborn excep...

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maternal newborn ati proctored exam practice quest

Institution Maternal
Course Maternal

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Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024

Maternal newborn ati proctored exam

Practice Questions and 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? - ANSWER✔✔-

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? -

ANSWER✔✔-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? - ANSWER✔✔-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? - ANSWER✔✔-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? - ANSWER✔✔-

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? - ANSWER✔✔-50 ml/hr

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,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024

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? - ANSWER✔✔-BUN 25 mg/dL

A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of

hypoglycemia? - ANSWER✔✔-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 - ANSWER✔✔-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? - ANSWER✔✔-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? - ANSWER✔✔-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? - ANSWER✔✔-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? -

ANSWER✔✔-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? - ANSWER✔✔-Vaginal pressure

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,Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024

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? - ANSWER✔✔-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? -

ANSWER✔✔-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? - ANSWER✔✔-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? - ANSWER✔✔-"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? -

ANSWER✔✔-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? - ANSWER✔✔-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?

- ANSWER✔✔-Respiratory rate 10/min

Copyright ©Stuvia International BV 2010-2024 Page 3/43

, Copyright © KAYLIN 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH NOVEMBER, 2024

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? -

ANSWER✔✔-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? - ANSWER✔✔-"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? - ANSWER✔✔-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? - ANSWER✔✔-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? - ANSWER✔✔-

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? - ANSWER✔✔-

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? -

ANSWER✔✔-Monitor the FHR continously

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