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ATI RN MATERNAL NEWBORN PROCTORED EXAM A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of the following statements by the client indicated an understanding of the teaching? ... a. I will receive this medication if my baby is Rh-negative b. I will receive this medication at time of delivery c. I will need a second dose of this medication when my baby is 6 weeks old d. I will need this medication if I have an amniocentesis- Recommended because of the potential of fetal RBCs entering the maternal circulation 2. A nurse is caring for a client who is to receive oxytocin (Pitocin) to augment her labor. Which of the following contraindicates the initiation of the oxytocin infusion and requires notification of the provider? a. Late decelerations- Oxytocin is contraindicated based on late decelerations noted on fetal assessment findings because they indicate uteroplacental insufficiency. b. Baseline variability c. Cessation of uterine dilation d. Prolonged active phase of labor 3. A nurse on the newborn unit is planning discharge for four clients. Which of the following will require care beyond that of a standard follow-up visit with the provider after delivery? a. A newborn being sent home after 22 hr after birth- Screening tests must be repeated if they were performed before he newborn was 24 hr. old. b. A newborn at 38 weeks of gestational age c. A newborn who is bottle feeding d. Twin newborns with Apgar scores of 8 and 9 4. 5. 01. A nurse on the postpartum unit is caring for a client following a cesarean birth. Which of the following assessments is the nurse's priority? 6. 7. Amount of lochia 8. When using the airway, breathing, circulation approach to client care, the nurse should place the priority in the immediate postpartum period on assessing the amount of postpartum lochia. 9. The greatest risk to the client is bleeding and postpartum hemorrhage. 10. 11. 02. A nurse is caring for a client who is in labor and whose 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? 12. 13. Apply sacral counterpressure 14. The nurse should apply sacral counterpressure to assist in relieving back labor pain related to fetal posterior position. 15. 16. 03. A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) 17. 18. Wipe the newborn’s eyes from the inner canthus outward. 19. Wash the newborn’s neck by lifting the newborn’s chin. 20. Cleanse the skin around the newborn’s umbilical cord stump. 21. Wash the newborn’s legs and feet. 22. Clean the newborn’s diaper area. 23. The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus outward using plain water. The nurse should then wash the newborn's neck by lifting the newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump followed by washing the newborn's legs and feet. The last step of the bath should be to clean the newborn's diaper area. 24.A nurse is caring for a client who desires an intrauterine device (IUD) for contraception. Which of the following findings is a contraindication for the use of this device? Menorrhagia 25.A nurse is reinforcing teaching with a client who is pregnant. Which of the following instructions should the nurse include? 26.You should use fluoride base tooth paste to prevent dental caries 27.A nurse is assisting with the plan of care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D) Immune Globulin? at 28 weeks gestattion 28.A nurse is caring for a newborn who was born to a client who has a narcotic use disorder. Which of the following nursing actions should the nurse identify as a contraindication for the care of the newborn? 29.frequent stimulation 30.A nurse is assisting with the plan of care for a client who is at 35 weeks of gestation. Which of the following laboratory tests should the nurse obtain? 31.group b streptococcus B-hemolytic culture 32.A nurse is assisting in the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care? 33.ensure the newborns eyes are closed applying the eye shield 34.A nurse is caring for a client who is at 34 weeks of gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the client is the nurse's priority? 35.my heart feels as it is racing 36.A nurse is assisting with caring for a client who is at 36 weeks of gestation and has pre-eclampsia. Which of the following findings should the nurse identify as the priority? nonreactive stress test 37.A nurse is caring for a newborn who has irregular respirations of 52/min with several periods of apnea lasting approximately 5 seconds. The newborn is pink with acrocyanosis. Which of the following actions should the nurse take? 38.continue to routi [Show More]

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