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ATI Practice Assessment-Maternal Newborn Online Practice 2016 A

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ATI Practice Assessment-Maternal Newborn Online Practice 2016 A 1) A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first? ... 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should pan to prepare the client for which of the following diagnostic tests? 3) A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse request the provider see first? 4) A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? 5) A nurse is assessing a client who is at 30 weeks gestation during a routine prenatal visit. Which of the findings should the nurse report to the provider? 6) A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the following actions by the mother should the nurse recognize as a positive parenting behavior? 7) A nurse is assessing a newborn 12 hours after birth. Which of the following manifestations should the nurse report to the provider? 8) A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following instructions should the nurse include in the teaching? 9) A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain? 10) A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? 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? 12) A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of the following prescriptions? 13) A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse that her last menstrual cycle started on November 27th. Which of the following dates is the client's expected date of birth? 14)A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states, "Administer 5mcg IM once today." Available is a 5mL vial with 10mcg/mL. How many mL should the nurse administer? 15) 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 include in the plan? 16) A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? 17) A nurse is teaching a new mother about steps the nurses will take to promote the security and safety of the newborn. Which of the following statements should the nurse make? 18) A nurse is teaching a client who is at 35 weeks of gestation about clinical manifestations of potential pregnancy complications to report to the provider. Which of the following manifestations should the nurse include? 19) A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? 20) A nurse is reviewing the medical record of a client who is postpartum and has preeclampsia. Which of the following laboratory results should the nurse report to the provider? 21) A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? 22) A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12mg IM. Which of the following outcomes should the nurse expect? 23) 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? 24) A nurse is caring for a client who is at 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound? 25) A nurse is teaching a client about Rho(D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching? 26) A nurse is caring for a client who is at 35 weeks of gestation and is undergoing a nonstress test that reveals a variable deceleration in the FHR. Which of the following actions should the nurse take? 27) 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? 28) A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? 29) A nurse is caring for a client who is pregnant and is at the end of her first trimester. The nurse should place the doppler ultrasound stethoscope in which of the following locations to begin assessing for the fetal heart tones (FHT)? 30) A nurse is 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? 31) A nurse is creating a plan of care for a client 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? 32) 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's head to one side, which of the following actions should the nurse take next? 33) A nurse is on a postpartum unit is caring for a client who is experiencing hypovolemic shock. After notifying the provider, which of the following actions should the nurse take next? 34) 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? 35) 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? 36) 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? Instruct the client to press the provided button each time fetal movement is detected 37) A nurse is planning discharge for a client who is 3 days postpartum. Which of the following non-pharmacological interventions should the nurse include in the plan of care for lactation suppression? 38) A nurse is teaching a new mother about newborn safety. Which of the following instructions should the nurse include in the teaching? 39) A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold maneuvers. Which of the following images indicates 40) A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hours. Which of the following statements should the nurse make? 41) A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should then nurse identify as the priority? 42) 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 actions should the nurse take? 43) A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? 44) 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 as a potential complication? 45) A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? 46) A nurse is providing teaching about comfort measures to a client who is breastfeeding and is experiencing engorgement. Which of the following nonpharmacological measures should the nurse include in the teaching? 47) A nurse is providing discharge teaching to a client who is postpartum and was taking insulin for gestational diabetes mellitus. Which of the following instructions should the nurse include in the teaching? 48) A nurse is assessing a client who gave birth vaginally 12 hours ago and palpates her uterus to the right above the umbilicus. Which of the following interventions should the nurse perform? 49) A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take? 50) bA nurse is reviewing the laboratory report of a client who is 24 hours postpartum following a vaginal delivery. Which of the following laboratory results should the nurse identify as an indication of a postpartum infection? 51) A nurse is teaching a client who is pregnant about managing nausea and vomiting. Which of the following instructions should the nurse include in the teaching? 52) A nurse is assessing the newborn of a client who took a selective serotonin re-uptake inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI? 53) 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? 54) A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make? 55) A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, "happy one minute and crying the next." The nurse should interpret the client's statement as an indication of which of the following? 56) A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which of the following findings should the nurse identify as a possible cause of the early decelerations? 57) 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 8cm and reports back pain. Which of the following actions should the nurse take? 58) A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? 59) A client who is at 34 weeks of gestation asks the nurse how she will know when she is in labor and should go to the hospital. Which of the following responses should the nurse make? 60) A staff nurse on an obstetric unit is caring for a client who is scheduled for an induced abortion. The staff nurse informs the nurse manager that she has a moral issue with the client's decision. Which of the following actions should the nurse manager take? [Show More]

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