ATI 2024 Maternal Newborn Test A and B Questions And Answers, Exams of Nursing

Download ATI 2024 Maternal Newborn Test A and B Questions And Answers and more Exams Nursing in PDF only on Docsity! ATI 2024 Maternal Newborn Test A and B Questions And Answers Newborn delivered by repeat cesarean birth at 40 weeks of gestation. Birth weight 3,515 g (7 lb 12 oz) Apgar scores 8 at 1 min and 9 at 5 min Maternal history of methadone use during pregnancy. Which should the Nurse report? Respiratory findings Temperature Oxygen saturation Central nervous system findings Gastrointestinal findings - correct answer Gastrointestinal findings Central nervous system findings Client reports a small amount of bright red blood in their underwear upon awakening. Client denies contractions or abdominal pain. External fetal monitor applied. Potential Nursing Action Indicated or Contraindicated ATI 2024 Maternal Newborn Test A and B Questions And Answers Assess cervical dilation Weigh perineal pads. Administer methotrexate. Insert a large bore intravenous catheter. - correct answer Contraindicated Assess Cervical Dilation - She's currently bleeding and not in the middle of labor, unnecessary. Administer Methotrexate - She isn't having an ectopic pregnancy - this is used to resolve ectopic pregnancies in the first trimester. Indicated Weigh Perineal Pads - We need to know how much blood she's losing. Insert a large bore IV - Third Trimester Bleeding may lead to larger hemorrhage - having IV access is critical if we need to administer fluids. A nurse is assessing the newborn of a client who took selective serotonin reuptake inhibitor during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI? - correct answer Vomiting - Also could be irritability, agitation, tremors, or diarrhea. These manifestations typically last 2 days. A nurse in a family planning clinic is caring for a client who request an oral ATI 2024 Maternal Newborn Test A and B Questions And Answers Hematocrit of 34% is within range - should be greater than 33%. FHR - Should be between 110/min to 160/min for a client at 26 weeks of gestation. - correct answer Fundal height 30 cm - Fundal height should be PLUS or MINUS 2cm from weeks of gestation A nurse is caring for a newborn who is 48 hr old. Apgars: 7 at 1 min and 8 at 5 min of age Birth weight: 3,515 g (7 lb 12 oz) Maternal blood type: O+ Uncomplicated pregnancy. Maternal use of marijuana during pregnancy Client who gave birth plans to breastfeed. Day 2, 0900: Newborn awake, alert, and crying. Loosely<<<< wrapped in one blanket. Mild tremors noted. Yellow discoloration of mucus membranes and sclera noted. Respirations 88/min, no retractions, grunting, or nasal flaring noted. Diaper changed for small amount of urine and transitional stool. ATI 2024 Maternal Newborn Test A and B Questions And Answers Day 2, 0915:Blood glucose: 38 mg/dL (expected value greater than 40 to 45 gm/dL Potential Condition? - It's NOT NAS since Mom wasn't on opiates. It's NOT Bilirubin issues so no phototherapy. None of the babies S/S point to Respiratory distress either. COLD STRESS Encourage parent to breastfeed Place newborn skin to skin on birthing parents chest. Temperature - correct answer Nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the Nurse take? Administer Penicillin g2.4 million units - No, this should be done for syphilis. Instruct Client to schedule annual pelvic examination - NO - should be every 6 months. ATI 2024 Maternal Newborn Test A and B Questions And Answers Tell the client they'll start medication for HIV immediately after delivery. NO - It will begin DURING the prenatal AND perinatal periods to decrease the risk of transmission to the newborn. Report the client's condition to the local health department. YES - HIV is one of the conditions that is REQUIRED to be reported. - correct answer Report the client's condition to the local health department. 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? Hemoglobin 10g/dL YES - this is below the 11 g/dL minimum for pregnant women. WBC Count - 15,000 - NO - normal is 5-15k during pregnancy RBC 5.8million/mm3 - NO Within range of 5-6.25million for pregnancy. Hematocrit 34% - NO - greater than 33% is fine. - correct answer Hemoglobin 10g/dL A nurse is assessing a 16 hr old newborn. Which of the findings should the nurse report to the provider? Substernal Retractions - This, alongside apnea, grunting, nasal flaring, and tachypnea are manifestations of neonatal infection OR respiratory distress in newborns and should be reported IMMEDIATELY. ATI 2024 Maternal Newborn Test A and B Questions And Answers Discontinue if the newborn develops a rash? No - a temporary rash CAN occur during therapy and requires no treatment. - correct answer A nurse is planning care for a client who is to undergo a nonstress test. Which of the following should the nurse include in the plan of care? Maintain NPO throughout procedure? NO - Clients are often encourage to drink liquids to promote adequate hydration. Place the client in a supine position? NO - They should be in a SITTING position or a Semi-Fowlers position and TILTED to promote uterine perfusion. Instruct the client to massage the abdomen to stimulate fetal movement? NO - This doesn't do anything for fetal movement. Instruct the client to press the provided button EACH time fetal movement is detected. YES The FHR might miss movements but by pressing the button it will record it. - correct answer Instruct the client to press the provided button EACH time fetal movement is detected. 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? ATI 2024 Maternal Newborn Test A and B Questions And Answers Eat foods that taste food instead of balancing my meals. YES - The focus should be avoiding nausea. I will avoid having a snack before bed. NO - Clients should avoid going to bed with an empty stomach. Instruct them to eat a healthy snack (that they enjoy!) before bed. I will have a cup of hot tea with each meal. NO - They should ALTERNATE solids and liquids every 2-3 hours to avoid an empty stomach AND avoid OVERFILLING. I will eliminate products that contain dairy from my diet. NO - They should be encouraged to consume dairy as these are less likely to cause nausea. - correct answer I will eat foods that taste good instead of balancing my meals. 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 increase my protein intake to 60 grams each day. NO - Should be a minimum of 71g each day. ATI 2024 Maternal Newborn Test A and B Questions And Answers I should drink 2 liters of water each day. NO - A client who is pregnant should consume 3 liters of water each day. I should increase my overall caloric intake by 300 calories. NO - It should be 340 calories their first trimester, 452 during third trimester. I should take 600 micrograms of folic acid each day. YES - Folic acid is CRITICAL for preventing neural tube birth defects. - correct answer I should take 600 micrograms of folic acid each day. A nurse is preparing to administer oxytocin to a client who is post partum which of the following findings as an indication for the administration of the medication? Flaccid Uterus - YES - Oxytocin increases contractions and is helpful in preventing PPH. Cervical Laceration - NO - This will continue even with a contracted uterus. A surgical repair will be needed. Excessive vaginal bleeding - YES - Enhanced uterine contractions will decrease vaginal bleeding. Increased afterbirth cramping - NO - This will INCREASE cramping rather than decrease it. Increased maternal temperature is incorrect - it has nothing to do w/ temps. - correct answer Flaccid Uterus ATI 2024 Maternal Newborn Test A and B Questions And Answers Creases over the entire foot - Signs of maturity increasing over the term of a fetus. Raised aureoles with 3 to 4 mm buds - Sign of maturity. - correct answer Minimal arm recoil - Nurse should expect newborn to have HYPOTONIA or minimal arm recoil. 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? Passive descent - The CALM and REST phase. Active - Characterized by cervical dilation between 6-10cm, contractions every 1.5-5m, and lasting 40-90 seconds. Early - 0-5cm, contractions every 2-30min, lasting 30-40 seconds. Descent - Active pushing phase - 1-2 min per contractions lasting 90 seconds. - correct answer Active A nurse in a clinic is caring for a 16-year-old adolescent.History and PhysicalAdolescent is sexually active with two current partners. IUD in place Reports not using condoms during sexual activity. History of type 1 diabetes mellitus. ATI 2024 Maternal Newborn Test A and B Questions And Answers Which should the Nurse report? - correct answer Abdominal assessment - The pain is NOT an expected finding in a normal, healthy 16 yo. Vaginal Discharge - Greenish discharge indicates an infection. Temperature - Febrile, thus indication of infection or inflammation. Dyspaerunia - Painful intercourse or urination can be associated with STI's. Condom Usage - Sexual activity without condoms increases the risk of contracting STI's. For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process. PID + C-Reactive protein The nurse should expect prescription of Ceftriaxone and Doxycycline - Strong Anti-Biotics. Rest are Anti-fungal or Anti-Virals. Provide patient education and provide Ceftriaxone NOW. - correct answer Abdominal Pain - GONORRHEA. Greenish Discharge - Trichomoniasis and Gonorrhea. Diabetes - Candidias - Diabetes predisposes patients to yeast infections. ATI 2024 Maternal Newborn Test A and B Questions And Answers Pain on urination - Trichomoniasis, Gonorrhea, and Candidiasis. Absence of Condom Use - Trichomoniasis and Gonorrhea A nurse is reviewing the medical record for a newly admitted client who is 32 weeks gestation. Which of the following conditions is an indication for fetal heart rate monitoring? Oligohydramnois - YES - Along with other things such as preeclampsia, IUG Restriction, Renal disease, decreased fetal movement, previous fetal death, post-term pregnancy, SLE (Lupus), intrahepatic cholestasis. Hyperemesis Gravidarum - Nope. Leukorrhea - White-ish discharge is common during pregnancy. Periodic Tingling - Common occurrence during pregnancy. - correct answer Oligohydramnois A nurse on the postpartum unit is caring for a client who has idiopathic thrombocytopenia purpura (ITP). Which of the following assessment findings should the nurse expect to find? ITP is an autoimmune response that results in a decreased platelet count. ATI 2024 Maternal Newborn Test A and B Questions And Answers A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and requires notification of the provider? Late Decels - Indication of uteroplacental insufficiency. Do NOT give Oxytocin if these are present. Moderate Variability - This expected - not a contraindication to Oxytocin. Cessation of Uterine Dilation - This is an INDICATION to use Oxytocin. Prolonged active phase of labor - an INDICATION to use Oxytocin to augment their labor. - correct answer Late Decelerations 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 FIRST? Confirm Apgar Score - NO - This is done at 1 min and again at 5 min - It should be confirmed but FIRST... ATI 2024 Maternal Newborn Test A and B Questions And Answers Verify the newborns identification - YES - always verify the band! Administer Vitamin K - This should be done ASAP but can be delayed, before doing anything the Nurse should verify the baby they're working on. Determine Obstetrical Risk Factors - Not FIRST, this is done after confirming baby's ID. - correct answer Verify the newborns identification A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for pain control. Which of the following actions should the nurse include in the plan of care? - correct answer Monitor the client's blood pressure every 5 min following the first dose of anesthetic solution. 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? Emotional Labilty - Rapid and unpredictable changes in mood. ATI 2024 Maternal Newborn Test A and B Questions And Answers Couvade Syndrome - Pregnancy-Like Symptoms experienced by the father such as nausea, weight gain, etc. - correct answer Emotional Lability When a patient is receiving a continuous infusion of magnesium sulfate IV which action should the nurse take? - correct answer Have calcium gluconate readily available. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? BELOW ARE ALL SIGNS Depression, weight gain, nausea, amenorrhea, breast tenderness, breakthrough bleeding. - correct answer Depression 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? - correct answer Biophysical Profile (BPP) - This will help assess fetal well being. A school nurse is providing teaching to an adolescent about levonorgestrel contraception which of the following information should the nurse include in the teaching? - correct answer You should take the medication within 72 hours following unprotected sexual intercourse. ATI 2024 Maternal Newborn Test A and B Questions And Answers understanding of the teaching? - correct answer "I will have blood tests because my potassium might decrease." - Adverse effects of terbutaline are hypokalemia + hypotension + hyperglycemia. Given every 4 hr SC but not longer than 24 hr. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? - correct answer "I can administer oxytocin 4 hours after the insertion of the medication" A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect? - correct answer Blurred vision A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? - correct answer Reports increased urinary output. Will also potentially have nausea, vomitting, abdominal pain, constipation, drowsiness, and headaches. Fruity breath odor, positive sugar/acetone in urine, and high blood glucose. Caring for a patient at the end of their first trimester, where should the nurse place the Doppler Ultrasound stethoscope in what location? - correct answer Just above the symphysis pubis. At the end of the first trimester of pregnancy the client's uterus is about the size of a ATI 2024 Maternal Newborn Test A and B Questions And Answers grapefruit and is positioned low in the pelvis slightly above the symphysis pubis. A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment? - correct answer Demonstrate to the client how to perform a newborn bath. During the "taking-hold" phase they become more focused on becoming a parent and learning new skills. A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart? - correct answer Left Lower Quadrant A nurse is providing discharge teaching to a client who is postpartum. For which of the following manifestations should the nurse instruct the client to monitor and report to the provider? - correct answer Unilateral Breast Pain - Could be a sign of mastitis. 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? - correct answer "Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen" ATI 2024 Maternal Newborn Test A and B Questions And Answers "Ensure that the newborn has been receiving feeding for 24 hours prior to obtaining the specimen" - correct answer Kleihauer-Betke test - This will determine if fetal blood is in maternal circulation. A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? - correct answer Hypertension - It's a vasoconstrictor that can cause hypertension but will also prevent bleeding out.