ATI RN maternal newborn questions AND CORRECT ANSWERS (2024), Exams of Nursing

Download ATI RN maternal newborn questions AND CORRECT ANSWERS (2024) and more Exams Nursing in PDF only on Docsity! ATI RN maternal newborn questions AND CORRECT ANSWERS (2024) A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? A. Jan 8 B. Jan 15 C. Feb 8 D. Feb 15 - CORRECT ANSWER-A. April 1st minus 3 months plus 7 days and 1 year A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy . The client's health records includes G3 T1 P0 A1 L1. How should the nurse interpret this? SATA A client has delivered one newborn at term B client has experienced no preterm labor C client has had 2 pregnancies D client has one living child E client has been through active labor - CORRECT ANSWER-a: delivered one newborn at term c: had 2 pregnancies d: has one living child a nurse is reviweing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? SATA a Montgomery glands b Goodell's Signs c ballottement d Chadwick's sign e quickening - CORRECT ANSWER-b: Goodell's sign c: ballottement d: chadwick's sign a nurse in a prenatal clinic caring for a client who is pregnant and experiencing episodes of maternal hypotension. The client asks the nurse what causes these episodes. Which of the following responses should the nurse make? a this is due to an increase in blood volume b this is due to pressure from the uterus on the diaphragm c this is due to the weight of the uterus on the vena cava d this is due to increase cardiac output - CORRECT ANSWER-c: due to the weight of the uterus on the vena cava A client who is at 8 weeks of gestation tells the RN that she isn't sure she is happy about being pregnant. which of the following responses should the nurse make? a: i will inform the provider that you are having these feelings b: it is normal to have these feelings during the first few months of pregnancy c: you should be happy that you are going to bring new life into the world d: i am going to make an appointment with the counselor for you to discuss these thoughts - CORRECT ANSWER-b: it is normal to have these feelings during the first few months of pregnancy a nurse in a prenatal clinic is providing education to a client who is in the 8th of gestation. The client states that she does not like milk. which of the following foods should the nurse recommend as a good source of Ca? a dark green leafy veggies b deep red or orange veggies c white breads and rice d meat, poultry and fish - CORRECT ANSWER-a dark green leafy veggies a nurse in a prenatal clinic is caring for four clients. which of the following client's weight gain should the nurse report to the provider? a 1.8 kg (4lb) weight gain and is in her first trimester b 3.6 kg (8lbs) weight gain and is in her first trimester c 6.8 kg (15 lbs) weight gain and is in her second trimester d 11.3 kg (25 lbs) weight gain and is in her third trimester - CORRECT ANSWER-b 3.6 kg (8lbs) weight gain and is in her first trimester a nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? a iron deficiency anemia b poor bone formation c macrosomic fetus d neural tube defects - CORRECT ANSWER-d neural tube defects A nurse is reviewing a new prescription for iron supplement with a client who is in the 8th week of gestation and has iron deficiency anemia. which of the following beverages should the nurse instruct the client to take the iron supplement with? a ice water b low fat or whole milk c tea or coffee d orange juice - CORRECT ANSWER-d orange juice a nurse is reviewing postpartum nutrition needs with a group of new mothers who are breastfeeding their newborns. which of the following statements by a member of the group indicates an understanding of the teaching? a "i am glad i can have my morning coffee" b " i should take folic acid to increase my milk supply" c " i will continue adding 330 cal per day to my diet" d " i will continue my Ca supplements because i dont like milk" - CORRECT ANSWER-d " i will continue my Ca supplements because i dont like milk" a nurse is reviewing findings of a client's biophysical profile. the nurse should expect which of the following variables to be included in the test? SATA a fetal weight b fetal breathing movement c fetal tone d fetal position e amniotic fluid volume - CORRECT ANSWER-b fetal breathing movement c fetal tone e amniotic fluid volume a nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis. the nurse should evaluate which of the following tests to assess fetal lung maturity? a alpha- fetoprotein b L/S ratio c Kleihauer-Bertke test d Indirect-Coombs' test - CORRECT ANSWER-b L/S ratio A nursing is caring for a client who is pregnant and undergoing a nonstress test. The client asks why the nurse is using an acoustic vibration device. which of the following responses should the nurse make? a "it is used to stimulate uterine contractions" b "it will decrease the incidence of uterine contractions" c "it lulls the fetus to sleep" d "it awakens a sleeping fetus" - CORRECT ANSWER-d "it awakens a sleeping fetus" a nurse is teaching a client who is pregnant about amniocentesis procedure. which of the following statements should the nurse include in the teaching? a "you will lay on your right side during the procedure" b "you should not eat anything for 24 hours prior to the procedure" c "you should empty your bladder prior to the procedure" d "the test is done to determine gestational age" - CORRECT ANSWER-c "you should empty your bladder prior to the procedure" A nursing is caring for a client who is pregnant and is to undergo a CST. which of the following findings are indication for this procedure? SATA a decreased fetal movement b IUGR c postmaturity d report of severe shoulder pain - CORRECT ANSWER-d report of severe shoulder pain A nurse is admitting a client who is in labor and has HIV. which of the following interventions should the nurse identify as contraindicated for this client? SATA a episotomy b oxytocin infusion c forceps d c-section e internal fetal monitoring - CORRECT ANSWER-a episotomy c forceps e internal fetal monitoring a nurse in an antepartum clinic is assessing a client who has a TORCH infection. which of the following findings should the nurse expect? SATA a joint pain b malaise c rash d urinary frequency e tender lymph nodes - CORRECT ANSWER-a joint pain b malaise c rash e tender lymph nodes a nurse is caring for a client who has gonorrhea. which of the following meds should the nurse anticipate the provider will give? a Ceftriaxone b Fluconazole c Metronidazole d Zidovudine - CORRECT ANSWER-a Ceftriaxone A nursing is caring for a client who is in labor. the nurse should identify that which of the following infections can be treated during labor or immediately following birth? SATA a gonorrhea b chlamydia c HIV d GBS e TOCRH - CORRECT ANSWER-a gonorrhea b chlamydia c HIV d GBS a nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of new nurses. which of the following statements by a nurse indicates understanding? a " obtain an immunization against rubella early in pregnancy" b "seek prophylactic treatment if cytomegalovirus is detected during pregnancy" c "a woman should avoid crowded places during pregnancy" d "a woman should avoid consuming undercooked meat while pregnant" - CORRECT ANSWER-d "a woman should avoid consuming undercooked meat while pregnant" a nurse is caring for a client who is at 14 weeks and has hyperemesis gravidarum. the nurse should identify which of the following are risk factors for the client? SATA a obesity b multiferal pregnancy c maternal age greater than 40 d migraine HA e oligo - CORRECT ANSWER-a obesity b multiferal pregnancy d migraine HA a nurse is caring for a client who has suspected hyperemesis gravidarum and is reviewing the client's lab reports. which of the following findings is a s/s of this condition? a Hgb 12.2 g/dL b urine ketones present c alanine aminotransferase 20 IU/L d serum glucose of 114 mg/dL - CORRECT ANSWER-b urine ketones present a nurse is administering Mag to a client who has severe preeclampsia for seizure prophylaxis. which of the following indicates mag toxicity? SATA a respiration less than 12/min b urinary output less than 30 ml/hr c hyperreflexic deep tendon reflexes d decreased level of consciousness e flushing and sweating - CORRECT ANSWER-a respiration less than 12/min b urinary output less than 30 ml/hr d decreased level of consciousness a nurse is caring for a client who is receiving iv mag. which of the following meds should the nurse anticipate giving if mag toxicity is suspected? a nifedipine b pyridoxine c ferrous sulfate d Ca gluconate - CORRECT ANSWER-d Ca gluconate a nurse is reviewing a new prescription for ferrous sulfate with a client who is at 12 weeks of gestation. which of the following statements by the client indicates understanding of the teaching? a nurse in the L&D unit receives a phone call from a client who reports that her contractions started about 2 hours ago, did not go away when she had two glasses of water and rested, and became stronger since she started walking. her contractions occur every 10 mins and last about 30 seconds. she hasnt had any fluid leak from her vagina. however she saw some blood when she wiped after voiding. based on this report, which of the following clinical findings should the nurse recognize that the client is experiencing? a braxton hicks contractions b ROM c fetal descent d true contractions - CORRECT ANSWER-d true contractions a nurse in the L&D unit is caring for a client in labor and applies an external fetal monitor and toco. the FHR is around 140/min. contractions are occuring q 8 min and 30- 40 seconds in duration. the nurse performs a vaginal exam and finds the cervix is 2 cm dilated, 50% effaced and the fetus is at a -2 station. which of the following stages and phases of labor is this client experiencing? a first stage, latent phase b first stage, active phase c first stage, transition phase d second stage of labor - CORRECT ANSWER-a first stage, latent phase a client experiences a large gush of fluid from her vagina while walking in the hallway of the birthing unit. which of the following actions should the nurse take first? a check amniotic fluid for meconium b monitor FHR for distress c dry the client and make her comfortable d monitor UC - CORRECT ANSWER-b monitor FHR for distress a nurse in L&D unit is completing an admission assessment for a client who is at 39 weeks gestation. the client reports that she has been leaking fluid from her vagina for 2 days. which of the following conditions is the client at risk for developing? a cord prolaspe b infection c PPH d hydramnios - CORRECT ANSWER-b infection a nurse is caring for a client who is in active in labor and becomes nauseous and vomits. the client is irritable and feels the urge to have a bowel movement. she states "ive had enough, i cant do this anymore. i want to go home" which of the following stages of labor is the client experiencing? a second stage b fourth stage c transition phase d latent phase - CORRECT ANSWER-c transition phase a nurse is caring for a client who is at 40 weeks gestation and experiencing contractions q 3-5 mins and becoming stronger. a vaginal exam reveals that the client's cervix is 3cm dilated, 80% effaced, and -1 station. the client asks for pain meds. which of the following actions should the nurse take? SATA a encourage use of patterned breathing techniques b insert an indwelling cath c admin opioid analgesic med d suggest application of cold e provide ice chips - CORRECT ANSWER-a encourage use of patterned breathing techniques c admin opioid analgesic med d suggest application of cold a nurse is caring for a client who is in active labor. the client reports lower back pain. the nurse suspects that this pain is r/t a persistent occiput posterior fetal position. which of the following nonpharm NI should the nurse recommend to the client? a abd effleurage b sacral counterpressure c showering if not contraindicated d back rub and massage - CORRECT ANSWER-b sacral counterpressure a nurse is caring for a client following the admin of an epidural block and is preparing to admin an iv fluid bolus. the client's partner ask about the purpose of the iv fluid. which is an appropriate answer? a "its needed to promote increase urinary output" b "it is needed to counteract resp depression" c "it is needed to counteract hypotension" d "it is needed to prevent oligo" - CORRECT ANSWER-c "it is needed to counteract hypotension" a nurse is caring for a client who is in the second stage of labor . the client's labor has been progressing and she is expected to deliver vaginally in 20 min. the provider is preparing to admin for pain relief and perform an episiotomy. the nurse should know that which of the following types of regional anesthetic block is to be administered? a pudenal b epidural c spinal d paracervical - CORRECT ANSWER-a pudenal a nurse is caring for a client who is using patterned breathing during labor. the client reports numbness and tingling of the fingers. which of the following action should the nurse take? a nurse is performing Leopold maneuvers on a client who is in labor. which of the following techniques should the nurse use to identify the fetal lie? a apply palms of both hands to sides of the uterus b palpate the fundus of the uterus c grasp lower uterine segment between thumb and fingers d stand facing client's feet with fingertips outlining cephalic prominence - CORRECT ANSWER-b palpate the fundus of the uterus a nurse is caring for a client and her partner during the second stage of labor. the client's partner asks the nurse to explain how he will know when crowning occurs. which of the following responses should the nurse make? a "the placenta will protrude from the vagina" b "your partner will report a decrease in the intensity of contractions" c "the vaginal area will bulge as the baby's head appears" d "your partner will report less rectal pressure" - CORRECT ANSWER-c "the vaginal area will bulge as the baby's head appears" a nursing is caring for a client who is in the transition phase of labor and reports that she needs to have a bowel movement with the peak of contractions. which of the following actions should the nurse make? a assist the client to the bathroom b prepare from an impending delivery c prepare to remove a fecal impaction d encourage the client to take deep, cleansing breaths - CORRECT ANSWER-b prepare from an impending delivery a nurse is caring for a client in the third stage of labor. which of the following findings indicate that placental separation? SATA a lengthening of the umbilical cord b swift gush of clear amniotic fluid c softening of the lower uterine segment d appearance of dark blood from the vagina e fundus firm upon palpation - CORRECT ANSWER-a lengthening of the umbilical cord d appearance of dark blood from the vagina e fundus firm upon palpation a nurse in labor and delivery is planning care for a newly admitted client who reports shes in labor and has been having vaginal bleeding for 2 weeks. which of the following should the nurse include in plan of care? a inspect the introitus for a prolapsed cord b perform a test to identify the ferning pattern c monitor station of the presenting part d defer vaginal exams - CORRECT ANSWER-d defer vaginal exams a nurse is caring for a client who is in the first stage of labor and is encouraging the client to void q2hrs. which of the following statements should the nurse make? a "a full bladder increases the risk for fetal trauma" b "a full bladder increases the risk for bladder infections" c "a distended bladder will be traumatized by frequent pelvic exams"