Exam NURSING MISC Maternal proctored 2024, Exams of Nursing

Download Exam NURSING MISC Maternal proctored 2024 and more Exams Nursing in PDF only on Docsity! 1 ATI Maternal newborn 2019 1. A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of the birth method? A. Hypoglycemia B. Polycythemia C. Facial Palsy D. Bronchopumonary dysplasia 2. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching? “The medication could cause me to experience heart paptation” “This medication could cause me to experience blurred vision” “This medication could cause me to experience ringing in my ears” “This medication could cause me to experience frequent …” 4. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? Urine Ketones Rapid plasma regain Prothrombin time Urine culture 2 5. A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort? 5 B. Nasal Flaring C. Length from head to heel of 40 cm (15.7 in) D. Chest circumference 2 cm (0.8 in) smaller than the head circumference 11. A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care. A. Increase the newborn’s visual stimulation B. Weigh the newborn every other day C. Discourage parental interaction until after a social evaluation D. Swaddle the newborn in a flexed position 12. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? A. Obtain a blood sample for a serum glucose level B. Feed the newborn immediately C. Administer 50 mL of dextrose solution IV D. Reassess the blood glucose level prior to the next feeding 13. A nurse is providing teaching to a client about exercise safety during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply). A. “I will limit my time in the hot tub to 30 minutes after exercise.” B. “I should consume three 8-ounce glasses of water after I exercise.” C. “I will check my heart rate every 15 minutes during exercise sessions.” D. “I should limit exercise sessions to 30 minutes when the weather is humid.” E. “I should rest by lying on my side for 10 minutes following exercise.” 14. A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider? A. Contraction durations of 95 to 100 seconds B. Contraction frequency of 2 to 3 min apart C. Absent early deceleration of fetal heart rate D. Fetal heart rate is 140/min 6 15. A nurse in a woman’s health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory disease (PID)? 7 A. Recurrent Cystitis B. Frequent Alcohol Use C. Use of Oral Contraceptives D. Chlamydia Infection 16. A nurse is teaching a prenatal class about immunizations that newborns receive following birth. Which of the following immunizations should the nurse include in the teaching? A. Hepatitis B B. Rotavirus C. Pneumococcal D. Varicella 17. A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A. ½ cup cubed avocado B. 1 large banana C. 1 medium potato D. 1 cup cooked broccoli 18. A nurse in a provider’s office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Nagele’s rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.) 19. A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? A. The client expels the placenta B. The client experiences gradual dilation of the cervix C. The client begins have regular contractions. D. The client delivers the newborn 20. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse? 10 A client who is receiving magnesium sulfate and has absent deep tendon reflexes A client who reports lochia rubra requiring changing perineal pads every 3 hr 26. A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer? Metronidazole Penicillin Acyclovir Gentamicin 27. A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? Hyperemesis Proteinuria Hypoxia Hemorrhage 28. A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan? Increase the infusion rate every 30 to 60 min. Maintain the client in a supine position. Titrate the infusion rate by 4 milliunits/min. Limit IV intake to 4 L per 24 hr. 29. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse the nurse takes? (Click on the “Exhibit” Button for additional information about the newborn. There are three tabs that contain separate categories of date.) Administer nitric oxide inhalation therapy to the newborn Insert an orogastric decompression tube with low wall suction. Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr. Measure the aadbominal circumference at the level of the newborn’s umbilicus every 2 hr. 30. A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take? Decrease maintenance IV solution infusion rate. Place the client in lateral position. Administer misoprostol 25 mcg vaginally Administer oxygen via face mask at 2 L/min 11 31. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care? Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation. Use a fetal scalp electrode during labor and delivery. Administer a pneumococcal immunization to the newborn within 4 hr following birth. Bathe the newborn before initiating skin-to-skin contact 32. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? Blood pressure 142/92 mm Hg Urine output 100 mL in hr Pulse 58/min Respiratory rate 14/min 33. A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect which of the following laboratory values to increase? RBC count Bilirubin Fasting blood glucose Bun 34. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM 12 hr. Available in dexamethasome 10 mg/mL. How mane mL of dexamethasome should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.) mL. 12 35. A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? A. A client who has an ultrasound that confirms a molar pregnancy B. A client who has a crown-rump length of 7 weeks gestation 15 45. A nurse is caring for a newborn who is 24 hr old. Which of the following Laboratory findings should the nurse report to the provider? A. Hgb 20 g/dL B. Bilirubin 2mg/dL C. Platelets 200 .000/mm3 WBC count 32.000/mm3 46. A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take? A. Give the newborn a warm bath. B. Apply a cap to the newborn head. C. Reposition the newborn. D. Obtain an oxygen saturation level 47. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? A. Apply a thin layer of lotion to the newborn skin every 8 hrs. B. Give the newborn 1oz of glucose water every 4 hrs C. Ensure the newborn eyes are closed beneath the shield. D. Dress the newborn in a thin layer of clothing during therapy 48. A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make? A. “You can bathe and dress your baby if you’d like to.” B. “If you don’t hold the baby it will make letting go much harder.” C. “You should name the baby so she can have an identity.” D. “I’m sure you will be able to have another baby when you’re ready.” 49. A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make? A. “you will need to stay in a side-lying position for 30 minutes after each dose.” B. “You will receive an IV infusion of oxytocin 1 hour after your last dose.” C. ” You will receive a magnesium supplement immediately following therapy.” D. ” You will need to have a full bladder before the therapy begins.” 16 50. A nurse is assessing a newborn who was born Postterm. Which of the following findings should the nurse expect? A. Nails extending over tips of fingers B. Large deposits of subcutaneous fat C. Pale, translucent skin D. Thin covering of fine hair on shoulders and back 51. A nurse is planning to teach a group of clients who are about breastfeeding after returning to work .Which of the following infection should the nurse include in the teaching? A. “Thawed breast milk can be refrigerated for up to 72 hours.” B. “Breast milk can be stored in a deep freezer for 12 months.” C. Breast milk can be stored at room temperature for up to 12 hours.” D. “Thawed breast milk that is unused can be refrozen.” 52. A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune globulin to prevent Rh- is immunization? A. An Rh negative mother who has an Rh- positive infant B. An Rh –positive mother who has an Rh- negative infant C. An Rh-positive mother who has an Rh- positive infant D. An Rh- negative mother who has an Rh- negative infant 53. A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take? A. Provide a stimulating environment B. Monitor blood glucose level every hr. C. Intiate seizure precautions. D. Place the infants on his back with legs extended. 54. A nurse is reviewing signs of effective breathing with a client who is 5 days postpartum. Which of the following information should the nurse include in the teaching? A. “You should feel a tugging sensation when the baby is sucking. B. You should expect your baby to have two to three wet diapers in 24hour period C. “Your baby’s urine should appear dark and concentrated”. D. “Your breast should stay firm after the baby breastfeeds”. 17 55. A nurse is teaching a client who is at 41 weeks of gestation about a non stress test. Which of the following information should the nurse include in the teaching? A. “This test will confirm fetal lung maturity “. B. “This test will determine adequacy of placental perfusion”. C. “This test will detect fetal infection”. D. “This test will predict maternal readiness for labor”. 56. A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol? A. A client who has active genital herpes B. A client who has gestational diabetes mellitus C. A client who has a previous uterine incision D. A client who has placenta previa 57. A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider? A. Blood pressure 148/94mm Hg B. Respiratory rate 14mm C. Urinary output 20 mL/hr D. 2+deep tendon reflexes 58. A nurse is caring for a client who is in the transition phase of labor and reports a pain level of 7 on a scale of 0 to 10. Which of the following actions should the nurse take? A. Instruct the client to use effleurage B. Apply counter pressure to the client sacral. C. Assist the client with patterned-paced breathing. D. Teach the client the technique of biofeedback. 59. A nurse is caring for newborn immediately following birth and notes a large amount of mucus in the newborn’s mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe. (Move the streps into the box on the placing them in the selected order of performance. Use all the streps.) Assess the newborn for reflex bradycardia. Compress the bulb syringe Place the bulb syringe in the newborn’s mouth.