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Nursing Care for Pregnant and Postpartum Clients, Exams of Nursing

Miami University - MiddletownNursing

A comprehensive review of nursing care for pregnant and postpartum clients, covering a wide range of topics such as laboratory results interpretation, discharge instructions, contraception, newborn care, and postpartum depression. It also includes information on maternal cytomegalovirus, preterm labor, and various fetal heart rate patterns. Useful for nursing students and professionals seeking to enhance their knowledge and skills in prenatal and postnatal care.

Typology: Exams

2023/2024

Available from 05/07/2024

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Page | 1
SET OF ATI QUESTIONS FOR MATERNAL NEWBORN
1. A nurse is assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous
delivery. During the assessment the nurse notes that the client’s prenatal pad is fully saturated.
Which of the following actions should the nurse anticipate?
Message uterus until firm
Administer terbutaline
sulfate Discontinue oxytocin
Insert vaginal packing
2. A NURSE is providing teaching to a client who now has mild preeclampsia and will be caring for
herself at home for the last two months of her pregnancy. Which of the following statements by
the client indicates understanding of the teaching?
I will Double check my urine for protein
daily I will consume 15 grams of protein
daily
I will alternate my arms each time I take my blood pressure
I will count my baby’s kicks every other day
3. a nurse is assessing a client and observes umbilical cord hanging from the vagina. Which of
the following is the nurses priority?
Place a rolled towel under the client’s right hip
Apply upward pressure against the presenting
part Wrap the cord with a sterile towel
Administer oxygen
4. a nurse is reviewing the laboratory results of a client who is 20 wks of gestation and has type
1 diabetes. Which of the following values should the nurse report to the provider?
BUN
5. a nurse on the delivery unit is assessing four client’s. which of the following client’s is a
candidate for induction of labor with misoprostol?
Placenta previa
Client that has congenital heart
A client who has previous uterine incision
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Page | 1

SET OF ATI QUESTIONS FOR MATERNAL NEWBORN

  1. A nurse is assessing a postpartum client who is receiving oxytocin 1 hour after normal spontaneous delivery. During the assessment the nurse notes that the client’s prenatal pad is fully saturated. Which of the following actions should the nurse anticipate? Message uterus until firm Administer terbutaline sulfate Discontinue oxytocin Insert vaginal packing
  2. A NURSE is providing teaching to a client who now has mild preeclampsia and will be caring for herself at home for the last two months of her pregnancy. Which of the following statements by the client indicates understanding of the teaching? I will Double check my urine for protein daily I will consume 15 grams of protein daily I will alternate my arms each time I take my blood pressure I will count my baby’s kicks every other day
  3. a nurse is assessing a client and observes umbilical cord hanging from the vagina. Which of the following is the nurses priority? Place a rolled towel under the client’s right hip Apply upward pressure against the presenting part Wrap the cord with a sterile towel Administer oxygen
  4. a nurse is reviewing the laboratory results of a client who is 20 wks of gestation and has type 1 diabetes. Which of the following values should the nurse report to the provider? BUN
  5. a nurse on the delivery unit is assessing four client’s. which of the following client’s is a candidate for induction of labor with misoprostol? Placenta previa Client that has congenital heart A client who has previous uterine incision

Page | 2 A client who has gestational diabetes

  1. a nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? Allow the baby to feed at least every 3 hr Offer the baby 30ml/1 oz of water in between feedings Expect 10 wet diapers within 24 hr Feed the newborn 5 to 10mins per breast
  2. a nurse is providing education about Rh Globulin to a client who is pregnant and is Rh negative. The nurse should recognize which of the following indications of administering The client is at 16wks gestation Client has a history of placenta previa A client delivers an Rh negative newborn The client had a spontaneous abortion
  3. a nurse is caring for a client who is at 8wks gestation has an ectopic pregnancy. Which of the following manifestations should the nurse expect? Elevated blood pressure Scaphoid Abdominal Sharp pelvic pain White Vaginal discharge
  4. a nurse is providing care for a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include? You should keep the diaphragm in place for 4 hours after intercourse You should have your provider refit you for a new diaphragm You should store your diaphragm in warm water after each use You should use oil base vaginal lubricant for inserting your diaphragm
  5. a nurse is assessing four newborns. Which of the following clinical findings should the nurse report to the provider? 16 hr old infant who has yet to pass a meconium stool 2 hr old infant who has a respiratory rate 70 16 hr old infant who has blood glucose 50

Page | 4

  1. a nurse is teaching a client who is at 13wks gestation and reports constipation. Which of the following instructions should the nurse give to the client? Decrease the amount of raw fruits and vegetables you eat daily You should stop taking your iron supplements until you have reg bowel movements for 1 wk Engage in moderate exercise for at least 15 mins a day Administer yourself an enema
  2. a nurse is assessing four clients in a prenatal clinic. Which of the following clients should the nurse recommend the provider see first? Client has Proteinuria 3+ Client has a FHR of 60 Client has a blood glucose of 190 Client has 2+ deep tendon reflexes
  3. a nurse in a women’s clinic is obtaining a health history from the client. Which of the following findings should the nurse identify as an increase risk of developing did not get it all
  4. a nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site. Which is an appropriate response from the nurse? Wipe the discharge gently Soak in warm water for the next 48 hrs Obtain a sample
  5. a nurse is caring for a client who is in active labor and is requesting an epidural. Which of the following actions should the nurse take? Give aldosterone IV Initiate oxygen Administer IV fluid bolus to the client to delay the epidural Fentanyl is given with epidural/remain in side lying position to prevent hypotension
  6. a nurse is providing teaching to a client about postpartum care. Which of the following information should the nurse include? You do not need to use birth control if you are exclusively breastfeeding Perform Kegel exercises 6 -7wks after delivery You can expect your breast to be firm and tender 3 to 5 days after delivery Your bleeding will remain bright read for the next 6 to 8 wks

Page | 5

  1. a nurse is caring for a client who is 3 rd^ trimester of pregnancy and has cocaine use disorder. The nurse should monitor the client for which of the following potential adverse outcomes? Placentia abruption Chorioamnionitis Hyperglycemia Suprevia
  2. a nurse on the labor and delivery unit is teaching a group of newly license nurses about maternal cytomegalovirus. Which of the following .. on previous test info It can transfer to infant via mucus and saliva
  3. a nurse is caring for a client who is receiving oxytocin via continuous IV infusion and is experiencing persistent late decelerations in the FHR after discontinuing the infusion. Which of the following actions should the nurse take? Have the client bare down and push with contractions Administer oxygen Initiate an amino infusion Place the client in the supine position
  4. a nurse is caring for a client who is at 14 wks gestation. The client states I have been trying to get pregnant for several months info on previous test Why do you think you are not ready to be a parent
  5. a nurse is planning care for a client who is at 10wks gestation and has a history of depression. Test info on previous test Educate the client on postpartum depression
  6. a nurse is caring for a newborn following delivery. Which of the following actions should the nurse take first? Info on previous test Apply identification band to the newborn
  7. math
  8. a nurse is caring for a client who is at 20wks gestation and who has trichomonas. Which of the following findings should the nurse expect?

Page | 7 Have the mother delay breast feeding for 1 wk

  1. a nurse is caring for a client who has preecalmpsia and receiving magnesium sulfate. Which of the following clinical manifestations should the nurse tell the client to report? Increased muscle weakness
  2. a nurse is creating a plan of care for a client who is in active labor and has a mitral valve stenosis. Which of the following interventions should the nurse include in the plan? Give the client terbutaline subcutaneously every 6 hrs Maintain client in the Trendelenburg position During labor administer 500ml sodium chloride Prepare the client for a vaccum
  3. a nurse is preparing a client is at 28 wks gestation and did not get immunizations in childhood. Which of the following immunizations does the nurse plant o administer? Tetanus
  4. a nurse in a providers office and is caring for a 20 yr old client who is at 12 wks gestation and is requesting an amniocentesis to determine the gender of the fetus. Which of the following info on other test This test determines congenital defects and genetic disorders
  5. a nurse is reveling a laboratory report for a client who has 24 hour postpartum vaginal delivery. The client has a hemoglobin level of 9.0 and a hemocrit of 25% which of the following actions should the nurse take? have the client get a blood transfusion give iron supplement to the client initiate IV access for isotonic solution use 18 gauge catheter and instruct the client that the provider will check for placenta fragments
  6. a nurse is assessing a full term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider? Transient circumoral cyanosis

Page | 8

  1. a nurse is caring for a client who is in preterm labor and receiving magnesium sulfate on continuous IV. Which of the following laboratory findings should the nurse review during tocolytic therapy? Serum medication level
  2. a nurse is teaching a newly licensed nurse about the use of ultrasonography in the first trimester of pregnancy. Which of the following statements by the newly licensed nurse indicates understanding of the teaching? Ultrasound is used to determine the gestational age in the first trimester Ultrasound was used to detect intrauterine growth restriction in the first trimester Ultrasound is used to observe maturity Ultrasound is used to perform biophysical profile
  3. a nurse is preparing to perform a non-stress for a client who is at 34 wks gestation. Which of the following actions should the nurse take? Record fetal heart rate for 20 mins during the test Place the client in the supine position at the beginning of the test Insert a peripheral IV catheter in the right arm Administer oxygen
  4. a nurse is caring for a preterm newborn 18 hours following delivery. After reviewing the newborns medical record which of the following actions should the nurse take? I think something about breathing
  5. a nurse is providing teaching to a client who has phenylketonuria and wants to become pregnant. Which of the following information should the nurse include? The doctor will monitor your phenylaniline twice a week throughout your pregnancy You will need to increase your protein intake % of your daily calorie You will need to undergo labor induction of oxytocin at 38 weeks of gestation Your doctor will perform a amniocentesis right before delivery
  6. a nurse is providing discharge teaching to a client who’s newborn is two days old. Which of the following statements indicate the clients understanding of the teaching? Place the car seat facing forward in the back seat Apply alcohol around the area of my baby’s umbilical cord

Page | 10

  1. a nurse is receiving a report on four postpartum client’s. which of the following client’s should the nurse attend first? A client who has a urine output of 250mL in 3-6 hr A client who reports abdominal pain during breastfeeding A client who reports changing her perineal pad every 2 hr A client who reports having hyporeflexia while receiving IV magnesium **
  2. a nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements indicates the client understands the teaching? I will apply perfume and lotion to my abdomen before the test I will take a stool softner the night before I will drink water before the test until my bladder is full ***
  3. a nurse in a prenatal clinic is caring for a group of client’s. the nurse should recognize which of the following client’s has a contradiction for a contraction stress test? A client who has gestational diabetes mellitus A client who has a non-reactive stress test A client who had a previous still birth A client who had a previous classical incision
  4. a nurse is caring for a newborn who was delivered 12 hrs ago. Which of the following assessment findings indicates hypoglycemia? Select all Jitteriness, twitching, weak, high pitched cry, irregular respiratory, cyanosis, lethargy, eye rolling, seizures
  5. a nurse is reviewing laboratory results for a client who is pregnant. The nurse should expect which of the following laboratory values to increase? RBC Bilirubin Blood glucose BUN
  6. a nurse is assessing a client whos getting amniocentesis. Which of the following findings does the nurse recognize as complication? Select all

Page | 11 Polyhydramnios Urinary Something amniotic fluid Amnionitis

  1. a nurse is caring for a client who has preterm labor and is receiving magnesium sulfate. Which of the following findings should the nurse identify as an indication that the is experiencing an adverse effect of the medication? Loss of deep tendon reflex, urinary output less than 30ml per/hr, respiratory depression <12, pulmonary edema, chest pain
  2. a nurse is providing teaching about prenatal laboratory test to a client who is at 8wks of gestation. Identify the sequence of routine screenings the client will undergo? Put in order Testing for rubella titer Protein level 1 hr glucose tolerance test B hemolytic and maternal serum Vaginal and anal culture for group B streptococcus 35-37wks
  3. a nurse is assessing a newborn who’s mother has cocaine use disorder. Which of the following newborn findings should the nurse expect? Increased sternal reflex Hypotension Increase head circumference Increase cardiac output
  4. a nurse is providing discharge teaching to a new mother about newborn care. Which of the following statements by the client indicates understanding of the teaching? I will give my baby a bath once daily I will place my baby on its side to sleep I will compress the bulb after a I place it in my baby’s mouth My baby’s umbilical cord will fall off in a few weeks

Page | 13 I will increase my intake of Vitamin D I will be excused from physical education class I will take fewer enzymes I eat high fat foods

  1. a nurse is planning care for an adolescent following a repair of Meckel Diverticulum. Which of the following actions should the nurse include in the care? Teach the client about ostomy care Insert an NG tube for decompression Initiate long term antibiotic therapy Administer total parenteral nutrition
  2. a nurse is assessing a 1 mo old infant at a well child visit. Identify the location that the nurse should stroke to initiate the rooting reflex? At the cheek area
  3. a nurse is providing discharge teaching to the parents of a school age child who has cystic fibrosis. Which of the following responses by the parents indicates an understanding of the teaching? I will restrict the amount of sodium in my child’s diet I will limit my child’s daily fluid intake I will prepare low fat meals with limited protein I will give my child enzymes with snakes and meals **
  4. a nurse is providing dietary teaching to a parent of a 10 mo old infant who has phenylketonuria. Which of the following responses by the parent indicates an understanding teaching? My daughter can drink orange juice I will switch her to whole milk now that she is old enough I should ensure that my daughter eats 1 oz of meat every day I will steam carrots and cut them into pieces fo her
  5. a nurse is providing teaching to an adolescent who has Vulvul vaginitis. Which of the following statements should the nurse include in the teaching?

Apply a warm moist compress three times a day

  1. a nurse is assessing a 3 mo old infant who has diarrhea. Which of the following findings should the nurse expect? Decreased heart rate Increased hematocrit

Page | 14 Bulging fontanel Polyuria

  1. a nurse is caring for a child how has impetigo contagiosa that developed in the hospital. Which of the following actions should the nurse take? Initiate contact isolation precautions Apply lidocaine ointment topically Administer amphotericin B in IV Report to the state health department
  2. a nurse is caring for a toddler who is in the terminal stage of ameloblastoma. The parents ask how can we help our child. Which of the following responses by the nurse is appropriate? Stay close to your child Encourage your child’s friends to visit Change your child’s schedule everyday Talk to your child about the meaning of death
  3. a nurse is providing teaching to a parent of an infant who has 1 cm umbilical hernia. Which of the following instructions should the nurse include in the teaching? Place a belly band around your baby ‘s umbilical cord during the day The bulge can really enlarge when the baby cries Your baby will need surgery if it doesn’t close by 2 yrs of age You should place your baby on her abdomen to sleep
  4. a nurse is caring for an adolescent who is 1 hr postoperative following an appendectomy. Which of the following findings should the nurse report to the provider? Temperature 97. Heart rate 63 mins Abdominal pain Muscle rigidity
  5. a nurse in the providers office is assessing the vital signs of a 2 yr old child at a well child visit. Which of the following findings should the nurse report to the provider? Pulse rate 90/min Temperature 99.

Page | 16 Remove the child’s pressure dressing after the first 4 hours Monitor input and output by using a indwelling urinary catheter for the first 24 hrs Keep the effected extremity straight for 6 hours *

  1. a nurse is caring for a 4 yr old child who has meningitis and receiving gentamicin. Which the following laboratory values should the nurse report to the provider? Creatinine 0. Creatinine 1.4 * BUN 12 BUN 6
  2. a nurse is administering albuterol by near dose inhaler for a preschool age child who is experiencing an asthma exacerbation. Which of the following findings should the nurse report to the provider? Peak flow rate 80 Percent respiratory rate 24 Elevated heart rate Intercoastal retraction
  3. a nurse is caring for a client who has an acute glomerulonephritis. Which of the following findings should the nurse expect? Periorbital edema hypotension positive urine culture temperature 102.
  4. a nurse is preparing to perform a venipuncture to collect blood sample from an infant. Which of the following restraints should the nurse plan to use for this procedure? Jacket Mummy Mitten elbow
  5. math

Page | 17

  1. a nurse is preparing to perform a peritoneal dialysis for a child who has a elevated serum creatinine level. After explaining the procedure which of the following actions should the nurse plan to take? Keep the dialysate refrigerated until time of infusion Initiate IV access Check the fistula site for a bruit Obtain the child’s weight
  2. a nurse on a pediatric intensive care unit is taking care of a toddler who weighs 26.5 lbs and is postoperative following open-heart surgery. Which of the following findings should the nurse report to the provider? Drainage fluid from the test tube of 22 ml in the last hour Urine output of 15 ml in the last 2 hr Skin temperature 96. Pedal posterior tibia pulses 2+
  3. a nurse is caring for a school aged child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take? Increase the child’s fluid intake Apply warm compresses to the affected areas Initiate contact precautions Administer furosemide IV twice per day
  4. a nurse is planning care for a child who has developed oral ulcers in response to chemotherapy which of the following actions should the nurse include in the plan of care? Administer oral viscus lidocaine *** Cleans the gums with saline soak gauze Schedule routine
  5. a nurse is teaching a client of a 10 mo old infant about home safety. Which of the following instructions should the nurse include in the teaching? Select all Remove labels from containers that contain toxic substances Place gates at the top and bottom of the stairs Keep the toilets in the upright position Select a toy chest that has a heavy hinged lid

Page | 19

  1. a nurse is providing discharge teaching to a parent of a toddler who has a ventriculoperitoneal shunt. Which of the following statements by the parent indicates understanding of the teaching? Pump the shunt at the same time every day I should call my doctor if my child begins vomiting I should check my childs heart rate before administering medications My child will need to take prophylactic antibiotics daily until his shunt is removed
  2. a nurse is preparing to assess a 4 yr old child’s visual acuity. Which of the following actions should the nurse take? Use the tumbling E chart for assessment
  3. a nurse is providing teaching to the parents of a toddler who is is exhibiting negativism during meal times. Which of the following statements by the nurse is appropriate? Ask her if she is ready to eat her sandwich for lunch Tell her that she may have a soup or sandwich for lunch Ask her if she would like to have her favorite sandwich for lunch tell her she is having her favorite sandwich for lunch
  4. a nurse is caring for an infant who has severe dehydration which of the following severe clinical findings should the nurse expect? Warm extremities Capillary refill 3 secs Rapid respirations Bradycardia
  5. a charge nurse is caring for an infant who has a failure to thrive. Which of the following actions should the charge nurse put in the plan of care? Keep the infant in a visually stimulating environment Use half strength formula when feeding the infant Give the infant fruit juice in between feedings Assign consistent nursing staff to the infant’s care
  6. a nurse in the emergency department is caring for a child following of an overdose of acetylate acid. Which of the following medications should the nurse use?

Page | 20 Naloxone Phytonadione Flumazenil Midazolam

  1. math
  2. a nurse is planning a in service appearance to parents of school age children about the treatment of pediculosis capitis. Which of the following instructions should the nurse plan to include in the teaching? Discard the child’s unwashable items Apply medication to the child’s scalp twice daily until the symptoms subside Remove nits from the child’s hair using a fine tooth comb Soak the child’s hair brushes in vinegar between uses
  3. a nurse is assessing a adolescent who has Cushing syndrome. Which of the following findings should the nurse expect? Blood glucose 320 Cachetic appearance Advance bone age Potassium 4.
  4. a nurse is providing discharge teaching to the parents of a toddler who has iron deficiency anemia and a new prescription of ferrous sulfate elixir. Which of the following instructions should the nurse include? If your child’s stool is tarry green in color after taking this medication Administer this medication to your child with a dropper Give your child this medication with a glass of milk Don’t allow your child to drink orange juice with this medication
  5. a nurse is planning to teach a adolescent who is lactose intolerant about dietary guidelines. Which of the following instructions should the nurse include in the teaching? You may replace milk with 9 non dairy sources of calcium
  6. a nurse is providing education about dietary modification to the parents of a school aged child who has glomerulonephritis. Which of the following information should the nurse include in the teaching?