ATI MATERNAL NEWBORN PROCTORED 2019 EXAM - STUDY GUIDE

ATI MATERNAL NEWBORN PROCTORED 2019 EXAM - STUDY GUIDE

1. The nurse is assessing a client who is 6 hours postpartum after delivering a full-term healthy newborn. The client complains to the nurse of feelings of faintness and dizziness. Which nursing action is most appropriate? A. Raise the head of the client's bed. B. Obtain hemoglobin and hematocrit levels. C. Instruct the client to request help when getting out of bed. D. Inform the nursery room nurse to avoid bringing the newborn to the client until the client's symptoms have subsided. 2. The postpartum nurse is providing instructions to a client after birth of a healthy newborn. Which time frame should the nurse relay to the client regarding the return of bowel function? A. 3 days postpartum B. 7 days postpartum C. On the day of birth D. Within 2 weeks postpartum 3. The nurse is providing postpartum instructions to a client who will be breast-feeding her newborn. The nurse determines that the client has understood the instructions if she makes which statements? Select all that apply. A. "I should wear a bra that provides support.” B. "Drinking alcohol can affectmy milk supply.” C. "The use of caffeine can decrease my milk supply." D. "I will start my estrogen birth control pills again as soon as I get home." E. "I know if my breasts get engorged, I will limit my breast-feeding and supplement the baby." F. "I plan on having bottled water available in the refrigerator so I can get additional fluids easily." 4. The nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. After locating the fundus, the nurse notes that the uterus feels soft and boggy. Which nursing intervention is appropriate? A. Elevate the client's legs. B. Massage the fundus until it is firm. C. Ask the client to turn on her left side. D. Push on the uterus to assist in expressing clots. 5. A client has just received Hemabate (carboprost) because of uterine atony not controlled by IV oxytocin. For which of the following side effects of the medication will the nurse monitor this patient? Select all that apply. a. Hyperthermia. ATI MATERNAL NEWBORN PROCTORED 2019 EXAM - STUDY GUIDE b. Diarrhea. c. Hypotension. d. Palpitations. e. Anasarca. 6. A client, who is 2 weeks postpartum, calls her obstetrician's nurse and states that she has had a whitish discharge for 1 week but today she is "bleeding and saturating a pad about every ½ hour." Which of the following is an appropriate response by the nurse? a. "That is normal. You are starting to menstruate again." b. "You should stay on complete bed rest until the bleeding subsides." c. "Pushing during a bowel movement may have loosened yourstitches." d. "The physician should see you. Please go to the emergency department." 7. The nurse is performing a postpartum assessment on a client who delivered 4 hours ago. The nurse notes a firm uterus at the umbilicus with heavy lochial flow. Which of the following nursing actions is appropriate? • Massage the uterus. • Notify the obstetrician. • Administer an oxytocic as ordered. • Assist the client to the bathroom. 8. The nurse should suspect puerperal infection when a client exhibits which of the following? • Temperature of 100.2°F. • White blood cell count of 14,500 cells/mm3. • Diaphoresis during the night. • Malodorouslochia discharge. 9. The nurse should expect to observe which behavior in a 3-week-multigravid postpartum client with postpartum depression? • Feelings of infanticide. • Difficulty with breastfeeding latch. • Feelings of failure as a mother. • Concerns aboutsibling jealousy 10. Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma? • Pain. • Bleeding. • Warmth. • Redness. 11. A breastfeeding woman calls the pediatric nurse with the following complaint: "I woke up this morning with a terrible cold. I don't want my baby to getsick. Which kind of formula should I have my husband feed the baby until I get better?" Which of the following replies by the nurse is appropriate at this time? • "Any formula brand is satisfactory, but it is essential that it be mixed with water that has been boiled for at least 5 minutes." • "Don't forget to pump your breasts every 3 hours while the baby is being fed the prescribed formula." • "The best way to keep your baby from getting sick is for you to keep breastfeeding him rather than switching him to formula." • "In addition to giving the baby formula, you should wear a surgical face mask when you are around him." 12. A woman who wishes to breastfeed advises the nurse thatshe had a breast reduction one year earlier. Which of the following responses by the nurse is appropriate? • Advise the woman that unfortunately she will be unable to breastfeed. • Examine the woman's breasts to see where the incision was placed. • Monitor the baby's daily weights for excessive weight loss. • Inform the woman thatreduction surgery rarely affects milk transfer 13. The nurse is caring for a postoperative cesarean client. The woman is obese and is an insulin-dependent diabetic. For which of the following complications should the nurse carefully monitor this client? o Failed lactogenesis. o Dysfunctional parenting. o Wound dehiscence. o Projectile vomiting.