ATI-Maternal Newborn Practice 2017 A & B

ATI-Maternal Newborn Practice 2017 A & B 1) A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first? Dry the newborn-- cold stress on the newborn 2) A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should pan to prepare the client for which of the following diagnostic tests? Biophysical profile-- eval of the fetus is necessary with a real-time ultrasound 3) A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse request the provider see first? A client who is at 11 weeks of gestation and reports abdominal cramping-- cramping could indicate an ectopic pregnancy and manifestations of a spontaneous abortion 4) A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? Step 1: Wipe the newborn's eyes from the inner canthus outward Step 2: Wash the newborn's neck by lifting the newborn's chin Step 3: Cleanse the skin around the newborn's umbilical cord stump Step 4: Wash the newborn's legs and feet Step 5: Clean the newborn's diaper area 5) A nurse is assessing a client who is at 30 weeks gestation during a routine prenatal visit. Which of the findings should the nurse report to the provider? Swelling of the face-- facial, sacral and hand swelling can indicate gestational hypertension or preeclampsia 6) A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the following actions by the mother should the nurse recognize as a positive parenting behavior? Lays the newborn across her lap and gently sways-- tactile stimulation promotes a sense of security for a newborn 7) A nurse is assessing a newborn 12 hours after birth. Which of the following manifestations should the nurse report to the provider? Jaundice 8) A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following instructions should the nurse include in the teaching? You should exercise for 30 minutes each day-- improves muscle tone 9) A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain? Chin quivering-- behavioral responses like grimacing and furrowing of the brow could indicate pain in the newborn 10) A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? You should leave the diaphragm in place for at least 6 hours after intercourse 11) 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 take 600mcg of folic acid each day-- folic acid assists with preventing neural tube defects 12) A nurse is reviewing the medical record of a client who is one day postpartum. The client had a vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding which of the following prescriptions? Bisacodyl rectal suppository daily as needed for constipation-- a suppository or enema could cause separation of the suture line, bleeding or infection 13)