ATI Maternal Newborn Care Exam 4A
Total Questions : 46
Showing 25 questions, Sign in for moreA nurse on the postpartum unit is planning to delegate client care to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
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Why would the nurse massage a "boggy" fundus?
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Which of the following method is used by the nurse to prevent heat loss in the newborn resulting from evaporation?
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A nurse is reinforcing teaching with a client who is breastfeeding. Which of the following instructions should the nurse include in the teaching?
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- A nurse is calculating a client's intake and output for an 8-hr shift. The client's intake included 1,000 ml 0.9% sodium chloride IV solution, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup, 3 oz of flavored gelatin, and 3 oz of ice cream. How many mL should the nurse document as the client's total intake for the shift?
Explanation
Explanation:
The total intake is:
1000 mL of IV solution + 177 mL (6 oz) of coffee + 177 mL (6 oz) of water + 180 mL of soup +
89 mL (3 oz) of flavored gelatin + 89 mL (3 oz) of ice cream
= 1712 mL
Following the delivery of a newborn, which nursing intervention should be carried out immediately?
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Six to twelve hours after the vaginal delivery of a single infant and placenta, the uterine fundus should be palpable at or below the level of
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A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)
Explanation
Swaddling can provide a sense of security and comfort to the newborn by mimicking the feeling of being in the womb.
Carrying the newborn close to the caregiver's body can help promote a sense of security and provide soothing motion. It can also allow the caregiver to be responsive to the newborn's needs.
The gentle motion and vibrations of a car ride can often help soothe a newborn and lull them to sleep.
It is not appropriate to suggest the following:
It is important to respond to a newborn's cries and provide comfort and care. Allowing a newborn to cry for extended periods without intervention can lead to distress and is not recommended.
Newborns often feel more secure when they are in a smaller, cozier space. Placing them in the center of a large crib may not provide the same sense of security.
A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn's hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?
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A nurse is assisting in the care of a newborn immediately following birth. The nurse notes mucus bubbling out of the newborn's mouth and nose. Which of the following actions should the nurse take first?
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A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
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A nurse is preparing to administer dexamethasone 3 mg PO. Available is dexamethasone
1.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To calculate the number of dexamethasone 1.5 mg tablets to administer a dose of 3 mg, you
need to divide the desired dose by the dose strength of each tablet. 3 mg / 1.5 mg = 2 tablets
Therefore, the nurse should administer 2 tablets of dexamethasone 1.5 mg.
The nurse is explaining to a mother who had an episiotomy how to use a Peri bottle to clean herself after urination or bowel movement. Which information is correct?
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A nurse is collecting data from a newborn 1 hr after delivery. Which of the following respiratory rates is within the expected reference range for a newborn?
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A nurse is reviewing the medical record of a client who experienced a vaginal birth 2 hr ago. The nurse should identify that which of the following findings places the client at risk for a postpartum hemorrhage?
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Where would acrocyanosis be assessed on a newborn?
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A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To determine the volume of ondansetron to administer, divide the desired dose (4 mg) by the
concentration of the solution (2 mg/mL). 4 mg / 2 mg/mL = 2 mL
The nurse should administer 2 mL of ondansetron for injection.
A nurse is preparing to administer acetaminophen 650 mg PO to a client. The amount available is acetaminophen 325 mg/tablet. How many tablets should the nurse administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
To determine the number of tablets to administer, divide the desired dose (650 mg) by the strength of each tablet (325 mg).
650 mg / 325 mg = 2 tablets
The nurse should administer 2 tablets of acetaminophen to the client.
A nurse is preparing to palpate the uterine fundus of a client who is at 22 weeks of gestation to measure fundal height. At which of the following locations should the nurse expect to find the fundus?
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A nurse is teaching a new mother about signs of effective breastfeeding of her newborn. Which of the following information should the nurse include in the teaching?
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The dark, red uterine discharge expelled in the first 2-3 days postpartum is called:
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A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?
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A nurse is caring for a client who is postpartum. The client states, "I am concerned about my baby's hearing because my mother was born deaf." Which of the following statements should the nurse make?
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A nurse is caring for a newborn immediately following delivery. After assuring a patent airway, which of the following actions should be the nurse's priority?
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Why is vitamin K given by injection to a newborn?
No explanation
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