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Exam Review

ATI Custom Maternal Newborn

Total Questions : 48

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Question 1:

The priority nursing care of the newborn immediately after birth includes all except:.

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Question 2:

A mother is upset because her newborn has lost 6 ounces since birth 2 days ago. The nurse informs the mother that it is normal for a newborn to lose which percentage of their birth weight within the first week of life?

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Question 3:

The nurse notes a nonreassuring pattern of the fetal heart rate. The mother is already lying on her left side. What nursing action is indicated?

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Question 4:

The nurse is inspecting a male newborn's genitalia. Which action should the nurse avoid when conducting this assessment?

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Question 5:

To prevent heat loss from convection in a newborn, which action by the nurse is best?

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Question 6:

Which newborn reflex elicits the following reaction: Head turns to one side - the way the head is facing, the arm/leg is stretched out while the other is bent?

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Question 7:

A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?

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Question 8:

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

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Question 9:

A primigravida client in the second stage of labor has been moaning, screaming, and generally vocal throughout her labor. Her husband is distraught seeing his wife this way and asks the nurse for more pain medication for her. What is the nurse's best response?

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Question 10:

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?

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Question 11:

A nursing student is helping the nursery nurses with morning vital signs. A baby born 10 hours ago via cesarean section is found to have moist lung sounds. What is the best interpretation of these data?

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Question 12:

A nurse is caring for a client who is 2 hours postpartum following a vaginal birth. Which of the following findings indicates the client's bladder is distended?

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Question 13:

The nurse explains to the parents of a 2-day-old newborn that decreased life span of neonatal red blood cells has contributed to which complication?

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Question 14:

The most appropriate time for the nurse to encourage a laboring woman to push is during

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Question 15:

The priority nursing care associated with an oxytocin (Pitocin) infusion is:

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Question 16:

A nurse places a newborn under a radiant heat warmer after birth. The purpose of this action is to prevent which of the following in the newborn?

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Question 17:

Which maternal event is abnormal in the early postpartum period?

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Question 18:

While assisting with a vacuum extraction birth, what should the nurse immediately report to the physician?

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Question 19:

An infant's axillary temperature is 35.9C (96.6F). The priority nursing action is to:

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Question 20:

A nurse is caring for a client 2 hours after a spontaneous vaginal birth and the client has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?

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Question 21:

A client in latent phase of labor for the past 12 hours is requesting medication to help her rest.

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Question 22:

After teaching a pregnant woman about the hormones produced by the placenta, the nurse determines that the teaching was successful when the woman identifies which hormone produced as being the basis for pregnancy tests?

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Question 23:

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not.”. Which of the following should the nurse recognize as a sign of true labor?

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Question 24:

The student nurse learns that the hormone necessary for milk production is

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Question 25:

For which patient should the oxytocin (Pitocin) infusion be discontinued immediately?

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