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ATI Maternal Newborn Care Exam 4A

Total Questions : 46

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Question 1:

A 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?

Answer and Explanation

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Question 2:

Why would the nurse massage a "boggy" fundus?

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Question 3:

Which of the following method is used by the nurse to prevent heat loss in the newborn resulting from evaporation?

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Question 4:

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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Question 5:
  1. 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?
Answer and Explanation
Correct Answer: 1712 ml mL

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


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Question 6:

Following the delivery of a newborn, which nursing intervention should be carried out immediately?

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Question 7:

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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Question 8:

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.)

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Question 9:

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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Question 10:

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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Question 11:

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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Question 12:

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.)

Answer and Explanation
Correct Answer: 2 tablets tablets

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.


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Question 13:

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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Question 14:

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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Question 15:

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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Question 16:

Where would acrocyanosis be assessed on a newborn?

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Question 17:

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.)

Answer and Explanation
Correct Answer: 2 ml mL

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.


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Question 18:

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.)

Answer and Explanation
Correct Answer: 2 tablets tablets

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.


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Question 19:

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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Question 20:

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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Question 21:

The dark, red uterine discharge expelled in the first 2-3 days postpartum is called:

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Question 22:

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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Question 23:

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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Question 24:

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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Question 25:

Why is vitamin K given by injection to a newborn?

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