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ATI Maternal Newborn Exam 3 Reno 2 2020

Total Questions : 56

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Question 1:

A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?

Answer and Explanation

A
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Question 2:

A mother and her newborn have just been transferred to the postpartum unit from labor and delivery. Which infant safety education would be provided as soon as mom and baby are settled into their room? Select all that apply. One, some, or all responses may be correct.

Answer and Explanation

A
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Question 3:

A nurse is caring for a client who is postpartum who asks the nurse when her breast milk will "come in." Which of the following responses should the nurse make?

Answer and Explanation

A
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Question 4:

A nurse is caring for a client who is postpartum. The nurse should recognize which of the following statements by the client as an indication of inhibition of parental attachment?

Answer and Explanation

A
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Question 5:

A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering? (Select all that apply.)

Answer and Explanation

A
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Question 6:

You're assessing the one-minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: weak cry, some flexion of the arm and legs, active movement and cries to stimulation, heart rate 145, and pallor all over the body and extremities. What is your patient's APGAR score?

Answer and Explanation

A
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Question 7:

A nurse is assisting a client who is postpartum with her first breastfeeding experience.

When the client asks how much of the nipple she should put into the newborn's mouth, which of the following responses should the nurse make?

Answer and Explanation

A
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Question 8:

A primiparous woman is in the taking-in stage of psychosocial recovery and adjustment after childbirth. Recognizing the needs of women during this stage, how should the nurse respond?

Answer and Explanation

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Question 9:

The nurse is preparing to administer a hepatitis B virus (HBV) vaccine to a newborn. Which intervention by the nurse is correct?

Answer and Explanation

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Question 10:

A nurse in the nursery is caring for a newborn. The grandmother of the newborn asks if she can take the newborn to the mother's room. Which of the following is an appropriate response by the nurse?

Answer and Explanation

A
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Question 11:

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with the Plastibell technique. Which of the following client statements indicates understanding of circumcision care?

Answer and Explanation

A
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Question 12:

A new mother asks the nurse what the "experts say" about the best way to feed her infant. Which recommendation of the American Academy of Pediatrics (AAP) regarding infant nutrition should be shared with this client?

Answer and Explanation

A
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Question 13:

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?

Answer and Explanation

A
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Question 14:

What are the most common causes for subinvolution of the uterus?

Answer and Explanation

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Question 15:

A woman gave birth to a 7-pound, 6-ounce infant girl 1 hour ago. The birth was vaginal and the estimated blood loss (EBL) was 1500 ml. When evaluating the woman's vital signs, which finding would be of greatest concern to the nurse?

Answer and Explanation

A
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Question 16:

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

Answer and Explanation

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Question 17:

A nurse is providing teaching about newborn care to a client who is 2 hr postpartum. Which of the following statements by the client indicates a need for further teaching?

Answer and Explanation

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Question 18:

Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?

Answer and Explanation

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Question 19:

A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

Answer and Explanation

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Question 20:

A nurse is teaching about crib safety with the parent of a newborn. Which of the following statements by the client indicates understanding of the teaching?

Answer and Explanation

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Question 21:

A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?

Answer and Explanation

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Question 22:

A nurse is assessing a newborn 1 hr after birth. Which of the following respiratory rates is within the expected reference range for a newborn?

Answer and Explanation

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Question 23:

A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements indicates to the nurse that further teaching is needed??

Answer and Explanation

A
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Question 24:

A nurse is caring for a client who reports unrelieved episiotomy pain 8 hr following a vaginal birth. Which of the following actions should the nurse take?

Answer and Explanation

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Question 25:

A nurse is preparing to administer antibiotic X over 20 min. Available is antibiotic X in 50 mL of 0.9% sodium chloride (NSS). The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (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: 50gtt/min

Explanation

To calculate the infusion rate for antibiotic X, the nurse needs to use the formula: gtt/min = (Volume x Drop factor) / Time

Plugging in the values from the question, we get:

gtt/min = (50 mL x 20 gtt/mL) / 20 min Simplifying, we get:

gtt/min = 1000 gtt / 20 min Dividing, we get:

gtt/min = 50 gtt/min

Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min.


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