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ATI Maternal newborn exam final

Total Questions : 74

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Question 1:

A nurse is conducting an assessment on a client who is 4 hours postpartum following a vaginal delivery. Which of the following findings should the nurse prioritize?

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Question 2:

A nurse is caring for a newborn immediately after birth. Once a patent airway has been ensured, what should be the nurse’s priority action?

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Question 3:

A nurse is caring for a client with preeclampsia who is being treated with IV magnesium sulfate. The client’s respiratory rate is 10/min and deep-tendon reflexes are absent.
What action should the nurse take?

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Question 4:

A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports nipple soreness.
Which of the following measures should the nurse suggest to reduce discomfort during breastfeeding? (Select all that apply.)

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Question 5:

A nurse is caring for a client who is a primigravida, at term, and having contractions but is unsure if she is in labor. Which of the following should the nurse recognize as a sign of true labor?

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Question 6:

A nurse is caring for a newborn who is 30 minutes old. After reviewing the information in the newborn’s medical record, which of the following complications should the nurse identify as posing the greatest risk?

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Question 7:

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 8:

A nurse is caring for a client who is in active labor and notes late decelerations in the FHR. Which of the following actions should the nurse take first?

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Question 9:

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn. The client reports feeling down and sad, having no energy, and wanting to cry. What should be the nurse’s priority action?

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Question 10:

A nurse is caring for a newborn who is 30 minutes old. After reviewing the information in the newborn’s medical record, which of the following complications should the nurse identify as posing the greatest risk?

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Question 11:

A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. What does this diagnosis mean?

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Question 12:

A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the client’s blood pressure is 60/50 mm Hg. What should be the nurse’s first action?

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Question 13:

A nurse is caring for a newborn who is 4 hours old. Which condition poses the greatest risk to the newborn?

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Question 14:

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

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Question 15:

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?

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Question 16:

A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?

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Question 17:

A nurse is planning care for a newborn who is small for gestational age (SGA). Which of the following is the priority intervention the nurse should include in the newborn’s plan of care?

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Question 18:

A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor.
The client has a new prescription for betamethasone and asks the nurse about the purpose of this medication. Which of the following explanations should the nurse provide?

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Question 19:

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes. The newborn has respiratory distress syndrome.
The nurse should be aware that the most likely cause of the respiratory distress is which of the following?

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Question 20:

A nurse is caring for a newborn who has myelomeningocele. Which of the following nursing goals has the priority in the care of this infant?

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Question 21:

A nurse is caring for a newborn who is 72 hours old.
The newborn has a Neonatal Abstinence Scoring System (NAS) score of 20. The nurse is planning to contact the provider regarding the newborn’s status.Which of the following prescriptions should the nurse anticipate?

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Question 22:

A nurse is monitoring a client who is receiving magnesium sulfate to manage preeclampsia.
Which of the following observations should the nurse immediately report to the healthcare provider?

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Question 23:

A nurse in an antepartum unit is triaging clients. Which of the following clients should the nurse prioritize?

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Question 24:

A nurse is educating the mother of a newborn who was born small for gestational age. Which of the following should the nurse include as a potential cause of this condition?

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Question 25:

A nurse is caring for an adolescent client who has pelvic inflammatory disease due to a sexually transmitted infection and will require intravenous antibiotic therapy.

The client tells the nurse, “My parents think I’m a virgin.

I don’t think I can tell them I have this kind of infection.”. Which of the following responses should the nurse make?

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