ATI RN Maternal Newborn 2023

A nurse is preparing to administer phytonadione 0.5 mg to a newborn. Which of the following routes should the nurse choose for administration of the medication?

IM in left vastus lateralis

A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation. Which of the following findings should indicate to the nurse the need for further diagnostic testing?

Irregular contractions of 10 to 20 seconds in duration that are not felt by the client

A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during childhood. Which of the following vaccines should the nurse plan to administer?

Tetanus

A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take?

Administer 500 m lactated Ringer's IV bolus

client delivered vaginally 8 hr ago.

0700:

1100:

Breasts soft, nipples intact. Uterus palpated soft with lateral deviation and 1 cm above the umbilicus. Large amount of lochia rubra. Episiotomy site well approximated with mild edema and ecchymosis. Client reports pain as 3 on a scale of 0 to 10. Deep tendon reflexes 1+ Peripheral edema 2+ in bilateral lower extremities.

Exhibit 2

0700:

1100:

Temperature 37.2° C (99.0° F)

Pulse rate 85/min

Respiratory rate 18/min

Blood pressure 136/86 mm Hg

Pulse oximetry 100%

Select the 3 findings that require immediate follow-up.

A. Uterine tone soft

D. Large amount of lochia rubra

G. Lateral deviation of the uterus

A nurse is caring for a client who is in the second stage of labor and is experiencing a shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver. Which of the following actions should the nurse take?

Assist the client in pulling their knees toward their abdomen.

A nurse is caring for a client who is experiencing infertility and is requesting in vitro fertilization. Which of the following information should the nurse provide to the client?

Inform the client about the possible need for reduction of multiple fetuses.

A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider?

A client who is receiving magnesium sulfate and has absent deep tendon reflexes

A nurse is reviewing the history of a client who is pregnant. Which of the following clinical data indicates the client is at risk for preterm delivery?

Previous cervical cerclage

A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following Information should the nurse Include?

"Hypnosis can be beneficial if you practiced it during the prenatal period.

csection 24 hours ago, what to determine PRN medication?

Do you notice increased cramping wihtb reastfeeding?

Digoxin--

check medication serum level

Infertility and clomiphene citrate=

breast tenderness

occipitoposterior position--> hands and knees

Has your back labor imporved?

Hypotensive post epidural

side-lying position

ointment of newborn refusal

document guardians refusal

post vaginal brith analgesic

ibuprofen

discharge education postpartum newborn

offer your baby pacifier during naps if desired

12 hour postpartum and 4th degree perineum laceration

sitz bath

preterm muscle temperature instability

preterm newborns have less muscle tone ...heat loss

bladder distention following vaginal birth

assist client to the bathroom

newborn security

check identification of badges of nursing staff

12 weeks gestation..dietitian referral?

10 lbs (4.5 kg) since positive pregnancy test

discharge with tubal ligaiton

ovulation will remain the same

newborn with neonatal abstinence syndrome

excessive crying; seizure precautions

delay instillation of antibiotic ophthalamic ointment

facilitate bonding with mom and newborn

sore nipples one day postpartum

assess newborn latch

1 hour postpartum and peripartum cardiomyopathy

restrict daily oral fluid intake

Leopold maneuver at 36 weeks

empty bladder, pt supine, palpate fetal part in fundus, palpate fetal part along uterus, palpate fetal part along symphis pubis

antepartum clinic assess first?

8 weeks gestation and severe vomiting

37 weeks and GBS

GBS testing done between 35-37 weeks

20 weeks with trichimoniasis

Malodorous discharge

32 weeks with complete placenta previa

vaginal bleeding

placento abruptivo

uterine tenderness

forceps used at birth

facial asymmetry/palsy

oral contraceptive report when

persisten headaches

plastibell technique education

yellow exudate..

delayed perineum laceration healing due to

perineal pad changed once daily

newborn serum bilirubin stick

lateral side of heel

placent previa

painless vaginal bleeding

jaundice as newborn and phototherapy

cover newborns eyes before patches

nurse manager revising maternal unit policy and identification

obtain imprint of newborns feet

third stage of labor and IV oxytocin

the clients fundus is firm and midline

1 hour postpartum and has preeclampsia

assess for edema

effects of mg sulfate

medication prevents seizures

new parent teaching

yellowed sclera

Nageles rule

subtract 3 months, add 7 days and 1 year

pt in labor and notices late decelerations post side lying

put on o2 face mask

dinoprostone

informed consent

still born

photo with fetus

36 weeks with meth-staph infection

contact precautions

spontaneous rupture and fetal bradycardia with cord protruding

vaginal examination with upward pressure

newborn born 2 hours ago with blue discoloration of hands and feet

O2 sat @ 89%

CSF Leakage

broad-spectrum antibiotics

fertility treatment

maintaining healthy weight

2hr BG

lateral side of finger for puncture

what should nurse expect for posterm baby birth

nails extending over fingertips

hep B vaccine to newborn

vastus lateralis muscle

2 days pp and constipation ...suppository contraindication

third-degree perineal laceration