ATI maternal

ATI Kind newborn 2019 

1. A entertain is assessing a newborn subjoined a forceps assisted nativity. Which of the subjoined clinical manifestations should the entertain fulfill as a entanglement of the nativity system?

A. Hypoglycemia

B. Polycythemia

C. Facial Palsy

D. Bronchopumonary dysplasia

2. A entertain is providing order encircling terbutaline to a client who is experiencing premessage drudge. Which of the subjoined announcement by client indicates an reason of the order?

“The medication could principle me to trial benevolence paptation” 

“This medication could principle me to trial blurred vision”

“This medication could principle me to trial articupast in my ears”

“This medication could principle me to trial continual …”

3

4. A entertain is caring for a client who has hyperemesis gravidarum. Which of the subjoined drudgeatory ordeals should the entertain forebode?

Urine Ketones

Rapid plasma regain

Prothrombin season

Urine culture

5. A entertain is caring for a client who is in drudge and requests nonpharmacological refusal precede. Which of the subjoined nursing enjoyments promotes client self-satisfaction?

A. Assisting the client into squatting situation

B. Having the client lie in a otiose situation 

C. Appbogus fundal urgency during befoulments

D. Encouraging the client to unsubstantial liberal 6 hr

6. A entertain caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the subjoined decisions should the entertain forebode?

A. Thick, White Vaginal Discharge

B. Urinary Frequency

C. Vulva Lesions

D. Malodorous Discharge

7. A entertain is caring for a client who is 14 weeks of gestation. At which the subjoined locations should the entertain locate the Doppler expedient when assessing the fetal benevolence objurgate?

A. Midline 2 to 3 cm (0.8 to 1.2 in) balance the symphysis pubis

B. Left Upper Abdomen

C. Two fingerbreadths balance the umbilicus

D. Deviative at the Xiphoid Process

8.A entertain is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the subjoined decisions should the entertain fame to the provider?

A. Urine protein eagerness 200 mg/ 24 hr

B. Creatnine 0.8 mg/ dL

C. Hemoglobin 14.8 g/ dL

D. Platelet Reckon 60.000/ mm3

9. A entertain is order encircling clomiphene citobjurgate to a client who is experiencing sterility. Which of the subjoined inoperative consubjoined should the entertain conceive?

A. Tinnitus

B. Urinary Frequency

C. Withstand Tenderness

D. Chills

10. A entertain is assessing a newborn upon bearing to the entertainry. Which of the subjoined should the entertain forebode?

A. Bulging Fontanels

B. Nasal Flaring

C. Elongation from mind to heel of 40 cm (15.7 in)

D. Chest circuit 2 cm (0.8 in) smaller than the mind circuit

11. A entertain is cunningning thrift for a newborn who has neonatal frugality syndrome. Which of the subjoined intercessions should the entertain conceive in the cunning of thrift.

A. Extension the newborn’s visual stimulation

B. Weigh the newborn liberal other day

C. Discourage creatoral interenjoyment until succeeding a political evaluation

D. Swaddle the newborn in a flexed situation

12. A entertain is caring for a newborn who is 6 hr old and has a bedpolicy glucometer balbutiation of 65 mg/ dL. The newborn’s dame has symbol 2 diabetes mellitus. Which of the subjoined enjoyments should the entertain procure?

A. Obtain a respect case for a serum glucose equalize

B. Feed the newborn directly

C. Carry 50 mL of dextrose elucidation IV

D. Reassess the respect glucose equalize anterior to the contiguous sustentation

13. A entertain is providing order to a client encircling application prophylactic during pregnancy. Which of the subjoined announcements by the client indicates an reason of the order? (Select all that adduce).

A. “I get word my season in the hot tub to 30 minutes succeeding application.”

B. “I should spoil three 8-ounce glasses of insinuate succeeding I application.”

C. “I get inhibit my benevolence objurgate liberal 15 minutes during application sessions.”

D. “I should word application sessions to 30 minutes when the latitude is spongy.”

E. “I should quiet by bogus on my policy for 10 minutes subjoined application.”

14. A admonish entertain is order a systematize of staff entertains encircling fetal advisering during drudge. Which of the subjoined decisions should the admonish entertain command the staff members to fame to the provider?

A. Contrenjoyment durations of 95 to 100 avoids

B. Contrenjoyment quantity of 2 to 3 min apart

C. Absent future deceleration of fetal benevolence objurgate

D. Fetal benevolence objurgate is 140/min

15. A entertain in a woman’s sanity clinic is obtaining a sanity fact from a client. Which of the subjoined decisions should the entertain fulfill as increasing the client’s expose for developing pelvic provocative indissituation (PID)?

A. Revulgar Cystitis 

B. Continual Alcohol Use 

C. Use of Oral Contraceptives 

D. Chlamydia Infection

16. A entertain is order a prenatal systematize encircling immunizations that newborns ensue subjoined nativity. Which of the subjoined immunizations should the entertain conceive in the order?

A. Hepatitis B

B. Rotavirus

C. Pneumococcal

D. Varicella

17. A entertain is providing nutritional direction to a client who is significant and ensues a vegan cheer. The client asks the entertain which foods she should eat to fix ample calcium intake. The entertain should command the client that which of the subjoined foods has the prominent sum of calcium?

A. ½ cup cubed avocado

B. 1 capacious banana

C. 1 average potato

D. 1 cup genial broccoli

18. A entertain in a provider’s function is assessing a client at her principal antepartum scrutinize. The client states that the principal day of her conclusive menstrual determination was March 8. Use Nagele’s government to consider the estimated determination of donation. (Use the MMDD format succeedingcited a while indecent numerals and no spaces or punctuation.)

19. A entertain is caring for a client who is in the avoid stage of drudge. Which of the subjoined manifestations should the entertain forebode?

A. The client expels the locatenta

B. The client trials progressive dilation of the cervix

C. The client originates own formal befoulments.

D. The client delivers the newborn

20. A entertain is assessing a client who is at 37 weeks of gestation. Which of the subjoined announcement by the client insist-upons direct intercession by the entertain?

A. “It burns when I urinate

B. “My feet are veritably distended today”.

C. “I didn’t own lunch today, but I own breakfast this morning”.

21. A entertain is providing disadmonish order to a new creator encircling car establish prophylactic. Which of the subjoined announcements by the creator indicates an reason of the order?

A. “I should situation my baby’s car establish at a 45 ordain turn in the car.”

B. “I should locate the car establish contrariety oppositeness until my baby is 12 months old.”

C. “I should locate the impede compactly in a slot balance my baby’s sholders.”

D. “I should situation the henchman conrepose at the top of my baby’s abdomen.”

22. A entertain is developing an orderal program encircling hermolytic indispositions in newborns for a systematize of newly licensed entertains. Which of the subjoined genetic advice should the entertain conceive in the program as a principle of hermolytic indisposition?

A. The dame is Rh dogmatic and the senior is Rh privative

B. The dame is Rh privative and the senior is Rh dogmatic

C. The dame and the senior are twain Rh dogmatic

D. The dame and the senior are twain Rh privative

23. A entertain on an antepartum individual is reviewing the medical archives for indecent clients. Which of the subjoined clients should the entertain assess principal?

A. A client who has diabetes mellitus and an HbA1c of 5.8%

B. A client who has preeclampsia and a creatinine equalize of 1.1 mg/ dL

C. A client who has hyperemesis gravidarum and a sodium equalize of 110 mEq/L

D. A client who has locatenta previa and a hematocrit of 36%

E. “I own been answerance defect this morning”

24. A entertain is assessing a newborn directly subjoined a vaginal nativity. For which of the subjoined decisions should the entertain lapse?

a. Molding

b. Vernix Caseosa 

c.Acrocyanosis

d.Sternal retractions

25. A entertain on the postpartum individual is caring for indecent clients. For which of the subjoined clients should the entertain give-notice-to the provider?

A client who has a urinary output of 300 ml in 8 hr

A client who fames abdominal cramping during succeeding a whilestandfeeding

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

A client who fames lochia rubra requiring changing perineal pads liberal 3 hr

26. A entertain is caring for a client who has free genital herpes simplex virus symbol 2. Which of the subjoined medications should the entertain cunning to carry?

Metronidazole

Penicillin

Acyclovir

Gentamicin

27. A entertain is caring for a client subjoined an amniocentesis. The entertain should remark the client for which of the subjoined entanglements?

Hyperemesis

Proteinuria 

Hypoxia 

Hemorrhage 

28. A entertain is cunningning thrift for a client who is receiving oxytocin by uniform IV reading for drudge gathering. Which of the subjoined intercessions should the entertain conceive in the cunning?

Increase the reading objurgate liberal 30 to 60 min.

Maintain the client in a otiose situation.

Titobjurgate the reading objurgate by 4 milliunits/min.

Limit IV inprocure to 4 L per 24 hr.

29. A entertain is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the subjoined enjoyments should the entertain the entertain procures? (Click on the “Exhibit” Button for joined advice encircling the newborn. There are three tabs that embrace sepaobjurgate categories of determination.)

Administer nitric oxide inhalation therapy to the newborn

Insert an orogastric decompression tube succeedingcited a while low rampart suction.

Provide the newborn succeedingcited a while an iron-rich formula embraceing vitamin B12 liberal 2 hr.

Meaunmistakoperative the aadbominal circuit at the equalize of the newborn’s umbilicus liberal 2 hr. 

30. A entertain is caring for a client who is receiving oxytocin for gathering of drudge and notes past decelerations of the fetal benevolence objurgate on the adviser Tracing. Which of the subjoined enjoyment should the entertain procure?

Decrease means-of-support IV elucidation reading objurgate.

Place the client in pastral situation.

Administer misoprostol 25 mcg vaginally

Administer oxygen via reckonenance mislead at 2 L/min

31. A entertain is cunningning thrift for a client who is significant and has HIV. Which of the subjoined enjoyments should the entertain conceive in the cunning of thrift?

Instruct the client to bung entrance the antiretroviral medication at 32 weeks of gestation.

Use a fetal scalp electrode during drudge and donation.

Administer a pneumococcal immunization to the newborn succeedingcited a whilein 4 hr subjoined nativity.

Bathe the newborn antecedently initiating bark-to-bark contact

32. A entertain is preparing to carry methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the subjoined duty decisions should the entertain succeedingcited a whilerepose the medication?

Blood urgency 142/92 mm Hg

Urine output 100 mL in hr 

Pulse 58/min

Respiratory objurgate 14/min

33. A entertain is reviewing drudgeatory results for client who is significant. The Entertain should forebode which of the subjoined drudgeatory values to extension?

RBC reckon

Bilirubin

Fasting respect glucose

Bun

34. A entertain is caring for a client who is experiencing premessage drudge and has a direction for 4 doses of dexamethasone 6 mg IM 12 hr. Availoperative in dexamethasome 10 mg/mL. How mane mL of dexamethasome should the entertain carry per dose? (Round the rejoinder to the neaquiet tenth. Use a innate naught if it applies. Do not use luxuriance naught.)

mL.

35. A entertain is caring for indecent clients. For which of the subjoined clients should the entertain auscultate the fetal benevolence objurgate during the prenatal scrutinize?

A. A client who has an ultrasound that perpetuates a molar pregnancy

B. A client who has a crown-rump elongation of 7 weeks gestation

C. A client who has a dogmatic urine pregnancy ordeal 1 week succeeding missed menses

D. A client who has felt quickening for the principal season

36. A entertain is cunningning thrift for a liberal-message newborn who is receiving phototherapy. Which of the subjoined enjoyments should the entertain conceive in the cunning of thrift?

A. Uniform the newborn in lightweight uniform.

B. Aunsubstantial using lotion or ointment on the newborn bark.

C. Keep the newborn otiose throughout treatment

D. Meaunmistakoperative the newborn’s region liberal 8hr

37. A entertain is receiving drudgeatory results for a message newborn who is 24 hr old. Which of the subjoined results insist-upon intercession by the entertain?

A. WBC reckon 10,000/mm3

B. Platelets 180,000/mm3

C. Hemoglobin 20g/dL

D. Glucose 20 mg/dL

38. A entertain is assessing a client subjoined an amniocentesis. Which of the subjoined decisions should the entertain know-again as entanglements? ( excellent all that adduce).

A. Amnionitis

B. Urinary repose taint

C. Polyhydramnios

D. Leakage of amniotic fluid

E. Premessage drudge

39. A entertain on a drudge and donation individual is receiving taint manage standards succeedingcited a while a newly licensed entertain. The entertain should command the newly licensed entertain to don gloves for which of the subjoined procedures?

A. Assisting a dame succeedingcited a while succeeding a whilestandfeeding

B. Performing a newborn’s modereprimand bath

C. Administering the measles, mumps, rubella vaccine

D. Performing umbilical row thrift

40. A entertain is providing order to a client who has mild preeclampsia and get be caring for herself at abode during the conclusive 2months of pregnancy . This of the subjoined announcements by the client indicates an reason of the order.

A. “I get reckon baby’s lacks liberal other day.

B. “I get alternate the arm use to inhibit my respect urgency.

D. I get spoil 50 grams of protein daily

41. A entertain is caring for indecent newborns. Which of the subjoined newborns should the entertain assess principal?

A. newborn who has nasal flaring

B. newborn who has subconjunctival hemorrhage of the left ey

C. A newborn who has balancelapping reparation lines

D. A newborn who has not rust-stained urine

42. A entertain is reviewing the electronic medical rerow of a postpartum client. The entertain should fulfill that which of the subjoined factors paces the client at expose for taint.

A. Meconium – initiate fluid

B. locatenta previa

C. Midline episiotomy

D. Gestational hypertension

43. A entertain is caring for a client who is 4hr postpartum and is experiencing hypovolemic dismay. Which of the subjoined enjoyments should the entertain procure?

A. Carry indomethacin

B. Insert a avoid using a 22 meaunmistakoperative IV catheter,

C. Insert an internal urinary catheter.

D. Carry oxygen at 4L/min via nasal cannula.

44. A entertain is order a client who is 28 weeks of gestation and not up-to determination on vulgar immunization. Which of the subjoined immunizations should the entertain tell the client to forebode receiving subjoined nativity.

A. Pneumococcal

B. Hepatitis

C. Human papillomavirus

D. Rubella

45. A entertain is caring for a newborn who is 24 hr old. Which of the subjoined Laboratory decisions should the entertain fame to the provider?

A. Hgb 20 g/dL

B. Bilirubin 2mg/dL

C. Platelets 200 .000/mm3

WBC reckon 32.000/mm3

46. A entertain is caring for newborn who is 1 hr old and has a respiratory objurgate of 50/min, a benevolence objurgate of 130/min, and an abetting region of 36.1*C (97F). Which of the subjoined enjoyments should the entertain procure?

A. Give the newborn a irascible bath.

B. Adduce a cap to the newborn mind.

C. Resituation the newborn.

D. Obtain an oxygen saturation equalize

47. A entertain is cunningning thrift for a newborn who is scheduled to initiate phototherapy using a lamp. Which of the subjoined enjoyments should the entertain conceive in the cunning?

A. Adduce a slim lamina of lotion to the newborn bark liberal 8 hrs.

B. Give the newborn 1oz of glucose insinuate liberal 4 hrs

C. Fix the newborn eyes are stated under the shield.

D. Uniform the newborn in a slim lamina of uniform during therapy

48. A entertain is caring for a client subjoined a vaginal donation of a message fetal demise. Which of the subjoined announcement should the entertain execute?

A. “You can bathe and uniform your baby if you’d affect to.”

B. “If you don’t repose the baby it get execute letting go plenteous harder.”

C. “You should spectry the baby so she can own an oneness.”

D. “I’m unmistakoperative you get be operative to own another baby when you’re handy.”

49. A entertain is providing order to a client who is at 38 weeks of gestation and has a direction to ensue misoprostol intravaginally. Which of the subjoined announcement should the entertain execute?

A. “you get deficiency to remain in a policy-bogus situation for 30 minutes succeeding each dose.”

B. “You get ensue an IV reading of oxytocin 1 hour succeeding your conclusive dose.”

C.” You get ensue a magnesium addition directly subjoined therapy.”

D.” You get deficiency to own a liberal bladder antecedently the therapy originates.”

50. A entertain is assessing a newborn who was born Postterm. Which of the subjoined decisions should the entertain forebode?

A. Nails extending balance tips of fingers

B. Capacious deposits of subcutaneous fat

C. Pale, lucid bark

D. Slim envelope of excellent hair on shoulders and tail

51. A entertain is cunningning to impart a systematize of clients who are encircling succeeding a whilestandsustentation succeeding returning to production .Which of the subjoined taint should the entertain conceive in the order?

A. “Thawed succeeding a whilestand agree can be refrigerated for up to 72 hours.”

B. “Breast agree can be stored in a abstruse freezer for 12 months.”

C. Withstand agree can be stored at locality region for up to 12 hours.”

D. “Thawed succeeding a whilestand agree that is unused can be refrozen.”

52. A entertain on postpartum individual caring for indecent clients. Which of the subjoined clients should ensue Rh,(D) Immune globulin to obstruct Rh- is immunization?

A. An Rh privative dame who has an Rh- dogmatic infant

B. An Rh –dogmatic dame who has an Rh- privative infant

C. An Rh-dogmatic dame who has an Rh- dogmatic infant

D. An Rh- privative dame who has an Rh- privative infant

53. A entertain is caring for an infant who has signs of neonatal frugality syndrome. Which of the subjoined enjoyments should the entertain procure?

A. Provide a pungent environment

B. Adviser respect glucose equalize liberal hr.

C. Intiate rapine precautions.

D. Locate the infants on his tail succeedingcited a while legs exceeding.

54. A entertain is reviewing signs of consequenceive vivacious succeedingcited a while a client who is 5 days postpartum. Which of the subjoined advice should the entertain conceive in the order?

A. “You should feel a tugging sentiment when the baby is sucking.

B. You should forebode your baby to own two to three wet diapers in 24hour determination

C. “Your baby’s urine should answer ebon and concentrated”.

D. “Your succeeding a whilestand should remain stated succeeding the baby succeeding a whilestandfeeds”.

55. A entertain is order a client who is at 41 weeks of gestation encircling a non weight ordeal. Which of the subjoined advice should the entertain conceive in the order?

A. “This ordeal get condetermined fetal lung ripeness “.

B. “This ordeal get state equalize of locatental perfusion”.

C. “This ordeal get descry fetal taint”.

D. “This ordeal get forecast kind alacrity for drudge”.

56. A entertain on the drudge and donation individual is assessing indecent clients. Which of the subjoined clients is a candidetermination for an gathering of drudge succeedingcited a while misoprostol?

A. A client who has free genital herpes

B. A client who has gestational diabetes mellitus

C. A client who has a antecedent uterine incision

D. A client who has locatenta previa

57. A entertain is advisering a client who has preeclampsia and is receiving magnesium sulfate by uniform IV reading. Which of the subjoined decisions should the entertain fames to the provider?

A. Respect urgency 148/94mm Hg

B. Respiratory objurgate 14mm

C. Urinary output 20 mL/hr

D. 2+abstruse tendon reflexes 

58. A entertain is caring for a client who is in the transition air of drudge and fames a refusal equalize of 7 on a lamina of 0 to 10. Which of the subjoined enjoyments should the entertain procure?

A. Command the client to use effleurage

B. Adduce reckoner urgency to the client sacral.

C. Assist the client succeedingcited a while patterned-paced vivacious.

D. Impart the client the technique of biofeedback.

59. A entertain is caring for newborn directly subjoined nativity and notes a capacious sum of mucus in the newborn’s hole and nose. Fulfill the ensueing the entertain should ensue when performing suction succeedingcited a while a bulb syringe. (Move the streps into the box on the placing them in the excellented ordain of exploit. Use all the streps.)

Assess the newborn for reflex bradycardia.

Compress the bulb syringe

Place the bulb syringe in the newborn’s hole.

Use the bulb syringe to suction the newborn’s nose.

60. A society sanity entertain is providing order on gestational diabetes mellitus (GDM) to a systematize of clients who are significant when discussing expose factors, which of the subjoined ethnicities should the entertain fulfill as having the smallest impingement of GDM?

A. Asian

B. Non-Hispanic White American

C. Hispanic

D. African American

61. A entertain is assessing a client who is at 37 weeks of gestation. Which of the subjoined announcement by the client insist-upons direct intercession by the entertain?

A. “It burns when I urinate

B. “My feet are veritably distended today”.

C. “I didn’t own lunch today, but I own breakfast this morning”.

D. “I own been answerance defect this morning”

62. A entertain is providing order encircling forebodeed changes during pregnancy to a client who is at 24 weeks of gestation. Which of the subjoined advice should the entertain conceive?

A. “Your stomach get vacuity rapidly”

B. “You should forebode your uterus to double in size”

C. “You should forebode nasal stuffiness.”

D. “Your nipples get befit lighter in color”.

63. A entertain is order a prenatal systematize concerning bogus drudge. Which of the subjoined advice should the entertain conceive?

A. “your contrenjoyment get befit balance ardent when walking”

B. “you get own dilation and effacement of the cervix”

C. You get own respecty show”

D. “Your contrenjoyment get befit temporally formal”

64. A entertain is caring for a client who is receiving an epidural arrest succeedingcited a while an opioid analgesic. The entertain should adviser for which of the subjoined decisions as an inoperative consubjoined of the medication?

A. Hypnosis

B. Polyuria

C. Bideviative crackles

Hyperglycemia

65. A entertain is caring for a client who is receiving prenatal thrift and is at her 24-week enactment. Which of the subjoined drudgeatory ordeals should the entertain cunnings to precede?

A. Systematize B strep culture

B.1-hr glucose tolerance ordeal

c. Rubella titer

D. Respect symbol and Rh

66. A entertain is caring for a client who has bacterial vaginosis. Which of the subjoined medication should the entertain forebode to carry?

A. Metronidale

B. Fluconazole

C. Acyclovir

67. A entertain is caring for a client who is experiencing harsh nipples from succeeding a whilestandfeeding. Which of the subjoined enjoyments should the entertain procure?

A. Locate a compact uniforming on the client’s nipple when not succeeding a whilestandfeeding.

B.Euunmistakoperative the newborn’s hole is remote disclosed antecedently latching to the succeeding a whilestand.

C. Encourage the client to word the newborn’s sustentation to 10 min on each succeeding a whilestand.

D. Command the client to originate the sustentation succeedingcited a while the nipple that is most mild.

68. A entertain is assessing a premessage newborn who is at 32 weeks of gestation. Which of the subjoined decision should the entertain forebode?

A. Minimal arm recoil

B. Popliteal turn of short than 90

C. Creases balance the total sole

D. Sparse lanugo

69. A entertain on a drudge and donation individual is providing order to a client who cunnings to use hypnosis to manage drudge refusal. Which of the subjoined advice should the entertain conceive?

A. Focusing on manageling whole functions 

B. “Synchronized vivacious get be insist-upond during hypnosis”

C. “Hypnosis can be profitable in you conversant it during the prenatal determination”

D. “Hypnosis does not production for manageling refusal associated succeedingcited a while drudge”.

70. A entertain is caring for client who is in free drudge. Subjoined epidural locatement the entertain a kind respect urgency of 98/58 mmHg and minimal FHR variability on the fetal adviser. Which of the subjoined images indicates the enjoyment the entertain should procure?

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