ATI: Maternal/Newborn Practice Flashcards
Pt using jet hydrotherapy during labor. Which FHR monitoring method is contraindicated? A. doppler device B. fetoscope C. wireless external monitor device D. internal electrode
D. internal electrode
A nurse is assessing a newborn who has a weak cry and is grimacing. The nurse notes a HR of 102/min, blueish extremities, and flaccid muscle tone. APGAR of?? A. 4 B. 5 C. 6 D. 7
B. 5
Pt is 1 day post-vag delivery. The fundus is firm, located 2 fingerbreadths above U and is deviated to the left. Which action should the nurse take first? A. Insert an indwelling urinary catheter B. Notify the practitioner C. Assist the pt to empty her bladder D. Encourage the pt to ambulate
C. Assist the pt to empty her bladder
A nurse is assessing a newborn. Which of the following findings are expected?
A. slight yellow skin color
B. breast nodule 6mm
C. posterior fontanel larger than the anterior one
D. overlapping suture lines
E. lanugo over the shoulders
B. breast nodule 6mm - can be up to 10mm
D. overlapping suture lines
E. lanugo over the shoulders
Pt has hx of rheumatic heart disease, but no physical symptoms prior to pregnancy. Pt begins to have dyspnea, orthopnea, and pulmonary edema. Which of the following physiological alterations explains this change? A. increased mom wt B. increased blood volume D. change in hematocrit levels D. change in heart size
B. increased blood volume
Newborn assessment 12hr after delivery. Which indicates possible neonatal sepsis? A. temperature instability B. tachypnea C. hypertonicity D. nasal flaring E. irritability
A. temperature instability B. tachypnea X. hypoootonicity & lethargy D. nasal flaring E. irritability
Pt in PP has vag hematoma. Which findings are expected? A. lochia serosa draining from vagina B. pressure in the vagina C. intermittent vag pain D. yellow exudate draining from vag
B. pressure in the vagina
Nurse is teaching prenatal class about infant safety. Which indicates need for further teaching?
A. I will set my hot water heater no higher than 130F
B. I will make sure the crib slats are no more than 2 3/8” apart
C. I will refrain from using a comforter in the crib
D. I will place the infant carrier on the floor when my baby is inside it
A. I will set my hot water heater no higher than 130F - - to avoid burns to the infant, the hot water should be set no higher than 49C or 120F
1 unit = 1000 mU
Oxytocin is available 30 units per 500mL. At what rate (ml/hr) should the nurse set the infusion pump to deliver 2mU/min?
2mL/hr
A nurse is teaching about RhoGAM. Which indicates an understanding?
A. I will receive it if my baby is Rh-neg
B. I will receive it at the time of delivery
C. I will need a second dose when my baby is 6wks old
D. I will need it if I have an amniocentesis
D. I will need it if I have an amniocentesis
It is administered at 28wks GA
Young adult lady asks for contraceptive. Pt has family hx of osteoporosis. Which method is contraindicated? A. combined estrogen-progestin OC B. IUD C. Medroxyprogesterone D. Norelgesteromin/ethinyl estradiol
C. Medroxyprogesterone
A nurse is providing dietary teaching to pt with hyperemesis gravidarum. Which indicates an understanding?
A. I should eat to taste instead of trying to balance my meals
B. I will avoid having a snack at bedtime
C. I will have 8oz of hot tea with each meal
D. I should pair my sweets with a startch instead of eating them alone
A. I should eat to taste instead of trying to balance my meals
Pregnant pt has epilepsy. Nurse opbserves her having a sz. After turning the pt’s head to the side, which of the following actions should the nurse take next?
A. Monitor FHR
B. Assess uterine activity
C. Administer oxygen via nonrebreather mask
D. Start a bolus of IV fluids
C. Administer oxygen via nonrebreather mask
A nurse in a clinic is caring for a pt who is at 32wks GA. Which of the following clinical findings should alert the nurse to potential complications? A. fundal height is 34cm B. pt reports diarrhea for 3 days C. pt reports ankle edema D. BP is 130/80
B. pt reports diarrhea for 3 days
Fundal height should be number of weeks GA +/- 2cm
Pt is being admitted to LD, states "my water just broke." Which of the following is the priority intervention for the nurse to take? A. Perform Nitrazine Test B. Assess the amniotic fluid C. Check cervical dilation D. Monitor FHR
D. Monitor FHR - you’re thinking cord prolapse??
A nurse is caring for a pt from different culture. Which indicates a need for intervention?
A. Placing belly band lightly over newborn’s navel
B. Delaying feeding until breast milk comes in
C. Waiting to name the newborn
D. Using a cradle board to support the newborn
B. Delaying feeding until breast milk comes in
Pt has perinatal death. Which statement by the nurse is good?
A. This happens for a reason
B. This must be hard for you
C. I understand how you feel
D. You’re young and will be able to have other children
B. This must be hard for you
Newborn is transferred to nursery 30min after delivery. Which of the following actions should the nurse take first? A. Confirm APGAR score B. Verify newborn's identification C. Administer vitamin K IM D. Determine obstetrical risk factors
B. Verify newborn’s identification
Pt had vag delivery and is breastfeeding. Which indicates understanding?
A. I will need to eat an additional 330 calories a day
B. I will change my perineal pad at least 2x/day
C. I will massage my uterus daily for 7 days
D. I will breastfeed my baby Q2hrs
A. I will need to eat an additional 330 calories a day
B is 4x/day
C is not necessary on a daily basis
D should take cues from infant
Nurse is assessing pt who is 38wks GA. Which finding should the nurse report to the provider? A. BP 136/88 B. report of insomnia C. wt gain of 2.2kg (4.8lb) D. report of Braxton-Hicks contractions
C. wt gain of 2.2kg (4.8lb) - in a week
Family recently adopted a newborn. How to help the 7yo accept new brother?
A. Allow the kid to hold the babe during bath
B. Make sure the kid kisses the babe each night
C. Encourage the kid to sing to soothe the babe
D, Switch the kid’s room with the nursery
C. Encourage the kid to sing to soothe the babe
Pt is PP with hx of preeclampsia. Upon assessment, the nurse observes petechiae and serosanguineous fluid oozing from the IV site. Which of the following findings should the nurse report? A. Hct 39% B. Serum albumin 4.5g/dL C. WBC count of 9,000 D. Platelet count of 50,000
D. Platelet count of 50,000
Pt newly admitted to PACU following c/s. Which is a priority assessment? A. Parent-child attachment B. PP lochia amount C. Patency of IV catheter D. Quality and quantity of urine output
B. PP lochia amount