ATI MATERNAL NEWBORN 2019 PROCTORED EXAM

1.A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth. Which of the following clinical findings should the nurse

identify as an indication of postpartum infection?

a. Unilateral breast pain

i. Mastitis - painful or tender localized hard mass and reddened area, usually on one breast. (Pg. 143)

b. Persistent abdominalstriae

i. Stretch marks - expected finding

c. Lochia alba

i. Lasts approx day 11 up to 4-8 weeks post-birth

d. WBC count 12,000/mm3

2. A nurse is assessing client who has preeclampsia during a prenatal visit. Which of the following findingsshould the nurse report to the

provider?

a. Blood glucose 110 mg/dL

b. Deep tendon reflexes of 2+

c. Urine protein of 3+

i. Severe preeclampsia: consists of blood pressure that is 160/110 mmHg or greater, proteinuria greater than 3+, oliguria, elevated serum

creatinine greater than 1.1 mg/dL, cerebral or visual disturbances (headache and blurred vision), hyperreflexia with possible ankle clonus,

pulmonary or cardiac involvement, extensive peripheral edema, hepatic dysfunction, epigastric and right upper-quadrant pain, and

thrombocytopenia. (pg. 60)

d. Hemoglobin 13 g/dL

3. A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has

preeclampsia. Which of the following responses by the nurse is appropriate?

a. “This medication improvestissue perfusion.”

b. “This medication increases cardiac output.”

c. “This medication stabilizesthe fetal heart rate.”

d. “This medication preventsseizures.”

i. Depresses CNS. (Pg 61) ATI Maternal newborn 2

4. A nurse isteaching a prenatal classregarding false labor. Which of the following information should the nurse include? (pg 76)

a. “You will have dilation and effacement of the cervix.”

i. Sign of true labor

b. “Your contractions will become temporarily regular.”

. “You will have bloody show.”

i. Sign of true labor

d. “Your contractions will become more intense when walking.”

i. Sign of true labor

5. A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse

include in the policy?

a. Check the newborn’sidentification using the crib card.

b. Replace the infant’sidentification band after his name has been recorded.

c. Require visitorsto wear an identification band.

d. Obtain an imprint of the infant’s feet prior to taking him to the nursery.