A client in active labor has 7 cm of cervical dilation, 100% effacement, and the fetus at 1+ station. The client's amniotic membranes are intact, but she suddenly expresses the need to push. What should the nurse do?
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ATI LPN · ATI Maternal Newborn Proctored
Question 2 of 38
A client is being educated by a healthcare provider about the changes she should expect when planning to become pregnant. Identify the correct sequence of maternal changes. A. Amenorrhea B.Lightening C. Goodell's sign D. Quickening
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Question 3 of 38
A parent of a newborn is being taught about crib safety. Which statement by the client indicates understanding of the teaching?
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ATI LPN · ATI Maternal Newborn Proctored
Question 4 of 38
A client who is postpartum received methylergonovine. Which of the following findings indicates that the medication was effective?
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ATI LPN · ATI Maternal Newborn Proctored
Question 5 of 38
A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?
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Question 6 of 38
A client is learning how to check basal temperature to determine ovulation. When should the client check her temperature?
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Question 7 of 38
A client is 1 hour postpartum and the nurse observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?
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Question 8 of 38
A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
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Question 9 of 38
A client who is at 40 weeks gestation and in active labor has 6 cm of cervical dilation and 100% cervical effacement. The client's blood pressure reading is 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
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Question 10 of 38
A client who is at 39 weeks of gestation and is in active labor has fetal heart tones located above the umbilicus at midline. The fetus is likely in which of the following positions?
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Question 11 of 38
A client is scheduled for a cesarean birth based on fetal lung maturity. Which finding indicates that the fetal lungs are mature?
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Question 12 of 38
A client in active labor is being prepared for epidural analgesia. Which of the following actions should the nurse take?
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Question 13 of 38
When advising a woman considering pregnancy on nutritional needs to reduce the risk of giving birth to a newborn with a neural tube defect, what information should the nurse include?
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Question 14 of 38
A client in labor is having contractions 4 minutes apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?
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Question 15 of 38
A healthcare professional in the emergency department is caring for a client who presents with severe abdominal pain in the left lower quadrant. The provider suspects a ruptured ectopic pregnancy. Which of the following signs indicates to the healthcare professional that the client has blood in the peritoneum?
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Question 16 of 38
After an amniotomy, what is the priority nursing action?
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Question 17 of 38
A client who is 6 hours postpartum and Rh-negative has an Rh-positive newborn. The client asks why an indirect Coombs test was ordered. Which of the following is an appropriate response by the healthcare provider?
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Question 18 of 38
While caring for a newborn, a nurse auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take?
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Question 19 of 38
A healthcare provider is preparing to administer vitamin K by IM injection to a newborn. The medication should be administered into which of the following muscles?
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Question 20 of 38
A patient on the labor and delivery unit is having induction of labor with oxytocin administered through a secondary IV line. Uterine contractions occur every 2 minutes, last 90 seconds, and are strong to palpation. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the peak of the contraction and a return to baseline after the contraction is over. Which of the following actions should the nurse take?
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Question 21 of 38
When monitoring uterine contractions in a client in the active phase of the first stage of labor, which finding should the nurse report to the provider?
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Question 22 of 38
A client at 38 weeks of gestation with a diagnosis of preeclampsia has the following findings. Which of the following should the nurse identify as inconsistent with preeclampsia?
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Question 23 of 38
A client is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The client asks the nurse about the purpose of this test. What explanation should the nurse provide?
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Question 24 of 38
A healthcare professional is assessing a newborn immediately following a scheduled cesarean delivery. Which of the following assessments is the healthcare professional's priority?
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Question 25 of 38
A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
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Question 26 of 38
While observing the electronic fetal heart rate monitor tracing for a client at 40 weeks of gestation in labor, a nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?
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Question 27 of 38
A client at 36 weeks of gestation is suspected of having placenta previa. Which of the following findings support this diagnosis?
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Question 28 of 38
A woman at 38 weeks of gestation is admitted in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9°C (102°F). Besides notifying the provider, which of the following is an appropriate nursing action?
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Question 29 of 38
A client with a BMI of 26.5 is seeking advice on weight gain during pregnancy at the first prenatal visit. Which of the following responses should the nurse provide?
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Question 30 of 38
During an assessment of a client in labor who received epidural anesthesia, which finding should the nurse identify as a complication of the epidural block?
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Question 31 of 38
A client who is at 6 weeks of gestation with her first pregnancy asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?
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Question 32 of 38
A nurse is caring for a preterm newborn who is in an incubator to maintain a neutral thermal environment. The father of the newborn asks the nurse why this is necessary. Which of the following responses should the nurse make?
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Question 33 of 38
A client who underwent an amniotomy is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
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Question 34 of 38
A client reports unrelieved episiotomy pain 8 hours following a vaginal birth. Which of the following actions should the nurse take?
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Question 35 of 38
During the admission assessment of a newborn, which anatomical landmark should be used for measuring the newborn's chest circumference?
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Question 36 of 38
A client is in the first trimester of pregnancy and lacks immunity to rubella. When should the client receive rubella immunization?
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Question 37 of 38
During an assessment of a newborn following a vacuum-assisted delivery, which of the following findings should the healthcare provider be informed about?
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Question 38 of 38
A client is being cared for 2 hours after a spontaneous vaginal birth and has saturated two perineal pads with blood in a 30-minute period. Which of the following is the priority nursing intervention at this time?
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