One hour after giving birth to an 8-pound infant, a client's lochia rubra has increased from small to large and her fundus is boggy despite massage. The client's pulse is 84 beats/minute and blood pressure is 156/96. The healthcare provider prescribes Methergine 0.2 mg IM x 1. What action should the nurse take immediately?
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ATI RN · Chimat Maternity Needs Assessment
Question 2 of 67
Which action should the nurse take if an infant, who was born yesterday weighing 7.5 lbs (3,317 grams), weights 7 lbs. (3,175 grams) today.
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Question 3 of 67
When reviewing a new patient's birth plan, the nurse notices that the patient will be bringing a doula to the hospital during labor. What does the nurse think that this means?
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Question 4 of 67
The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, 'Why is elective abortion considered such an ethical issue?'
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Question 5 of 67
A client is admitted with the diagnosis of total placenta previa. Which finding is most important for the nurse to report to the healthcare provider immediately?
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Question 6 of 67
A client at 38-weeks gestation complaints of severe abdominal pain. Upon the nurse notes that the abdomen is rigid.
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Question 7 of 67
A client at 38-weeks gestation is admitted to the labor and delivery unit with complaints of decreased fetal movement. The client's cervix is dilated 1 cm, 20% effaced, and the fetus is at -3 station. What action should the nurse take first?
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Question 8 of 67
Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnant patient regarding this option, the nurse should be aware that this type of care setting includes which advantages?
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Question 9 of 67
A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?
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Question 10 of 67
One hour after delivery the nurse is unable to palpate the uterine fundus of a client who had an epidural and notes a large amount of lochia on the perineal pad. The nurse massages at the umbilicus and obtains current vital signs. Which intervention should the nurse implement next.
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Question 11 of 67
A woman who delivered a 9-pound baby boy by cesarean section under spinal anesthesia is recovering in the post anesthesia care unit. Her fundus is firm, at the umbilicus, and a continuous trickle of bright red blood with no clots from the vagina is observed by the nurse. Which actions should the nurse implemented.
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Question 12 of 67
Which statement is true regarding the shortage of nurses in the United States?
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Question 13 of 67
The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on December 1. Which date is most accurate?
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Question 14 of 67
Which nursing intervention is most helpful in relieving postpartum uterine contractions or 'afterpains?'
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Question 15 of 67
A new mother who is breastfeeding her 4-week old infant and has type 1 diabetes, reports that her insulin needs have decreased since the birth of her child. What action should the nurse implement?
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Question 16 of 67
A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol (Cytotec), a synthetic prostaglandin C drug, how should the nurse respond?
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Question 17 of 67
A client who is in the second trimester of pregnancy tells the nurse that she wants to use herbal therapy. Which response is best for the nurse to provide?
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Question 18 of 67
The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 36-day menstrual cycle and the first day of her menstrual period was January *. The nurse correctly calculates that the woman's next fertile period is
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Question 19 of 67
A client who gave birth to a healthy 8-pound infant 3 hours ago is admitted to the postpartum unit. Which nursing plan is best in assisting this mother to bond with her newborn infant?
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Question 20 of 67
A client at 36-weeks gestation is admitted to the labor and delivery unit with complaints of severe headache, visual disturbances, and epigastric pain. The client's blood pressure is 160/110 mm Hg. What action should the nurse take first?
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Question 21 of 67
The nurse is teaching care of the newborn to a group of prospective parents and describes the need for administering antibiotic ointment into the eyes of the newborn. Which infectious organism will this treatment prevent from harming the infant?
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Question 22 of 67
A new mother asks the nurse about an area of swelling on her baby's head near the posterior fontanel that lies across the suture lines. How should the nurse respond?
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Question 23 of 67
A client at 32-weeks gestation is hospitalized with severe pregnancy-induced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which assessment finding indicates the therapeutic drug level has been achieved?
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Question 24 of 67
The total bilirubin level of a 36-hour, breastfeeding newborns is 14 mg/dl. Based on this finding, which intervention should the nurse implement?
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Question 25 of 67
After delivery of a normal infant, the mother tells the nurses that she would like to use oral contraceptive. Which finding in the client's health history is a contraindication of the use of contraceptives?
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Question 26 of 67
The nurse is caring for a client in active labor whose cervix is dilated 6 cm. The membranes rupture spontaneously, and the fetal monitor shows variable decelerations in the fetal heart rate. What action should the nurse take first?
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Question 27 of 67
During which phase of the cycle of violence does the batterer become contrite and remorseful?
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Question 28 of 67
The nurse is formulating a nursing care plan for a postpartum patient. Which actions by the nurse indicate use of critical thinking skills when formulating the care plan?
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Question 29 of 67
Which nursing diagnosis should the nurse identify as a priority for a patient in active labor?
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Question 30 of 67
Which of the following statements highlights the nurse's role as a researcher?
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Question 31 of 67
A client who is attending antepartum classes asks the nurse why her healthcare provider has prescribed iron tablets. The nurse's response is based on what knowledge?
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Question 32 of 67
A client who is 3 weeks postpartum tells the nurse. 'I am so tired all the time. I didn't know having a baby would be so hard.' What response should the nurse provide.
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Question 33 of 67
A client who delivered a healthy newborn an hour ago asks the nurse when she can go home. Which information is most important for the nurse to provide the client?
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Question 34 of 67
The patient makes the statement: 'I'm afraid to take the baby home tomorrow.' Which response by the nurse would be the most therapeutic?
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Question 35 of 67
A client in active labor complains of cramps in her leg. What intervention should the nurse implement?
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Question 36 of 67
A new mother, who is a lacto-ovo vegetarian, plans to breastfeed her infant. What information should the nurse provide prior to discharge.
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Question 37 of 67
A client at 36-weeks gestation is admitted to the labor and delivery unit with complaints of severe headache, visual disturbances, and epigastric pain. The client's blood pressure is 150/100 mm Hg. What condition should the nurse suspect?
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Question 38 of 67
A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue, and a moist cough. Which question is most important for the nurse to ask this client?
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Question 39 of 67
A client at 37-weeks gestation is admitted to the labor and delivery unit with regular contractions every 3 minutes. The client's cervix is dilated 4 cm, 80% effaced, and the fetus is at -1 station. The client reports feeling dizzy and lightheaded. What action should the nurse take first?
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Question 40 of 67
The nurse is planning a teaching session for staff on ethical theories. Which situation best reflects the Deontologic theory?
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Question 41 of 67
The nurse is performing a newborn assessment. Which symptoms if present in newborn, would indicate respiratory distress?
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Question 42 of 67
Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room?
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Question 43 of 67
A 39-week gestational multigravida is admitted to labor and delivery spontaneous rupture of membranes and contraction occurring 2 to 3 minutes. A vaginal exam indicates that the cervix is dilated 6cm, 90% effaced and the fetus is at a +2 station. During the last 45 minutes the fetal heart rate has ranged between 170 and 180 beats/minute. What action should the nurse implement?
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Question 44 of 67
The nurse is caring for a client in active labor who is receiving oxytocin (Pitocin) to augment labor. The nurse notes late decelerations in the fetal heart rate. What action should the nurse take first?
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Question 45 of 67
The nurse is providing discharge teaching for a client who is 24 hours postpartum. The nurse explains to the client that her vaginal discharge will change from red to pink and then to white. The client asks, 'What if I start having red bleeding after it changes?' What should the nurse instruct the client to do?
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Question 46 of 67
The nurse is planning a class for pregnant women in the first trimester of pregnancy. Which information is most imported for the nurse to include in the class?
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Question 47 of 67
The postpartum admission prescription for a client who delivered a healthy newborn includes one liter of lactated ringers with oxytocin 20 units to infuse over 8 hours. How many milliunits/minute is the clients receiving?
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Question 48 of 67
Which response by the nurse is the most therapeutic when the patient states, 'I'm so afraid to have a cesarean birth'?
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Question 49 of 67
A client at 36-weeks gestation is admitted to the labor and delivery unit with severe abdominal pain and bright red vaginal bleeding. The client's blood pressure is 160/110 mm Hg, and the fetal heart rate is 120 beats per minute. What condition should the nurse suspect?
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Question 50 of 67
A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and cervix dialed 3 cm. The nurse's assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribes an oxytocin drip. Which data is most important for the nurse to monitor?
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Question 51 of 67
A primipara patient asks about possible support options for her during the labor process. She is apprehensive that her family members will not be prepared to assist her during this time. Which option would be most effective for this patient?
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Question 52 of 67
Which content should the nurse plan to include in a nutrition class for pregnant adolescents? (Select ONE that does not apply)
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Question 53 of 67
With regard to an obstetric litigation case, a nurse working in labor and birth is found to be negligent. Which intervention performed by the nurse indicates that a breach of duty has occurred?
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Question 54 of 67
Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?
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Question 55 of 67
At 6 weeks gestation the rubella titer of a client medication indicates she is non-immune. When is the best time to administer a rubella vaccine to this client?
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Question 56 of 67
A client at 38-weeks gestation is admitted to the labor and delivery unit with complaints of severe abdominal pain and bright red vaginal bleeding. The client's blood pressure is 160/110 mm Hg, and the fetal heart rate is 120 beats per minute. What action should the nurse take first?
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Question 57 of 67
A client at 20 weeks gestation comes to antepartum clinic complaining of vaginal warts (human papilloma virus HPV). What information should the nurse provide this client?
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Question 58 of 67
At 0600 while admitting a woman for a scheduled repeat Caesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
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Question 59 of 67
The nurse is preparing a client with a term pregnancy who is in active labor for an amniotomy. What equipment should the nurse have available at the client's bedside?
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Question 60 of 67
A healthcare provider informs the charge nurse of a labor and delivery unit that a client is coming to the unit with suspected abruptio placentae. What findings should the charge nurse expect the client to demonstrate? (Select ONE that does not apply)
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Question 61 of 67
The nurse examines a client who is admitted in active labor and determines the cervix is 3 cm dilated 50% effaced, and the presenting part is at 0 stations. An hour later, she tells the nurse that she wants to go to the bathroom. Which action should the nurse implement first.
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Question 62 of 67
Which patient will most likely seek prenatal care?
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Question 63 of 67
The parents of a male newborns have signed an informed consent for circumcision. which intervention should the nurse implement upon completion of the circumcision?
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Question 64 of 67
Which goal is most appropriate for the collaborative problem of wound infection?
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Question 65 of 67
The nurse is caring for a client at 39-weeks gestation who is admitted to the maternity unit in active labor. A vaginal exam reveals that her cervix is dilated 3 cm, 80% effaced, and the fetus is at -1 station. Based on these findings, which intervention should the nurse implement first?
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Question 66 of 67
A 38-week primigravida client who is positive for group A beta streptococcus receives a prescription for cefazolin 2 grams IV to be infused over 30 minutes. The medication is available in 2 grams/100 ml of normal saline. The nurse should program the infusion pump to deliver how many ml/hour?
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Question 67 of 67
When explaining 'postpartum blues' to a client who is 1 day postpartum, which symptoms should the nurse include in the teaching plan? (Select one tha does not apply.)
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