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ATI RN MATERNAL NEWBORN ONLINE PRACTICE 2019 A WITH
NGN COMPLETE QUESTIONS AND ANSWERS A GRADED LAST
UPDATED ON JANUARY
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider? - ANSWER late decelerations A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. The nurse should identify that the client is at an increased risk for which of the following complications? - ANSWER Premature rupture of membranes A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take? - ANSWER Insert two gloved fingers into the vagina and apply upward pressure to the presenting part A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include? - ANSWER "You should press the handheld button when you feel your baby move.
A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which or the following finding! Should the nurse identify as a risk factor for the development of preeclampsia? - ANSWER Pregestational diabetes mellitus A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report tothe provider? - ANSWER Weight gain of 2.2 kg (4.8 Ib) A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? (Select all that apply.) - ANSWER Acrocyanosis, Positive Babinski reflex, Two umbilical arteries visible A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring? - ANSWER Perform Leopold maneuvers. A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first? - ANSWER A client who is at 11 weeks of gestation and reports abdominal cramping
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) - ANSWER Fundal heignt measurement A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke." Which of the following interventions is the nurse's priority? - ANSWER Begin FHR monitoring. A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? - ANSWER "You can still become pregnant if you are breastfeeding. A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? - ANSWER Reports increased urinary output
A nurse is assessing four newborns. Which of the following findings should the nurse report to the provider? - ANSWER A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F) A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure? - ANSWER Monitor the FHR. A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? - ANSWER BUN 25 mg/dl A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room and observes the client having a seizure. After turning the client's head to one side, which of the following actions should the nurse take immediately after the seizure? - ANSWER Administer oxygen via a nonrebreather mask. A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? - ANSWER Respiratory distress
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan? - ANSWER Remove all clothing from the newborn except the diaper. A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER "I should take 600 micrograms of folic acid each day." A nurse is assessing a client who is receiving morphine via IV bolus for pain following a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following medications should the nurse administer? - ANSWER Naloxone A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? - ANSWER FHR 152/ min A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the following manifestations should the nurse expect? - ANSWER Vaginal pressure
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider? - ANSWER Report of decreased fetal movement A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? - ANSWER "I can administer oxytocin 4 hours after the insertion of the medication. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? - ANSWER Report the client's condition to the local health department. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? - ANSWER Depression A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help
A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family's 7-year-old child in accepting the new family member? - ANSWER Obtain a gift from the newborn to present to the sibling. A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? - ANSWER Hypertension A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider? - ANSWER jaundice A nurse is observing a new parent caring for her crying newborn who is bottle feeding. Which of the following actions by the parent should the nurse recognize as a positive parenting behavior? - ANSWER Lays the newborn across her lap and gently sways A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take? - ANSWER Verify that the parent's identification band matches the newborn's identification band.
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider? - ANSWER Report of visual disturbances A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV magnesium sulfate. Which of the following medications should the nurse anticipate administering if the client develops magnesium toxicity? - ANSWER Calcium gluconate A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect? - ANSWER Minimal arm recoil A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs. Which of the following cultural practices should the nurse include in the plan of care? - ANSWER Protect the client's head and feet from cold air. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect?
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the following outcomes should the nurse expect? - ANSWER A reduction in respiratory distress in the newborn A nurse is caring for a client who has uterine atony and is experiencing postpartum hemorrhage. Which of the following actions is the nurse's priority? - ANSWER Massage the client's fundus. A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider? - ANSWER hemoglobin of >10g/dL
