ATI RN Maternal Newborn Online
Practice 2019 B with NGN (REVISED FULL
EXAM)
A nurse is assessing the newborn of a client who took a selective serotonin reputake
inhibitor (SSRI) during pregnancy. Which of the following manifestations should the
nurse identify as an indication of withdrawal from an SSRI - Answer-vomiting
expected manifestations associated with fetal exposure to SSRIs include irritability,
agitation, tremors, diarrhea, and vomitting. These manifestations typically last 2 days.
/.A nurse is planning care for a client who is in labor and is requesting epidural
anesthesia for pain controlWhich of the following actions should the nurse include in the
plan of care? - Answer-Monitor the clients blood pressure every 5 min following the first
dose of anesthetic solution.
The nurse should plan to obtain a baseline blood pressure prior to the initiation of
anesthetic solution . The nurse should then continue to monito the client's blood
pressure every 5 to 10 min to assess for maternal hypotension caused by the anesthetic
solution
/.A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test . For which of the following diagnostic test should the nurse
prepare the client ? - Answer-Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-beingA
positive contraction stress test indicates there is potential uteroplacental insufficiency. A
BPP uses a real time ultrasound to visualize physical and physiological characteristics
of the fetus and observe for fetal biophysical responses to
/.A nurse is preparing to administer azithromycin to a client who is at 16 weeks of
gestation and has a positive chlamydia culture. The prescription states "Administer
azithromycin 1 g orally now.Available is 250 mg tablets. How many tablets should the
nurse administer? (Round the answer to the nearest whole number . Use a leading zero
if it applies . Do not use a trailing zero.) - Answer-4 tablets
/.A school nurse is providing teaching to an adolescent about levonorgestrel
contraception. Which of the following information should the nurse include in the
teaching ? - Answer-"You should take the medication within 72 hours following
unprotected sexual intercourse."
, Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent
conceptionThe nurse should instruct the adolescent to take this medication as soon as
possible within 72 hr after unprotected sexual intercourse
/.A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose
tolerance test. Which of the following statements should the nurse include in the
teaching ? - Answer-"A blood glucose of 130 to 140 is considered a positive screening
result."
The nurse should teach the client that a blood glucose level of 130 to 140 mg/dL is
considered a positive screening. If the client receives a positive result, she will need to
undergo a 3-hr glucose tolerance test to confirm if she has gestational diabetes mellitus.
/.A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's
secretionsWhich of the following instructions should the nurse include? - Answer-Stop
suctioning when the newborn's cry sounds clear.
The nurse should instruct the client to stop suctioning when the newborn's cry no longer
sounds like it is coming through a bubble of fluid or mucus
/.A nurse is caring for a client who becomes unresponsive upon delivery of the placenta.
Which of the following actions should the nurse take first? - Answer-Determine
respiratory function.
The priority action the nurse should take when using the airway, breathing, circulation
approach to client care is to determine respiratory function and the need for
cardiopulmonary resuscitation.
/.A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? - Answer-
Flaccid uterus Excess vaginal bleeding
Flaccid uterus is correct. Oxytocin increases the contractility of the uterus. Excess
vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal
bleeding
/.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 next? - Answer-apply internal upward pressure
to the presenting part using two gloved fingers.
using evidence based practice the first action, the nurse should take it to apply internal
upward pressure to the presenting part. Prolapse of the umbilical cord during labor can
result in a decrease perfusion to the fetus which can lead to hypoxia. After calling
persistence, the nurse should relieve the compression on the umbilical cord by applying
Practice 2019 B with NGN (REVISED FULL
EXAM)
A nurse is assessing the newborn of a client who took a selective serotonin reputake
inhibitor (SSRI) during pregnancy. Which of the following manifestations should the
nurse identify as an indication of withdrawal from an SSRI - Answer-vomiting
expected manifestations associated with fetal exposure to SSRIs include irritability,
agitation, tremors, diarrhea, and vomitting. These manifestations typically last 2 days.
/.A nurse is planning care for a client who is in labor and is requesting epidural
anesthesia for pain controlWhich of the following actions should the nurse include in the
plan of care? - Answer-Monitor the clients blood pressure every 5 min following the first
dose of anesthetic solution.
The nurse should plan to obtain a baseline blood pressure prior to the initiation of
anesthetic solution . The nurse should then continue to monito the client's blood
pressure every 5 to 10 min to assess for maternal hypotension caused by the anesthetic
solution
/.A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test . For which of the following diagnostic test should the nurse
prepare the client ? - Answer-Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-beingA
positive contraction stress test indicates there is potential uteroplacental insufficiency. A
BPP uses a real time ultrasound to visualize physical and physiological characteristics
of the fetus and observe for fetal biophysical responses to
/.A nurse is preparing to administer azithromycin to a client who is at 16 weeks of
gestation and has a positive chlamydia culture. The prescription states "Administer
azithromycin 1 g orally now.Available is 250 mg tablets. How many tablets should the
nurse administer? (Round the answer to the nearest whole number . Use a leading zero
if it applies . Do not use a trailing zero.) - Answer-4 tablets
/.A school nurse is providing teaching to an adolescent about levonorgestrel
contraception. Which of the following information should the nurse include in the
teaching ? - Answer-"You should take the medication within 72 hours following
unprotected sexual intercourse."
, Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent
conceptionThe nurse should instruct the adolescent to take this medication as soon as
possible within 72 hr after unprotected sexual intercourse
/.A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose
tolerance test. Which of the following statements should the nurse include in the
teaching ? - Answer-"A blood glucose of 130 to 140 is considered a positive screening
result."
The nurse should teach the client that a blood glucose level of 130 to 140 mg/dL is
considered a positive screening. If the client receives a positive result, she will need to
undergo a 3-hr glucose tolerance test to confirm if she has gestational diabetes mellitus.
/.A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's
secretionsWhich of the following instructions should the nurse include? - Answer-Stop
suctioning when the newborn's cry sounds clear.
The nurse should instruct the client to stop suctioning when the newborn's cry no longer
sounds like it is coming through a bubble of fluid or mucus
/.A nurse is caring for a client who becomes unresponsive upon delivery of the placenta.
Which of the following actions should the nurse take first? - Answer-Determine
respiratory function.
The priority action the nurse should take when using the airway, breathing, circulation
approach to client care is to determine respiratory function and the need for
cardiopulmonary resuscitation.
/.A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? - Answer-
Flaccid uterus Excess vaginal bleeding
Flaccid uterus is correct. Oxytocin increases the contractility of the uterus. Excess
vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal
bleeding
/.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 next? - Answer-apply internal upward pressure
to the presenting part using two gloved fingers.
using evidence based practice the first action, the nurse should take it to apply internal
upward pressure to the presenting part. Prolapse of the umbilical cord during labor can
result in a decrease perfusion to the fetus which can lead to hypoxia. After calling
persistence, the nurse should relieve the compression on the umbilical cord by applying
