2019 NGN /RN MATERNAL ATI PROCTORED
NEWBORN ACTUAL 70 QUESTION AND CORRECT
ANSWER.Maternal-Child Nursing (Chamberlain
University)
RN Maternal Newborn
1. A client who is 16 weeks of gestation asks the nurse how to prepare
her father to a younger sibling. Statements should the nurse make?
a. You should hold your newborn in your arms when you
introduce him to your toddler
b. you should move your toddler out of her crib 2 weeks
prior to your due date c.
you should give your toddler a gift from the baby when acility
she visit you in the
d. You should place your toddler in timeout if she exhibits
regressive Behavior after the baby is born
2. A nurse is observing an adolescent client who is offering her newborn
a bottle while he is laying in the bassinet. When the nurse offers to
pick the newborn up and place them in the client's arms, the mother
States < No, the baby is too tired to be held=. Which of the
following actions should the nurse take?
a. Insist that the mother pick up the newborn to feed him
b. demonstrate how to hold a newborn and allow the client to practice
c. persuade the client to breastfeed the newborn to promote bonding
d. offer to take the newborn to the nursery to finish his feeding
,3. A nurse is assessing a client who is in preterm labor and has a new
prescription or terbutaline 0.25 mg subcutaneous. For which of the
following findings should the nurse Withhold the medication and
Report to the provider?
a. fasting blood glucose 75 mg / DL
b. blood pressure 88/58 mmhg
c. urinary output 40 ml /hr
d. FHR 120/min
4. A nurse is providing teaching to the parents of a newborn about the
plastibell circumcision technique. Which of the following? - p170-171 -
postprocedure bottom of 170 and goes into top of 171.
a. the plastibell will be removed 4 hours after the procedure
b. notify the provider is the end of your penis appears dark red
c. make sure the newborn's diaper is snug
d. yellow exudate will form at the surgical site in 24 hours
5. A nurse is planning care immediately following birth for a newborn who
has Myelomeningocele that is cerebrospinal fluid. Which of the
following actions should the nurse include in the plan of care?
a. Administer broad-spectrum antibiotics
b. cleanse the site with Povidone iodine
c. monitor the rectal temperature every 4 hours
d. prepare for surgical closure after 72 hours
,6. A nurse is caring for a newborn Boys 6 hours old and has a bedside
glucose meter reading of 65 mg / DL. The New Orleans mother has
Type 2 diabetes mellitus. Which of the following actions should the
nurse take?
a. Administer 50 mL of dextrose solution IV
b. obtain a blood sample of serum glucose level
c. reassess the blood glucose level prior to the next feeding
d. Feed the newborn immediately
7. A nurse is caring for four enter-partum clients. Which of the following
clients should the nurse assess first?
a. A client who is at 7 weeks of gestation and reports urinary frequency
b. a client who is at 32 weeks of gestation and reports seeing floating
spots
c. a client who is 38 weeks of gestation and reports leg cramps
d. a client who is at 20 weeks of gestation and reports periodic
numbness in her fingers
8. A nurse is planning care for a client who is pregnant and has HIV.
Which of the following actions Should the nurse include in the plan of
care?
a. Use a fetal scalp electrode during labor and delivery
b. Bathe the newborn before initiating skin to skin contact
c. instruct the client to stop taking the antiretroviral medication at 32
weeks of gestation d. administer pneumococcal immunization to the
, newborn within 4 hours following birth
9. A nurse is caring for a client who has placenta previa. Which of the
following findings should the nurse expect?
a. Firm rigid abdomen
b. painless, vaginal bleeding
c. uterine hypertonicity
d. persistent headache
10. A nurse is planning care for a newborn who is scheduled to start
phototherapy using a lap.
Which of the following actions should the nurse include?
a. Apply a thin layer lotion to the newborn skin every 8 hours
b. trust in you born in a thin layer clothing during the therapy
c. ensure the newborn's eyes are closed beneath the shield
d. give the newborn 1 oz of glucose water every 4 hours
11. A nurse is providing discharge instructions to a client who is
breastfeeding her newborn. Which of the following instructions should
the nurse include?
a. Expect 2 to 4 wet diapers every 24 hours
b. allow the baby to feed at least every 3 hours