2023 ATI
MATERNAL NEWBORN
600 QUESTIONS BANK
&
STUDY GUIDE
(NGN-Style Questions & Case Scenarios)
Pass on the first attempt.
What’s Inside
600 Questions & Study Guide
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case Scenarios
Expert-Verified Explanations & Solutions
,The nurse is caring for a newborn who is 72 hr old. The nurse is planning to
contact the provider regarding the newborns status. Which of the following
prescripons regarding the newborn should the nurse ancipate? (SATA)
• Instruct the mother to disconnue breas eeding.
• Administer scheduled doses of oral morphine.
• Give a one-me dose of naloxone IM.
• Maintain a low-smulus environment.
• Iniate neonatal absnence syndrome (NAS) scoring.
• Adminster scheduled doses of oral morphine to decrease manifestaons of
withdrawal. The dosage of the medicaon is adjusted based on the NAS score of
the newborn.
• maintain a low smulus enviornment Supporve care for a newborn who has
NAS includes maintaining a low-smulus environment to help prevent
exacerbaon of withdrawal manifestaons.
• iniate neonatal absince syndrome scoring to evaluate the severity of the
newborn's withdrawal manifestaons. The score obtained will be used to evaluate
the need to trate the prescripon for the morphine dosage.
A nurse is caring for a client who is at 35 weeks of gestaon and has a placenta
previa. Which of the following acons should the nurse take?
• Perform a vaginal exam to determine cervical dilaon every 2 hr.
• Instruct the client to ambulate in the hallway once every 4 hr.
• Administer betamethasone to the client via IM injecon.
• Iniate connuous external fetal monitoring.
Iniate connuous external fetal monitoring
,• The nurse should idenfy that a client who has a placenta previa and is acvely
bleeding is at an increased risk for preterm labor and hemorrhage.
• The nurse should iniate intervenons such as bed rest, pelvic rest, and
connuous fetal heart monitoring, which assesses fetal well-being and the
presence of contracons.
• The nurse should obtain IV access and monitor laboratory values.
• Also, the nurse should implement intervenons to prepare for an emergency
birth.
A nurse is providing educaon about family bonding to guardians who recently
adopted a newborn. The nurse should make which of the following suggesons
to aid the family's 7 year old child in accepng the new family member?
• Allow the sibling to hold the newborn during a bath.
• Make sure the sibling kisses the newborn each night.
• Obtain a gi2 from the newborn to present to the sibling.
• Switch the sibling's room with the nursery.
Obtain a gi2 form the newborn in the present to the sibling
Presenng a gi' from the newborn to the sibling is a strategy to facilitate a school-
age sibling's acceptance of a new family member. This ensures that the sibling
does not feel le' out and that they understand their role in the family.
A nurse is caring for prenatal client who has parvovirus B19. Which of the
following acons should the nurse take?
• Administer anviral medicaon.
• Schedule an ultrasound examinaon.
• Administer Haemophilus influenzae type b vaccine.
• Schedule an indirect Coombs test.
, Schedule an ultrasound exam
The nurse should schedule serial ultrasound examinaons to monitor the fetus
during the pregnancy to detect the possible development of fetal hydrops. Also,
the virus can cause miscarriage, intrauterine growth restricon, fetal anemia, or
sllbirth.
A nurse is caring for client who is at 26 weeks of gestaon and has epilepsy. The
nurse enters the room and observe the client having a seizure. A2er turning the
client's head to on side, which of the following acons should the nurse take
immediate a2er the seizure?
• Monitor the FHR.
• Assess uterine acvity.
• Administer oxygen via a nonrebreather mask.
• Start a bolus of IV fluids.
Administer Oxygen via a nonrebreather mask
When using the airway, breathing, and circulaon approach to client care, the
nurse should place the priority on administering oxygen to the client via a
nonrebreather mask at 10 L/min to ensure adequate oxygenaon to the fetus.
A nurse is teaching a client who is in preterm labor about terbutaline. Which of
the following stamens by the client indicates an understand of the teaching?
• "I will get injecons of the medicaon once daily unl my labor stops."
• "My blood sugar may be low while I'm on this medicaon."
• "I will have blood tests because my potassium might decrease."
• "My blood pressure may increase while I'm on this medicaon."
" I will have blood test because my potassium might decrease"
An adverse effect of terbutaline is hypokalemia.
MATERNAL NEWBORN
600 QUESTIONS BANK
&
STUDY GUIDE
(NGN-Style Questions & Case Scenarios)
Pass on the first attempt.
What’s Inside
600 Questions & Study Guide
Format Set of Multiple-choice
questions with incorporating Next
Generation NCLEX (NGN) and Case Scenarios
Expert-Verified Explanations & Solutions
,The nurse is caring for a newborn who is 72 hr old. The nurse is planning to
contact the provider regarding the newborns status. Which of the following
prescripons regarding the newborn should the nurse ancipate? (SATA)
• Instruct the mother to disconnue breas eeding.
• Administer scheduled doses of oral morphine.
• Give a one-me dose of naloxone IM.
• Maintain a low-smulus environment.
• Iniate neonatal absnence syndrome (NAS) scoring.
• Adminster scheduled doses of oral morphine to decrease manifestaons of
withdrawal. The dosage of the medicaon is adjusted based on the NAS score of
the newborn.
• maintain a low smulus enviornment Supporve care for a newborn who has
NAS includes maintaining a low-smulus environment to help prevent
exacerbaon of withdrawal manifestaons.
• iniate neonatal absince syndrome scoring to evaluate the severity of the
newborn's withdrawal manifestaons. The score obtained will be used to evaluate
the need to trate the prescripon for the morphine dosage.
A nurse is caring for a client who is at 35 weeks of gestaon and has a placenta
previa. Which of the following acons should the nurse take?
• Perform a vaginal exam to determine cervical dilaon every 2 hr.
• Instruct the client to ambulate in the hallway once every 4 hr.
• Administer betamethasone to the client via IM injecon.
• Iniate connuous external fetal monitoring.
Iniate connuous external fetal monitoring
,• The nurse should idenfy that a client who has a placenta previa and is acvely
bleeding is at an increased risk for preterm labor and hemorrhage.
• The nurse should iniate intervenons such as bed rest, pelvic rest, and
connuous fetal heart monitoring, which assesses fetal well-being and the
presence of contracons.
• The nurse should obtain IV access and monitor laboratory values.
• Also, the nurse should implement intervenons to prepare for an emergency
birth.
A nurse is providing educaon about family bonding to guardians who recently
adopted a newborn. The nurse should make which of the following suggesons
to aid the family's 7 year old child in accepng the new family member?
• Allow the sibling to hold the newborn during a bath.
• Make sure the sibling kisses the newborn each night.
• Obtain a gi2 from the newborn to present to the sibling.
• Switch the sibling's room with the nursery.
Obtain a gi2 form the newborn in the present to the sibling
Presenng a gi' from the newborn to the sibling is a strategy to facilitate a school-
age sibling's acceptance of a new family member. This ensures that the sibling
does not feel le' out and that they understand their role in the family.
A nurse is caring for prenatal client who has parvovirus B19. Which of the
following acons should the nurse take?
• Administer anviral medicaon.
• Schedule an ultrasound examinaon.
• Administer Haemophilus influenzae type b vaccine.
• Schedule an indirect Coombs test.
, Schedule an ultrasound exam
The nurse should schedule serial ultrasound examinaons to monitor the fetus
during the pregnancy to detect the possible development of fetal hydrops. Also,
the virus can cause miscarriage, intrauterine growth restricon, fetal anemia, or
sllbirth.
A nurse is caring for client who is at 26 weeks of gestaon and has epilepsy. The
nurse enters the room and observe the client having a seizure. A2er turning the
client's head to on side, which of the following acons should the nurse take
immediate a2er the seizure?
• Monitor the FHR.
• Assess uterine acvity.
• Administer oxygen via a nonrebreather mask.
• Start a bolus of IV fluids.
Administer Oxygen via a nonrebreather mask
When using the airway, breathing, and circulaon approach to client care, the
nurse should place the priority on administering oxygen to the client via a
nonrebreather mask at 10 L/min to ensure adequate oxygenaon to the fetus.
A nurse is teaching a client who is in preterm labor about terbutaline. Which of
the following stamens by the client indicates an understand of the teaching?
• "I will get injecons of the medicaon once daily unl my labor stops."
• "My blood sugar may be low while I'm on this medicaon."
• "I will have blood tests because my potassium might decrease."
• "My blood pressure may increase while I'm on this medicaon."
" I will have blood test because my potassium might decrease"
An adverse effect of terbutaline is hypokalemia.
