ATI RN Maternal Newborn Online Practice 2019 B with NGN.

ATI RN Maternal Newborn Online Practice 2019 B with NGN. 1. 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: vomiting expected manifestations associated with fetal exposure to SSRIs include irritability, agitation, tremors, diarrhea, and vomitting. These manifestations typically last 2 days. 2. A nurse is planning care for a client who is in labor and is requestinepidural anesthesia for pain controlWhich of the following actions should the nurse include in the plan of care?: 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 3. 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 ?: 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 4. 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 trailing zero.): 4 tablets 5. A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching ?: "You should take the medication within 72 hours following unprotected sexual intercourse." ATI RN Maternal Newborn Online Practice 2019 B with NGN 2 / 16 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 6. 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 ?: "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. 7. 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?: 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 8. 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?: 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. 9. 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?: 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 10. 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?: apply internal upward pressure to the presenting part using two gloved fingers. ATI RN Maternal Newborn Online Practice 2019 B with NGN 3 / 16 using evidence based practice the first action, the nurse should take it to appinternal upward pressure to the presenting part. Prolapse of the umbilical cordduring labor can result in a decrease perfusion to the fetus which can lead tohypoxia. After calling persistence, the nurse should relieve the compression on the umbilical cord by applying upward internal pressure on the presenting part with two gloved fingers. The nurse should not move their hand. 11. A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?: "I will continue taking my insulin if I experience nausea and vomiting" The nurse is teaching a client to continue to take her insulin as prescribed her illness to prevent hypoglycemic and hyperglycemic episodes 12. A nurse is teaching a new parent of a newborn safety. Which of the following instructions should the nurse include in the teaching?: "you can share your room with your baby for the next few weeks" The nurse should recommend room-sharing during the first few weeks. This allows the parent to be readily available to the newborn and learn the newborn's cuesHowever, the nurse should instruct the parent to avoid placing the newborn in their bed as it increases the risk for sudden infant death syndrome . 13. A nurse is reviewing the medical record of a newly admitted client who is at 32 weeks of gestation. Which of the following conditions is an indication for fetal assessment using electronic fetal monitoring ?: Oligohydramnios The nurse should identify that oligohydramnios requires further fetal assessment using electronic fetal monitoring. Other conditions that require further assessment include hypertensiondiabetesintrauterine growth restriction renal disease decreased fetal movement previous fetal death post-term pregnancy, systemic lupus erythematosus and intrahepatic cholestasis. 14. A nurse is planning care for a client who is in labor and is to have aamniotomy. Which of the following assessment should the nurse identify as the priority?: temperature greatest risk for a client falling amniotomy is infection. Therefore the nurse should identify that the priority assessment is the clients temperature. 15. A nurse is caring for a client who is pregnant and then at the end of her first trimester. The nurse should use the Doppler ultrasound stethoscope, ATI RN Maternal Newborn Online Practice 2019 B with NGN 4 / 16 in which of the following locations to begin assessing for the fetal heart tones (FTH): just above the symphysis pubis At the end of the first trimester of pregnancy, the client's uterus is approximately the size of a grapefruit and is positioned low in the pelvis slightly above the symphysis pubis. Therefore the nurse should begin assessing for FHT just above the symphysis pubis