ATI RN Maternal Newborn Online Practice 2019 B
with NGN | Certified Exam Mastery |
Comprehensive Solutions & Verified Questions for
Maximum Success
1. A nurse is reviewing the medical record of a client who is postpartum and has
preeclampsia. Which of the following laboratory results should the nurse report to the
provider?
A. Hct 39%
B. Serum albumin 4.5 g/dL
C. WBC 9,000/mm3
D. Platelets 50,000/mm3
Correct Answer: D. Platelets 50,000/mm3
Rationale: A platelet count of 50,000/mm3 is below the expected reference range
(150,000–450,000/mm3), which can indicate a risk for bleeding or disseminated
intravascular coagulation (DIC). This is a critical finding in a postpartum client with
preeclampsia and should be reported to the provider immediately.
2. 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.)
Correct Answer: 4 tablet(s)
Rationale:
To calculate the number of tablets to administer:
• 1 g = 1,000 mg
• The available dose is 250 mg per tablet.
• 1,000 mg ÷ 250 mg = 4 tablets.
Thus, the nurse should administer 4 tablets.
,3. 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? (Select all that
apply.)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature
Correct Answers: A, C
Rationale:
• A (Flaccid uterus): Oxytocin is used to stimulate uterine contractions to help firm
the uterus after childbirth and reduce bleeding. A flaccid uterus is an indication for
oxytocin administration.
• C (Excess vaginal bleeding): Oxytocin enhances uterine contractility, which can help
control excessive bleeding postpartum by preventing uterine atony.
• B (Cervical laceration), D (Increased afterbirth cramping), and E (Increased
maternal temperature) are not indications for oxytocin.
4. A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the nurse include
in the teaching?
A. "You should replace the diaphragm every 5 years."
B. "You should leave the diaphragm in place for at least 6 hours after intercourse."
C. "You should use an oil-based product as a lubricant when inserting the diaphragm."
D. "You should insert the diaphragm when your bladder is full."
Correct Answer: B. "You should leave the diaphragm in place for at least 6 hours after
intercourse."
Rationale: The diaphragm should be left in place for at least 6 hours after intercourse to
ensure its effectiveness in preventing pregnancy.
• A (Replace every 5 years): Diaphragms should be replaced every 1-2 years, not 5
years.
, • C (Oil-based lubricant): Oil-based lubricants should be avoided, as they can
damage the diaphragm. Water-based lubricants are recommended.
• D (Insert when bladder is full): Inserting the diaphragm when the bladder is full is not
recommended; it should be inserted before intercourse, with proper instructions on
how to position it.
The client should keep the diaphragm in place for at least 6 hr after intercourse to provide
protection against pregnancy.
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the
following statements by the client indicates an understanding of the teaching?
A. "I will receive this medication if my baby is Rh-negative."
B. "I will receive this medication when I am in labor."
C. "I will need a second dose of this medication when my baby is 6 weeks old."
D. "I will need this medication if I have an amniocentesis." - -CORRECT ANS- -D. "I will need
this medication if I have an amniocentesis."
Rho(D) immune globulin is given to clients who are Rh negative following an amniocentesis
because of the potential of fetal RBCs entering the maternal circulation.
A nurse in a women's health clinic is providing teaching about nutritional intake to a client
who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily
intake of which of the following nutrients?
A. Calcium
B. Vitamin E
C. Iron
D. Vitamin D - -CORRECT ANS- -C. Iron
with NGN | Certified Exam Mastery |
Comprehensive Solutions & Verified Questions for
Maximum Success
1. A nurse is reviewing the medical record of a client who is postpartum and has
preeclampsia. Which of the following laboratory results should the nurse report to the
provider?
A. Hct 39%
B. Serum albumin 4.5 g/dL
C. WBC 9,000/mm3
D. Platelets 50,000/mm3
Correct Answer: D. Platelets 50,000/mm3
Rationale: A platelet count of 50,000/mm3 is below the expected reference range
(150,000–450,000/mm3), which can indicate a risk for bleeding or disseminated
intravascular coagulation (DIC). This is a critical finding in a postpartum client with
preeclampsia and should be reported to the provider immediately.
2. 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.)
Correct Answer: 4 tablet(s)
Rationale:
To calculate the number of tablets to administer:
• 1 g = 1,000 mg
• The available dose is 250 mg per tablet.
• 1,000 mg ÷ 250 mg = 4 tablets.
Thus, the nurse should administer 4 tablets.
,3. 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? (Select all that
apply.)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature
Correct Answers: A, C
Rationale:
• A (Flaccid uterus): Oxytocin is used to stimulate uterine contractions to help firm
the uterus after childbirth and reduce bleeding. A flaccid uterus is an indication for
oxytocin administration.
• C (Excess vaginal bleeding): Oxytocin enhances uterine contractility, which can help
control excessive bleeding postpartum by preventing uterine atony.
• B (Cervical laceration), D (Increased afterbirth cramping), and E (Increased
maternal temperature) are not indications for oxytocin.
4. A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the nurse include
in the teaching?
A. "You should replace the diaphragm every 5 years."
B. "You should leave the diaphragm in place for at least 6 hours after intercourse."
C. "You should use an oil-based product as a lubricant when inserting the diaphragm."
D. "You should insert the diaphragm when your bladder is full."
Correct Answer: B. "You should leave the diaphragm in place for at least 6 hours after
intercourse."
Rationale: The diaphragm should be left in place for at least 6 hours after intercourse to
ensure its effectiveness in preventing pregnancy.
• A (Replace every 5 years): Diaphragms should be replaced every 1-2 years, not 5
years.
, • C (Oil-based lubricant): Oil-based lubricants should be avoided, as they can
damage the diaphragm. Water-based lubricants are recommended.
• D (Insert when bladder is full): Inserting the diaphragm when the bladder is full is not
recommended; it should be inserted before intercourse, with proper instructions on
how to position it.
The client should keep the diaphragm in place for at least 6 hr after intercourse to provide
protection against pregnancy.
A nurse is teaching a client who is Rh negative about Rho(D) immune globulin. Which of the
following statements by the client indicates an understanding of the teaching?
A. "I will receive this medication if my baby is Rh-negative."
B. "I will receive this medication when I am in labor."
C. "I will need a second dose of this medication when my baby is 6 weeks old."
D. "I will need this medication if I have an amniocentesis." - -CORRECT ANS- -D. "I will need
this medication if I have an amniocentesis."
Rho(D) immune globulin is given to clients who are Rh negative following an amniocentesis
because of the potential of fetal RBCs entering the maternal circulation.
A nurse in a women's health clinic is providing teaching about nutritional intake to a client
who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily
intake of which of the following nutrients?
A. Calcium
B. Vitamin E
C. Iron
D. Vitamin D - -CORRECT ANS- -C. Iron
