ATI RN Maternal Newborn Practice 2019 B NGN |
Certified Exam Success with Expert Solutions &
Comprehensive Explanations
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 ANS- -D. Platelets 50,000/mm3
A platelet count of 50,000/mm3 is below the expected reference range, which can indicate
disseminated intravascular coagulation. The nurse should report this result to the provider.
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 ANS- -4 tablet(s)
1g = 1,000mg
1,000 mg x 1 tab = 1,000 mg/tab
1,000mg/tab / 250 mg = 4 tablet(s)
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 ANS- -A. Flaccid uterus
Oxytocin increases the contractility of the uterus.
C. Excess vaginal bleeding
Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
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 ANS- -B. "You
should leave the diaphragm in place for at least 6 hours after intercourse."
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
The recommendation for iron intake during pregnancy is higher than that for women who
are not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not
pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women
between the ages of 19 and 50 years old.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
Certified Exam Success with Expert Solutions &
Comprehensive Explanations
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 ANS- -D. Platelets 50,000/mm3
A platelet count of 50,000/mm3 is below the expected reference range, which can indicate
disseminated intravascular coagulation. The nurse should report this result to the provider.
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 ANS- -4 tablet(s)
1g = 1,000mg
1,000 mg x 1 tab = 1,000 mg/tab
1,000mg/tab / 250 mg = 4 tablet(s)
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 ANS- -A. Flaccid uterus
Oxytocin increases the contractility of the uterus.
C. Excess vaginal bleeding
Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
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 ANS- -B. "You
should leave the diaphragm in place for at least 6 hours after intercourse."
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
The recommendation for iron intake during pregnancy is higher than that for women who
are not pregnant. For women who are pregnant, it is 27 mg/day. For women who are not
pregnant, it is 15 mg/day for women younger than 19 years old and 18 mg/day for women
between the ages of 19 and 50 years old.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior
position. The client is dilated to 8 cm and reports back pain. Which of the following actions
should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
