ATI RN Maternal Newborn Online Practice B
exam
,1. 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 prescriptions
regarding the newborn should the nurse anticipate? (SATA)
• Instruct the mother to discontinue breastfeeding.
• Administer scheduled doses of oral morphine.
• Give a one-time dose of naloxone IM.
• Maintain a low-stimulus environment.
• Initiate neonatal abstinence syndrome (NAS) scoring.: • Adminster scheduled doses of oral morphine to
decrease manifestations of withdrawal. The dosage of the medication is adjusted based on the NAS score of the newborn.
• maintain a low stimulus enviornment Supportive care for a newborn who has NAS includes maintaining a low-stimulus environment
to help prevent exacerbation of withdrawal manifestations.
• initiate neonatal absitince syndrome scoring to evaluate the severity of the newborn's withdrawal manifestations. The score obtained will
be used to evaluate the need to titrate the prescription for the morphine dosage.
2. A nurse is caring for a client who is at 35 weeks of gestation and has a placenta prevue.
Which of the following actions should the nurse take?
• Perform a vaginal exam to determine cervical dilation every 2 hr.
• Instruct the client to ambulate in the hallway once every 4 hr.
• Administer betamethasone to the client via IM injection.
• Initiate continuous external fetal monitoring.: Initiate continuous external fetal monitoring
• The nurse should identify that a client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor
and hemorrhage.
• The nurse should initiate interventions such as bed rest, pelvic rest, and continuous fetal heart monitoring, which assesses fetal well-
being and the presence of contractions.
•The nurse should obtain IV access and monitor laboratory values.
•Also, the nurse should implement interventions to prepare for an emergency birth.
,3. A nurse is providing education about family bonding to guardians who re- cently
adopted a newborn. The nurse should make which of the following suggestions to aid the
family's 7 year old child in accepting 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 gift from the newborn to present to the sibling.
• Switch the sibling's room with the nursery.: Obtain a gift form the newborn in the present to the sibling
Presenting a gift 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 left out and that they understand their role in the family.
4. A nurse is caring for prenatal client who has parvovirus B19. Which of the following
actions should the nurse take?
• Administer antiviral medication.
• Schedule an ultrasound examination.
• Administer Haemophilus influenzae type b vaccine.
• Schedule an indirect Coombs test.: Schedule an ultrasound exam
The nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the possible development of fetal hydrops.
Also, the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
5. A nurse is caring for client who is at 26 weeks of gestation and has epilepsy. The nurse
enters the room and observe the client having a seizure. After turning the client's head to on
side, which of the following actions should the nurse take immediate after the seizure?
• Monitor the FHR.
• Assess uterine activity.
• Administer oxygen via a nonrebreather mask.
• Start a bolus of IV fluids.: Administer Oxygen via a nonrebreather mask
When using the airway, breathing, and circulation 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 oxygenation to the fetus.
6. 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 injections of the medication once daily until my labor stops."
• "My blood sugar may be low while I'm on this medication."
exam
,1. 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 prescriptions
regarding the newborn should the nurse anticipate? (SATA)
• Instruct the mother to discontinue breastfeeding.
• Administer scheduled doses of oral morphine.
• Give a one-time dose of naloxone IM.
• Maintain a low-stimulus environment.
• Initiate neonatal abstinence syndrome (NAS) scoring.: • Adminster scheduled doses of oral morphine to
decrease manifestations of withdrawal. The dosage of the medication is adjusted based on the NAS score of the newborn.
• maintain a low stimulus enviornment Supportive care for a newborn who has NAS includes maintaining a low-stimulus environment
to help prevent exacerbation of withdrawal manifestations.
• initiate neonatal absitince syndrome scoring to evaluate the severity of the newborn's withdrawal manifestations. The score obtained will
be used to evaluate the need to titrate the prescription for the morphine dosage.
2. A nurse is caring for a client who is at 35 weeks of gestation and has a placenta prevue.
Which of the following actions should the nurse take?
• Perform a vaginal exam to determine cervical dilation every 2 hr.
• Instruct the client to ambulate in the hallway once every 4 hr.
• Administer betamethasone to the client via IM injection.
• Initiate continuous external fetal monitoring.: Initiate continuous external fetal monitoring
• The nurse should identify that a client who has a placenta previa and is actively bleeding is at an increased risk for preterm labor
and hemorrhage.
• The nurse should initiate interventions such as bed rest, pelvic rest, and continuous fetal heart monitoring, which assesses fetal well-
being and the presence of contractions.
•The nurse should obtain IV access and monitor laboratory values.
•Also, the nurse should implement interventions to prepare for an emergency birth.
,3. A nurse is providing education about family bonding to guardians who re- cently
adopted a newborn. The nurse should make which of the following suggestions to aid the
family's 7 year old child in accepting 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 gift from the newborn to present to the sibling.
• Switch the sibling's room with the nursery.: Obtain a gift form the newborn in the present to the sibling
Presenting a gift 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 left out and that they understand their role in the family.
4. A nurse is caring for prenatal client who has parvovirus B19. Which of the following
actions should the nurse take?
• Administer antiviral medication.
• Schedule an ultrasound examination.
• Administer Haemophilus influenzae type b vaccine.
• Schedule an indirect Coombs test.: Schedule an ultrasound exam
The nurse should schedule serial ultrasound examinations to monitor the fetus during the pregnancy to detect the possible development of fetal hydrops.
Also, the virus can cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
5. A nurse is caring for client who is at 26 weeks of gestation and has epilepsy. The nurse
enters the room and observe the client having a seizure. After turning the client's head to on
side, which of the following actions should the nurse take immediate after the seizure?
• Monitor the FHR.
• Assess uterine activity.
• Administer oxygen via a nonrebreather mask.
• Start a bolus of IV fluids.: Administer Oxygen via a nonrebreather mask
When using the airway, breathing, and circulation 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 oxygenation to the fetus.
6. 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 injections of the medication once daily until my labor stops."
• "My blood sugar may be low while I'm on this medication."
