ATI PN MATERNAL NEWBORN CMS ( VERSION 1 )50
QUESTIONS AND VERIFIED ANSWERS QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY GRADED A
A client who has gestational diabetes should consume at least 2,000 kcal/day which is
about 35 cal/kg/day. This will ensure adequate glucose intake and prevent
hypoglycemia.
A nurse is caring for a client who has received methylergonovine. Which of the following
should the nurse identify and document as an adverse effect of the medication?
-Hyperglycemia
-Hypertension
-Urinary retention
-Hyporeflexia
Answer: Hypertension
Methylergonovine can cause nausea, vomiting, cramping, headache, and dizziness.
The nurse should report changes in blood pressure as methylergonovine can cause
hypertension and hypotension.
A nurse is reinforcing teaching about car seat safety with the parents of a newborn.
Which of the following client statement indicates an understanding of the teaching?
-"My baby should be in a rear-facing car seat until he is 6 months old and 15 pounds."
-"If my baby rides in a car with no back seat, the passenger air bag must be turned off."
-It is dangerous to secure the car seat using the vehicle's seat belts."
-"I will place my baby's car seat at a 90-degree angle in the back seat."
Answer: "If my baby rides in a car with no back seat, the passenger air bag much be
turned off."
If a newborn cannot ride in the rear seat, the parent must disable the front passenger air
bag to prevent potential injuries caused by air bag deployment.
A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her
newborn. The client reports perineal pain of 6 on a scale from 0-10. The nurse also
notes mild perineal edema and ecchymosis, which a fundus that is 2 cm above the
umbilicus with deviation to the right. Which of the following actions is the nurse's
priority?
-Administer analgesics
-Apply an ice pack to the perineum
-Assist the client with breastfeeding
, -Help the client ambulate to the toilet
Answer: Help the client ambulate to the toilet.
The greatest risk for the client is postpartum hemorrhage from the uterine atony. The
priority intervention by the nurse is to assist the client to urinate and completely empty
the bladder which will allow the uterus to contract.
A nurse is caring for a newborn who is receiving phototherapy. Which of the following
actions should the nurse take?
-Reposition the newborn every 4 hr
-Feed the newborn 30 mL (1 oz) of glucose water four times per day
-Apply a thin layer of lotion to the newborn's skin
-Place an opaque mask over the newborn's eyes
Answer: Place an opaque mask over the newborn's eyes.
A nurse is assisting w/ collecting data from a newborn who was born 2 hrs ago and is in
respiratory distress. Which of the following findings should the nurse report to the
providers? (Select all that apply)
-Acrocyanosis
-Tachypnea
-Nasal flaring
-Retractions
-Expiratory grunting
-Tachypnea
-Nasal Flaring
-Retractions
-Expiratory Grunting
A nurse is reinforcing teaching about formula feeding a newborn w/ a group of new
parents. Which of the following instructions should the nurse include?
-Begin giving appox. 240 (8 oz) per feeding after the first week.
-Position the bottle at a 45-degree angle during feedings.
-Ensure that the newborn empties the bottle.
-Wait to burp the newborn until the end of the feeding.
Answer: Position the bottle at a 45-degree angle during feedings.
Allows the infant to have more control over feedings and prevents the swallowing of air.
A nurse is collecting data from a client who in the second trimester of pregnancy. Which
of the following findings should the nurse report to the provider?
-Increased leukorrhea
-Hyperpigmentation of the face
QUESTIONS AND VERIFIED ANSWERS QUESTIONS AND
CORRECT DETAILED ANSWERS|ALREADY GRADED A
A client who has gestational diabetes should consume at least 2,000 kcal/day which is
about 35 cal/kg/day. This will ensure adequate glucose intake and prevent
hypoglycemia.
A nurse is caring for a client who has received methylergonovine. Which of the following
should the nurse identify and document as an adverse effect of the medication?
-Hyperglycemia
-Hypertension
-Urinary retention
-Hyporeflexia
Answer: Hypertension
Methylergonovine can cause nausea, vomiting, cramping, headache, and dizziness.
The nurse should report changes in blood pressure as methylergonovine can cause
hypertension and hypotension.
A nurse is reinforcing teaching about car seat safety with the parents of a newborn.
Which of the following client statement indicates an understanding of the teaching?
-"My baby should be in a rear-facing car seat until he is 6 months old and 15 pounds."
-"If my baby rides in a car with no back seat, the passenger air bag must be turned off."
-It is dangerous to secure the car seat using the vehicle's seat belts."
-"I will place my baby's car seat at a 90-degree angle in the back seat."
Answer: "If my baby rides in a car with no back seat, the passenger air bag much be
turned off."
If a newborn cannot ride in the rear seat, the parent must disable the front passenger air
bag to prevent potential injuries caused by air bag deployment.
A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her
newborn. The client reports perineal pain of 6 on a scale from 0-10. The nurse also
notes mild perineal edema and ecchymosis, which a fundus that is 2 cm above the
umbilicus with deviation to the right. Which of the following actions is the nurse's
priority?
-Administer analgesics
-Apply an ice pack to the perineum
-Assist the client with breastfeeding
, -Help the client ambulate to the toilet
Answer: Help the client ambulate to the toilet.
The greatest risk for the client is postpartum hemorrhage from the uterine atony. The
priority intervention by the nurse is to assist the client to urinate and completely empty
the bladder which will allow the uterus to contract.
A nurse is caring for a newborn who is receiving phototherapy. Which of the following
actions should the nurse take?
-Reposition the newborn every 4 hr
-Feed the newborn 30 mL (1 oz) of glucose water four times per day
-Apply a thin layer of lotion to the newborn's skin
-Place an opaque mask over the newborn's eyes
Answer: Place an opaque mask over the newborn's eyes.
A nurse is assisting w/ collecting data from a newborn who was born 2 hrs ago and is in
respiratory distress. Which of the following findings should the nurse report to the
providers? (Select all that apply)
-Acrocyanosis
-Tachypnea
-Nasal flaring
-Retractions
-Expiratory grunting
-Tachypnea
-Nasal Flaring
-Retractions
-Expiratory Grunting
A nurse is reinforcing teaching about formula feeding a newborn w/ a group of new
parents. Which of the following instructions should the nurse include?
-Begin giving appox. 240 (8 oz) per feeding after the first week.
-Position the bottle at a 45-degree angle during feedings.
-Ensure that the newborn empties the bottle.
-Wait to burp the newborn until the end of the feeding.
Answer: Position the bottle at a 45-degree angle during feedings.
Allows the infant to have more control over feedings and prevents the swallowing of air.
A nurse is collecting data from a client who in the second trimester of pregnancy. Which
of the following findings should the nurse report to the provider?
-Increased leukorrhea
-Hyperpigmentation of the face
