ATI RN MATERNAL NEWBORN ONLINE
PRACTICE 2019 B WITH NGN
A6nurse6is6assessing6the6newborn6of6a6client6who6took6a6selective6serotonin6reputake6inh
ibitor6(SSRI)6during6pregnancy.6Which6of6the6following6manifestations6should6the6nurse6i
dentify6as6an6indication6of6withdrawal6from6an6SSRI6-6ans--vomiting6
expected6manifestations6associated6with6fetal6exposure6to6SSRIs6include6irritability,6agit
ation,6tremors,6diarrhea,6and6vomitting.6These6manifestations6typically6last626days.
A6nurse6is6planning6care6for6a6client6who6is6in6labor6and6is6requesting6epidural6anesthesi
a6for6pain6controlWhich6of6the6following6actions6should6the6nurse6include6in6the6plan6of6c
are?6-6ans--
Monitor6the6clients6blood6pressure6every656min6following6the6first6dose6of6anesthetic6solut
ion.6
The6nurse6should6plan6to6obtain6a6baseline6blood6pressure6prior6to6the6initiation6of6anest
hetic6solution6.6The6nurse6should6then6continue6to6monito6the6client's6blood6pressure6eve
ry656to6106min6to6assess6for6maternal6hypotension6caused6by6the6anesthetic6solution
A6nurse6is6caring6for6a6client6who6is6at6416weeks6of6gestation6and6has6a6positive6contracti
on6stress6test6.6For6which6of6the6following6diagnostic6test6should6the6nurse6prepare6the6cl
ient6?6-6ans--Biophysical6profile6(BPP)6
The6nurse6should6prepare6the6client6for6a6BPP6to6further6assess6fetal6well-
beingA6positive6contraction6stress6test6indicates6there6is6potential6uteroplacental6insuffici
ency.6A6BPP6uses6a6real6time6ultrasound6to6visualize6physical6and6physiological6charact
eristics6of6the6fetus6and6observe6for6fetal6biophysical6responses6to
A6nurse6is6preparing6to6administer6azithromycin6to6a6client6who6is6at6166weeks6of6gestati
on6and6has6a6positive6chlamydia6culture.6The6prescription6states6"Administer6azithromyci
n616g6orally6now.Available6is62506mg6tablets.6How6many6tablets6should6the6nurse6admini
ster?
6(Round6the6answer6to6the6nearest6whole6number6.6Use6a6leading6zero6if6it6applies6.6Do6n
ot6use6a6trailing6zero.)6-6ans--46tablets
A6school6nurse6is6providing6teaching6to6an6adolescent6about6levonorgestrel6contraceptio
n.6Which6of6the6following6information6should6the6nurse6include6in6the6teaching6?6-
, 6ans--"You6should6take6the6medication6within6726hours6following6unprotected6sexual6inte
rcourse."
Levonorgestrel6is6an6emergency6contraceptive6which6inhibits6ovulation6to6prevent6conce
ptionThe6nurse6should6instruct6the6adolescent6to6take6this6medication6as6soon6as6possibl
e6within6726hr6after6unprotected6sexual6intercourse
A6nurse6is6teaching6a6client6who6is6at6246weeks6of6gestation6regarding6a61-
hr6glucose6tolerance6test.6Which6of6the6following6statements6should6the6nurse6include6in6
the6teaching6?6-
6ans--"A6blood6glucose6of61306to61406is6considered6a6positive6screening6result."
The6nurse6should6teach6the6client6that6a6blood6glucose6level6of61306to61406mg/
dL6is6considered6a6positive6screening.6If6the6client6receives6a6positive6result,6she6will6nee
d6to6undergo6a63-
hr6glucose6tolerance6test6to6confirm6if6she6has6gestational6diabetes6mellitus.
A6nurse6is6teaching6a6new6mother6how6to6use6a6bulb6syringe6to6suction6her6newborn's6se
cretionsWhich6of6the6following6instructions6should6the6nurse6include?6-6ans--
Stop6suctioning6when6the6newborn's6cry6sounds6clear.
The6nurse6should6instruct6the6client6to6stop6suctioning6when6the6newborn's6cry6no6longer
6sounds6like6it6is6coming6through6a6bubble6of6fluid6or6mucus
A6nurse6is6caring6for6a6client6who6becomes6unresponsive6upon6delivery6of6the6placenta.6
Which6of6the6following6actions6should6the6nurse6take6first?6-6ans--
Determine6respiratory6function.
The6priority6action6the6nurse6should6take6when6using6the6airway,6breathing,6circulation6a
pproach6to6client6care6is6to6determine6respiratory6function6and6the6need6for6cardiopulmo
nary6resuscitation.
A6nurse6is6preparing6to6administer6oxytocin6to6a6client6who6is6postpartum.6Which6of6the6f
ollowing6findings6is6an6indication6for6the6administration6of6the6medication?6-6ans--
Flaccid6uterus6Excess6vaginal6bleeding
Flaccid6uterus6is6correct.6Oxytocin6increases6the6contractility6of6the6uterus.6Excess6vagin
al6bleeding6is6correct.6Oxytocin6enhances6uterine6contractility,6decreasing6vaginal6bleedi
ng
A6nurse6is6performing6a6vaginal6examination6on6a6client6who6is6in6labor6and6observes6the
6umbilical6cord6protruding6from6the6vagina.6After6calling6for6assistance,6which6of6the6follo
wing6actions,6should6the6nurse6take6next?6-6ans--
apply6internal6upward6pressure6to6the6presenting6part6using6two6gloved6fingers.6
PRACTICE 2019 B WITH NGN
A6nurse6is6assessing6the6newborn6of6a6client6who6took6a6selective6serotonin6reputake6inh
ibitor6(SSRI)6during6pregnancy.6Which6of6the6following6manifestations6should6the6nurse6i
dentify6as6an6indication6of6withdrawal6from6an6SSRI6-6ans--vomiting6
expected6manifestations6associated6with6fetal6exposure6to6SSRIs6include6irritability,6agit
ation,6tremors,6diarrhea,6and6vomitting.6These6manifestations6typically6last626days.
A6nurse6is6planning6care6for6a6client6who6is6in6labor6and6is6requesting6epidural6anesthesi
a6for6pain6controlWhich6of6the6following6actions6should6the6nurse6include6in6the6plan6of6c
are?6-6ans--
Monitor6the6clients6blood6pressure6every656min6following6the6first6dose6of6anesthetic6solut
ion.6
The6nurse6should6plan6to6obtain6a6baseline6blood6pressure6prior6to6the6initiation6of6anest
hetic6solution6.6The6nurse6should6then6continue6to6monito6the6client's6blood6pressure6eve
ry656to6106min6to6assess6for6maternal6hypotension6caused6by6the6anesthetic6solution
A6nurse6is6caring6for6a6client6who6is6at6416weeks6of6gestation6and6has6a6positive6contracti
on6stress6test6.6For6which6of6the6following6diagnostic6test6should6the6nurse6prepare6the6cl
ient6?6-6ans--Biophysical6profile6(BPP)6
The6nurse6should6prepare6the6client6for6a6BPP6to6further6assess6fetal6well-
beingA6positive6contraction6stress6test6indicates6there6is6potential6uteroplacental6insuffici
ency.6A6BPP6uses6a6real6time6ultrasound6to6visualize6physical6and6physiological6charact
eristics6of6the6fetus6and6observe6for6fetal6biophysical6responses6to
A6nurse6is6preparing6to6administer6azithromycin6to6a6client6who6is6at6166weeks6of6gestati
on6and6has6a6positive6chlamydia6culture.6The6prescription6states6"Administer6azithromyci
n616g6orally6now.Available6is62506mg6tablets.6How6many6tablets6should6the6nurse6admini
ster?
6(Round6the6answer6to6the6nearest6whole6number6.6Use6a6leading6zero6if6it6applies6.6Do6n
ot6use6a6trailing6zero.)6-6ans--46tablets
A6school6nurse6is6providing6teaching6to6an6adolescent6about6levonorgestrel6contraceptio
n.6Which6of6the6following6information6should6the6nurse6include6in6the6teaching6?6-
, 6ans--"You6should6take6the6medication6within6726hours6following6unprotected6sexual6inte
rcourse."
Levonorgestrel6is6an6emergency6contraceptive6which6inhibits6ovulation6to6prevent6conce
ptionThe6nurse6should6instruct6the6adolescent6to6take6this6medication6as6soon6as6possibl
e6within6726hr6after6unprotected6sexual6intercourse
A6nurse6is6teaching6a6client6who6is6at6246weeks6of6gestation6regarding6a61-
hr6glucose6tolerance6test.6Which6of6the6following6statements6should6the6nurse6include6in6
the6teaching6?6-
6ans--"A6blood6glucose6of61306to61406is6considered6a6positive6screening6result."
The6nurse6should6teach6the6client6that6a6blood6glucose6level6of61306to61406mg/
dL6is6considered6a6positive6screening.6If6the6client6receives6a6positive6result,6she6will6nee
d6to6undergo6a63-
hr6glucose6tolerance6test6to6confirm6if6she6has6gestational6diabetes6mellitus.
A6nurse6is6teaching6a6new6mother6how6to6use6a6bulb6syringe6to6suction6her6newborn's6se
cretionsWhich6of6the6following6instructions6should6the6nurse6include?6-6ans--
Stop6suctioning6when6the6newborn's6cry6sounds6clear.
The6nurse6should6instruct6the6client6to6stop6suctioning6when6the6newborn's6cry6no6longer
6sounds6like6it6is6coming6through6a6bubble6of6fluid6or6mucus
A6nurse6is6caring6for6a6client6who6becomes6unresponsive6upon6delivery6of6the6placenta.6
Which6of6the6following6actions6should6the6nurse6take6first?6-6ans--
Determine6respiratory6function.
The6priority6action6the6nurse6should6take6when6using6the6airway,6breathing,6circulation6a
pproach6to6client6care6is6to6determine6respiratory6function6and6the6need6for6cardiopulmo
nary6resuscitation.
A6nurse6is6preparing6to6administer6oxytocin6to6a6client6who6is6postpartum.6Which6of6the6f
ollowing6findings6is6an6indication6for6the6administration6of6the6medication?6-6ans--
Flaccid6uterus6Excess6vaginal6bleeding
Flaccid6uterus6is6correct.6Oxytocin6increases6the6contractility6of6the6uterus.6Excess6vagin
al6bleeding6is6correct.6Oxytocin6enhances6uterine6contractility,6decreasing6vaginal6bleedi
ng
A6nurse6is6performing6a6vaginal6examination6on6a6client6who6is6in6labor6and6observes6the
6umbilical6cord6protruding6from6the6vagina.6After6calling6for6assistance,6which6of6the6follo
wing6actions,6should6the6nurse6take6next?6-6ans--
apply6internal6upward6pressure6to6the6presenting6part6using6two6gloved6fingers.6
