ATI RN Maternal Newborn Online Practice 2019 B
NGN | Exam Success Blueprint with Structured
Questions & Expert Solutions
A nurse is assessing the newborn of a client who took a selective serotonin reputake
inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse
identify as an indication of withdrawal from an SSRI - -CORRECT ANS- -vomiting
expected manifestations associated with fetal exposure to SSRIs include irritability,
agitation, tremors, diarrhea, and vomitting. These manifestations typically last 2 days.
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for
pain controlWhich of the following actions should the nurse include in the plan of care? - -
CORRECT ANS- -Monitor the clients blood pressure every 5 min following the first dose of
anesthetic solution.
The nurse should plan to obtain a baseline blood pressure prior to the initiation of
anesthetic solution . The nurse should then continue to monito the client's blood pressure
every 5 to 10 min to assess for maternal hypotension caused by the anesthetic solution
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction
stress test . For which of the following diagnostic test should the nurse prepare the client ?
- -CORRECT ANS- -Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-beingA positive
contraction stress test indicates there is potential uteroplacental insufficiency. A BPP uses
a real time ultrasound to visualize physical and physiological characteristics of the fetus
and observe for fetal biophysical responses to
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 tablets
A school nurse is providing teaching to an adolescent about levonorgestrel contraception.
Which of the following information should the nurse include in the teaching ? - -CORRECT
ANS- -"You should take the medication within 72 hours following unprotected sexual
intercourse."
Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent
conceptionThe nurse should instruct the adolescent to take this medication as soon as
possible within 72 hr after unprotected sexual intercourse
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose
tolerance test. Which of the following statements should the nurse include in the teaching
? - -CORRECT ANS- -"A blood glucose of 130 to 140 is considered a positive screening
result."
The nurse should teach the client that a blood glucose level of 130 to 140 mg/dL is
considered a positive screening. If the client receives a positive result, she will need to
undergo a 3-hr glucose tolerance test to confirm if she has gestational diabetes mellitus.
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's
secretionsWhich of the following instructions should the nurse include? - -CORRECT ANS-
-Stop suctioning when the newborn's cry sounds clear.
The nurse should instruct the client to stop suctioning when the newborn's cry no longer
sounds like it is coming through a bubble of fluid or mucus
, A nurse is caring for a client who becomes unresponsive upon delivery of the placenta.
Which of the following actions should the nurse take first? - -CORRECT ANS- -Determine
respiratory function.
The priority action the nurse should take when using the airway, breathing, circulation
approach to client care is to determine respiratory function and the need for
cardiopulmonary resuscitation.
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? - -CORRECT
ANS- -Flaccid uterus Excess vaginal bleeding
Flaccid uterus is correct. Oxytocin increases the contractility of the uterus. Excess vaginal
bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal bleeding
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions, should the nurse take next? - -CORRECT ANS- -apply internal upward
pressure to the presenting part using two gloved fingers.
using evidence based practice the first action, the nurse should take it to apply internal
upward pressure to the presenting part. Prolapse of the umbilical cord during labor can
result in a decrease perfusion to the fetus which can lead to hypoxia. After calling
persistence, the nurse should relieve the compression on the umbilical cord by applying
upward internal pressure on the presenting part with two gloved fingers. The nurse should
not move their hand.
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about
management during pregnancy. Which of the following statements by the client indicates
an understanding of the teaching? - -CORRECT ANS- -"I will continue taking my insulin if I
experience nausea and vomiting"
NGN | Exam Success Blueprint with Structured
Questions & Expert Solutions
A nurse is assessing the newborn of a client who took a selective serotonin reputake
inhibitor (SSRI) during pregnancy. Which of the following manifestations should the nurse
identify as an indication of withdrawal from an SSRI - -CORRECT ANS- -vomiting
expected manifestations associated with fetal exposure to SSRIs include irritability,
agitation, tremors, diarrhea, and vomitting. These manifestations typically last 2 days.
A nurse is planning care for a client who is in labor and is requesting epidural anesthesia for
pain controlWhich of the following actions should the nurse include in the plan of care? - -
CORRECT ANS- -Monitor the clients blood pressure every 5 min following the first dose of
anesthetic solution.
The nurse should plan to obtain a baseline blood pressure prior to the initiation of
anesthetic solution . The nurse should then continue to monito the client's blood pressure
every 5 to 10 min to assess for maternal hypotension caused by the anesthetic solution
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction
stress test . For which of the following diagnostic test should the nurse prepare the client ?
- -CORRECT ANS- -Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-beingA positive
contraction stress test indicates there is potential uteroplacental insufficiency. A BPP uses
a real time ultrasound to visualize physical and physiological characteristics of the fetus
and observe for fetal biophysical responses to
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 tablets
A school nurse is providing teaching to an adolescent about levonorgestrel contraception.
Which of the following information should the nurse include in the teaching ? - -CORRECT
ANS- -"You should take the medication within 72 hours following unprotected sexual
intercourse."
Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent
conceptionThe nurse should instruct the adolescent to take this medication as soon as
possible within 72 hr after unprotected sexual intercourse
A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose
tolerance test. Which of the following statements should the nurse include in the teaching
? - -CORRECT ANS- -"A blood glucose of 130 to 140 is considered a positive screening
result."
The nurse should teach the client that a blood glucose level of 130 to 140 mg/dL is
considered a positive screening. If the client receives a positive result, she will need to
undergo a 3-hr glucose tolerance test to confirm if she has gestational diabetes mellitus.
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's
secretionsWhich of the following instructions should the nurse include? - -CORRECT ANS-
-Stop suctioning when the newborn's cry sounds clear.
The nurse should instruct the client to stop suctioning when the newborn's cry no longer
sounds like it is coming through a bubble of fluid or mucus
, A nurse is caring for a client who becomes unresponsive upon delivery of the placenta.
Which of the following actions should the nurse take first? - -CORRECT ANS- -Determine
respiratory function.
The priority action the nurse should take when using the airway, breathing, circulation
approach to client care is to determine respiratory function and the need for
cardiopulmonary resuscitation.
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? - -CORRECT
ANS- -Flaccid uterus Excess vaginal bleeding
Flaccid uterus is correct. Oxytocin increases the contractility of the uterus. Excess vaginal
bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal bleeding
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions, should the nurse take next? - -CORRECT ANS- -apply internal upward
pressure to the presenting part using two gloved fingers.
using evidence based practice the first action, the nurse should take it to apply internal
upward pressure to the presenting part. Prolapse of the umbilical cord during labor can
result in a decrease perfusion to the fetus which can lead to hypoxia. After calling
persistence, the nurse should relieve the compression on the umbilical cord by applying
upward internal pressure on the presenting part with two gloved fingers. The nurse should
not move their hand.
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about
management during pregnancy. Which of the following statements by the client indicates
an understanding of the teaching? - -CORRECT ANS- -"I will continue taking my insulin if I
experience nausea and vomiting"
