ATI RN Maternal Newborn Online Practice B with NGNl.

ATI RN Maternal Newborn Online Practice
2022-2023 B with NGN
A8nurse8is8reviewing8the8medical8record8of8a8client8who8is8postpartum8and8has8pree
clampsia.8Which8of8the8following8laboratory8results8should8the8nurse8report8to8the8pro
vider?

A. Hct839%
B. Serum8albumin84.58g/dL
C. WBC89,000/mm3
D. Platelets850,000/mm38-8D.8Platelets850,000/mm3

A8platelet8count8of850,000/mm38is8below8the8expected8reference8range,8which8can8in
dicate8disseminated8intravascular8coagulation.8The8nurse8should8report8this8result8to8t
he8provider.

A8nurse8is8preparing8to8administer8azithromycin8to8a8client8who8is8at8168weeks8of8ges
tation8and8has8a8positive8chlamydia8culture.8The8prescription8states8"Administer8azithr
omycin818g8orally8now."8Available8is82508mg8tablets.8How8many8tablets8should8the8nu
rse8administer?8(Round8the8answer8to8the8nearest8whole8number.8Use8a8leading8zero
8if8it8applies.8Do8not8use8a8trailing8zero.)8-848tablet(s)


1g8=81,000mg
1,0008mg8x818tab8=81,0008mg/tab81
,000mg/tab8/82508mg8=848tablet(s)

A8nurse8is8preparing8to8administer8oxytocin8to8a8client8who8is8postpartum.8Which8of8th
e8following8findings8is8an8indication8for8the8administration8of8the8medication?8(Select8
all8that8apply.)

A. Flaccid8uterus
B. Cervical8laceration
C. Excess8vaginal8bleeding
D. Increased8afterbirth8cramping
E. Increased8maternal8temperature8-
8A.8Flaccid8uterus8Oxytocin8increases8the8contractilit
y8of8the8uterus.

C.8Excess8vaginal8bleeding
Oxytocin8enhances8uterine8contractility,8decreasing8vaginal8bleeding.

A8nurse8is8providing8teaching8about8family8planning8to8a8client8who8has8a8new8presc
ription8for8a8diaphragm.8Which8of8the8following8statements8should8the8nurse8include8i
n8the8teaching?

,A.8"You8should8replace8the8diaphragm8every858years."
B.8"You8should8leave8the8diaphragm8in8place8for8at8least868hours8after8intercourse."
C.8"You8should8use8an8oil-based8product8as8a8lubricant8when8inserting8the8diaphragm."
D.8"You8should8insert8the8diaphragm8when8your8bladder8is8full."8-
8B.8"You8should8leave8the8diaphragm8in8place8for8at8least868hours8after8intercourse."


The8client8should8keep8the8diaphragm8in8place8for8at8least868hr8after8intercourse8to8p
rovide8protection8against8pregnancy.

A8nurse8is8teaching8a8client8who8is8Rh8negative8about8Rho(D)8immune8globulin.8Which
8of8the8following8statements8by8the8client8indicates8an8understanding8of8the8teaching?


A.8"I8will8receive8this8medication8if8my8baby8is8Rh-negative."
B.8"I8will8receive8this8medication8when8I8am8in8labor."
C.8"I8will8need8a8second8dose8of8this8medication8when8my8baby8is868weeks8old."
D.8"I8will8need8this8medication8if8I8have8an8amniocentesis."8-
8D.8"I8will8need8this8medication8if8I8have8an8amniocentesis."


Rho(D)8immune8globulin8is8given8to8clients8who8are8Rh8negative8following8an8amnioce
ntesis8because8of8the8potential8of8fetal8RBCs8entering8the8maternal8circulation.

A8nurse8in8a8women's8health8clinic8is8providing8teaching8about8nutritional8intake8to8a8c
lient8who8is8at888weeks8of8gestation.8The8nurse8should8instruct8the8client8to8increase8h
er8daily8intake8of8which8of8the8following8nutrients?

A.8Calcium
B.8Vitamin8E
C.8Iron
D.8Vitamin8D8-8C.8Iron

The8recommendation8for8iron8intake8during8pregnancy8is8higher8than8that8for8women
8who8are8not8pregnant.8For8women8who8are8pregnant,8it8is8278mg/day.8For8women8
who8are8not8pregnant,8it8is8158mg/day8for8women8younger8than8198years8old8and8188
mg/day8for8women8between8the8ages8of8198and8508years8old.

A8nurse8is8caring8for8a8client8who8is8in8labor8and8whose8fetus8is8in8the8right8occiput8
posterior8position.8The8client8is8dilated8to888cm8and8reports8back8pain.8Which8of8the8f
ollowing8actions8should8the8nurse8take?

A.8Apply8sacral8counterpressure.
B.8Perform8transcutaneous8electrical8nerve8stimulation8(TENS).
C.8Initiate8slow-paced8breathing.
D.8Assist8with8biofeedback.8-8A.8Apply8sacral8counterpressure.

The8nurse8should8apply8sacral8counterpressure8to8assist8in8relieving8back8labor8pain8
related8to8fetal8posterior8position.

,A8nurse8is8planning8care8for8a8client8who8is8in8labor8and8is8requesting8epidural8anest
hesia8for8pain8control.8Which8of8the8following8actions8should8the8nurse8include8in8the
8plan8of8care?


A.8Place8the8client8in8a8supine8position8for8308min8following8the8first8dose8of8anestheti
c8solution.
B.8Administer81,0008mL8of8dextrose85%8in8water8prior8to8the8first8dose8of8anesthetic8
solution.
C.8Monitor8the8client's8blood8pressure8every858min8following8the8first8dose8of8anesthe
tic8solution.
D.8Ensure8the8client8has8been8NPO848hr8prior8to8the8placement8of8the8epidural8and8t
he8first8dose8of8anesthetic8solution.8-
8C.8Monitor8the8client's8blood8pressure8every858min8following8the8first8dose8of8anesth
etic8solution.

The8nurse8should8plan8to8obtain8a8baseline8blood8pressure8prior8to8the8initiation8of8an
esthetic8solution.8The8nurse8should8then8continue8to8monitor8the8client's8blood8pressur
e8every858to8108min8to8assess8for8maternal8hypotension8caused8by8the8anesthetic8solu
tion.

A8nurse8is8caring8for8a8client8who8is8in8labor8and8reports8increasing8rectal8pressure.8S
he8is8experiencing8contractions828to838min8apart,8each8lasting8808to8908seconds,8and8
a8vaginal8examination8reveals8that8her8cervix8is8dilated8to898cm.8The8nurse8should8ide
ntify8that8the8client8is8in8which8of8the8following8phases8of8labor?

A.8Active
B.8Transition
C.8Latent
D.8Descent8-8B.8Transition

The8nurse8should8identify8that8the8client8is8in8the8transition8phase8of8labor.8This8phase
8is8characterized8by8a8cervical8dilatation8of888to8108cm8and8contractions8every828to838
min,8each8lasting8458to8908seconds.

A8school8nurse8is8providing8teaching8to8an8adolescent8about8levonorgestrel8contrace
ption.8Which8of8the8following8information8should8the8nurse8include8in8the8teaching?

A.8"You8should8take8the8medication8within8728hours8following8unprotected8sexual8inte
rcourse."
B.8"You8should8avoid8taking8this8medication8if8you8are8on8an8oral8contraceptive."
C.8"If8you8don't8start8your8period8within858days8of8taking8this8medication,8you8will8need
8a8pregnancy8test."
D.8"One8dose8of8this8medication8will8prevent8you8from8becoming8pregnant8for8148day
s8after8taking8it."8-
8A.8"You8should8take8the8medication8within8728hours8following8unprotected8sexual8in
tercourse."

, Levonorgestrel8is8an8emergency8contraceptive8which8inhibits8ovulation8to8prevent8con
ception.8The8nurse8should8instruct8the8adolescent8to8take8this8medication8as8soon8as8
possible8within8728hr8after8unprotected8sexual8intercourse.

A8nurse8is8assessing8a8newborn8who8is8128hr8old.8Which8of8the8following8manifestations8r
equires8intervention8by8the8nurse?

A.8Acrocyanosis8of8the8extremities
B.8Murmur8at8the8left8sternal8border
C.8Substernal8chest8retractions8while8sleeping
D.8Positive8Babinski8reflex8-8C.8Substernal8chest8retractions8while8sleeping

Substernal8chest8retractions8can8indicate8respiratory8distress8syndrome8in8the8newborn
.8This8manifestation8requires8further8assessment8and8intervention8by8the8nurse.

A8nurse8is8assessing8a8client8who8gave8birth8vaginally8128hr8ago8and8palpates8her8ute
rus8to8the8right8above8the8umbilicus.8Which8of8the8following8interventions8should8the8n
urse8perform?

A.8Reassess8the8client8in828hr.
B.8Administer8simethicone.
C.8Assist8the8client8to8empty8her8bladder.
D.8Instruct8the8client8to8lie8on8her8right8side.8-8C.8Assist8the8client8to8empty8her8bladder.

The8nurse8should8assist8the8client8to8empty8her8bladder8because8the8assessment8fin
dings8indicate8that8the8client's8bladder8is8distended.8This8can8prevent8the8uterus8from
8contracting,8resulting8in8increased8vaginal8bleeding8or8postpartum8hemorrhage.


A8nurse8is8teaching8a8client8who8has8pregestational8type818diabetes8mellitus8about8m
anagement8during8pregnancy.8Which8of8the8following8statements8by8the8client8indica
tes8an8understanding8of8the8teaching?

A.8"I8should8have8a8goal8of8maintaining8my8fasting8blood8glucose8between81008and8120."
B.8"I8should8engage8in8moderate8exercise8for8308minutes8if8my8blood8glucose8is82508
or8greater."
C.8"I8will8continue8taking8my8insulin8if8I8experience8nausea8and8vomiting."
D.8"I8will8ensure8that8my8bedtime8snack8is8high8in8refined8sugar."8-
8C.8"I8will8continue8taking8my8insulin8if8I8experience8nausea8and8vomiting."


The8nurse8should8teach8the8client8to8continue8to8take8her8insulin8as8prescribed8durin
g8illness8to8prevent8hypoglycemic8and8hyperglycemic8episodes.

A8nurse8is8planning8care8for8a8client8who8is8in8labor8and8is8to8have8an8amniotomy.8Wh
ich8of8the8following8assessments8should8the8nurse8identify8as8the8priority?