ATI RN Maternal Newborn Online Practice 2019 A with NGN With complete solution REVISED EDITION

ATI RN Maternal Newborn Online Practice 2019 A with
NGN With complete solution REVISED EDITION
A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental
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abruption. Which of the following laboratory tests should the nurse expect the provider to
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prescribe?
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A. Kleihauer-Betke test
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B. Progesterone serum level
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C. Lecithin/sphingomyelin (L/S) ratio
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D. Maternal Alpha-fetoprotein (AFP) - Correct Answers A. Kleihauer-Betke test
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The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who has
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suspected placental abruption to determine if fetal blood is in maternal circulation. This test is
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useful to determine if Rho-(D) immune globulin therapy should be administered to a client who is
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Rh-negative.
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Il` A nurse is demonstrating to a client how to bathe their newborn. In which order should the nurse
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Il` perform the following actions? (Move the steps into the box on the right, placing them in the
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Il` selected order of performance. Use all the steps.)
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A. Clean the newborn's diaper area.
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B. Wash the newborn's neck by lifting the newborn's chin.
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C. Wipe the newborn's eyes from the inner canthus outward.
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D. Cleanse the skin around the newborn's umbilical cord stump.
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E. Wash the newborn's legs and feet. - Correct Answers C. Wipe the newborn's eyes from the
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inner canthus outward.
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B. Wash the newborn's neck by lifting the newborn's chin.
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D. Cleanse the skin around the newborn's umbilical cord stump.
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,E. Wash the newborn's legs and feet.
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A. Clean the newborn's diaper area.
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The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty,
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approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus
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outward using plain water. The nurse should then wash the newborn's neck by lifting the
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newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump
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followed by washing the newborn's legs and feet. The last step of the bath should be to clean the
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newborn's diaper area.
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Il` A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid
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Il` replacement. Which of the following findings should the nurse report to the provider?Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




A. BUN 25 mg/dL
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B. Serum creatinine 0.8 mg/dL
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C. Urine output of 280 mL within 8 hr
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D. Urine negative for ketones - Correct Answers A. BUN 25 mg/dL
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The nurse should report an elevated BUN to the provider since it can indicate dehydration.
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Il` A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which
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Il` of the following findings should the nurse report to the provider?
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A. Blood pressure 136/88 mm Hg
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B. Report of insomnia
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C. Weight gain of 2.2 kg (4.8 lb)
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D. Report of Braxton Hicks contractions - Correct Answers C. Weight gain of 2.2 kg (4.8 lb)
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,A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and could indicate
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complications. Therefore, this finding should be reported to the provider.
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Il` A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for
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Il` newborn safety. Which of the following client statements indicates an understanding of the
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Il` teaching?



A. "My sister will be able to carry my baby from the nursery to my room when she arrives."
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B. "The nurse will match my wrist band to my baby's crib card when they bring him to me."
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C. "The person who comes to take my baby's pictures will be wearing a photo identification
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badge."
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D. "My baby doesn't n - Correct Answers C. "The person who comes to take my baby's pictures
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will be wearing a photo identification badge."
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All personnel working on the unit should be wearing a photo identification badge. The nurse
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should instruct the parent to never allow anyone who is not wearing an identification badge to
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come in contact with the newborn.
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Il` A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn
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Il` screening. Which of the following statements should the nurse include in the teaching?
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A. "Obtain an informed consent prior to obtaining the specimen."
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B. "Collect at least 1 milliliter of urine for the test."
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C. "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the
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specimen."
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D. "Premature newborns may have false negative tests due to immature development of liver -
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Correct Answers C. "Ensure that the newborn has been receiving feedings for 24 hours prior to
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obtaining the specimen."
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, The nurse should ensure that the newborn has been receiving regular feedings for at least 24 hr
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prior to testing.
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Il` A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor.
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Il` Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should
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Il` set the IV infusion pump to administer how many mL/hr? (Round the answer to the nearest whole
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Il` number. Use a leading zero if it applies. Do not use a trailing zero.) - Correct Answers 50 mL/hr
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2 g/hr x 500 mL = 1,000 mL/g/hr
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1,000 mL/g/hr / 20g = 50 mL/hr Il` Il` Il` Il` Il` Il`




Il` A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the
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Il` following actions should the nurse take? Il` Il` Il` Il` Il`




A. Administer antiviral medication.
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B. Schedule an ultrasound examination.
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C. Administer Haemophilus influenzae type b vaccine.
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D. Schedule an indirect Coombs' test. - Correct Answers B. Schedule an ultrasound examination.
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The nurse should schedule serial ultrasound examinations to monitor the fetus during the
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pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause
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miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
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Il` A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of
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Il` the following findings should the nurse expect?
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A. Deep tendon reflexes 4+
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B. Fundal height 14 cm
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