ATI Maternal Newborn final Exam 2025
Questions and Answers| 100% Solved
nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which
of the following actions should the nurse include inthe plan of care -
....ANSWER ...-Ensure the newborns eyes are closed before applying the eye
shield - Overexposure to the lights during treatment can cause damage to the
newborn's corneas. Therefore, the nurse should gently close the newborn's eyes
prior to applying the eye shield.
A nurse is caring for a client at 34 weeks gestation and has a prescription for
terbutaline for preterm labor. Which of the following statements by the patient is
the priority? - ....ANSWER ...-"My heart feels as if it is racing." - the nurse
should assess the client's heart rate. The primary action of terbutaline is to cause
bronchodilation and relax smooth muscles. However, an adverse effect is
tachycardia. If the pulse is greater than 130/min, the terbutaline needs to be held
until the provider is notified. The nurse might also need to use Maslow's hierarchy
of needs, the ABC priority-setting framework, or nursing knowledge to identify
which finding is the most urgent.
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, A nurse is planning care for a client who is pregnant and is Rh-negative. In which
of the following situations should the nurse administer Rh(D) Immune Globulin? -
....ANSWER ...-At 28 weeks of gestation - The nurse should administer
Rh(D) Immune Globulin to a client who is pregnant and has Rh-negative blood at
28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies
against the Rh factor, which will destroy any fetal RBCs in the maternal circulation
and block maternal antibody production.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor.
Which of the following actions should the nurse include in the plan of care? -
....ANSWER ...-Check the cervix prior to analgesic administration. - Prior to
administering an analgesic during active labor, the nurse must know how many
centimeters the cervix is dilated. If administered too close to the time of delivery,
the analgesic could cause respiratory depression in the newborn.
A nurse is planning care for a client who is at 35 weeks of gestation. Which of the
following lab tests should the nurse obtain? - ....ANSWER ...-Group B
streptococcus Beta-hemolytic (GBS) - The nurse should obtain a vaginal/anal
group B streptococcus ß-hemolytic (GBS) culture at 35 to 37 weeks of gestation to
screen for infection. Prophylactic antibiotics should be given during labor to the
client who is positive for GBS.
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Questions and Answers| 100% Solved
nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which
of the following actions should the nurse include inthe plan of care -
....ANSWER ...-Ensure the newborns eyes are closed before applying the eye
shield - Overexposure to the lights during treatment can cause damage to the
newborn's corneas. Therefore, the nurse should gently close the newborn's eyes
prior to applying the eye shield.
A nurse is caring for a client at 34 weeks gestation and has a prescription for
terbutaline for preterm labor. Which of the following statements by the patient is
the priority? - ....ANSWER ...-"My heart feels as if it is racing." - the nurse
should assess the client's heart rate. The primary action of terbutaline is to cause
bronchodilation and relax smooth muscles. However, an adverse effect is
tachycardia. If the pulse is greater than 130/min, the terbutaline needs to be held
until the provider is notified. The nurse might also need to use Maslow's hierarchy
of needs, the ABC priority-setting framework, or nursing knowledge to identify
which finding is the most urgent.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
, A nurse is planning care for a client who is pregnant and is Rh-negative. In which
of the following situations should the nurse administer Rh(D) Immune Globulin? -
....ANSWER ...-At 28 weeks of gestation - The nurse should administer
Rh(D) Immune Globulin to a client who is pregnant and has Rh-negative blood at
28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies
against the Rh factor, which will destroy any fetal RBCs in the maternal circulation
and block maternal antibody production.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor.
Which of the following actions should the nurse include in the plan of care? -
....ANSWER ...-Check the cervix prior to analgesic administration. - Prior to
administering an analgesic during active labor, the nurse must know how many
centimeters the cervix is dilated. If administered too close to the time of delivery,
the analgesic could cause respiratory depression in the newborn.
A nurse is planning care for a client who is at 35 weeks of gestation. Which of the
following lab tests should the nurse obtain? - ....ANSWER ...-Group B
streptococcus Beta-hemolytic (GBS) - The nurse should obtain a vaginal/anal
group B streptococcus ß-hemolytic (GBS) culture at 35 to 37 weeks of gestation to
screen for infection. Prophylactic antibiotics should be given during labor to the
client who is positive for GBS.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
