ATI RN Maternal Newborn Online Practice 2019 A with
NGN (New Update) Questions with Verified
Answers |100% Correct | A+ Grade.
1. 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?
A. Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part.
B. Wrap the visible cord tightly with sterile, dry gauze.
C. Apply oxygen to the client at 2 L/min via nasal cannula.
D. Place the client in the lithotomy position and apply fundal pressur
Ans>> A. Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the
cervix, exerting upward pressure onto the presenting part to relieve umbilical cord
compression and increase oxygenation to the fetus.
2. A nurse is observing a new parent caring for their crying newborn who is bottle
feeding. Which of the following actions by the parent should the nurse recognize as a
positive parenting behavior?
,A. Lays the newborn across their lap and gently sways
B. Places the newborn in the crib in a prone position
C. Offers the newborn a pacifier dipped in formula
D. Prepares a bottle of formula mixed with rice cereal Ans>> A. Lays the newborn
across their lap and gently sways
This is a correct technique for quieting a newborn. This tactile stimulation promotes a
sense of security for the newborn.
3. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse
include in the teaching?
A. "I can administer oxytocin 4 hours after the insertion of the medication."
B. "You will need a full bladder prior to the insertion of the medication."
C. "Remain in a side-lying position for 15 minutes after the medication is inserted."
D. "An antacid will be given 20 minutes prior to the insertion Ans>> A. "I can admin-
ister oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol.
Oxytocin can be administered following misoprostol for clients who have cervical ripening an
have not begun labor.
4. A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?
A. Hypertonia
B. Increased feeding
,C. Hyperthermia
D. Respiratory distress Ans>> D. Respiratory distress
Late preterm newborns are at an increased risk for hypoglycemia due to decreased glycoge
stores and immature insulin secretion. Respiratory distress is a manifes- tation of
hypoglycemia. Other manifestations of hypoglycemia include an abnormal cry, jitteriness,
lethargy, poor feeding, apnea, and seizures.
Hypoglycemia - hypothermia, poor feeding behaviors, hypotonia
5. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse expect the
provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP) Ans>> A. Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who ha
suspected placental abruption to determine if fetal blood is in maternal circulation. This te
is useful to determine if Rho-(D) immune globulin therapy should be administered to a clien
who is Rh-negative.
6. A nurse is demonstrating to a client how to bathe their newborn. In which order
should the nurse perform the following actions? (Move the steps into the box on the
right, placing them in the selected order of performance. Use all the steps.)
A. Clean the newborn's diaper area.
B. Wash the newborn's neck by lifting the newborn's chin.
C. Wipe the newborn's eyes from the inner canthus outward.
, D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet. Ans>> C. Wipe the newborn's eyes from the inner
canthus outward.
B. Wash the newborn's neck by lifting the newborn's chin.
D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet.
A. Clean the newborn's diaper area.
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty
approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus
outward using plain water. The nurse should then wash the newborn's neck by lifting the
newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump
followed by washing the newborn's legs and feet. The last step of the bath should be to
clean the newborn's diaper area.
7. A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV
fluid replacement. Which of the following findings should the nurse report to the
provider?
NGN (New Update) Questions with Verified
Answers |100% Correct | A+ Grade.
1. 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?
A. Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part.
B. Wrap the visible cord tightly with sterile, dry gauze.
C. Apply oxygen to the client at 2 L/min via nasal cannula.
D. Place the client in the lithotomy position and apply fundal pressur
Ans>> A. Insert two gloved fingers into the vagina and apply upward pressure to the
presenting part.
The nurse should quickly apply gloves and insert two fingers into the vagina toward the
cervix, exerting upward pressure onto the presenting part to relieve umbilical cord
compression and increase oxygenation to the fetus.
2. A nurse is observing a new parent caring for their crying newborn who is bottle
feeding. Which of the following actions by the parent should the nurse recognize as a
positive parenting behavior?
,A. Lays the newborn across their lap and gently sways
B. Places the newborn in the crib in a prone position
C. Offers the newborn a pacifier dipped in formula
D. Prepares a bottle of formula mixed with rice cereal Ans>> A. Lays the newborn
across their lap and gently sways
This is a correct technique for quieting a newborn. This tactile stimulation promotes a
sense of security for the newborn.
3. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new
prescription for misoprostol. Which of the following instructions should the nurse
include in the teaching?
A. "I can administer oxytocin 4 hours after the insertion of the medication."
B. "You will need a full bladder prior to the insertion of the medication."
C. "Remain in a side-lying position for 15 minutes after the medication is inserted."
D. "An antacid will be given 20 minutes prior to the insertion Ans>> A. "I can admin-
ister oxytocin 4 hours after the insertion of the medication."
The nurse can administer oxytocin no sooner than 4 hr after the last dose of misoprostol.
Oxytocin can be administered following misoprostol for clients who have cervical ripening an
have not begun labor.
4. A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia?
A. Hypertonia
B. Increased feeding
,C. Hyperthermia
D. Respiratory distress Ans>> D. Respiratory distress
Late preterm newborns are at an increased risk for hypoglycemia due to decreased glycoge
stores and immature insulin secretion. Respiratory distress is a manifes- tation of
hypoglycemia. Other manifestations of hypoglycemia include an abnormal cry, jitteriness,
lethargy, poor feeding, apnea, and seizures.
Hypoglycemia - hypothermia, poor feeding behaviors, hypotonia
5. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse expect the
provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP) Ans>> A. Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client who ha
suspected placental abruption to determine if fetal blood is in maternal circulation. This te
is useful to determine if Rho-(D) immune globulin therapy should be administered to a clien
who is Rh-negative.
6. A nurse is demonstrating to a client how to bathe their newborn. In which order
should the nurse perform the following actions? (Move the steps into the box on the
right, placing them in the selected order of performance. Use all the steps.)
A. Clean the newborn's diaper area.
B. Wash the newborn's neck by lifting the newborn's chin.
C. Wipe the newborn's eyes from the inner canthus outward.
, D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet. Ans>> C. Wipe the newborn's eyes from the inner
canthus outward.
B. Wash the newborn's neck by lifting the newborn's chin.
D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet.
A. Clean the newborn's diaper area.
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty
approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus
outward using plain water. The nurse should then wash the newborn's neck by lifting the
newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump
followed by washing the newborn's legs and feet. The last step of the bath should be to
clean the newborn's diaper area.
7. A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV
fluid replacement. Which of the following findings should the nurse report to the
provider?
