ATI RN Maternal Newborn Online Practice 2019 B
NGN | High Standards Certified, Expert Answers &
In-Depth Explanations for Top Results
A nurse is teaching a client who has a new prescription for combined oral contraceptives
about potential adverse effects of the medication. For which of the following findings
should the nurse instruct the client to notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness - -CORRECT ANS- -A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness of
breath. Shortness of breath and chest pain can indicate a pulmonary embolus or
myocardial infarction. Also, the nurse should instruct the client to notify the provider of
other adverse effects that can indicate potential complications, including abdominal pain,
sudden or persistent headaches, blurred vision, and severe leg pain.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit.
Which of the following findings should the nurse report to the provider?
A. Swelling of the face
B. Varicose veins in the calves
C. Nonpitting 1+ ankle edema
D. Hyperpigmentation of the cheeks - -CORRECT ANS- -A. Swelling of the face
,Swelling of the face, sacral area, and fingers can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid
moves out of the intravascular compartment into the tissues, causing edema.
A nurse is providing discharge teaching to the parents of a newborn about car seat safety.
Which of the following instructions should the nurse include?
A. Place the shoulder harness in the slots above the newborn's shoulders.
B. Place the retainer clip at the level of the newborn's armpits.
C. Place the newborn at a 60° angle in the car seat.
D. Place the newborn in a blanket before securing them in the car seat. - -CORRECT ANS- -
B. Place the retainer clip at the level of the newborn's armpits.
The nurse should instruct the parents to place the newborn in a federally approved car seat
with the retainer clip snugly at the level of the newborn's armpits.
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth
because of mild respiratory distress. Which of the following actions should the nurse take
first?
A. Confirm the newborn's Apgar score.
B. Verify the newborn's identification.
C. Administer vitamin K to the newborn.
D. Determine obstetrical risk factors. - -CORRECT ANS- -B. Verify the newborn's
identification.
When using the safety/risk reduction approach to client care, the first action the nurse
should take is to verify the newborn's identity upon arrival to the nursery.
, A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following
findings should the nurse expect?
A. Jitteriness
B. Hypertonia
C. Abdominal distention
D. Mottling - -CORRECT ANS- -A. Jitteriness
Jitteriness, tachypnea, retractions, nasal flaring, lethargy, temperature instability, apnea,
abnormal cry, poor feeding, and seizures are expected findings of hypoglycemia. Newborns
who are small or large for gestational age and late preterm newborns are at an increased
risk for hypoglycemia.
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's
secretions. Which of the following instructions should the nurse include?
A. Insert the syringe tip before compressing the bulb.
B. Suction each of the nares before suctioning the mouth.
C. Insert the tip of the syringe into the center of the newborn's mouth.
D. Stop suctioning when the newborn's cry sounds clear. - -CORRECT ANS- -D. 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 planning care for a client who is 2 hr postpartum. Which of the following
interventions should the nurse plan to implement during the taking-hold phase of
postpartum behavioral adjustment?
NGN | High Standards Certified, Expert Answers &
In-Depth Explanations for Top Results
A nurse is teaching a client who has a new prescription for combined oral contraceptives
about potential adverse effects of the medication. For which of the following findings
should the nurse instruct the client to notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness - -CORRECT ANS- -A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness of
breath. Shortness of breath and chest pain can indicate a pulmonary embolus or
myocardial infarction. Also, the nurse should instruct the client to notify the provider of
other adverse effects that can indicate potential complications, including abdominal pain,
sudden or persistent headaches, blurred vision, and severe leg pain.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit.
Which of the following findings should the nurse report to the provider?
A. Swelling of the face
B. Varicose veins in the calves
C. Nonpitting 1+ ankle edema
D. Hyperpigmentation of the cheeks - -CORRECT ANS- -A. Swelling of the face
,Swelling of the face, sacral area, and fingers can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid
moves out of the intravascular compartment into the tissues, causing edema.
A nurse is providing discharge teaching to the parents of a newborn about car seat safety.
Which of the following instructions should the nurse include?
A. Place the shoulder harness in the slots above the newborn's shoulders.
B. Place the retainer clip at the level of the newborn's armpits.
C. Place the newborn at a 60° angle in the car seat.
D. Place the newborn in a blanket before securing them in the car seat. - -CORRECT ANS- -
B. Place the retainer clip at the level of the newborn's armpits.
The nurse should instruct the parents to place the newborn in a federally approved car seat
with the retainer clip snugly at the level of the newborn's armpits.
A nurse is caring for a newborn who was transferred to the nursery 30 min after birth
because of mild respiratory distress. Which of the following actions should the nurse take
first?
A. Confirm the newborn's Apgar score.
B. Verify the newborn's identification.
C. Administer vitamin K to the newborn.
D. Determine obstetrical risk factors. - -CORRECT ANS- -B. Verify the newborn's
identification.
When using the safety/risk reduction approach to client care, the first action the nurse
should take is to verify the newborn's identity upon arrival to the nursery.
, A nurse is assessing a newborn for manifestations of hypoglycemia. Which of the following
findings should the nurse expect?
A. Jitteriness
B. Hypertonia
C. Abdominal distention
D. Mottling - -CORRECT ANS- -A. Jitteriness
Jitteriness, tachypnea, retractions, nasal flaring, lethargy, temperature instability, apnea,
abnormal cry, poor feeding, and seizures are expected findings of hypoglycemia. Newborns
who are small or large for gestational age and late preterm newborns are at an increased
risk for hypoglycemia.
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's
secretions. Which of the following instructions should the nurse include?
A. Insert the syringe tip before compressing the bulb.
B. Suction each of the nares before suctioning the mouth.
C. Insert the tip of the syringe into the center of the newborn's mouth.
D. Stop suctioning when the newborn's cry sounds clear. - -CORRECT ANS- -D. 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 planning care for a client who is 2 hr postpartum. Which of the following
interventions should the nurse plan to implement during the taking-hold phase of
postpartum behavioral adjustment?
