ATI Maternal newborn proctored exam 2019 Questions and
Answers(Verified Answers)
A nurse is preparing to administer naloxone to a newborn. Which of the
following conditions can require administration of this medication?
IV narcotics administered to the mother during labor
Maternal drug use
Hyaline membrane disease
Meconium aspiration - ANSWER-IV narcotics administered to the mother
during labor
The nurse should administer naloxone to reverse respiratory depression
due to acute narcotic toxicity, which can result from IV narcotics
administration during labor.
A nurse is discussing epidural anesthesia with a client who is receiving
oxytocin for induction of labor. Which of the following statements should
the nurse make?
"An epidural given too early during labor can cause maternal
hypertension."
,"An epidural given too early during labor will not be effective in active
labor."
"An epidural given too early can cause fetal depression."
"An epidural given too early can prolong labor." - ANSWER-An epidural
given too early can prolong labor
Clients who receive anesthesia before the active phase of labor usually
find the progression of their labor to slow. The medication depresses the
central nervous system. Therefore, it will take longer for the cervix to
dilate and efface.
A nurse is caring for a client who is pregnant and reports nausea and
vomiting. Which of the following instructions should the nurse provide the
client?
"You should eat some crackers before rising from bed in the morning."
"You should eat foods served at warm temperatures."
"You should sip whole milk with breakfast."
"You should brush your teeth immediately after meals." - ANSWER-You
should eat some crackers before rising from bed in the morning
,Morning sickness is caused by the buildup of human chorionic
gonadotropin (hCG) in the mother's system. Dry foods eaten before rising
in the morning tend to reduce the risk of nausea in clients who are
pregnant.
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?
While the client is in labor
Following an episode of influenza during pregnancy
Prior to a blood transfusion
At 28 weeks of gestation - ANSWER-At 28 weeks of gestion
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 newborn whose mother received magnesium
sulfate to treat preterm labor. Which of the following clinical
, manifestations in the newborn indicates toxicity due to the magnesium
sulfate therapy?
Respiratory depression
Hypothermia
Hypoglycemia
Jaundice - ANSWER-Respiratory depression
Magnesium sulfate can cause respiratory and neuromuscular depression
in the newborn. The nurse should monitor the newborn for clinical
manifestations of respiratory depression.
A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - ANSWER-b. betamethasone
Answers(Verified Answers)
A nurse is preparing to administer naloxone to a newborn. Which of the
following conditions can require administration of this medication?
IV narcotics administered to the mother during labor
Maternal drug use
Hyaline membrane disease
Meconium aspiration - ANSWER-IV narcotics administered to the mother
during labor
The nurse should administer naloxone to reverse respiratory depression
due to acute narcotic toxicity, which can result from IV narcotics
administration during labor.
A nurse is discussing epidural anesthesia with a client who is receiving
oxytocin for induction of labor. Which of the following statements should
the nurse make?
"An epidural given too early during labor can cause maternal
hypertension."
,"An epidural given too early during labor will not be effective in active
labor."
"An epidural given too early can cause fetal depression."
"An epidural given too early can prolong labor." - ANSWER-An epidural
given too early can prolong labor
Clients who receive anesthesia before the active phase of labor usually
find the progression of their labor to slow. The medication depresses the
central nervous system. Therefore, it will take longer for the cervix to
dilate and efface.
A nurse is caring for a client who is pregnant and reports nausea and
vomiting. Which of the following instructions should the nurse provide the
client?
"You should eat some crackers before rising from bed in the morning."
"You should eat foods served at warm temperatures."
"You should sip whole milk with breakfast."
"You should brush your teeth immediately after meals." - ANSWER-You
should eat some crackers before rising from bed in the morning
,Morning sickness is caused by the buildup of human chorionic
gonadotropin (hCG) in the mother's system. Dry foods eaten before rising
in the morning tend to reduce the risk of nausea in clients who are
pregnant.
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?
While the client is in labor
Following an episode of influenza during pregnancy
Prior to a blood transfusion
At 28 weeks of gestation - ANSWER-At 28 weeks of gestion
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 newborn whose mother received magnesium
sulfate to treat preterm labor. Which of the following clinical
, manifestations in the newborn indicates toxicity due to the magnesium
sulfate therapy?
Respiratory depression
Hypothermia
Hypoglycemia
Jaundice - ANSWER-Respiratory depression
Magnesium sulfate can cause respiratory and neuromuscular depression
in the newborn. The nurse should monitor the newborn for clinical
manifestations of respiratory depression.
A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - ANSWER-b. betamethasone
