ATI RN MATERNAL NEWBORN EXAM
COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS
A nurse is caring for a client who is at 16 weeks of gestation and has severe
iron deficiency anemia. The provider prescribes an injection of iron dextran
IM. Which of the following methods should the nurse use to administer the
medication?
Use a 20-gauge needle, and administer the medication using the Z-track
method.
Use a 22-gauge needle, and administer the medication deep into the thigh.
Use a 25-gauge needle, and administer the medication into the deltoid muscle.
Use an 18-gauge needle, and administer the medication into the rectus
femoris muscle -Answer:-Use a 20-guage needle, and administer the
medication using the Z track method
The nurse should administer iron using the Z-track method to prevent
staining of tissue. A 20-gauge needle is the correct size.
A nurse in an antepartum clinic answers a phone call from a client who is at
37 weeks of gestation and reports, "I become very dizzy while lying in bed this
morning, but the feeling went away when I turned on my side." Which of the
following actions should the nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
Arrange for the client to come to the clinic for an assessment.
Check the client's chart for gestational diabetes mellitus.
Schedule a nonstress test for the client. -Answer:-Instruct the client about
vena cava syndrome and measures to prevent it
,This is the typical finding of vena cava syndrome, or hypotension that occurs
in clients who are pregnant upon assuming a supine position. It is caused by
compression of the inferior vena cava by the gravid uterus with a consequent
reduction in venous return. A side lying position promotes uterine perfusion
and fetoplacental oxygenation.
A nurse is teaching a client about a nonstress test. Which of the following
statements by the client indicates an understanding of the teaching?
"I know not to eat anything after midnight."
"I will have medication given to me to cause contractions."
"I should press the button on the handheld marker when my baby moves."
"I will have to stimulate my breast to cause contractions." -Answer:-I should
press the button on the handheld marker when my baby moves
The purpose of the test is to assess fetal well-being. The client should press
the button on the handheld marker when she feels fetal movement.
A nurse is caring for a client who is at 36 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse identify as the
priority?
1+ proteinuria
Blood pressure 140/98 mm Hg
Nonreactive nonstress test
Fundal height 33 cm -Answer:-Nonreactive nonstress test
In a nonreactive nonstress test, there are no accelerations. Absence of FHR
accelerations suggests that the fetus might be going into distress.
,A nurse is caring for a client who is in labor. The client questions the
application of an internal fetal scalp monitor. Which of the following
responses should the nurse make?
"Don't worry. Your baby is fine."
"You will need to ask your provider."
"Your provider feels it would be best."
"We need to observe your baby more closely." -Answer:-We need to observe
your baby more closely
The client has asked an information-seeking question. This therapeutic
response provides information to the client in an honest, nonthreatening
manner. The use of an internal fetal scalp monitor, or an internal spiral
electrode, provides a more accurate assessment of fetal well-being during
labor.
A nurse is assessing a client who is receiving magnesium sulfate as treatment
for preeclampsia. Which of the following clinical findings is the nurse's
priority?
Respirations 16/min
Urinary output 40 mL in 2 hr
Reflexes +2
Fetal heart rate 158/min -Answer:-Urinary output 40ml in 2 hours
Urinary output is critical to the excretion of magnesium from the body. The
nurse should discontinue the magnesium sulfate if the hourly output is less
than 30 mL/hr
, A nurse is speaking with an expectant father who says that he feels resentful
of the added attention others are giving to his wife since the pregnancy was
announced several weeks ago. Which of the following responses should the
nurse make?
"Has your wife sensed your anger toward her and the baby?"
"These feelings are common to expectant fathers in early pregnancy."
"I'm sure that it's really hard to accept this when it's your baby, too."
"It would be wise for you to speak to a therapist about these feelings." -
Answer:-These feelings are common to expectant fathers in early pregnancy
A nurse is caring for a client who is receiving oxytocin for induction of labor.
Which of the following actions should the nurse take?
Perform continuous fetal heart rate monitoring.
Measure maternal temperature every hour.
Evaluate maternal contraction pattern every hour.
Check blood pressure every 5 min. -Answer:-Perform continuous fetal heart
rate monitoring
When oxytocin is administered to an antepartum client, the fetal monitor
must be used to continuously monitor the fetal heart rate and maternal
contractions.
A nurse is discussing diaphragm use with a client. Which of the following
statements by the client indicates an understanding of the teaching?
"I should clean my diaphragm with alcohol each time I use it."
"I should leave the diaphragm in place 4 hours after intercourse."
"I should replace my diaphragm every 2 years."
COMPLETE QUESTIONS WITH DETAILED
VERIFIED ANSWERS
A nurse is caring for a client who is at 16 weeks of gestation and has severe
iron deficiency anemia. The provider prescribes an injection of iron dextran
IM. Which of the following methods should the nurse use to administer the
medication?
Use a 20-gauge needle, and administer the medication using the Z-track
method.
Use a 22-gauge needle, and administer the medication deep into the thigh.
Use a 25-gauge needle, and administer the medication into the deltoid muscle.
Use an 18-gauge needle, and administer the medication into the rectus
femoris muscle -Answer:-Use a 20-guage needle, and administer the
medication using the Z track method
The nurse should administer iron using the Z-track method to prevent
staining of tissue. A 20-gauge needle is the correct size.
A nurse in an antepartum clinic answers a phone call from a client who is at
37 weeks of gestation and reports, "I become very dizzy while lying in bed this
morning, but the feeling went away when I turned on my side." Which of the
following actions should the nurse take?
Instruct the client about vena cava syndrome and measures to prevent it.
Arrange for the client to come to the clinic for an assessment.
Check the client's chart for gestational diabetes mellitus.
Schedule a nonstress test for the client. -Answer:-Instruct the client about
vena cava syndrome and measures to prevent it
,This is the typical finding of vena cava syndrome, or hypotension that occurs
in clients who are pregnant upon assuming a supine position. It is caused by
compression of the inferior vena cava by the gravid uterus with a consequent
reduction in venous return. A side lying position promotes uterine perfusion
and fetoplacental oxygenation.
A nurse is teaching a client about a nonstress test. Which of the following
statements by the client indicates an understanding of the teaching?
"I know not to eat anything after midnight."
"I will have medication given to me to cause contractions."
"I should press the button on the handheld marker when my baby moves."
"I will have to stimulate my breast to cause contractions." -Answer:-I should
press the button on the handheld marker when my baby moves
The purpose of the test is to assess fetal well-being. The client should press
the button on the handheld marker when she feels fetal movement.
A nurse is caring for a client who is at 36 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse identify as the
priority?
1+ proteinuria
Blood pressure 140/98 mm Hg
Nonreactive nonstress test
Fundal height 33 cm -Answer:-Nonreactive nonstress test
In a nonreactive nonstress test, there are no accelerations. Absence of FHR
accelerations suggests that the fetus might be going into distress.
,A nurse is caring for a client who is in labor. The client questions the
application of an internal fetal scalp monitor. Which of the following
responses should the nurse make?
"Don't worry. Your baby is fine."
"You will need to ask your provider."
"Your provider feels it would be best."
"We need to observe your baby more closely." -Answer:-We need to observe
your baby more closely
The client has asked an information-seeking question. This therapeutic
response provides information to the client in an honest, nonthreatening
manner. The use of an internal fetal scalp monitor, or an internal spiral
electrode, provides a more accurate assessment of fetal well-being during
labor.
A nurse is assessing a client who is receiving magnesium sulfate as treatment
for preeclampsia. Which of the following clinical findings is the nurse's
priority?
Respirations 16/min
Urinary output 40 mL in 2 hr
Reflexes +2
Fetal heart rate 158/min -Answer:-Urinary output 40ml in 2 hours
Urinary output is critical to the excretion of magnesium from the body. The
nurse should discontinue the magnesium sulfate if the hourly output is less
than 30 mL/hr
, A nurse is speaking with an expectant father who says that he feels resentful
of the added attention others are giving to his wife since the pregnancy was
announced several weeks ago. Which of the following responses should the
nurse make?
"Has your wife sensed your anger toward her and the baby?"
"These feelings are common to expectant fathers in early pregnancy."
"I'm sure that it's really hard to accept this when it's your baby, too."
"It would be wise for you to speak to a therapist about these feelings." -
Answer:-These feelings are common to expectant fathers in early pregnancy
A nurse is caring for a client who is receiving oxytocin for induction of labor.
Which of the following actions should the nurse take?
Perform continuous fetal heart rate monitoring.
Measure maternal temperature every hour.
Evaluate maternal contraction pattern every hour.
Check blood pressure every 5 min. -Answer:-Perform continuous fetal heart
rate monitoring
When oxytocin is administered to an antepartum client, the fetal monitor
must be used to continuously monitor the fetal heart rate and maternal
contractions.
A nurse is discussing diaphragm use with a client. Which of the following
statements by the client indicates an understanding of the teaching?
"I should clean my diaphragm with alcohol each time I use it."
"I should leave the diaphragm in place 4 hours after intercourse."
"I should replace my diaphragm every 2 years."
