2023 ATI
MATERNAL NEWBORN
600 QUESTIONS BANK
&
STUDY GUIDE
(NGN-Style Questions & Case Scenarios) Pass on the
first attempt.
What’s Inside
➢ 600 Questions & Study Guide
➢ Format Set of Multiple-choice
➢ questions with incorporating Next Generation
NCLEX (NGN) and Case Scenarios
➢ Expert-Verified Explanations & Solutions
, 1. The nurse is caring for a newborn who is 72 hr old. The nurse is planning to
contact the provider regarding the newborns status. Which of the following
prescriptions regarding the newborn should the nurse anticipate? (SATA)
• Instruct the mother to discontinue breastfeeding.
• Administer scheduled doses of oral morphine.
• Give a one-time dose of naloxone IM.
• Maintain a low-stimulus environment.
• Initiate neonatal abstinence syndrome (NAS) scoring.
• Adminster scheduled doses of oral morphine to decrease manifestations of withdrawal.
The dosage of the medication is adjusted based on the NAS score of the newborn.
• maintain a low stimulus enviornment Supportive care for a newborn who has NAS
includes maintaining a low-stimulus environment to help prevent exacerbation of withdrawal
manifestations.
• initiate neonatal absitince syndrome scoring to evaluate the severity of the newborn's
withdrawal manifestations. The score obtained will be used to evaluate the need to titrate
the prescription for the morphine dosage.
2. A nurse is caring for a client who is at 35 weeks of gestation and has a
placenta previa. Which of the following actions should the nurse take?
• Perform a vaginal exam to determine cervical dilation every 2 hr.
• Instruct the client to ambulate in the hallway once every 4 hr.
• Administer betamethasone to the client via IM injection.
• Initiate continuous external fetal monitoring.
Initiate continuous external fetal monitoring
• The nurse should identify that a client who has a placenta previa and is actively bleeding is
at an increased risk for preterm labor and hemorrhage.
• The nurse should initiate interventions such as bed rest, pelvic rest, and continuous fetal
heart monitoring, which assesses fetal well-being and the presence of contractions.
,• The nurse should obtain IV access and monitor laboratory values.
• Also, the nurse should implement interventions to prepare for an emergency birth.
3. A nurse is providing education about family bonding to guardians who
recently adopted a newborn. The nurse should make which of the following
suggestions to aid the family's 7 year old child in accepting the new family
member?
• Allow the sibling to hold the newborn during a bath.
• Make sure the sibling kisses the newborn each night.
• Obtain a gift from the newborn to present to the sibling.
• Switch the sibling's room with the nursery.
Obtain a gift form the newborn in the present to the sibling
Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age
sibling's acceptance of a new family member. This ensures that the sibling does not feel left
out and that they understand their role in the family.
4. A nurse is caring for prenatal client who has parvovirus B19. Which of the
following actions should the nurse take?
• Administer antiviral medication.
• Schedule an ultrasound examination.
• Administer Haemophilus influenzae type b vaccine.
• Schedule an indirect Coombs test.
Schedule an ultrasound exam
The nurse should schedule serial ultrasound examinations to monitor the fetus during the
pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause
miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
, 5. A nurse is caring for client who is at 26 weeks of gestation and has epilepsy.
The nurse enters the room and observe the client having a seizure. After
turning the client's head to on side, which of the following actions should the
nurse take immediate after the seizure?
• Monitor the FHR.
• Assess uterine activity.
• Administer oxygen via a nonrebreather mask.
• Start a bolus of IV fluids.
Administer Oxygen via a nonrebreather mask
When using the airway, breathing, and circulation approach to client care, the nurse should
place the priority on administering oxygen to the client via a nonrebreather mask at 10 L/min
to ensure adequate oxygenation to the fetus.
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the
following stamens by the client indicates an understand of the teaching?
• "I will get injections of the medication once daily until my labor stops."
• "My blood sugar may be low while I'm on this medication."
• "I will have blood tests because my potassium might decrease."
• "My blood pressure may increase while I'm on this medication."
" I will have blood test because my potassium might decrease"
An adverse effect of terbutaline is hypokalemia.
A nurse is providing teaching to a client who is at 40 weeks gestation and had a new
prescription for misoprostol. Which of the following instructions should the nurse
include in the teaching?
• "Remain in a side-lying position for 15 min after the med is inserted."
• "You will need a full bladder prior to the insertion of the medication."
• "I can administer oxytocin 4 hours after the insertion of the medication."
• "An antacid will be given 20 minutes prior to the insertion of the medication."
" I can administer oxytocin 4 hours after the insertion of the medication"
MATERNAL NEWBORN
600 QUESTIONS BANK
&
STUDY GUIDE
(NGN-Style Questions & Case Scenarios) Pass on the
first attempt.
What’s Inside
➢ 600 Questions & Study Guide
➢ Format Set of Multiple-choice
➢ questions with incorporating Next Generation
NCLEX (NGN) and Case Scenarios
➢ Expert-Verified Explanations & Solutions
, 1. The nurse is caring for a newborn who is 72 hr old. The nurse is planning to
contact the provider regarding the newborns status. Which of the following
prescriptions regarding the newborn should the nurse anticipate? (SATA)
• Instruct the mother to discontinue breastfeeding.
• Administer scheduled doses of oral morphine.
• Give a one-time dose of naloxone IM.
• Maintain a low-stimulus environment.
• Initiate neonatal abstinence syndrome (NAS) scoring.
• Adminster scheduled doses of oral morphine to decrease manifestations of withdrawal.
The dosage of the medication is adjusted based on the NAS score of the newborn.
• maintain a low stimulus enviornment Supportive care for a newborn who has NAS
includes maintaining a low-stimulus environment to help prevent exacerbation of withdrawal
manifestations.
• initiate neonatal absitince syndrome scoring to evaluate the severity of the newborn's
withdrawal manifestations. The score obtained will be used to evaluate the need to titrate
the prescription for the morphine dosage.
2. A nurse is caring for a client who is at 35 weeks of gestation and has a
placenta previa. Which of the following actions should the nurse take?
• Perform a vaginal exam to determine cervical dilation every 2 hr.
• Instruct the client to ambulate in the hallway once every 4 hr.
• Administer betamethasone to the client via IM injection.
• Initiate continuous external fetal monitoring.
Initiate continuous external fetal monitoring
• The nurse should identify that a client who has a placenta previa and is actively bleeding is
at an increased risk for preterm labor and hemorrhage.
• The nurse should initiate interventions such as bed rest, pelvic rest, and continuous fetal
heart monitoring, which assesses fetal well-being and the presence of contractions.
,• The nurse should obtain IV access and monitor laboratory values.
• Also, the nurse should implement interventions to prepare for an emergency birth.
3. A nurse is providing education about family bonding to guardians who
recently adopted a newborn. The nurse should make which of the following
suggestions to aid the family's 7 year old child in accepting the new family
member?
• Allow the sibling to hold the newborn during a bath.
• Make sure the sibling kisses the newborn each night.
• Obtain a gift from the newborn to present to the sibling.
• Switch the sibling's room with the nursery.
Obtain a gift form the newborn in the present to the sibling
Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age
sibling's acceptance of a new family member. This ensures that the sibling does not feel left
out and that they understand their role in the family.
4. A nurse is caring for prenatal client who has parvovirus B19. Which of the
following actions should the nurse take?
• Administer antiviral medication.
• Schedule an ultrasound examination.
• Administer Haemophilus influenzae type b vaccine.
• Schedule an indirect Coombs test.
Schedule an ultrasound exam
The nurse should schedule serial ultrasound examinations to monitor the fetus during the
pregnancy to detect the possible development of fetal hydrops. Also, the virus can cause
miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.
, 5. A nurse is caring for client who is at 26 weeks of gestation and has epilepsy.
The nurse enters the room and observe the client having a seizure. After
turning the client's head to on side, which of the following actions should the
nurse take immediate after the seizure?
• Monitor the FHR.
• Assess uterine activity.
• Administer oxygen via a nonrebreather mask.
• Start a bolus of IV fluids.
Administer Oxygen via a nonrebreather mask
When using the airway, breathing, and circulation approach to client care, the nurse should
place the priority on administering oxygen to the client via a nonrebreather mask at 10 L/min
to ensure adequate oxygenation to the fetus.
A nurse is teaching a client who is in preterm labor about terbutaline. Which of the
following stamens by the client indicates an understand of the teaching?
• "I will get injections of the medication once daily until my labor stops."
• "My blood sugar may be low while I'm on this medication."
• "I will have blood tests because my potassium might decrease."
• "My blood pressure may increase while I'm on this medication."
" I will have blood test because my potassium might decrease"
An adverse effect of terbutaline is hypokalemia.
A nurse is providing teaching to a client who is at 40 weeks gestation and had a new
prescription for misoprostol. Which of the following instructions should the nurse
include in the teaching?
• "Remain in a side-lying position for 15 min after the med is inserted."
• "You will need a full bladder prior to the insertion of the medication."
• "I can administer oxytocin 4 hours after the insertion of the medication."
• "An antacid will be given 20 minutes prior to the insertion of the medication."
" I can administer oxytocin 4 hours after the insertion of the medication"
