MATERNAL NEWBORN OB / NGN OB MATER NAL NEWBORN ATI PROCTORED 2024 NEWEST 2024 ACTUAL EXAM TEST BANK 3 00 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ A nurse is testing the reflexes of a newborn to assess neurologic maturity. What reflexes is the nurse assessing when she qui ckly and gently turns the newborn's head to one side? a. moro b. babinski c. rooting d. tonic neck - correct answer ✔✔d. tonic neck To elicit the tonic neck reflex, the nurse should quickly and gently turn the newborn's head to one side when he is sleeping or falling asleep. The newborn's arm and leg should extend outward to the same side that the nurse turned his head while the opposi te arm and leg flex. This reflex persists for about 3 to 4 months. A nurse is assessing a newborn who was born at 39 wks gestation. What finding should the nurse expect? a. symmetric rib cage b. lanugo abundant on the back c. dry, wrinkled skin d. vernix over the entire body - correct answer ✔✔a. symmetric rib cage A nurse is caring for a newborn who is premature in the n eonatal ICU. what action should the nurse take to promote development? a. discourage the use of pacifiers b. position the naked newborn on the parents bare chest c. provide frequent periods of visual and auditory stimulation d. rapidly advance oral feedings - correct answer ✔✔b. position the naked newborn on the parents bare chest A newborn who is born at 39 weeks of gestation is full -term and should have normal, smooth skin with good turgor and the presence of subcutaneous fat pockets. A postmature newborn, greater than 42 weeks of gestation, will have dry, cracked skin with a wrinkled appearance. A nurse is assessing a 2 day old newborn and notes an egg -shaped, edematous, bluish discoloration that does not cross the suture line. What pieces of info should the nurse prov ide to the mother when she inquires about the finding? a. this will resolve within 3 -6 wks without treatment b. this will resolve on its own within 3 -4 days c. this is expected at birth so you don't need to worry about it d. the provider might drain this a rea with a syringe - correct answer✔✔a. this will resolve within 3 -6 wks without treatment A nurse is assessing a client who is postpartum following a vacuum -
assisted birth. For what finding should the nurse monitor to identify a cervical laceration? a. a gush of rubra lochia when the nurse massages the uterus b. continuous lochia flow and flaccid uterus c. slow trickle of bright vaginal bleeding and a firm fundus d. report of increasing pain and pressure in the perineal area - correct answer✔✔c. slow tric kle of bright vaginal bleeding and a firm fundus The nurse should monitor for bright red bleeding as a slow trickle, oozing or outright bleeding,and a firm fundus to identify a cervical laceration. A nurse is planning care for a client who is postpartum and has cardiac disease. For what script should the nurse seek clarification? a. initiate bedrest with HOB elevated b. initiate high -fiber diet for client c. monitor clients wt wkly d. monitor client's I&O - correct answer ✔✔c. monitor clients wt wkly The nurse should weigh the client daily to monitor for fluid overload . A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed her newborn. What instructions should the nurse include in the teaching? a. stand under hot shower with your breasts exposed b. place ice packs on your breasts c. limit fluid intake to 1 L per day d. wear a loose -fitting, comfortable bra - correct answer ✔✔b. place ice packs on your breasts The nurse should instruct the client to place ice packs on her breasts using a 15 min on and 45 min off schedule, to decrease swelling of the breast tissue as the body produces milk. A nurse is caring for a newborn directly after birth. What medications should the nurse administer to the newborn within 1 -2 hr of delivery? a. poractant alpha b. rotavirus immunization c. naloxone d. erythromycin ophthalmic ointment - correct answer ✔✔d. erythromycin ophthalmic ointment
assisted birth. For what finding should the nurse monitor to identify a cervical laceration? a. a gush of rubra lochia when the nurse massages the uterus b. continuous lochia flow and flaccid uterus c. slow trickle of bright vaginal bleeding and a firm fundus d. report of increasing pain and pressure in the perineal area - correct answer✔✔c. slow tric kle of bright vaginal bleeding and a firm fundus The nurse should monitor for bright red bleeding as a slow trickle, oozing or outright bleeding,and a firm fundus to identify a cervical laceration. A nurse is planning care for a client who is postpartum and has cardiac disease. For what script should the nurse seek clarification? a. initiate bedrest with HOB elevated b. initiate high -fiber diet for client c. monitor clients wt wkly d. monitor client's I&O - correct answer ✔✔c. monitor clients wt wkly The nurse should weigh the client daily to monitor for fluid overload . A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed her newborn. What instructions should the nurse include in the teaching? a. stand under hot shower with your breasts exposed b. place ice packs on your breasts c. limit fluid intake to 1 L per day d. wear a loose -fitting, comfortable bra - correct answer ✔✔b. place ice packs on your breasts The nurse should instruct the client to place ice packs on her breasts using a 15 min on and 45 min off schedule, to decrease swelling of the breast tissue as the body produces milk. A nurse is caring for a newborn directly after birth. What medications should the nurse administer to the newborn within 1 -2 hr of delivery? a. poractant alpha b. rotavirus immunization c. naloxone d. erythromycin ophthalmic ointment - correct answer ✔✔d. erythromycin ophthalmic ointment
