ATI RN MATERNAL NEWBORN NGN NEWEST 2024
ACTUAL EXAM COMPLETE 70 QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY
GRADED A+
A nurse is developing an educational program about hemolytic
diseases in newborns for a group of newly licensed nurses.
Which of the following genetic information should the nurse
include in the program as a cause of hemolytic disease?
A. The mother is Rh-positive and the newborn is Rh negative
B. The mother is Rh-negative and the newborn is Rh positive
C. The mother and the newborn are both Rh positive
D. The mother and the father are both Rh negative - ANSWER-
The mother is Rh-negative and the newborn is Rh positive
Rationale; can cause sensitization from RH + from the father
causing complications to the next conception
A nurse on an antepartum unit is reviewing the medical records
for four clients. Which of the following clients should the nurse
assess first?
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A. A client who has diabetes mellitus and an HbA1c of 5.8%
B. A client who has preeclampsia and a creatinine level of 1.1
mg/ dL
C. A client who has hyperemesis gravidarum and a sodium level
of 110 mEq/L
D. A client who has placenta previa and a hematocrit of 36%
E."I have been seeing spots this morning" - ANSWER- A client
who has hyperemesis gravidarum and a sodium level of 110
mEq/L
A nurse is assessing a newborn immediately following a vaginal
birth. For which of the following findings should the nurse
intervene?
A. Molding
B. Vernix Caseosa
C. Acrocyanosis
D. Sternal retractions - ANSWER- Sternal retractions
A nurse on the postpartum unit is caring for four clients. For
which of the following clients should the nurse notify the
provider?
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A. A client who has a urinary output of 300 ml in 8 hr
B. A client who reports abdominal cramping during
breastfeeding
C. A client who is receiving magnesium sulfate and has absent
deep tendon reflexes
D.A client who reports lochia rubra requiring changing perineal
pads every 3 hr - ANSWER- A client who is receiving
magnesium sulfate and has absent deep tendon reflexes.
A nurse is caring for a client who has active genital herpes
simplex virus type 2. Which of the following medications should
the nurse plan to administer?
A. Metronidazole
B. Penicillin
C. Acyclovir
D. Gentamicin - ANSWER- Acyclovir
Rationale; viral infection requires an antiviral medication
A nurse is caring for a client following an amniocentesis. The
nurse should observe the client for which of the following
complications?
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A. Hyperemesis
B. Proteinuria
C. Hypoxia
D. Hemorrhage - ANSWER- Hemorrhage
Rationale; bleeding is sometimes noted after the procedure
A nurse is planning care for a client who is receiving oxytocin
by continuous IV infusion for labor induction. Which of the
following interventions should the nurse include in the plan?
A. Increase the infusion rate every 30 to 60 min.
B. Maintain the client in a supine position.
C. Titrate the infusion rate by 4 milliunits/min.
D. Limit IV intake to 4 L per 24 hr. - ANSWER- A. Increase the
infusion rate every 30 to 60 min.
A nurse is caring for a 2-day-old newborn who was born at 35
weeks of gestation. Which of the following actions should the
nurse the nurse takes? (Click on the "Exhibit" Button for
additional information about the newborn. There are three tabs
that contain separate categories of date.)