ATI RN Maternal Newborn Online Practice 2023 A with NGN
,ATI RN Maternal Newborn Online Practice 2023 A with NGN
A nurse is assessing a client who is at 38 weeks of gestation during a weekly
prenatal visit. Which of the following findings should the nurse report to the
provider?
A. Blood pressure 136/88 mm Hg
B. Report of insomnia
C. Weight gain of 2.2 kg (4.8 lb)
D. Report of Braxton Hicks contractions - ansC. Weight gain of 2.2 kg (4.8 lb)
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and
could indicate complications. Therefore, this finding should be reported to the
provider.
A nurse is assessing a client who is receiving morphine via IV bolus for pain following
a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following
medications should the nurse administer?
A. Fentanyl
B. Butorphanol
C. Naloxone
D. Meperidine - ansC. Naloxone
Morphine is a common opioid analgesic used for postoperative pain management
that can cause central nervous system depression and can cause respiratory
depression. The nurse should administer naloxone, an opioid antagonist, to reverse
the opioid- induced respiratory depression in the client.
A nurse is assessing a client who received carboprost for postpartum hemorrhage.
Which of the following findings is an adverse effect of this medication?
A. Hypertension
B. Hypothermia
C. Constipation
D. Muscle weakness - ansA. Hypertension
The nurse should recognize that carboprost is a vasoconstrictor that can cause
hypertension.
A nurse is assessing a late preterm newborn. Which of the following manifestations
is an indication of hypoglycemia?
A. Hypertonia
B. Increased feeding
C. Hyperthermia
D. Respiratory distress - ansD. Respiratory distress
,ATI RN Maternal Newborn Online Practice 2023 A with NGN
Late preterm newborns are at an increased risk for hypoglycemia due to decreased
glycogen stores and immature insulin secretion. Respiratory distress is a
manifestation of hypoglycemia. Other manifestations of hypoglycemia include an
abnormal cry, jitteriness, lethargy, poor feeding, apnea, and seizures.
Hypoglycemia - hypothermia, poor feeding behaviors, hypotonia
A nurse is assessing a newborn 12 hr after birth. Which of the following
manifestations should the nurse report to the provider?
A. Acrocyanosis
B. Transient strabismus
C. Jaundice
D. Caput succedaneum - ansC. Jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO
incompatibility, hemolysis, or Rh-isoimmunization. The nurse should report this
manifestation to the provider.
A nurse is assessing a newborn who was born at 26 weeks of gestation using the
New Ballard Score. Which of the following findings should the nurse expect?
A. Minimal arm recoil
B. Popliteal angle of 90°
C. Creases over the entire foot sole
D. Raised areolas with 3 to 4 mm buds - ansA. Minimal arm recoil
The nurse should expect a newborn who was born at 26 weeks of gestation to have
decreased muscular tone, or minimal arm recoil.
A nurse is assessing a newborn who was delivered vaginally and experienced a tight
nuchal cord. Which of the following findings should the nurse expect?
A. Bruising over the buttocks
B. Hard nodules on the roof of the mouth
C. Petechiae over the head
D. Bilateral periauricular papillomas - ansC. Petechiae over the head
Nuchal cord, or the umbilical cord being wrapped tightly around the neck, can cause
bruising and petechiae over the face, head, and neck.
A nurse is assessing four newborns. Which of the following findings should the nurse
report to the provider?
A. A newborn who is 26 hr old and has erythema toxicum on his face
B. A newborn who is 32 hr old and has not passed a meconium stool
, ATI RN Maternal Newborn Online Practice 2023 A with NGN
C. A newborn who is 12 hr old and has pink-tinged urine
D. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F) -
ansD. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
An axillary temperature greater than 37.5° C (99.5° F) is above the expected
reference range for a newborn and can be an indication of sepsis. Therefore, the
nurse should report this finding to the provider.
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV
fluid replacement. Which of the following findings should the nurse report to the
provider?
A. BUN 25 mg/dL
B. Serum creatinine 0.8 mg/dL
C. Urine output of 280 mL within 8 hr
D. Urine negative for ketones - ansA. BUN 25 mg/dL
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
A nurse is caring for a client who is 3 days postpartum.
Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address
that condition, and 2 parameters the nurse should monitor to assess the client's
progress.
Medical History
Gravida 1, Para 138 weeks of gestation
Forceps-assisted birth following failed vacuum-assisted
attempt. 3rd degree laceration with a repair
Amniotic membranes ruptured - ansAction to Take
A. Plan to administer IV antibiotics.
C. Obtain a culture of vaginal fluid using a sterile swab.
Potential Condition
A. Endometrisis
Parameter to Monitor
D. Lochia amount and odor
E. Temperature
The nurse should plan to obtain a culture of vaginal fluid and to administer IV
antibiotics because the client is most likely experiencing endometritis as evidenced
by increased pelvic pain, pressure and tenderness, fever, and foul-smelling vaginal
discharge. The
,ATI RN Maternal Newborn Online Practice 2023 A with NGN
A nurse is assessing a client who is at 38 weeks of gestation during a weekly
prenatal visit. Which of the following findings should the nurse report to the
provider?
A. Blood pressure 136/88 mm Hg
B. Report of insomnia
C. Weight gain of 2.2 kg (4.8 lb)
D. Report of Braxton Hicks contractions - ansC. Weight gain of 2.2 kg (4.8 lb)
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and
could indicate complications. Therefore, this finding should be reported to the
provider.
A nurse is assessing a client who is receiving morphine via IV bolus for pain following
a cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following
medications should the nurse administer?
A. Fentanyl
B. Butorphanol
C. Naloxone
D. Meperidine - ansC. Naloxone
Morphine is a common opioid analgesic used for postoperative pain management
that can cause central nervous system depression and can cause respiratory
depression. The nurse should administer naloxone, an opioid antagonist, to reverse
the opioid- induced respiratory depression in the client.
A nurse is assessing a client who received carboprost for postpartum hemorrhage.
Which of the following findings is an adverse effect of this medication?
A. Hypertension
B. Hypothermia
C. Constipation
D. Muscle weakness - ansA. Hypertension
The nurse should recognize that carboprost is a vasoconstrictor that can cause
hypertension.
A nurse is assessing a late preterm newborn. Which of the following manifestations
is an indication of hypoglycemia?
A. Hypertonia
B. Increased feeding
C. Hyperthermia
D. Respiratory distress - ansD. Respiratory distress
,ATI RN Maternal Newborn Online Practice 2023 A with NGN
Late preterm newborns are at an increased risk for hypoglycemia due to decreased
glycogen stores and immature insulin secretion. Respiratory distress is a
manifestation of hypoglycemia. Other manifestations of hypoglycemia include an
abnormal cry, jitteriness, lethargy, poor feeding, apnea, and seizures.
Hypoglycemia - hypothermia, poor feeding behaviors, hypotonia
A nurse is assessing a newborn 12 hr after birth. Which of the following
manifestations should the nurse report to the provider?
A. Acrocyanosis
B. Transient strabismus
C. Jaundice
D. Caput succedaneum - ansC. Jaundice
Jaundice occurring within the first 24 hr of birth is associated with ABO
incompatibility, hemolysis, or Rh-isoimmunization. The nurse should report this
manifestation to the provider.
A nurse is assessing a newborn who was born at 26 weeks of gestation using the
New Ballard Score. Which of the following findings should the nurse expect?
A. Minimal arm recoil
B. Popliteal angle of 90°
C. Creases over the entire foot sole
D. Raised areolas with 3 to 4 mm buds - ansA. Minimal arm recoil
The nurse should expect a newborn who was born at 26 weeks of gestation to have
decreased muscular tone, or minimal arm recoil.
A nurse is assessing a newborn who was delivered vaginally and experienced a tight
nuchal cord. Which of the following findings should the nurse expect?
A. Bruising over the buttocks
B. Hard nodules on the roof of the mouth
C. Petechiae over the head
D. Bilateral periauricular papillomas - ansC. Petechiae over the head
Nuchal cord, or the umbilical cord being wrapped tightly around the neck, can cause
bruising and petechiae over the face, head, and neck.
A nurse is assessing four newborns. Which of the following findings should the nurse
report to the provider?
A. A newborn who is 26 hr old and has erythema toxicum on his face
B. A newborn who is 32 hr old and has not passed a meconium stool
, ATI RN Maternal Newborn Online Practice 2023 A with NGN
C. A newborn who is 12 hr old and has pink-tinged urine
D. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F) -
ansD. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
An axillary temperature greater than 37.5° C (99.5° F) is above the expected
reference range for a newborn and can be an indication of sepsis. Therefore, the
nurse should report this finding to the provider.
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV
fluid replacement. Which of the following findings should the nurse report to the
provider?
A. BUN 25 mg/dL
B. Serum creatinine 0.8 mg/dL
C. Urine output of 280 mL within 8 hr
D. Urine negative for ketones - ansA. BUN 25 mg/dL
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
A nurse is caring for a client who is 3 days postpartum.
Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address
that condition, and 2 parameters the nurse should monitor to assess the client's
progress.
Medical History
Gravida 1, Para 138 weeks of gestation
Forceps-assisted birth following failed vacuum-assisted
attempt. 3rd degree laceration with a repair
Amniotic membranes ruptured - ansAction to Take
A. Plan to administer IV antibiotics.
C. Obtain a culture of vaginal fluid using a sterile swab.
Potential Condition
A. Endometrisis
Parameter to Monitor
D. Lochia amount and odor
E. Temperature
The nurse should plan to obtain a culture of vaginal fluid and to administer IV
antibiotics because the client is most likely experiencing endometritis as evidenced
by increased pelvic pain, pressure and tenderness, fever, and foul-smelling vaginal
discharge. The
