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ATI RN MATERNAL NEWBORN ONLINE PRACTICE 2019 A AND B WITH NGN TEST 150 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES GUARANTEED PASS

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ATI RN MATERNAL NEWBORN ONLINE PRACTICE 2019 A AND B WITH NGN TEST 150 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES GUARANTEED PASS A nurse is providing teaching for a client who gave birth 2 hr ago about the facility policy for newborn safety. Which of the following client statements indicates an understanding of the teaching? A. "My sister will be able to carry my baby from the nursery to my room when she arrives." B. "The nurse will match my wrist band to my baby's crib card when they bring him to me." C. "The person who comes to take my baby's pictures will be wearing a photo identification badge." D. "My baby doesn't need to wear the electronic security bracelet when he's in my room." - Correct Answer-C. "The person who comes to take my baby's pictures will be wearing a photo identification badge." All personnel working on the unit should be wearing a photo identification badge. The nurse should instruct the parent to never allow anyone who is not wearing an identification badge to come in contact with the newborn. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? A. "Obtain an informed consent prior to obtaining the specimen." 2 | Page ATI RN Maternal Newborn Online Practice 2019 A and B with NGN Test B. "Collect at least 1 milliliter of urine for the test." C. "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen." D. "Premature newborns may have false negative tests due to immature development of liver enzymes." - Correct Answer-C. "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen." The nurse should ensure that the newborn has been receiving regular feedings for at least 24 hr prior to testing. A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - Correct Answer-50 mL/hr 2 g/hr x 500 mL = 1,000 mL/g/hr 1,000 mL/g/hr / 20g = 50 mL/hr A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take? A. Administer antiviral medication. B. Schedule an ultrasound examination. C. Administer Haemophilus influenzae type b vaccine. 3 | Page ATI RN Maternal Newborn Online Practice 2019 A and B with NGN Test D. Schedule an indirect Coombs' test. - Correct Answer-B. Schedule an ultrasound examination. 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.

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ATI RN Maternal Newborn Online Practice 2019 A and B with NGN Test


ATI RN MATERNAL NEWBORN ONLINE PRACTICE 2019 A AND B
WITH NGN TEST 150 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES GUARANTEED PASS
A nurse is providing teaching for a client who gave birth 2 hr ago about the facility
policy for newborn safety. Which of the following client statements indicates an
understanding of the teaching?


A. "My sister will be able to carry my baby from the nursery to my room when she
arrives."
B. "The nurse will match my wrist band to my baby's crib card when they bring
him to me."
C. "The person who comes to take my baby's pictures will be wearing a photo
identification badge."
D. "My baby doesn't need to wear the electronic security bracelet when he's in my
room." - Correct Answer-C. "The person who comes to take my baby's pictures will
be wearing a photo identification badge."


All personnel working on the unit should be wearing a photo identification
badge. The nurse should instruct the parent to never allow anyone who is not
wearing an identification badge to come in contact with the newborn.


A nurse is teaching a newly licensed nurse about collecting a specimen for the
universal newborn screening. Which of the following statements should the nurse
include in the teaching?


A. "Obtain an informed consent prior to obtaining the specimen."
1|Page

, ATI RN Maternal Newborn Online Practice 2019 A and B with NGN Test

B. "Collect at least 1 milliliter of urine for the test."
C. "Ensure that the newborn has been receiving feedings for 24 hours prior to
obtaining the specimen."
D. "Premature newborns may have false negative tests due to immature
development of liver enzymes." - Correct Answer-C. "Ensure that the newborn has
been receiving feedings for 24 hours prior to obtaining the specimen."


The nurse should ensure that the newborn has been receiving regular feedings
for at least 24 hr prior to testing.


A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is
in preterm labor. Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in
water (D5W). The nurse should set the IV infusion pump to administer how many
mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.) - Correct Answer-50 mL/hr


2 g/hr x 500 mL = 1,000 mL/g/hr
1,000 mL/g/hr / 20g = 50 mL/hr


A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease).
Which of the following actions should the nurse take?


A. Administer antiviral medication.
B. Schedule an ultrasound examination.
C. Administer Haemophilus influenzae type b vaccine.


2|Page

, ATI RN Maternal Newborn Online Practice 2019 A and B with NGN Test

D. Schedule an indirect Coombs' test. - Correct Answer-B. Schedule an ultrasound
examination.


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.


A nurse is performing a routine assessment on a client who is at 18 weeks of
gestation. Which of the following findings should the nurse expect?


A. Deep tendon reflexes 4+
B. Fundal height 14 cm
C. Urine protein 2+
D. FHR 152/min - Correct Answer-D. FHR 152/min


The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier
in gestation with an average of approximately 160/min at 20 weeks of gestation.
Therefore, this is an expected finding by the nurse.


A nurse is providing education about family bonding to parents 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?


A. Allow the sibling to hold the newborn during a bath.
B. Make sure the sibling kisses the newborn each night.
3|Page

, ATI RN Maternal Newborn Online Practice 2019 A and B with NGN Test

C. Obtain a gift from the newborn to present to the sibling.
D. Switch the sibling's room with the nursery. - Correct Answer-C. Obtain a gift
from the newborn to 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.


A nurse is caring for a client who is at 30 weeks of gestation and has a prescription
for magnesium sulfate IV to treat preterm labor. The nurse should notify the
provider of which of the following adverse effects?


A. Client reports nausea
B. Urinary output of 40 mL/hr
C. Respiratory rate 10/min
D. Client reports feeling flushed - Correct Answer-C. Respiratory rate 10/min


The nurse should report a respiratory rate of less than 12/min to the provider,
because this is a manifestation of magnesium toxicity. The nurse should ensure
that the antidote, calcium gluconate, is readily available.


A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption. Which of the following laboratory tests should the nurse
expect the provider to prescribe?


A. Kleihauer-Betke test
4|Page

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