ATI RN MATERNAL NEWBORN PRACTICE 2026
B COMPLETE STUDY GUIDE WITH ANSWERS
◉ nurgent approach to client care is to address the client's hyp.
Answer: nurgent approach to client care is to address the client's
hyp
◉ nurgent approach to client care is to address the client's hyp.
Answer: nurgent approach to client care is to address the client's
hyp
◉ v. Answer: nurgent approach to client care is to address the
client's hyp
◉ A nurse is teaching a client who is in preterm labor about
terbutaline. Which of the following statements by the client indicates
an understanding of the teaching?. Answer: "I will have blood tests
because my potassium might decrease."
other Considerations:
- Terbutaline is administered subcutaneously every 4 hr for no
longer than 24 hr.
- An adverse effect of terbutaline is hyperglycemia.
- An adverse effect of terbutaline is hypokalemia.
,- An adverse effect of terbutaline is hypotension.
◉ A nurse is performing a vaginal examination on a client who is in
labor and observes the umbilical cord protruding from the vagina.
After calling for assistance, which of the following actions should the
nurse take?. Answer: Insert two gloved fingers into the vagina and
apply upward pressure to the presenting part.
Rationale:
The nurse should quickly apply gloves and insert two fingers into
the vagina toward the cervix, exerting upward pressure onto the
presenting part to relieve umbilical cord compression and increase
oxygenation to the fetus.
Other considerations:
- The nurse should place the client into a modified lateral semi-
prone recumbent position, Sims' position, knee-chest position, or
extreme Trendelenburg to attempt to relieve the compression of the
umbilical cord.
- The nurse should apply oxygen to the client at 8 to 10 L/min via
nonrebreather mask.
- The nurse should wrap the visible cord with a loose sterile towel
saturated with warm 0.9% sodium chloride solution
, ◉ right lower quadrant abdominal tenderness and scant dark red
vaginal spotting, which are findings associated with ectopic
pregnancy.
Abruptio placentae is the separation of the placenta from the uterine
wall after 20 weeks of gestation and is characterized by intense
abdominal pain and possible dark red vaginal bleeding.
Placenta previa is painless bright red vaginal bleeding during the
second or third trimester of pregnancy.. Answer:
◉ ectopic pregnancy.. Answer: - Transvaginal ultrasound is
indicated. The nurse should anticipate a prescription for a
transvaginal ultrasound. A transvaginal ultrasound is useful in
determining the location of the ectopic pregnancy.
- Meperidine IM is contraindicated. Clients who receive
methotrexate for an ectopic pregnancy should not take analgesics
stronger than acetaminophen, because these medications can mask
the manifestations of tubal rupture.
- Repeat quantitative β-hCG level is anticipated. The quantitative β-
hCG level should be repeated within 48 hr to see if the level has
changed from last recording. If increased levels are identified with
no intrauterine pregnancy on ultrasound, this is indicative of ectopic
pregnancy.
B COMPLETE STUDY GUIDE WITH ANSWERS
◉ nurgent approach to client care is to address the client's hyp.
Answer: nurgent approach to client care is to address the client's
hyp
◉ nurgent approach to client care is to address the client's hyp.
Answer: nurgent approach to client care is to address the client's
hyp
◉ v. Answer: nurgent approach to client care is to address the
client's hyp
◉ A nurse is teaching a client who is in preterm labor about
terbutaline. Which of the following statements by the client indicates
an understanding of the teaching?. Answer: "I will have blood tests
because my potassium might decrease."
other Considerations:
- Terbutaline is administered subcutaneously every 4 hr for no
longer than 24 hr.
- An adverse effect of terbutaline is hyperglycemia.
- An adverse effect of terbutaline is hypokalemia.
,- An adverse effect of terbutaline is hypotension.
◉ A nurse is performing a vaginal examination on a client who is in
labor and observes the umbilical cord protruding from the vagina.
After calling for assistance, which of the following actions should the
nurse take?. Answer: Insert two gloved fingers into the vagina and
apply upward pressure to the presenting part.
Rationale:
The nurse should quickly apply gloves and insert two fingers into
the vagina toward the cervix, exerting upward pressure onto the
presenting part to relieve umbilical cord compression and increase
oxygenation to the fetus.
Other considerations:
- The nurse should place the client into a modified lateral semi-
prone recumbent position, Sims' position, knee-chest position, or
extreme Trendelenburg to attempt to relieve the compression of the
umbilical cord.
- The nurse should apply oxygen to the client at 8 to 10 L/min via
nonrebreather mask.
- The nurse should wrap the visible cord with a loose sterile towel
saturated with warm 0.9% sodium chloride solution
, ◉ right lower quadrant abdominal tenderness and scant dark red
vaginal spotting, which are findings associated with ectopic
pregnancy.
Abruptio placentae is the separation of the placenta from the uterine
wall after 20 weeks of gestation and is characterized by intense
abdominal pain and possible dark red vaginal bleeding.
Placenta previa is painless bright red vaginal bleeding during the
second or third trimester of pregnancy.. Answer:
◉ ectopic pregnancy.. Answer: - Transvaginal ultrasound is
indicated. The nurse should anticipate a prescription for a
transvaginal ultrasound. A transvaginal ultrasound is useful in
determining the location of the ectopic pregnancy.
- Meperidine IM is contraindicated. Clients who receive
methotrexate for an ectopic pregnancy should not take analgesics
stronger than acetaminophen, because these medications can mask
the manifestations of tubal rupture.
- Repeat quantitative β-hCG level is anticipated. The quantitative β-
hCG level should be repeated within 48 hr to see if the level has
changed from last recording. If increased levels are identified with
no intrauterine pregnancy on ultrasound, this is indicative of ectopic
pregnancy.
