ATI RN Maternal Newborn 2019 with NGN
(proctored)
A nurse is assessing a newborn following a forceps-assisted birth. Which of the
following clinical manifestations should the nurse identify as a complication of
the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy - Most babies delivered by forceps suffer no long-term problems,
but in
D. Bronchopulmonary dysplasia
C. Facial Palsy
Most babies delivered by forceps suffer no long-term problems, but in rare cases an
injury is sustained to the facial nerve, due to the pressure of the forceps blade on the
baby's head.
A nurse is providing teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statement by client indicates an
understanding of the teaching?
A." The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears"
D. "This medication could cause me to experience frequent ..."
A." The medication could cause me to experience heart palpitation"
This is a serious side effect of terbutaline and must be notifies to the physician
immediately
A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following laboratory tests should the nurse anticipate?
A . Urine Ketones
B. Rapid plasma regain
C.Prothrombin time
D.Urine culture
Urine Ketones
Hyperemesis gravidarum is a severe form of this 'morning sickness', experience by less
than 1% of pregnant women. It can cause dehydration and starvation and the
production of compounds called ketones that can be found in the blood and urine.
A nurse is caring for a client who is in labor and requests nonpharmacological
pain management. Which of the following nursing actions promotes client
comfort?
,A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr
Having the client lie in a supine position
Having the patient lie in a comfortable position may help reduce sensation of pain due
to labor
A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
Malodorous Discharge
A nurse is caring for a client who is 14 weeks of gestation. At which the following
locations should the nurse place the Doppler device when assessing the fetal
heart rate?
A . Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
at 14 weeks AOG this is where to place the doppler probe to note FHT
A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3
Platelet Count 60.000/ mm3
platelet count of less than 100,000 correlates with how severe the condition is.
A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
, Tinnitus
this is a documented adverse effect of this medication
A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
Chest circumference 2 cm (0.8 in) smaller than the head circumference
head circumference is always 2cm more than the chest in normal term babies
A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of the following interventions should the nurse include in the plan of care?
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation
D. Swaddle the newborn in a flexed position
Swaddle the newborn in a flexed position
to increase comfort that newborn is receiving
.A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer
reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which
of the following actions should the nurse take?
A. Obtain a blood sample for a serum glucose level
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next feeding
Reassess the blood glucose level prior to the next feeding
newborn blood glucose is normal because it has separated from it's source of energy
which is the mother. Blood glucose for newborn to be considered hypoglycemic is
45mg/dl and below.
A nurse is providing teaching to a client about exercise safety during pregnancy.
Which of the following statements by the client indicates an understanding of the
teaching? (Select all that apply).
A. "I will limit my time in the hot tub to 30 minutes after exercise."
B. "I should consume three 8-ounce glasses of water after I exercise."
C. "I will check my heart rate every 15 minutes during exercise sessions."
D. "I should limit exercise sessions to 30 minutes when the weather is humid."
E. "I should rest by lying on my side for 10 minutes following exercise."
(proctored)
A nurse is assessing a newborn following a forceps-assisted birth. Which of the
following clinical manifestations should the nurse identify as a complication of
the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy - Most babies delivered by forceps suffer no long-term problems,
but in
D. Bronchopulmonary dysplasia
C. Facial Palsy
Most babies delivered by forceps suffer no long-term problems, but in rare cases an
injury is sustained to the facial nerve, due to the pressure of the forceps blade on the
baby's head.
A nurse is providing teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statement by client indicates an
understanding of the teaching?
A." The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears"
D. "This medication could cause me to experience frequent ..."
A." The medication could cause me to experience heart palpitation"
This is a serious side effect of terbutaline and must be notifies to the physician
immediately
A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following laboratory tests should the nurse anticipate?
A . Urine Ketones
B. Rapid plasma regain
C.Prothrombin time
D.Urine culture
Urine Ketones
Hyperemesis gravidarum is a severe form of this 'morning sickness', experience by less
than 1% of pregnant women. It can cause dehydration and starvation and the
production of compounds called ketones that can be found in the blood and urine.
A nurse is caring for a client who is in labor and requests nonpharmacological
pain management. Which of the following nursing actions promotes client
comfort?
,A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr
Having the client lie in a supine position
Having the patient lie in a comfortable position may help reduce sensation of pain due
to labor
A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
Malodorous Discharge
A nurse is caring for a client who is 14 weeks of gestation. At which the following
locations should the nurse place the Doppler device when assessing the fetal
heart rate?
A . Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
at 14 weeks AOG this is where to place the doppler probe to note FHT
A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3
Platelet Count 60.000/ mm3
platelet count of less than 100,000 correlates with how severe the condition is.
A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
, Tinnitus
this is a documented adverse effect of this medication
A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
Chest circumference 2 cm (0.8 in) smaller than the head circumference
head circumference is always 2cm more than the chest in normal term babies
A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of the following interventions should the nurse include in the plan of care?
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation
D. Swaddle the newborn in a flexed position
Swaddle the newborn in a flexed position
to increase comfort that newborn is receiving
.A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer
reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which
of the following actions should the nurse take?
A. Obtain a blood sample for a serum glucose level
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next feeding
Reassess the blood glucose level prior to the next feeding
newborn blood glucose is normal because it has separated from it's source of energy
which is the mother. Blood glucose for newborn to be considered hypoglycemic is
45mg/dl and below.
A nurse is providing teaching to a client about exercise safety during pregnancy.
Which of the following statements by the client indicates an understanding of the
teaching? (Select all that apply).
A. "I will limit my time in the hot tub to 30 minutes after exercise."
B. "I should consume three 8-ounce glasses of water after I exercise."
C. "I will check my heart rate every 15 minutes during exercise sessions."
D. "I should limit exercise sessions to 30 minutes when the weather is humid."
E. "I should rest by lying on my side for 10 minutes following exercise."
