ATI RN Maternal Newborn 2019 EXAM – STUDY GUIDE / 70 Correct Questions & Answers

ATI RN Maternal Newborn 2019 EXAM – STUDY GUIDE

70 Correct Questions & Answers

1.A client who is 16 weeks of gestation asks the nurse how to prepare her

father to a younger sibling. Statements should the nurse make?

a. You should hold your newborn in your arms when you introduce

him to your toddler

b. you should move your toddler out of her crib 2 weeks prior to your

due date c. you should give your toddler a gift from the baby when

she visit you in the facility

d. You should place your toddler in timeout if she exhibits regressive

Behavior after the baby is born

2.A nurse is observing an adolescent client who is offering her newborn a bottle while

he is laying in the bassinet. When the nurse offers to pick the newborn up and place

them in the client's arms, the mother States “ No, the baby is too tired to be held”.

Which of the following actions should the nurse take?

a. Insist that the mother pick up the newborn to feed him

b. demonstrate how to hold a newborn and allow the client to practice

c. persuade the client to breastfeed the newborn to promote bonding

d. offer to take the newborn to the nursery to finish his feeding

3.A nurse is assessing a client who is in preterm labor and has a new prescription or

terbutaline

0.25 mg subcutaneous. For which of the following findings should the nurse Withhold

the medication and Report to the provider?

a. fasting blood glucose 75

mg / DL b. blood pressure

88/58 mmhg

c. urinary output 40 ml /hr

d. FHR 120/min

4.A nurse is providing teaching to the parents of a newborn about the plastibell

circumcision technique. Which of the following? - p170-171 - postprocedure

bottom of 170 and goes into top of 171.

a.the plastibell will be removed 4 hours after the procedure

b. notify the provider is the end of your penis appears dark red

c. make sure the newborn's diaper is snug

d. yellow exudate will form at the surgical site in 24 hours

5.A nurse is planning care immediately following birth for a newborn who has

Myelomeningocele that is cerebrospinal fluid. Which of the following actions should

the nurse include in the plan of care?

a. Administer broad-spectrum antibiotics

b. cleanse the site with Povidone iodine

c. monitor the rectal temperature every 4 hours

d. prepare for surgical closure after 72 hours

6.A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter

reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of

the following actions should the nurse take?

a. Administer 50 mL of dextrose solution IV

b. obtain a blood sample of serum glucose level

c. reassess the blood glucose level prior to the next feeding

d. Feed the newborn immediately

7.A nurse is caring for four enter-partum clients. Which of the following clients

should the nurse assess first?

a. A client who is at 7 weeks of gestation and reports urinary frequency

b. a client who is at 32 weeks of gestation and reports seeing floating spots

c. a client who is 38 weeks of gestation and reports leg cramps

d. a client who is at 20 weeks of gestation and reports periodic numbness in her

fingers

8.A nurse is planning care for a client who is pregnant and has HIV. Which of

the following actions Should the nurse include in the plan of care?

a. Use a fetal scalp electrode during labor and delivery

b.Bathe the newborn before initiating skin to skin contact

c. instruct the client to stop taking the antiretroviral medication at 32 weeks of

gestation d. administer pneumococcal immunization to the newborn within 4

hours following birth

9.A nurse is caring for a client who has placenta previa. Which of the following

findings should the nurse expect?

a. Firm rigid abdomen

b. painless, vaginal bleeding

c. uterine hypertonicity

d. persistent headache

10.A nurse is planning care for a newborn who is scheduled to start phototherapy

using a lap. Which of the following actions should the nurse include?

a. Apply a thin layer lotion to the newborn skin every 8 hours

b.trust in you born in a thin layer clothing during the

therapy c. ensure the newborn's eyes are closed

beneath the shield

d. give the newborn 1 oz of glucose water every 4 hours

11.A nurse is providing discharge instructions to a client who is breastfeeding

her newborn. Which of the following instructions should the nurse include?

a. Expect 2 to 4 wet diapers every 24 hours

b. allow the baby to feed at least every 3 hours

c. offer the newborn 30 ml (1 oz.) a water between feedings

d.feed the newborn 5 to 10 minutes per breast

12.A nurse is assessing a client during her first prenatal visit the client reports March

20th us her last menstrual.. Use Niagele’s rule to calculate the estimated date of

delivery. Use the mmdd

format with four numerals and no spaces or punctuation. 03/20 ! 1$%$&

12/27

13.A nurse is caring for a client who is at 30 weeks of gestation. The nurse

should plan to immunize the client which of the following vaccinations? Select

all the apply

a. Varicella

b. human papillomavirus

c. Diphtheria - acellular

pertussis d. inactivated

influenza

e. measles, mumps, and rubella

14.A nurse is caring for a client who has preterm labor and receiving magnesium

sulfate by continuous IV infusion. Which of the following laboratory values should

the nurse review during tocolytic therapy?

a. indirect Coombs test

b. liver enzymes

c. uric acid level

d. Serum medication level

15.A nurse is caring for a client who reports spontaneous rupture. The nurse

observed fetal bradycardia in the FHR tracing and notices the umbilical cord is

protruding. After calling for assistance and notifying the provider, which of the

following should the nurse take next?

a. Initiate an infusion of IV fluids for the client

b. Perform vaginal examination by applying upward pressure on the presenting part

d. Administer oxygen via non rebreather mask at 8L/ min.

D. Cover the umbilical cord with sterile saline saturated towel.

16.A nurse is caring for a client who is 36 weeks gestation and has MRSA. Which of the