2023 ATI RN Maternal Newborn
Proctored 2019 NGN (REVISED
FULL EXAM).1. A client who is 16 weeks of gestation asks the nurse how to prepare her father to
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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.
her b. ca. 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 hours11. 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. allow3( )the baby3( )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 review3( )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 FHR3( )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 th [Show Less]