2023 ATI RN MATERNAL NEWBORN
PROCTORED 2019 WITH NGN LATEST UPDATE
2023
A nurse is assessing a full-term newborn upon admission to the nursery. Which
... [Show More] of the
following clinical findings should the nurse report to the provider? - answers-Transient
circumoral cyanosis
A nurse is caring for a client who is postpartum and experiencing hypovolemic shock.
Which of the following findings should the nurse expect? - answers-Cool, clammy skin
A nurse is teaching a client who is at 8 weeks of gestation about self-care during
pregnancy. Which of the following statements should the nurse make? - answers-"You
should take 600 micrograms of folic acid per day."
A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion
for labor induction. Which of the following interventions should the nurse include in the
plan? - answers-Increase the infusion rate every 30 to 60 min.
A nurse is providing teaching about expected changes during pregnancy to a client who
is at 24 weeks of gestation. Which of the following information should the nurse include?
- answers-"You should anticipate nasal stuffiness."
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a
client. Which of the following actions should the nurse take? - answers-Verify that the
informed consent is obtained prior to administration.
A nurse is preparing to administer metronidazole 2 g PO to a client who has pelvic
inflammatory disease. Available is metronidazole 500mg tablets. How many tablets
should the nurse administer? - answers-2000mg / 500 mg = 4 tablets
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients
should the nurse recommend for an interdisciplinary care conference? - answers-A
client who is at 35 weeks of gestation and has a biophysical profile of 6
A nurse is planning to teach a group of clients who are pregnant about breastfeeding
after returning to work. Which of the following information should the nurse include in
the teaching? - answers-"Breast milk can be stored in a deep freezer for 12 months."
A nurse is performing an initial assessment of a newborn who was delivered with a
nuchal cord. Which of the following clinical findings should the nurse expect? - answersFacial petechiae
A nurse is assessing a newborn upon admission to the nursery. Which of the following
findings should the nurse expect? - answers-Chest circumference 2 cm (0.8) smaller
than the head circumference
A nurse is assisting with a precipitous delivery of a term newborn. After the head
emerges, the nurse palpates the cord around the newborn's neck. Which of the
following actions should the nurse take? - answers-Slip the cord over the newborn's
head.
A nurse is planning care for a newborn who is to undergo a circumcision using a plastic
bell device. Which of the following interventions should the nurse include in the plan of
care? - answers-Monitor for bleeding every 15 min for the first hour.
A nurse is providing discharge instructions to a client who is 24 hr postpartum and has
decided not to breastfeed. Which of the following instructions should the nurse include
in the
teaching? - answers-"Apply ice packs to your breasts using a 15 minutes on, 45 minutes
off schedule."
A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr
postpartum and has a boggy uterus. For which of the following assessment findings
should the nurse withhold the medication? - answers-Blood pressure 142/92 mm Hg
A nurse is caring for four newborns. Which of the following findings should the nurse
report to the provider? - answers-A newborn who has a high-pitched cry with
exaggerated Moro reflex
A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of
gestation and requests an amniocentesis to determine the gender of the fetus. Which of
the following responses should the nurse take? - answers-"This procedure determines if
your baby has genetic or congenital disorders."
A nurse is caring for a client who is postpartum. The client reports no relief in perineal
pain following the administration of oxycodone/acetaminophen. Which of the following
actions should the nurse take first? - answers-Assess the client's perineal area for
swelling.
A nurse is caring for a client who is in active labor and has gonorrhea. For which of the
following potential complications of gonorrhea should the nurse monitor? - answersChorioamnionitis
A nurse is caring for a client who is in labor. The nurse observes late decelerations of
the fetal heart rate on the external fetal monitor. After placing the client in a side-lying
position, which of the following actions should the nurse take? - answers-Administer
oxygen via a face mask.
A nurse is caring for a newborn who has exstrophy of the bladder. Which of the
following actions should the nurse take prior to the beginning of surgical correction? -
answers-Cover the newborn's bladder with a sterile, non-adherent dressing.
A nurse is reviewing the laboratory report of a client who is 24 hr postpartum vaginal
delivery. The client has a hemoglobin level of 9.0 g/dL and hematocrit of 25%. Which of
the following actions should the nurse take? - answers-Administer an iron supplement to
the client.
A nurse is caring for a client who is receiving magnesium sulfate by continuous IV
infusion for severe preeclampsia. Which of the following findings should the nurse report
to the provider? - answers-Urine output 20 mL/hr
A nurse is performing a heel stick on a newborn. Which of the following actions should
the nurse take? - answers-Use an automatic puncture device on the heel.
A nurse is caring for a client who has bladder distention following a vaginal birth. Which
of the following actions should the nurse take first? - answers-Assist the client to the
bathroom.
A nurse is providing teaching about increasing dietary fiber to an antepartum client who
reports constipation. Which of the following food selections has the highest fiber content
per cup? - answers-Oatmeal
A nurse is caring for a client following an amniocentesis. The nurse should observe the
client for which of the following complications? - answers-Hemorrhage
A nurse is in a clinic caring for a client who is in her second trimester pregnancy. The
client expresses concern about preparing her 2-yearold- child for a new sibling. Which
of the following is an appropriate response by the nurse? - answers-"Required
scheduled interactions between toddler and the baby."
A nurse is assessing current medication use with a client who is at 6 weeks of gestation.
The nurse should recognize that pregnancy is a contraindication the administration of
which of the following medications? - answers-Isotretinoin [Show Less]