NGN ATI RN Maternal Newborn 2019 Proctored Exam V1 | Questions and Verified Answers (70 Q&A)
QUESTION
A nurse is caring for a client who has active
... [Show More] genital herpes simplex virus type 2. Which of the
following medications should the nurse plan to administer?
A. Metronidazole
B. Penicillin
C. Acyclovir
D. Gentamicin
Answer:
C. Acyclovir - viral infection requires an antiviral medication
QUESTION
A nurse is caring for a client following an amniocentesis. The nurse should observe the client for
which of the following complications?
A. Hyperemesis
B. Proteinuria
C. Hypoxia
D. Hemorrhage
Answer:
D. Hemorrhage - bleeding is sometimes noted after the procedure
QUESTION
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?
A. Increase the infusion rate every 30 to 60 min.
B. Maintain the client in a supine position.
C. Titrate the infusion rate by 4 milliunits/min.
D.Limit IV intake to 4 L per 24 hr
Answer:
C. Titrate the infusion rate by 4 milliunits/min. - The infusion rate may be increased by 1-5mU/min (6-
30ml/hour) every 15-30 minutes up to a maximum of 30mU/min (180 ml/hour). The oxytocin infusion
rate should be titrated against the fetal heart rate, frequency of uterine contractions and progress in
labor.
QUESTION
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the
following actions should the nurse take? (Click on the "Exhibit" Button for additional
information about the
newborn. There are three tabs that contain separate categories of date.)
A. Administer nitric oxide inhalation therapy to the newborn
B. Insert an orogastric decompression tube with low wall
suction.
C. Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr.
d. Measure the abdominal circumference at the level of the newborn's umbilicus every 2 hr.
Answer:
A. Administer nitric oxide inhalation therapy to the newborn
QUESTION
A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late
decelerations of the fetal heart rate on the monitor tracing. Which of the following action should the
nurse take?
A. Decrease maintenance IV solution infusion rate.
B. Place the client into the lateral position.
C. Administer misoprostol 25 mcg vaginally
D. Administer oxygen via face mask at 2 L/min
Answer:
A. Decrease maintenance IV solution infusion rate. - too much contraction is happening due to the
oxytocin
QUESTION
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. Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation.
B. Use a fetal scalp electrode during labor and delivery.
C. Administer a pneumococcal immunization to the newborn within 4 hr following birth.
D. Bathe the newborn before initiating skin-to-skin contac
Answer:
C. Administer a pneumococcal immunization to the newborn within 4 hr following birth. - this is given
after testing the baby for reaction to HIV antigen and if negative, vaccine will be given after 4 hours of
birth to baby
QUESTION
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?
A. Blood pressure 142/92 mm Hg
B. Urine output 100 mL in hr
C. Pulse 58/min
D. Respiratory rate 14/min
Answer:
A. Blood pressure 142/92 mm Hg - this medication is contraindicated
QUESTION
A nurse is reviewing laboratory results for a client who is pregnant. The Nurse should expect which
of the following laboratory values to increase?
A. RBC count
B. Bilirubin
C. Fasting blood glucose
D. BUN [Show Less]