NGN ATI RN Maternal Newborn 2019 Proctored Exam V2 | Questions and Verified Answers (70 Q&A)
QUESTION
A nurse on an antepartum unit is reviewing the
... [Show More] medical records for four clients. Which of the
following clients should the nurse assess first?
A. A client who has diabetes mellitus and an HbA1c of 5.8%
B. A client who has preeclampsia and a creatinine level of 1.1 mg/ dL
C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L
D. A client who has placenta previa and a hematocrit of 36%
E. "I have been seeing spot this morning"
Answer:
C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L
QUESTION
A nurse is assessing a newborn immediately following a vaginal birth. For which of the following
findings should the nurse intervene?
a. Molding
b. Vernix Caseosa
c.Acrocyanosis
d.Sternal retractions
Answer:
d.Sternal retractions
QUESTION
A nurse on the postpartum unit is caring for four clients. For which of the following clients should
the nurse notify the provider?
A. A client who has a urinary output of 300 ml in 8 hr
B. A client who reports abdominal cramping during breastfeeding
C. A client who is receiving magnesium sulfate and has absent deep tendon reflexes
D. A client who reports lochia rubra requiring changing perineal pads every 3 hr
Answer:
C. A client who is receiving magnesium sulfate and has absent deep tendon reflexes
QUESTION
A nurse is caring for a client who has active 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
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
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:
A. Increase the infusion rate every 30 to 60 min.
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 the nurse takes? (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 aadbominal 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 in lateral position.
C. Administer misoprostol 25 mcg vaginally
D. Administer oxygen via face mask at 2 L/min
Answer:
B. Place the client in lateral position.
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 contact [Show Less]