RN Maternal Newborn Online Practice
2023-2024 B - ATI
A nurse is teaching a client who has a new prescription for combined oral
contraceptives about
... [Show More] potential adverse effects of the medication. For which of the
following findings should the nurse instruct the client to notify the provider? - AnswerShortness of breath
A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness
of breath. Shortness of breath and chest pain can indicate a pulmonary embolus or
myocardial infarction. Also, the nurse should instruct the client to notify the provider of
other adverse effects that can indicate potential complications, including abdominal
pain, sudden or persistent headaches, blurred vision, and severe leg pain.
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which
of the following findings should the nurse report to the provider as a potential
complication? - Answer-Leakage of fluid from the vagina
B. Leakage of fluid from the vagina
Leakage of fluid from the vagina could indicate premature leakage of amniotic fluid and
should be reported to the provider.
A nurse is calculating a client's expected date of birth using Nagele's rule. The client
tells the nurse that her last menstrual cycle started on November 27th. Which of the
following dates is the client's expected date of birth? - Answer-Answer: September 3rd
A. September 3rd
When using Nägele's rule to calculate the estimated date of birth for a client, the nurse
should subtract 3 months from the first day of the client's last menstrual cycle and then
add 7 days. November 27th minus 3 months equals August 27th. August 27th plus 7
days equals September 3rd.
A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test. For which of the following diagnostic tests should the nurse
prepare the client? - Answer-Answer: Biophysical profile (BPP)
C. Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-being. A
positive contraction stress test indicates there is potential uteroplacental insufficiency. A
BPP uses a real time ultrasound to visualize physical and physiological characteristics
of the fetus and observe for fetal biophysical responses to stimuli.
A nurse is teaching a new parent about newborn safety. Which of the following
instructions should the nurse include in the teaching? - Answer-Answer: "You can share
your room with your baby for the next few weeks."
A. "You can share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks. This allows the
parent to be readily available to the newborn and learn the newborn's cues. However,
the nurse should instruct the parent to avoid placing the newborn in their bed as it
increases the risk for sudden infant death syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput
posterior position. The client is dilated to 8 cm and reports back pain. Which of the
following actions should the nurse take? - Answer-Answer: Apply sacral
counterpressure.
A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back labor pain
related to fetal posterior position.
A nurse is caring for a newborn who is undergoing phototherapy to treat
hyperbilirubinemia. Which of the following actions should the nurse take? - AnswerAnswer: Cover the newborn's eyes while under the phototherapy light.
A. Cover the newborn's eyes while under the phototherapy light.
Applying an opaque eye mask prevents damage to the newborn's retinas and corneas
from the phototherapy light.
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take next? - Answer-Answer: Apply internal upward
pressure to the presenting part using two gloved fingers.
B. Apply internal upward pressure to the presenting part using two gloved fingers.
Using evidence-based practice, the first action the nurse should take is to apply internal
upward pressure to the presenting part. Prolapse of the umbilical cord during labor can
result in decreased perfusion to the fetus, which can lead to hypoxia. After calling for
assistance, the nurse should relieve the compression on the umbilical cord by applying
upward internal pressure on the presenting part with two gloved fingers. The nurse
should not move their hand.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (SATA) -
Answer-Answer: Flaccid uterus is correct. Oxytocin increases the contractility of the
uterus.
Excess vaginal bleeding is correct.
Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
A nurse is teaching a postpartum client about steps the nurses will take to promote the
security and safety of the client's newborn. Which of the following statements should the
nurse make? - Answer-Answer: "Staff members who take care of your baby will be
wearing a photo identification badge."
D. "Staff members who take care of your baby will be wearing a photo identification
badge."
The nurse should instruct the client that all staff members that care for newborns are
required to wear a photo identification badge so that the client will be reassured of the
newborn's safety. Some units' staff members wear special badges or a specific color
scrubs.
A nurse is assessing the newborn of a client who took selective serotonin reuptake
inhibitor (SSRI) during pregnancy. Which of the following manifestations should the
nurse identify as an indication of withdrawal from an SSRI? - Answer-Answer: Vomiting
D. Vomiting
Expected manifestations associated with fetal exposure to SSRIs include irritability,
agitation, tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
Answer: Vomiting
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has
determined the fetal position as left occipital anterior. To which of the following areas of
the client's abdomen should the nurse apply the ultrasound transducer to assess the
point of maximum intensity of the fetal heart? - Answer-Answer: Left lower quadrant
A. Left upper quadrant
The fetal heart tones of a fetus in the left sacrum anterior position are best heard in the
left upper quadrant.
B. Right upper quadrant
The fetal heart tones of a fetus in the right sacrum anterior position are best heard in the
right upper quadrant.
C. Left lower quadrant
The fetal heart tones of a fetus in the left occipital anterior position are best heard in the
left lower quadrant.
D. Right lower quadrant
The fetal heart tones of a fetus in the right occipital anterior position are best heard in
the right lower quadrant.
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's
secretions. Which of the following instructions should the nurse include?..
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