ATI > RN

Exam Review

ATI Maternal Newborn 2019 with NGN

Total Questions : 71

Showing 25 questions, Sign in for more
Question 1:

A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 2:

A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 3:

A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 4:

A nurse is caring for a newborn immediately following birth and notes a large amount of mucus in the newborn's mouth and nose. Identify the sequence the nurse should follow when performing suction with a bulb syringe.

Answer and Explanation

Explanation

The correct answer is choice B, D, C, A. The sequence the nurse should follow when performing suction with a bulb syringe is to compress the bulb syringe, place the bulb syringe in the newborn's mouth, use the bulb syringe to suction the newborn's nose, and then assess the newborn for reflex bradycardia. That sequence is the most effective way to suction a newborn's mouth and nose, as it ensures that the newborn's airway is cleared of mucus before assessing for reflex bradycardia, which can be triggered by suctioning.


A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 5:

A nurse is assessing a client who is at 39 weeks of gestation and determines that the fetus is in a left occipitoanterior position. On which of the following sites should the nurse place the external fetal monitor to hear the point of maximum impulse of the fetal heart rate?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 6:

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 data.)

Exhibit 1

Diagnostic results

Escherichia coli infection resulting in necrotizing enterocolitis Hgb 10g/dL

Platelet count 50,000 mm

WBC count 4,000 mm3

Exhibit 2

Graphic record

Oxygen saturation level 90% Respirations shallow 70/min

Behavioral indicators of pain: Rigid extremities: grimacing:

Irritability

Exhibit 3

Nurses' notes

Decreased activity level over the last 12 hr

Abdominal distension

Three bloody stools over the last 8 hr

Superficial rash on the abdominal wall

Light palpation of the abdomen leads to fist clenching,

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 7:

A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 8:

A nurse is assessing a postpartum client during a follow-up visit.

Exhibit 1: Vital Signs 0930:

Temperature 37° C (98.6° F)

Pulse rate 78/min

Respiratory rate 12/min

Blood pressure 124/80 mm Hg

Pulse oximetry 100%

The nurse is teaching the client about postpartum depression. The nurse should encourage the client to______________and________________to help prevent postpartum depression.

  1. Maintain a set schedule and exercise 30 min per day
  2. Practice meditation while the newborn naps and take her medication as prescribed
  3. Eat a well-balanced diet and exercise 30 min per day
  4. Limit caffeine and alcohol intake and try to sleep when the newborn sleeps.
Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 9:

A nurse on the labor and delivery unit is planning care for a client who has human immunodeficiency virus (HIV). Which of the following is an appropriate action for the nurse to take following the birth of the newborn?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 10:

A nurse is teaching a newly hired nurse about Apgar scoring. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 11:

A nurse is caring for a client who is at 30 weeks of gestation and is receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication.

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 12:

A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 13:

A nurse is caring for a client who is 1 day postpartum and breastfeeding her newborn. The client reports sore nipples. Which of the following actions should the nurse take?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 14:

A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele's Rule, which of the following is the client's estimated date of delivery?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 15:

A nurse is monitoring a client who is undergoing a nonstress test at 35 weeks of gestation. Which of the following findings requires intervention by the nurse?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 16:

A nurse is developing an educational program about hemolytic disease in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 17:

A nurse is caring for a client who is in active labor. The nurse administers butorphanol IV bolus for pain. Which of the following findings should the nurse report to the provider following this medication?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 18:

A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 19:

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?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 20:

A nurse is teaching a newly licensed nurse about the uses of ultrasonography in the first trimester of pregnancy. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 21:

A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 22:

A nurse is assessing a full-term newborn. Which of the following findings should the nurse report to the provider?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 23:

A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 24:

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 sex of the fetus. Which of the following responses should the nurse make?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Question 25:

A nurse is caring for a client who is in active labor and is receiving oxytocin via IV infusion. The nurse has applied an internal fetal heart monitor and recognizes an early deceleration of the fetal heart rate tracing. Which of the following actions should the nurse take?

Answer and Explanation

A
Your comment is awaiting moderation.
This field cannot be empty!!
0 Pulse Checks
No comments

Sign Up or Login to view all the 71 Questions on this Exam

Join over 100,000+ nursing students using Naxlex’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.

Sign Up Now
learning

Join Naxlex Nursing for nursing questions & guides! Sign Up Now