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ATI RN maternal Newborn 2019 with NGN

Total Questions : 66

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Question 1:

After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

Answer and Explanation

A
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Question 2:

A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse.
Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching?

Answer and Explanation

A
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Question 3:

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?

Answer and Explanation

A
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Question 4:

A nurse is teaching a client and her partner about the technique of counterpressure during labor.
Which of the following statements by the nurse is appropriate?

Answer and Explanation

A
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Question 5:

A nurse is providing dietary teaching to a client who is at 32 weeks of gestation and has cholelithiasis.
Which of the following foods should the nurse recommend for the client to include in her diet?

Answer and Explanation

A
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Question 6:

A nurse is providing discharge instructions to a client who is 24 hours postpartum and has decided not to breastfeed.
Which of the following instructions should the nurse include in the teaching?

Answer and Explanation

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Question 7:

A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take?

Answer and Explanation

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Question 8:

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

Answer and Explanation

A
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Question 9:

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
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Question 10:

A nurse is caring for a client who has a placenta previa.
Which of the following findings should the nurse expect?

Answer and Explanation

A
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Question 11:

A nurse is caring for a client who has hyperemesis gravidarum.
Which of the following laboratory tests should the nurse anticipate?

Answer and Explanation

A
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Question 12:

A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment.
Which of the following laboratory tests should the nurse plan to conduct?

Answer and Explanation

A
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Question 13:

A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception.
Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

A
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Question 14:

A nurse is caring for a newborn.
Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?

Answer and Explanation

A
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Question 15:

A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period.

Use Naegele's rule to calculate the estimated date of delivery.

(Use the MMDD format with four numerals and no spaces or punctuation: MMDD.)

Answer and Explanation
Correct Answer: 1227

Explanation

Naegele’s rule is a method for estimating the due date of a baby based on the woman’s last menstrual period (LMP).

It involves adding seven days and subtracting three months from the first day of the LMP.

It assumes a 28-day menstrual cycle and a 280-day gestation period, which may vary for different women 1.

Using this rule, if the client’s last menstrual period was March 20, then adding seven days would give March 27.

Subtracting three months would give December 27 of the previous year.

Adding one year would give December 27 of the current year, which is the estimated date of delivery in MMDD format: 1227.


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Question 16:

A nurse is providing discharge instructions to a client who is breastfeeding her newborn.
Which of the following instructions should the nurse include?

Answer and Explanation

A
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Question 17:

A nurse is caring for a client who is at 30 weeks of gestation.
The nurse should plan to immunize the client with which of the following vaccines? (Select all that apply.)

Answer and Explanation

A
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Question 18:

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?

Answer and Explanation

A
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Question 19:

A nurse is conducting a class for a group of clients about birth control.
Which of the following information should the nurse include in the teaching?

Answer and Explanation

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Question 20:

A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make?

Answer and Explanation

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Question 21:

A nurse is caring for a client who is at 36 weeks of gestation and has methicillin- resistant Staphylococcus aureus.
Which of the following types of isolation precautions should the nurse initiate?

Answer and Explanation

A
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Question 22:

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?

Answer and Explanation

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Question 23:

A nurse is assessing the results of a nonstress test for an antepartal client at 35 weeks of gestation.
Which of the following findings should indicate to the nurse the need for further diagnostic testing?

Answer and Explanation

A
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Question 24:

A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet.
When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, "No, the baby is too tired to be held." Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 25:

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
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