TEST BANK FOR ATI RN MATERNAL NEWBORN
PRACTICE EXAM QUESTIONS WITH VERIFIED
SOLUTIONS
A nurse is caring for a client who has hyperememis gravidarum and is receiving IV fluid replacement.
Which of the following findings should the nurse report to the provider?
a. BUN 25 mg/dL
b. serum creatinine 0.8 mg/dL
c. urine output of 280 mL within 8 hour
d. urine negative for ketones - ANS-a. BUN 25 mg/dL
A nurse is providing teaching about family planning to a client who has a new prescription for a
diaphragm. Which statement should the nurse include in the teaching?
a. replace the diaphragm every 5 years
b. leave the diaphragm in place for at least 6 hours after intercourse
c. use an oil-based product as a lubricant when inserting the diaphragm
d. insert the diaphragm when you bladder is full - ANS-b. leave the diaphragm in place for at least 6
hours after intercourse
A nurse is reviewing the med record of a client who is postpartum and has preeclampsia. Which lab
results should the nurse report to the provider?
a. Hct 39%
b. serum albumin 4.5g/dL
c. WBC 9000/mm3
d. platelets 50,000/mm3 - ANS-d. platelets 50,000/mm3
A nurse is teaching a client about Rho(D) immune globulin. Which statement by the client indicates an
understanding of the teaching?
a. I will receive this med if my baby is Rh-negative
b. I will receive this med when I'm in labor
c. I will need a second dose of this med when my baby is 6 weeks old
d. I will need this med if I have an amniocentesis - ANS-d. I will need this med if I have an amniocentesis
A nurse is assessing a client who is 30 weeks gestation during a routine prenatal visit. Which findings
should the nurse report to the provider?
a. swelling of the face
b. varicose veins in the calves
c. nonpitting 1+ ankle edema
, d. hyperpigmentation of the cheeks - ANS-a. swelling of the face
A nurse is teaching a client who is pregnant about managing nausea and vomiting. Which instructions
should the nurse include in the teaching?
a. brush your teeth immediately after eating
b. eat foods served at a warm temp
c. drink a glass of water with each meal
d. eat high-carb foods - ANS-d. eat high-carb foods
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbilirubinemia. Which actions should the nurse include in the plan?
a. feed the newborn 1oz of water q4hrs
b. apply lotion to newborns skin 3x/day
c. remove all clothing from newborn except diaper
d. discontinue therapy if the newborn develops a rash - ANS-c. remove all clothing from newborn except
diaper
A nurse is caring for a client and her partner who experienced a fetal death. What action should the
nurse take?
a. take photos of the newborn to give to the parents
b. tell the parents the can consider organ donation
c. encourage the parents to avoid allowing older children to visit them in the hospital
d. explain to the parents the need to name the newborn - ANS-a. take photos of the newborn to give to
the parents
A nurse is caring for a client who is 35 weeks gestation and is undergoing nonstress test that reveals a
variable deceleration in the FHR. What action should the nurse take?
a. give the client oj
b. elevate the client's legs
c. have the client change positions
d. establish IV access - ANS-c. have the client change positions
A nurse is assessing a client who gave birth vaginally 12hrs ago and palpates her uterus to the right
above the umbilicus. What interventions should the nurse perform?
a. reassess the client in 2 hrs
b. administer simethiconde
c. assist the client to empty her bladder
d. instruct the client to lie on her right side - ANS-c. assist the client to empty her bladder
A nurse is performing a routine assessment on a client who is 18 weeks gestation. What findings should
the nurse expect?
a. deep tendon reflexes 4+
b. funal height 14cm
c. urine protein 2+
d. FHR 152/min - ANS-d. FHR 152/min
A nurse is caring for a full-term newborn immediately following birth. What actions should the nurse
take first?
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