Exam (elaborations)
ATI RN Maternal Newborn Online Practice 2019 A with NGN- Q/A
ATI RN Maternal Newborn Online Practice 2019 A with NGN- Q/A
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ATI RN Maternal Newborn OnlinePractice 2019 A with NGN- Q/A
A nurse is caring for a client who is at 24 weeks of gestation and has a
suspected placental abruption. Which of the following laboratory tests should
the nurse expect the provider to prescribe?
A. Kleihauer-Betke test
B. Progesterone serum level
C. Lecithin/sphingomyelin (L/S) ratio
D. Maternal Alpha-fetoprotein (AFP) - -A. Kleihauer-Betke test
The nurse should expect the provider to prescribe a Kleihauer-Betke test for
a client who has suspected placental abruption to determine if fetal blood is
in maternal circulation. This test is useful to determine if Rho-(D) immune
globulin therapy should be administered to a client who is Rh-negative.
-A nurse is demonstrating to a client how to bathe their newborn. In which
order should the nurse perform the following actions? (Move the steps into
the box on the right, placing them in the selected order of performance. Use
all the steps.)
A. Clean the newborn's diaper area.
B. Wash the newborn's neck by lifting the newborn's chin.
C. Wipe the newborn's eyes from the inner canthus outward.
D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet. - -C. Wipe the newborn's eyes from the
inner canthus outward.
B. Wash the newborn's neck by lifting the newborn's chin.
D. Cleanse the skin around the newborn's umbilical cord stump.
E. Wash the newborn's legs and feet.
A. Clean the newborn's diaper area.
The nurse should demonstrate how to bathe a newborn by using a head to
toe, clean to dirty, approach. Therefore, the nurse should first wipe the
newborn's eyes from the inner canthus outward using plain water. The nurse
should then wash the newborn's neck by lifting the newborn's chin. Next, the
nurse should cleanse the skin around the umbilical cord stump followed by
washing the newborn's legs and feet. The last step of the bath should be to
clean the newborn's diaper area.
-A nurse is caring for a client who has hyperemesis 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 hr
D. Urine negative for ketones - -A. BUN 25 mg/dL
The nurse should report an elevated BUN to the provider since it can indicate
dehydration.
-A nurse is assessing a client who is at 38 weeks of gestation during a
weekly prenatal visit. Which of the following findings should the nurse report
to the provider?
A. Blood pressure 136/88 mm Hg
B. Report of insomnia
C. Weight gain of 2.2 kg (4.8 lb)
D. Report of Braxton Hicks contractions - -C. Weight gain of 2.2 kg (4.8 lb)
A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference
range and could indicate complications. Therefore, this finding should be
reported to the provider.
-A nurse is providing teaching for a client who gave birth 2 hr ago about the
facility policy for newborn safety. Which of the following client statements
indicates an understanding of the teaching?
A. "My sister will be able to carry my baby from the nursery to my room
when she arrives."
B. "The nurse will match my wrist band to my baby's crib card when they
bring him to me."
C. "The person who comes to take my baby's pictures will be wearing a
photo identification badge."
D. "My baby doesn't n - -C. "The person who comes to take my baby's
pictures will be wearing a photo identification badge."
All personnel working on the unit should be wearing a photo identification
badge. The nurse should instruct the parent to never allow anyone who is not
wearing an identification badge to come in contact with the newborn.
-A nurse is teaching a newly licensed nurse about collecting a specimen for
the universal newborn screening. Which of the following statements should
the nurse include in the teaching?
A. "Obtain an informed consent prior to obtaining the specimen."
B. "Collect at least 1 milliliter of urine for the test."
, C. "Ensure that the newborn has been receiving feedings for 24 hours prior
to obtaining the specimen."
D. "Premature newborns may have false negative tests due to immature
development of liver - -C. "Ensure that the newborn has been receiving
feedings for 24 hours prior to obtaining the specimen."
The nurse should ensure that the newborn has been receiving regular
feedings for at least 24 hr prior to testing.
-A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client
who is in preterm labor. Available is 20 g magnesium sulfate in 500 mL of
dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.) - -50
mL/hr
2 g/hr x 500 mL = 1,000 mL/g/hr
1,000 mL/g/hr / 20g = 50 mL/hr
-A nurse is caring for a prenatal client who has parvovirus B19 (fifth
disease). Which of the following actions should the nurse take?
A. Administer antiviral medication.
B. Schedule an ultrasound examination.
C. Administer Haemophilus influenzae type b vaccine.
D. Schedule an indirect Coombs' test. - -B. Schedule an ultrasound
examination.
The nurse should schedule serial ultrasound examinations to monitor the
fetus during the pregnancy to detect the possible development of fetal
hydrops. Also, the virus can cause miscarriage, intrauterine growth
restriction, fetal anemia, or stillbirth.
-A nurse is performing a routine assessment on a client who is at 18 weeks
of gestation. Which of the following findings should the nurse expect?
A. Deep tendon reflexes 4+
B. Fundal height 14 cm
C. Urine protein 2+
D. FHR 152/min - -D. FHR 152/min
The expected range for the FHR is 110/min to 160/min. The FHR is higher
earlier in gestation with an average of approximately 160/min at 20 weeks of
gestation. Therefore, this is an expected finding by the nurse.
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