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ATI- PN Maternal Newborn Practice 2023A Questions and Answers
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ATI- PN Maternal Newborn Practice 2023A Questions and Answers A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements should the nurse identify as an indication that the client understands the instructions? "If my baby rides in a car wit...

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  • June 22, 2023
  • 7
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ati pn maternal newborn practice 2023a questions
  • a nurse is reinforcing teaching about car seat saf
  • a nurse is assisting with collecting data from a n
  • a nurse in a maternal newborn unit is caring for

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  • ATI PN MATERNAL NEWBORN
  • ATI PN MATERNAL NEWBORN

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ATI- PN Maternal Newborn Practice 2023A
Questions and Answers
A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which
of the following statements should the nurse identify as an indication that the client
understands the instructions? - answer "If my baby rides in a car with no back seat,
the passenger air bag must be turned off."

A nurse is assisting with collecting data from a newborn who was born 2 hours ago and
has respiratory distress. Which of the following findings should the nurse report to the
provider? (Select all that apply) - answer Tachypnea
Nasal flaring
Retractions
Expiratory grunting

A nurse is reinforcing teaching with a client who requests hydrotherapy for pain
management during labor. Which of the following statements should the nurse include?
- answer "You will need to be in active labor before using hydrotherapy."

A nurse is assisting with the neuromuscular assessment of a newborn by eliciting
primitive reflexes. Which of the following images indicates a characteristic response to
the tonic neck reflex? - answer - Tonic neck is like a "fencer athlete" position
Baby will have arm in 90 degree position as well as bent knee on the same side, other
side will be straight out or a little kinked arm and leg will be straight as well.

A nurse in a maternal-newborn unit is caring for a newborn in the nursery. The
newborn's grandfather asks if he may take the newborn to his daughter's room. Which
of the following responses should the nurse make? - answer "Let me wash my hands
and then I'll take your grandson to his mother."

A nurse is reviewing the laboratory results of a 4-hour-old newborn. Which of the
following findings should the nurse report to the provider? - answer Platelet count of
120,000 mm3

A nurse is reinforcing teaching about interventions to treat breast engorgement with a
client who is breastfeeding. Which of the following instructions should the nurse include
in the teaching? - answer Breastfeed the newborn at least every 2 hours

A nurse is caring for a client who has received methylergonovine. Which of the following
should the nurse identify and document as an adverse effect of the medication? -
answer Hypertension

Rationale: Methylergonovine is an oxytocic agent that stimulates uterine contractions
and is used for postpartum hemorrhage. It can cause nausea, vomiting, cramping,

, headache, and dizziness. The nurse should report changes in blood pressure to the
provider because methylergonovine can cause both hypertension and hypotension.

A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in
active labor. Which of the following findings should the nurse report to the charge
nurse? - answer Prolonged deceleration of FHR (fetal heart rate)

Rationale: The nurse should report a prolonged deceleration of the FHR to the charge
nurse because it can be a manifestation of an emergent condition, such as uterine
rupture or umbilical cord prolapse. The charge nurse should notify the provider about
this change in FHR pattern.

A nurse is caring for a client who is planning to become pregnant. The client asks the
nurse who folic acid supplements are necessary. The nurse should inform the client that
the purpose of the folic acid supplements is to do which of the following? - answer
Prevent certain kinds of birth defects

A nurse is assisting with the care of a client who has preeclampsia and is receiving
magnesium sulfate via continuous IV infusion. The client has a respiratory rate of
10/min. Which of the following medications should the nurse expect a charge nurse to
administer to the client? - answer Calcium gluconate

Rationale: The nurse should expect the charge nurse to administer calcium gluconate,
which is an antidote for magnesium sulfate toxicity. The charge nurse will administer
this medication as an IV bolus.

A nurse is reinforcing teaching about butorphanol tartrate with a client who is in labor.
Which of the following client statements indicates an understanding of the teaching? -
answer "This medication might make me dizzy."

A nurse is caring for a client 6 hours after a vaginal birth who is going to breastfeed her
newborn. The client reports perineal pain of 6 on a scale from 0 to 10. The nurse also
notes mild perineal edema and ecchymosis, with a fundus that is 2 cm above the
umbilicus with deviation to the right. Which of the following actions is the nurse's
priority? - answer Help the client ambulate to the toilet

A nurse is reinforcing teaching about food sources that are high in folate with a group of
women who are pregnant. Which of the following foods should the nurse recommend to
this group as the best source of folate? - answer 1/2 cup dried peas

Rationale: Women who are pregnant should consume 600 mcg of folate per day. A half
cup of dried green split peas provides 270 mcg of folate and is the best of these sources
of folate for the nurse to recommend.

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