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ATI RN Maternal Newborn Online Practice 2025 A with NGN|Graded A+

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ATI RN Maternal Newborn Online

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Maternal-Newborn Nursing

ATI RN Maternal Newborn Online Practice A with NGN|Graded A+ ATI RN Maternal Newborn Online Practice A with NGN|Graded A+ ATI RN Maternal Newborn Online Practice A with NGN|Graded A+ ATI RN Maternal Newborn Online Practice A with NGN|Graded A+

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ati rn maternal newborn
ati rn maternal newborn online practice
ati rn maternal newborn online practice
ati rn maternal newborn online

Institution ATI RN Maternal Newborn Online
Course ATI RN Maternal Newborn Online

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ATI RN Maternal Newborn Online Practice 2024-2025 A with ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Graded A+ NGN|Graded A+

D. Pain on urination
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to Dysuria is a manifestation of trichomoniasis, gonorrhea, and candidiasis and can be the
perform Leopold maneuvers. Which of the following images indicates the first step of result of urine flowing over an irritated and inflamed vulva and surrounding skin.
Leopold maneuvers? E. Absence of condom use
Sexual
A.
B. A nurse in a clinic is caring for a 16-year-old adolescent.
C.
D. – ans C.
Which of the following findings should the nurse report to the provider?
Evidence-based practice indicates the nurse should perform this step first when Select all that apply.
performing Leopold maneuvers. During this step, the nurse palpates the client's
abdomen with the palms to determine which fetal part is in the uterine fundus. This step History and Physical
also identifies the lie (transverse or longitudinal) and presentation (cephalic or breech) Adolescent is sexually active with two current partners.
of the fetus. IUD in place
Reports not using condoms during sexual activity.
A nurse in a clinic is caring for a 16-year-old adolescent. History of type 1 diabetes mellitus

Nurses' Notes
Which of the following conditions should the nurse identify as being consistent with the 1300:Admitted adolescent reporting "cramping in my stomach." Reports pain as a 4 on
adolescent's assessment findings? 0 to 10 pain scale and describes pain as constant and dull. Repor – ans A. Abdominal
For each finding, click to specify if the assessment findings are consistent with assessment
trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one Abdominal tenderness with palpation is not an expected finding with an abdominal
disease process. assessment; therefore, the nurse should report this finding to the provider.

History and Physical B. Vaginal discharge
Adolescent is sexually active with two current partners. Greenish vaginal discharge indicates that the adolescent has an infection, which is not
IUD in place an expected finding; therefore, the nurse should report this finding to the provider.
Reports not using condoms during sexual – ans Trichomoniasis
B. Greenish discharge D. Temperature
Green-yellow discharge can occur in both trichomoniasis and gonorrhea. Candidiasis The client's temperature of 38.3° C (101° F) is above the expected reference range. An
causes thick, white, lumpy discharge. elevated temperature could signal infection or inflammation; therefore, the nurse should
D. Pain on urination report this finding to the provider.
Dysuria is a manifestation of trichomoniasis, gonorrhea, and candidiasis and can be the
result of urine flowing over an irritated and inflamed vulva and surrounding skin. E. Dyspareunia
E. Absence of condom use Dyspareunia is painful intercourse, which can be associated with STIs; therefore, the
Sexual activity without the use of a condom can result in the transmission of STIs. nurse should report this finding to the provider.
Candidiasis is a vaginal infection that is not sexually transmitted.
F. Condom usage
Gonorrhea Sexual activity without the use of condoms increases the risk of contracting STIs;
A. Abdominal pain therefore, the nurse should report this finding to the provider.
Gonorrhea can present with reports of acute or chronic lower abdominal pain.
B. Greenish discharge A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients
Green-yellow discharge can occur in both trichomoniasis and gonorrhea. Candidiasis should the nurse see first?
causes thick, white, lumpy discharge.

,ATI RN Maternal Newborn Online Practice 2024-2025 A with ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Graded A+ NGN|Graded A+

A. A client who is at 11 weeks of gestation and reports abdominal cramping A nurse is admitting a client to the labor and delivery unit when the client states, "My
B. A client who is at 15 weeks of gestation and reports tingling and numbness in right water just broke." Which of the following interventions is the nurse's priority?
hand
C. A client who is at 20 weeks of gestation and reports constipation for the past 4 days A. Perform Nitrazine testing.
D. A client who is at 8 weeks of gestation and reports having three bloody noses in the B. Assess the fluid.
past week – ans A. A client who is at 11 weeks of gestation and reports abdominal C. Check cervical dilation.
cramping D. Begin FHR monitoring. – ans D. Begin FHR monitoring.

When using the urgent vs nonurgent approach to client care, the nurse should The greatest risk to the client and her fetus following a rupture of membranes is
determine that the priority finding is a client who is at 11 weeks of gestation and reports umbilical cord prolapse. The nurse should monitor the fetus closely to ensure well-
abdominal cramping. Abdominal cramping can indicate an ectopic pregnancy or being. Therefore, this is the priority action the nurse should take.
manifestations of spontaneous abortion. The nurse should request that the provider see
this client first. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For
which of the following complications should the nurse assess?
A nurse in a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following findings should the nurse identify as a A. Abruptio placenta
risk factor for the development of preeclampsia? B. Placenta previa
C. Preeclampsia
A. Singleton pregnancy D. Maternal bradycardia – ans A. Abruptio placenta
B. BMI of 20
C. Maternal age 32 years Cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
D. Pregestational diabetes mellitus – ans D. Pregestational diabetes mellitus
A nurse is assessing a client who has gestational diabetes mellitus and is experiencing
Pregestational diabetes mellitus increases a client's risk for the development of hyperglycemia. Which of the following findings should the nurse expect?
preeclampsia. Other risk factors include preexisting hypertension, renal disease,
systemic lupus erythematosus, and rheumatoid arthritis. A. Reports increased urinary output
B. Diaphoresis
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of C. Reports blurred vision
gestation. Upon reviewing the client's medical record, which of the following findings D. Shallow respirations – ans A. Reports increased urinary output
should the nurse report to the provider? (Click on the "Exhibit" button for additional
information about the client. There are three tabs that contain separate categories of Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain,
data.) constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other
manifestations include weak rapid pulse, fruity breath odor, urine positive for sugar and
Graphic Record acetone, and a blood glucose level greater than 200 mg/dL.
Blood pressure 130/78 mm Hg, Respiratory rate 20/min, Heart rate 90/min
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma.
Diagnostic Results Which of the following manifestations should the nurse expect?
Hemoglobin 12 g/dL, Hematocrit 34 – ans C. Fundal height measurement
A. Lochia serosa vaginal drainage
A fundal height measurement of 30 cm should be reported to the provider. Fundal B. Vaginal pressure
height should be measured in centimeters and is the same as the number of gestational C. Intermittent vaginal pain
weeks plus or minus 2 weeks from 18 to 32 weeks gestation. Therefore, the nurse D. Yellow exudate vaginal drainage – ans B. Vaginal pressure
should report this finding to the provider.
The nurse should expect a client who has a vaginal hematoma to report pressure in the
vagina due to the blood that leaked into the tissues.

,ATI RN Maternal Newborn Online Practice 2024-2025 A with ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Graded A+ NGN|Graded A+

Late preterm newborns are at an increased risk for hypoglycemia due to decreased
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal glycogen stores and immature insulin secretion. Respiratory distress is a manifestation
visit. Which of the following findings should the nurse report to the provider? of hypoglycemia. Other manifestations of hypoglycemia include an abnormal cry,
jitteriness, lethargy, poor feeding, apnea, and seizures.
A. Blood pressure 136/88 mm Hg Hypoglycemia - hypothermia, poor feeding behaviors, hypotonia
B. Report of insomnia
C. Weight gain of 2.2 kg (4.8 lb) A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations
D. Report of Braxton Hicks contractions - ansC. Weight gain of 2.2 kg (4.8 lb) should the nurse report to the provider?

A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and A. Acrocyanosis
could indicate complications. Therefore, this finding should be reported to the provider. B. Transient strabismus
C. Jaundice
A nurse is assessing a client who is receiving morphine via IV bolus for pain following a D. Caput succedaneum - ansC. Jaundice
cesarean birth. The nurse notes a respiratory rate of 8/min. Which of the following
medications should the nurse administer? Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the
A. Fentanyl provider.
B. Butorphanol
C. Naloxone A nurse is assessing a newborn who was born at 26 weeks of gestation using the New
D. Meperidine - ansC. Naloxone Ballard Score. Which of the following findings should the nurse expect?

Morphine is a common opioid analgesic used for postoperative pain management that A. Minimal arm recoil
can cause central nervous system depression and can cause respiratory depression. B. Popliteal angle of 90°
The nurse should administer naloxone, an opioid antagonist, to reverse the opioid- C. Creases over the entire foot sole
induced respiratory depression in the client. D. Raised areolas with 3 to 4 mm buds - ansA. Minimal arm recoil

A nurse is assessing a client who received carboprost for postpartum hemorrhage. The nurse should expect a newborn who was born at 26 weeks of gestation to have
Which of the following findings is an adverse effect of this medication? decreased muscular tone, or minimal arm recoil.

A. Hypertension A nurse is assessing a newborn who was delivered vaginally and experienced a tight
B. Hypothermia nuchal cord. Which of the following findings should the nurse expect?
C. Constipation
D. Muscle weakness - ansA. Hypertension A. Bruising over the buttocks
B. Hard nodules on the roof of the mouth
The nurse should recognize that carboprost is a vasoconstrictor that can cause C. Petechiae over the head
hypertension. D. Bilateral periauricular papillomas - ansC. Petechiae over the head

A nurse is assessing a late preterm newborn. Which of the following manifestations is Nuchal cord, or the umbilical cord being wrapped tightly around the neck, can cause
an indication of hypoglycemia? bruising and petechiae over the face, head, and neck.

A. Hypertonia A nurse is assessing four newborns. Which of the following findings should the nurse
B. Increased feeding report to the provider?
C. Hyperthermia
D. Respiratory distress - ansD. Respiratory distress A. A newborn who is 26 hr old and has erythema toxicum on his face
B. A newborn who is 32 hr old and has not passed a meconium stool

, ATI RN Maternal Newborn Online Practice 2024-2025 A with ATI RN Maternal Newborn Online Practice 2024-2025 A with
NGN|Graded A+ NGN|Graded A+

C. A newborn who is 12 hr old and has pink-tinged urine client had an increased risk of developing endometritis due to the history of anemia,
D. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F) - gestational diabetes, operative vaginal birth, and prolonged rupture of membranes. The
ansD. A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F) nurse should plan to monitor the client's temperature and the amount and odor of the
lochia. Clients who have endometritis have an increased risk of hemorrhage. A
An axillary temperature greater than 37.5° C (99.5° F) is above the expected reference decrease of foul-smelling lochia and fever indicate progression toward resolution of the
range for a newborn and can be an indication of sepsis. Therefore, the nurse should infection.
report this finding to the provider.
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid labor. The provider prescribed betamethasone 12 mg IM. Which of the following
replacement. Which of the following findings should the nurse report to the provider? outcomes should the nurse expect?

A. BUN 25 mg/dL A. Decreased uterine contractions
B. Serum creatinine 0.8 mg/dL B. An increase in the client's hemoglobin levels
C. Urine output of 280 mL within 8 hr C. A reduction in respiratory distress in the newborn
D. Urine negative for ketones - ansA. BUN 25 mg/dL D. Increased production of antibodies in the newborn - ansC. A reduction in respiratory
distress in the newborn
The nurse should report an elevated BUN to the provider since it can indicate
dehydration. Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and
prevent respiratory distress.
A nurse is caring for a client who is 3 days postpartum.
A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has
just had an amniocentesis. Which of the following interventions is the nurse's priority
Complete the diagram by dragging from the choices below to specify what condition the following the procedure?
client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's progress. A. Check the client's temperature.
B. Observe for uterine contractions.
Medical History C. Administer Rho(D) immune globulin.
Gravida 1, Para 138 weeks of gestation D. Monitor the FHR. - ansD. Monitor the FHR.
Forceps-assisted birth following failed vacuum-assisted attempt.
3rd degree laceration with a repair The greatest risk to this client and her fetus is fetal death. Therefore, the priority nursing
Amniotic membranes ruptured - ansAction to Take intervention is to monitor the FHR following an amniocentesis.
A. Plan to administer IV antibiotics.
C. Obtain a culture of vaginal fluid using a sterile swab. 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
Potential Condition provider to prescribe?
A. Endometrisis
A. Kleihauer-Betke test
Parameter to Monitor B. Progesterone serum level
D. Lochia amount and odor C. Lecithin/sphingomyelin (L/S) ratio
E. Temperature D. Maternal Alpha-fetoprotein (AFP) - ansA. Kleihauer-Betke test

The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client
The nurse should plan to obtain a culture of vaginal fluid and to administer IV antibiotics who has suspected placental abruption to determine if fetal blood is in maternal
because the client is most likely experiencing endometritis as evidenced by increased circulation. This test is useful to determine if Rho-(D) immune globulin therapy should
pelvic pain, pressure and tenderness, fever, and foul-smelling vaginal discharge. The be administered to a client who is Rh-negative.

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