NGN ATI RN MATERNAL NEWBORN PROCTORED EXAM QUESTIONS AND VERIFIED ANSWERS

A nurse is discussing family planning with a client who has a history of DVT. The nurse should inform the client that this condition is a contraindication for which of the following birth control methods?

Antwoord: a. Oral contraceptive b. Cervical cap c. Diaphragm d. Intrauterine device ANSWER : a. Oral contraceptive

A nurse is providing discharge teaching to the parent of a newborn about surgical site care following circumcision using a clamp technique. Which of the following statements by the parent indicates an understanding of the teaching?

Antwoord: a. I will check the site hourly for bleeding b. I will remove the crust with each diaper change c. I will wash the penis with soap and water daily d. I will apply petroleum jelly to the area with each diaper change ANSWER : d. . I will apply petroleum jelly to the area with each diaper change

A nurse is providing education to a client who is to receive misoprostol for induction of labor. Which of the following instructions should the nurse include in the teaching?

Antwoord: a. You will lie on your side for 40 minutes after I administer the medication b. I will insert a urinary catheter before I administer the medication c. I will begin an oxytocin infusion within 2 hours of your last dose of medication d. You will receive an antacid containing magnesium before the medication ANSWER : a. You will lie on your side for 40 minutes after I administer the medication

A nurse at an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?

Antwoord: a. A client who is at 36 weeks of gestation and reports back pain following intercourse b. A client who is at 10 weeks of gestation and reports frequent urination c. A client who is at 24 weeks of gestation and reports periodic tingling of the fingers d. A client who is at 8 weeks of gestation and reports severe vomiting ANSWER : d. A client who is at 8 weeks of gestation and reports severe vomiting

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?

Antwoord: a. The newborn is beginning to cough b. The newborn’s respiratory rate is irregular c. The newborn’s pulse oximetry is 91% d. The newborn’s respiratory rate is 32/min ANSWER : a. The newborn is beginning to cough

A nurse is reviewing a client’s rubella titer of 1:8 at her second prenatal visit. Which of the following statements by the nurse is appropriate?

Antwoord: a. You will need a rubella immunization at your next prenatal visit b. Your titer indicates that you are susceptible to rubella c. Because rubella is a live vaccine, you will not be able to breastfeed your newborn d. During your third trimester, you will need to repeat a blood test for the titer ANSWER : d. During your third trimester, you will need to repeat a blood test for the titer

A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse provide to the client about the treatment plan? \"Your partner needs to be cultured and be treated with metronidazole only if his cultures are positive.\" \"You and your partner need to take the medication and use a condom during intercourse until cultures are negative.\" \"If both you and your partner are treated simultaneously, you may continue to engage in sexual intercourse.\" \"Only you will need to take the metronidazole, but you should not have intercourse until your culture is negative.\"

Antwoord: You and your partner need to take the medication and use a condom during intercourse until cultures are negative

A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following clinical manifestations in the newborn indicates toxicity due to the magnesium sulfate therapy? Respiratory depression Hypothermia Hypoglycemia Jaundice

Antwoord: Respiratory depression

Cluster feeding is an expected finding for newborns who are breastfeeding. The mother should follow her newborn\'s cues and feed her 8 to 12 times per day. A nurse is caring for a client who is receiving mag sulfate by continuous IV. What meds should the nurse have available at bedside? a. naloxone b. protamine sulfate c. calcium gluconate d. atropine

Antwoord: c. calcium gluconate

A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed her newborn. What instructions should the nurse include in the teaching? a. stand under hot shower with your breasts exposed b. place ice packs on your breasts c. limit fluid intake to 1 L per day d. wear a loose-fitting, comfortable bra

Antwoord: b. place ice packs on your breasts

A nurse is assessing a newborn 1 hr after birth. What assessment findings should the nurse report to the provider? a. acrocyanosis b. jaundice of the sclera c. resp rate 50 d. cbg 60

Antwoord: b. jaundice of the sclera

A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level. What action should the nurse take? a. apply barrier ointment to the newborn\'s perianal region b. offer the newborn glucose water between feedings c. use photometer to monitor the lamp\'s energy d. keep the newborn\'s eye patches on during feedings

Antwoord: c. use photometer to monitor the lamp\'s energy