ATI RN Maternal Newborn Online Practice with NGN
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 l...
ATI RN Maternal Newborn Online Practice
2019 - 2023 with NGN
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.
Progesterone: confirm pregnancy and if ectopic
L/S ratio: part of amniocentesis to evaluate fetal lung maturity
Maternal AFP: neural tube defects or chromosome disorder.
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.
The universal newborn screening is mandated by law for all newborns no consent is
needed. A capillary blood sample via heel stick for the newborn screening. Urine is not
collected for this test. Premature newborns have a delayed development of liver
enzymes which can cause a false positive result.
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.
A nurse is providing education about family bonding to parents who recently
adopted a newborn. The nurse should make which of the following suggestions
, to aid the family's 7-year-old child in accepting the new family member?
A. Allow the sibling to hold the newborn during a bath.
B. Make sure the sibling kisses the newborn each night.
C. Obtain a gift from the newborn to present to the sibling.
D. Switch the sibling's room with the nursery.
C. Obtain a gift from the newborn to present to the sibling.
Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age
sibling's acceptance of a new family member. This ensures that the sibling does not feel
left out and that they understand their role in the family.
A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse should
notify the provider of which of the following adverse effects?
A. Client reports nausea
B. Urinary output of 40 mL/hr
C. Respiratory rate 10/min
D. Client reports feeling flushed
C. Respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider, because
this is a manifestation of magnesium toxicity. The nurse should ensure that the antidote,
calcium gluconate, is readily available.
Nausea is expected adverse effect. Oliguria less than 25 - 30 mL/hr. is a manifestation
of Mag toxicity.
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in
preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?
A. Decreased uterine contractions
B. An increase in the client's hemoglobin levels
C. A reduction in respiratory distress in the newborn
D. Increased production of antibodies in the newborn
C. A reduction in respiratory distress in the newborn
Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and
prevent respiratory distress.
A nurse is caring for a newborn who is 70 hr old.
Which of the following findings should the nurse report to the provider?
Select all that apply.
Medical History
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