2019 ATI RN Maternal Newborn with Answers (70 Solved Questions)

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ATIRNMaternalNewborn2019(WITHVERIFIED ANSWERS 100%)1.Aclientwhois16weeksofgestationasksthenursehowtoprepareherfathertoayoungersibling.Statementsshouldthenursemake?a.Youshouldholdyournewborninyourarmswhenyouintroducehimtoyourtoddlerb.you should move your toddler out of her crib 2 weeks prior to your due datec.youshouldgiveyourtoddleragiftfromthebabywhenshevisityouinthefacilityd. You should place your toddler in timeout if she exhibits regressive Behavior after thebabyisborn2.Anurseisobservinganadolescentclientwhoisofferinghernewbornabottlewhileheislayingin the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms,the mother States “No, the baby is too tired to be held”. Which of the following actions shouldthenursetake?a.Insistthatthemotherpickupthenewborntofeedhimb.demonstratehowtoholdanewbornandallowtheclienttopracticec.persuadetheclienttobreastfeedthenewborntopromotebondingd.offertotakethenewborntothenurserytofinishhisfeeding3.Anurseisassessingaclientwhoisinpretermlaborandhasanewprescriptionorterbutaline0.25 mg subcutaneous. For which of the following findings should the nurse Withhold the medicationandReporttotheprovider?a. fasting blood glucose 75 mg / DLb.bloodpressure88/58mmhgc.urinaryoutput40ml/hrd.FHR120/min4.A nurse is providing teaching to the parents of a newborn about the plastibell circumcisiontechnique.Whichofthefollowing?-p170-171-postprocedurebottomof170andgoesintotopof171.a.theplastibellwillberemoved4hoursaftertheprocedureb.notifytheprovideristheendofyourpenisappearsdarkredc.makesurethenewborn'sdiaperissnugd.yellowexudatewillformatthesurgicalsitein24hours5.AnurseisplanningcareimmediatelyfollowingbirthforanewbornwhohasMyelomeningocelethat is cerebrospinal fluid. Which of the following actions should the nurse include in the plan ofcare?

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a.Administerbroad-spectrumantibioticsb.cleansethesitewithPovidoneiodinec.monitortherectaltemperatureevery4hoursd.prepareforsurgicalclosureafter72hours6.A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actionsshouldthenursetake?a.Administer50mLofdextrosesolutionIVb.obtainabloodsampleofserumglucoselevelc.reassessthebloodglucoselevelpriortothenextfeedingd.Feedthenewbornimmediately7.A nurse is caring for four enter-partum clients. Which of the following clients should the nurseassessfirst?a.Aclientwhoisat7weeksofgestationandreportsurinaryfrequencyb.aclientwhoisat32weeksofgestationandreportsseeingfloatingspotsc.aclientwhois38weeksofgestationandreportslegcrampsd.aclientwhoisat20weeksofgestationandreportsperiodicnumbnessinherfingers8.AnurseisplanningcareforaclientwhoispregnantandhasHIV.WhichofthefollowingactionsShouldthenurseincludeintheplanofcare?a.Useafetalscalpelectrodeduringlaboranddeliveryb.Bathethenewbornbeforeinitiatingskintoskincontactc.instruct the client to stop taking the antiretroviral medication at 32 weeks of gestationd.administerpneumococcalimmunizationtothenewbornwithin4hoursfollowingbirth9.Anurseiscaringforaclientwhohasplacentaprevia.Whichofthefollowingfindingsshouldthenurseexpect?a.Firmrigidabdomenb.painless,vaginalbleedingc.uterinehypertonicityd.persistentheadache10.Anurseisplanningcareforanewbornwhoisscheduledtostartphototherapyusingalap.Whichofthefollowingactionsshouldthenurseinclude?a.Applyathinlayerlotiontothenewbornskinevery8hoursb.trust in you born in a thin layer clothing during the therapyc.ensurethenewborn'seyesareclosedbeneaththeshieldd.givethenewborn1ozofglucosewaterevery4hours

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11.Anurseisprovidingdischargeinstructionstoaclientwhoisbreastfeedinghernewborn.Whichofthefollowinginstructionsshouldthenurseinclude?a.Expect2to4wetdiapersevery24hoursb.allowthebabytofeedatleastevery3hoursc.offerthenewborn30ml(1oz.)awaterbetweenfeedingsd.feedthenewborn5to10minutesperbreast12.AnurseisassessingaclientduringherfirstprenatalvisittheclientreportsMarch20thusherlastmenstrual..UseNiagele’sruletocalculatetheestimateddateofdelivery.Usethemmddformatwithfournumeralsandnospacesorpunctuation.03/20!1$%$&12/2713.A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan toimmunizetheclientwhichofthefollowingvaccinations?Selectalltheapplya.Varicellab.humanpapillomavirusc.Diphtheria-acellular pertussisd.inactivatedinfluenzae.measles,mumps,andrubella14.A nurse is caring for a client who has preterm labor and receiving magnesium sulfate bycontinuous IV infusion. Which of the following laboratory values should the nurse review duringtocolytictherapy?a.indirectCoombstestb.liverenzymesc.uricacidleveld.Serummedicationlevel15.Anurseiscaringforaclientwhoreportsspontaneousrupture.Thenurseobservedfetalbradycardia in the FHR tracing and notices the umbilical cord is protruding. After calling forassistanceandnotifyingtheprovider,whichofthefollowingshouldthenursetakenext?a.InitiateaninfusionofIVfluidsfortheclientb.Performvaginalexaminationbyapplyingupwardpressureonthepresentingpartd.Administeroxygenvianonrebreathermaskat8L/min.D.Covertheumbilicalcordwithsterilesalinesaturatedtowel.16.Anurseiscaringforaclientwhois36weeksgestationandhasMRSA.Whichofthe

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followingisolationprecautionsshouldthenurseinitiate?a.Dropletb.Contactc.Airborned.Protectiveenvironment17.Anurseisassessingaclientwhois27weeksofgestationandhaspreeclampsia.Whichofthefollowingfindingsshouldthenursereporttotheprovider?a.Hemoglobin14.8g/dLb.Plateletcount60,000/mmc.Creatine0.8mg/dLd.Urineproteinconcentration200mg/24hr18.A nurse is providing teaching to a client who is 2 days postpartum and wants to continueusing her diaphragm for contraception. Which of the following instructions should the nurseinclude?a.Youshoulduseanoilbasedvaginallubricantwheninsertingyourdiaphragmb.youshouldstoreyourdiaphragminsterilewateraftereachusec.you should keep the diaphragm in place for at least 4 hours after intercoursed.youshouldhaveyourproviderrefityouforanewdiaphragm19.A nurse is caring for a client who is receiving prenatal care and is at her 24-weekappointment.Whichofthefollowinglaboratorytestsshouldthenurseplantoconduct?a.1hourglucosetolerancetestb.rubellatiterc.GroupBstrepcultured.bloodtypeandRh20.Anurseiscaringforaclientwhohasgestationaldiabetesmellitus.Whichofthefollowingclinicalfindingsshouldindicatetothenursetheclienthashyperglycemia?a.doublevisionb.increasedurinationc.Sweatingd.dizziness21.Anurseisreviewingthelaboratoryresultsofanewborn.Whichofthefollowingfindingsshouldthenursereporttotheprovider?a.Bloodglucose58mg/DLb.hematocrit48%c.platelets100,000/mm3d.hemoglobin16G/DL
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