ATI Maternal Newborn B - Questions And
Answers With Rationale -100% Accurate
A nurse is reviewing the medical record of a client who is at 33 weeks of
gestation and has placenta previa and bleeding. Which of the following
prescriptions should the nurse clarify with the provider? ✔️Ans - Preform a
vaginal exam
A nurse is caring for a client who is pregnant and is at the end of her first
trimester. The nurse should place the Doppler ultrasound stethoscope in
which of the following locations to begin assessing for the fetal heart tones
(FHT)? ✔️Ans - Just above the symphysis pubis
At the end of the first trimester of pregnancy, the client's uterus is
approximately the size of a grapefruit and is positioned low in the pelvis
slightly above the symphysis pubis. Therefore, the nurse should begin
assessing for FHT just above the symphysis pubis.
A nurse is teaching a client who is at 36 weeks of gestation and has a
prescription for a non-stress test. Which of the following statements should
the nurse include in the teaching? ✔️Ans - "You will be offered orange juice
to drink during the test."
A nonstress test is performed to measure fetal activity. Having the client drink
orange juice, or another beverage high in glucose, will stimulate fetal
movements during the procedure, helping to obtain results.
A nursing is reviewing the medical record of a newly admitted client who is at
32 weeks of gestation. which of the following conditions is an indication for
fetal assessment using electronic fetal monitoring? ✔️Ans -
oligohydramnios
The nurse should identify that oligohydramnios requires further fetal
assessment using electronic fetal monitoring. Other conditions that require
further assessment include hypertension, diabetes, intrauterine growth
restriction, renal disease, decreased fetal movement, previous fetal death,
post-term pregnancy, systemic lupus erythematosus, and intrahepatic
cholestasis.
, A nurse is caring for a newborn who is undergoing photothearpy to treat
hyperbilirubinemia. which of the following actions shoudl the nurse take?
✔️Ans - Cover the newborn's eyes while under the phototherapy light.
Applying an opaque eye mask prevents damage to the newborn's retinas and
corneas from the phototherapy light.
A nurse is caring fora client who has preeclampsia and is receiving a
continuous infusion of magnesium sulfate IV. which of the following actions
should the nurse take? ✔️Ans - Have calcium gluconate readily available
The nurse should have calcium gluconate readily available to prevent cardiac
or respiratory arrest in the event the client experiences magnesium toxicity.
A nures is providing discharge teaching to the parents of newborn about car
seat safety. which of the following instructions should the nurse include?
✔️Ans - Place the retainer clip at the level of the newborn's armpits
The nurse should instruct the parents to place the newborn in a federally
approved car seat with the retainer clip snugly at the level of the newborn's
armpits.
A school nurse is providing teaching to an adolescent about levonorgestrel
contraception. which of the following information should the nurse include in
the teaching? ✔️Ans - Take the medication within 72 hrs following
unprotected sexual intercourse
Levonorgestrel is an emergency contraceptive which inhibits ovulation to
prevent conception. The nurse should instruct the adolescent to take this
medication as soon as possible within 72 hr after unprotected sexual
intercourse.
A nurse on a postpartum unit is caring for a client who is experiencing
hypovolemic shock. After notifying the provider, which of the following
actions should the nurse take next? ✔️Ans - Massage the client's fundus
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