Maternal Newborn Practice Assessment B

ATI: RN Maternal-Newborn Online Practice 2019 B

1. A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should thenurse take?

a. Perform a vaginal exam to determine cervical dilation every 2 hr.

b. Instruct the client to ambulate in the hallway once every 4 hr.

c. Administer betamethasone to the client via IM injection.

d. Initiate continuous external fetal monitoring.

2. A nurse is caring for a client who is pregnant 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 (FHTs)?

a. Just above the umbilicus

b. Just above the symphysis pubis

c. The right lower quadrant

d. The left lower quadrant

3. A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test. Which of the following

statements should the nurse include in the teaching?

a. "You will receive IV fluids prior to this test."

b. "The procedure will take approximately 10 to 15 minutes."

c. "You will be offered orange juice to drink during the test."

d. "You will need to sign an informed consent form each time you have this test."

4. A nurse 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?

a. Oligohydramnios

b. Hyperemesis gravidarum

c. Leukorrhea

d. Periodic tingling of the fingers

5. A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. which of the following actions

should the nurse take?

a. Cover the newborn's eyes while under the phototherapy light.

b. Keep the newborn in a shirt while under the phototherapy light.

c. Apply a light moisturizing lotion to the newborn's skin.

d. Turn and reposition the newborn every 4 hr while undergoing phototherapy.

6. A nurse is caring for a client who has preeclampsia and is receiving a continuous infusion of magnesium sulfate IV. Which of

the following actions should the nurse take?

a. Restrict hourly fluid intake to 150 mL/hr.

b. Have calcium gluconate readily available.

c. Assess deep tendon reflexes every 6 hr.

d. Monitor intake and output every 4 hr.

7. A nurse is providing discharge teaching to the parents of a newborn about car seat safety. Which of the following instructions

should the nurse include?

a. Place the shoulder harness in the slots above the newborn's shoulders.

b. Place the retainer clip at the level of the newborn's armpits.

c. Position the newborn at a 60º angle in the car seat.

d. Place the newborn in a blanket before securing them in the car seat.

8. A school nurse is providing teaching to an adolescent about levonorgestrel contraception which of the following information

should the nurse include in the teaching?

a. "You should take the medication within 72 hours following unprotected sexual intercourse."

b. "You should avoid taking this medication if you are on an oral contraceptive."

c. "If you don't start your period within 5 days of taking this medication, you will need a pregnancy test."

d. "One dose of this medication will prevent you from becoming pregnant for 14 days after taking it."

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