(NGN)ATI RN MATERNAL NEWBORN WITH NGN
PROCTORED 2023 AND 2019 TEST BANK ACTUAL EXAM 400
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED A+||BRAND NEW FULL
TEST BANK!!
ATI RN MATERNAL NEWBORN PROCTORED NGN 2023 EXAM TEST BANK
A nurse is caring for a client who is at 15 weeks of gestation, is Rh-negative, and
has just had an amniocentesis. Which of the following interventions is the nurse’s
priority following the procedure?
A. Check the client’s temperature.
B. Observe for uterine contractions.
C. Administer Rho(D) immune globulin.
D. Monitor the FHR. – ANSWER- D. Monitor the FHR.
Rationale: The greatest risk to this client and her fetus is fetal death. Therefore,
the priority nursing intervention is to monitor the FHR following an amniocentesis.
A nurse is preparing to collect a blood specimen from a newborn via a heel stick.
Which of the following techniques should the nurse use to help minimize the pain
of the procedure for the newborn?
A. Apply a cool pack for 10 min to the heel prior to the puncture.
B. Request a prescription for IM analgesic.
C. Use a manual lance blade to pierce the skin.
D. Place the newborn skin to skin on the mother’s chest. – ANSWER- D. Place the
newborn skin to skin on the mother’s chest.
Rationale: Placing the newborn skin to skin on the mother’s chest is an effective
technique to significantly decrease the newborn’s pain level and anxiety. The nurse
should implement this technique before, during, and after the procedure.
A nurse is caring for a newborn who is 72 hr old.
The nurse is planning to contact the provider regarding the newborn’s status.
Which of the following prescriptions regarding the newborn should the nurse
anticipate?
Select all that apply.
Medical History
Newborn delivered by repeat cesarean birth at 40 weeks of gestation.Birth weight 7
lb 12 oz (3,515 g)Apgar scores 8 at 1 min and 9 at 5 minMaternal history of
methadone use during pregnancy.
Vital Signs
0700: Heart rate 156/min, Respiratory rate 68/min, Temperature 37.7° C (99.9° F),
Oxygen saturation 97% on room air
1100: Heart rate 174/min, Respiratory rate 84/min, Temperature 38.2° C (100.8°
F), Oxygen saturation 98% on room air
Physical Examination
1100: Newborn is inconsolable with a high-pitched cry. Newborn sucks vigorously
on pacifier but breastfeeds poorly. Increased muscle tone with moderate to severe
tremors when disturbed. Hyperactive Moro reflex noted. Mottled skin noted on
extremities. Frequent sneezing. Several loose stools today.
Diagnostic Results
Maternal urine toxicology screen: positive for opiates (negative)
A. Instruct the mother to discontinue breastfeeding.
B. Administer scheduled doses of oral morphine.
C. Give a one-time dose of naloxone IM.
D. Maintain a low-stimulus environment.
E. Initiate neonatal abstinence sydrome (NAS) scoring. – ANSWER- B. Administer
scheduled doses of oral morphine.
Rationale: The nurse should administer scheduled doses of oral morphine to the
newborn to decrease manifestations of withdrawal. The dosage of the medication is
adjusted based on the NAS score of the newborn.
D. Maintain a low-stimulus environment.
Rationale: Supportive care for a newborn who has NAS includes maintaining a
low-stimulus environment to help prevent exacerbation of withdrawal
manifestations.
E. Initiate neonatal abstinence sydrome (NAS) scoring.
Rationale: The nurse should initiate NAS scoring to evaluate the severity of the
newborn’s withdrawal manifestations. The score obtained will be used to evaluate
the need to titrate the prescription for the morphine dosage.
A nurse is admitting a client who is in labor. The client admits to recent cocaine
use. For which of the following complications should the nurse assess?
A. Abruptio placenta
B. Placenta previa
C. Preeclampsia
D. Maternal bradycardia – ANSWER- A. Abruptio placenta
Rationale: Cocaine use increases the risk for vasoconstriction and possible
abruptio placenta.
A nurse is developing a plan of care for a newborn who is to undergo phototherapy
for hyperbilirubinemia. Which of the following actions should the nurse include in
the plan?
A. Feed the newborn 1 oz of water every 4 hr.
B. Apply lotion to the newborn’s skin three times per day.
C. Remove all clothing from the newborn except the diaper.
D. Discontinue therapy if the newborn develops a rash. – ANSWER- C. Remove
all clothing from the newborn except the diaper.