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MATERNAL CHILD NURSING EXAM 1

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ATI RN MATERNAL NEWBORN 2023 PROCTORED EXAM
COMPLETE 70 QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) /ALREADY GRADED A+
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform
Leopoid maneuvers. Which of the following images indicates the first step of Leopoid
maneuvers? - answer☑️✔️..Picture of nurse palpating top of belly; where bottom is



A nurse administers betamethasone to a client who is at 33 weeks gestation to stimulate fetal
lung maturity. Which planning care for the newborn, which of the following conditions should
the nurse identify as an adverse effect of this medication?

Hyperthermia

Decreased blood glucose

Rapid pulse rate

Irritability - answer☑️✔️..Decreased blood glucose



Betamethasone causes hyperglycemia in the client, which predisposes the newborn to
hypoglycemia in the first hours after delivery. It is important to assess the newborn's blood
glucose level within the first hour following birth and frequently thereafter until blood glucose
levels are stable.



A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the
nurse how the provider will confirm her pregnancy. The nurse should inform the client that
what lab test will be used to confirm her pregnancy?

a. urine test for presence of HCG

b. urine test for the presence of HCS

c. blood test for presence of estrogen

d. blood test for the amount of circulating progesterone - answer☑️✔️..a. urine test for
presence of HCG

,A nurse in a family planning clinic is caring for a client who requests an oral contraceptive.
Which of the following findings in the client's hx should the nurse recognize as a
contraindication to oral contraceptives? (SATA) - answer☑️✔️..Cholecystitis is correct.

A history of gallbladder disease is a contraindication for the use of oral contraceptives.



Hypertension is correct.

Hypertension is a contraindication for the use of oral contraceptives.



Human papillomavirus is incorrect.

The presence of human papillomavirus is not a contraindication for the use of oral
contraceptives.



Migraine headaches is correct. A history of migraine headaches is a contraindication for the use
of oral contraceptives.



Anxiety disorder is incorrect. The presence of an anxiety disorder is not a contraindication for
the use of oral contraceptives.



A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should
the nurse see first? - answer☑️✔️..A client who is at 11 weeks of gestation and reports
abdominal cramping



A nurse in a prenatal clinic is caring for a client who is within the recommended guidelines for
weight. The client asks the nurse how much weight is safe for her to gain during her pregnancy.
Which of the following responses should the nurse make?

"Your provider can discuss an appropriate amount of weight gain with you."

"A weight gain of about 14 pounds each trimester is suggested."

"If you eat nutritious foods when you feel hungry, the amount of weight gain is insignificant."

,"A weight gain of about 25 to 35 pounds is good." - answer☑️✔️..A weight gain of about 25-35
pounds is good



A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the first
trimester and 12 lb each for the second and third trimester is recommended.



A nurse in a prenatal clinic is caring for a client who reports that her menstrual period is 2 weeks
late. The client appears anxious and asks the nurse if she is pregnant. Which of the following
responses should the nurse make? - answer☑️✔️..A. "You can miss your period for several
other reasons. Describe your typical menstrual cycle."

B. "If you have been sexually active and haven't used protection, it is likely that you are
pregnant."

C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdominal
enlargement yet?"

D. "Because you have missed your period, you should try taking a home pregnancy test before
you start worrying."



Answer: "You can miss your period for several other reasons. Describe your typical menstrual
cycle."



A. "You can miss your period for several other reasons. Describe your typical menstrual cycle."

Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore, the nurse should
explore the client's menstrual cycle to determine other necessary interventions.



B. "If you have been sexually active and haven't used protection, it is likely that you are
pregnant."

The nurse's response is assuming and confirming that the client is pregnant based only on the
client's statement, which can increase the client's anxiety level.

, C. "Let's check to see if you have any other signs of pregnancy. Have you noticed any abdominal
enlargement yet?"

The nurse's response is making a false assumption that the client is pregnant based only on the
client's statement. The nurse should gather more information from the client before making any
false assumptions.



D. "Because you have missed your period, you should try taking a home pregnancy test before
you start worrying."

The nurse's response dismisses the client's concerns and does not answer or address the client's
question, which can increase the client's anxiety level.



A nurse in a provider's office is reviewing the medical record of a client who is in the first
trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the
development of preeclampsia - answer☑️✔️..Pregestational Diabetes Mellitus



A nurse in a women's health clinic is providing teaching about nutritional intake to a client who
is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of
which of the following nutrients? - answer☑️✔️..A. Calcium

B. Vitamin E

C. Iron

D. Vitamin D



Answer: Iron



A. Calcium

The recommendation for calcium intake during pregnancy is the same as that for women who
are not pregnant: 1,300 mg/day for women younger than 19 years old and 1,000 mg/day for
women between the ages of 19 and 50 years old.

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