https://www.stuvia.com/user/lectkeshi
(NGN)ATI MATERNAL NEWBORN PROCTORED EXAM
LATEST EXAM QUESTION AND
ANSWERS 2023
A nurse is teaching a client who is at 12 wks gestation
and has HIV. What statement should the nurse include in
the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse
throughout pregnancy c. breastfeed
your newborn to provide passive
immunity
d. you should continue to take zidovudine throughout
the pregnancy
- ANSWER-d. you should continue to take zidovudine
throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
prescription antiviral medication every day decreases the
risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks
gestation about manifestations to report to the provider
during pregnancy. What info should the nurse include in
the teaching?
a. nausea upon
awakening
b. blurred or
double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
- ANSWER-b. blurred or double vision
A nurse is caring for a client who is in the latent phase of
labor and is receiving oxytocin via continuous IV infusion.
The nurse notes that the client is having contractions
every 2 min which last 100-110 seconds that the fetal
heart rate is reassuring. What action should the nurse
take?
a. decrease the dose of oxytocin by half
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
- ANSWER-a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half
because the client is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has
meconium staining of the amniotic fluid. The nurse notes
a reassuring FHR tracing from the external fetal monitor.
What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as
the fetal head is delivered c. prepare
equipment needed for newborn resuscitation
https://www.stuvia.com/user/lectkeshi
, https://www.stuvia.com/user/lectkeshi
d. prepare the client for an ultrasound exam
- ANSWER-c. prepare equipment needed for newborn
resuscitation
The nurse should ensure that all supplies and equipment
needed for resuscitation of the newborn are readily
available for every delivery. Endotracheal suctioning is
recommended in cases of meconium staining only if the
newborn has poor respiratory effort, decreased muscle
tone, and bradycardia after delivery.
A nurse is reviewing the medical record of a client who
is at 33 wks gestation and has placenta previa and
bleeding. What scripts should the nurse clarify with the
provider? a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
- ANSWER-b. perform a vaginal exam
When a client has a placenta previa, the placenta
https://www.stuvia.com/user/lectkeshi
(NGN)ATI MATERNAL NEWBORN PROCTORED EXAM
LATEST EXAM QUESTION AND
ANSWERS 2023
A nurse is teaching a client who is at 12 wks gestation
and has HIV. What statement should the nurse include in
the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse
throughout pregnancy c. breastfeed
your newborn to provide passive
immunity
d. you should continue to take zidovudine throughout
the pregnancy
- ANSWER-d. you should continue to take zidovudine
throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
prescription antiviral medication every day decreases the
risk of transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks
gestation about manifestations to report to the provider
during pregnancy. What info should the nurse include in
the teaching?
a. nausea upon
awakening
b. blurred or
double vision
c. increase in white vaginal discharge
d. leg cramps when sleeping
- ANSWER-b. blurred or double vision
A nurse is caring for a client who is in the latent phase of
labor and is receiving oxytocin via continuous IV infusion.
The nurse notes that the client is having contractions
every 2 min which last 100-110 seconds that the fetal
heart rate is reassuring. What action should the nurse
take?
a. decrease the dose of oxytocin by half
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq
- ANSWER-a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half
because the client is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has
meconium staining of the amniotic fluid. The nurse notes
a reassuring FHR tracing from the external fetal monitor.
What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as
the fetal head is delivered c. prepare
equipment needed for newborn resuscitation
https://www.stuvia.com/user/lectkeshi
, https://www.stuvia.com/user/lectkeshi
d. prepare the client for an ultrasound exam
- ANSWER-c. prepare equipment needed for newborn
resuscitation
The nurse should ensure that all supplies and equipment
needed for resuscitation of the newborn are readily
available for every delivery. Endotracheal suctioning is
recommended in cases of meconium staining only if the
newborn has poor respiratory effort, decreased muscle
tone, and bradycardia after delivery.
A nurse is reviewing the medical record of a client who
is at 33 wks gestation and has placenta previa and
bleeding. What scripts should the nurse clarify with the
provider? a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing
- ANSWER-b. perform a vaginal exam
When a client has a placenta previa, the placenta
https://www.stuvia.com/user/lectkeshi
