1 | P a g e MATERNAL NEWBORN ATI PROCTORED NEWEST 2024 -2025 TEST BANK ACTUAL EXAM COMPLETE 520 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS ) |ALREADY GRADED A+|| ALL POSSIBLE QUESTIONS IN ONE DOCUMENT A nurse is assessing a newborn who was circumcised 24 hours ago. Which of the following findings should the nurse report to the provider? a) a scant amount of serosanguineous drainage is noted in the newborn's diaper b) the newborn's circumcision site is covered with yellow exudate c) the newborn has urinated once since the circumcision d) the newborn fusses during each diaper change - ANSWER - c) the newborn has urinated once since the circumcision A nurse at a clinic is preparing to teach the process of involution to a group of antenatal clients. Which of the following information should the nurse provide? a) the fundus is approximately 2 cm (0.79 in) above the level of the umbilicus at the end of the third stage of labor b) the fundus is approximately 3 cm (1.18 in) above the umbilicus within 12 hours after delivery c) the fundus is located halfway between the umbilicus and mons pubis on the sixth day postpartum 2 | P a g e d) the fundus is not palpable abdominally at 2 weeks postpartum - ANSWER - d) the fundus is not palpable abdominally at 2 weeks postpartum A nurse is reviewing laboratory results for a client who is at 37 weeks gestation. The nurse notes that the client is rubella non -immune, is positive for group A beta -hemolytic streptococcus, and has a blood type of O negative. Which of the following actio ns should the nurse take? a) administer a dose of Rho(D) immune globulin b) request a prescription for an antibiotic until delivery c) instruct the client to obtain a rubella immunization after delivery d) inform the client that she will need to deliver via cesarean birth - ANSWER - c) instruct the client to obtain a rubella immunization after delivery A nurse is caring for a newly admitted newborn who is large for gestational age. After 30 min, the newborn becomes jittery and lethargic with hypotonic muscles and a cry that is different from the time of admission. Which of the following actions should th e nurse take? a) perform a heel stick to check the newborn's glucose level b) obtain a prescription for serum substance screening c) provide a feeding of sterile water d) screen the newborn for phenylketonuria (PKU) - ANSWER - a) perform a heel stick to check the newborn's glucose level 3 | P a g e A nurse is caring for a client in active labor whose membranes have ruptured. The fetal monitor tracing reveals late decelerations. Which of the following actions should the nurse take first? a) turn the client onto her left side b) palpate the client's uterus c) administer oxygen to the client d) increase the client's IV fluids - ANSWER - a) turn the client onto her left side A nurse is assessing a client who is pregnant and reports increased nasal stuffiness. The nurse should inform the client that which of the following hormones is responsible for this discomfort? a) relaxin b) estrogen c) progesterone d) human chorionic somatomammotropin (HCS) - ANSWER - b) estrogen A nurse is caring for a client who is receiving magnesium sulfate by continuous IV infusion. Which of the following medications should the nurse have available at the client's bedside? a) naloxone b) calcium gluconate c) protamine sulfate d) atropine - ANSWER - b) calcium gluconate 4 | P a g e A nurse is discussing contraceptive choices with a client who has a history of thrombophlebitis. Which of the following methods of contraception should the nurse recommend? a) copper intrauterine device b) combination pill c) vaginal ring d) medroxyprogesterone injection - ANSWER - a) copper intrauterine device A nurse is providing education about continuous heparin therapy for a client who is 18 hours postpartum and has developed a deep vein thrombosis (DVT). Which of the following statements should the nurse include in the teaching? a) "An adverse effect of this medication is drowsiness" b) "This medication will require frequent monitoring of WBC levels" c) "Use a soft toothbrush to brush your teeth gently" d) "Avoid taking acetaminophen while receiving this medication" - ANSWER - c) "Use a soft toothbrush to brush your teeth gently" A nurse is caring for a client who has eclampsia and just had a tonic -
clonic seizure. After turning the client's head to the side, which of the following actions should the nurse take next? a) administer magnesium sulfate 4 g IV bolus b) insert an indwelling urinary catheter c) give oxygen at 10 L/min via face mask
clonic seizure. After turning the client's head to the side, which of the following actions should the nurse take next? a) administer magnesium sulfate 4 g IV bolus b) insert an indwelling urinary catheter c) give oxygen at 10 L/min via face mask
