Ngn ati rn maternal newborn proctored exam testbank

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(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
RIFIEDfSOLUTIONS/A+fGRADEfASSURED




(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUALQU
f f f f f f f f




ESTIONS WITH VERIFIED DETAILED SOLUTIONS/A+ GRADE ASSURED
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1. Afnursefisfcaringfforfafclientfwhofisfatf36fweeksfoffgestationfandfwhofhasfafsuspectedfplacentafprevia.fWhichfofftheffoll

owingffindingsfsupportfthisfdiagnosis?


A. Painlessfredfvaginalfbleeding



Rationale:fPlacentaf previaf isf af conditionf off pregnancyf whenf thef placentaf implantsf inf thef lowerf partf off thefuterus,f

partlyforfcompletelyfobstructingfthefcervicalfosf(outletftofthefvagina).fBrightfred,fpainlessfvaginalfblee

dingfoccursfinfthefsecondfandfthirdftrimester.

B. Increasingfabdominalfpainfwithfafnonrelaxedfuterus



Rationale:fAbruptiofplacentafisfseparationfoffthefplacentaffromf thef sitef off uterinef implantationf beforefdeliveryfofft

heffetus.fWhenfthefplacentafseparatesfprematurely,ftherefisfinternalfbleeding,fwhichfisfpainful,fandft

hefuterusfisfnonrelaxedforfbecomesfrigidfasfthefseparationfadvances.


C. Abdominalfpainfwithfscantfredfvaginalfbleeding



Rationale:fPlacentafpreviafinvolvesfminimalftofseverefbrightfredfvaginalfbleedingfinfthefabsencefoffabdominalfpai

n.


D. Intermittentfabdominalfpainffollowingfpassagefoffbloodyfmucus



Rationale:fIntermittentfabdominalfpainffollowingfpassagefoffbloodyfmucusfisfafdescriptionfoffnormalflabor.fThef

passagefoffbloodyfmucusfrepresentsftheflossf offthefcervicalfmucousf plug,falsofreferredfto

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(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
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asfthef"bloodyfshow."




2. Afnursefisfcaringfforfafclientfwhofisf1fhrfpostpartumfandfobservesfaflargefamountfofflochiafrubrafandfseveralfsmallfclotsfonf

thefclient'sfperinealfpad.fTheffundusfisfmidlinefandffirmfatfthefumbilicus.fWhichfofftheffollowingfactionsfshouldfthefnurseft

ake?


A. Documentftheffindingsfandfcontinueftofmonitorfthefclient.



Rationale:fThesefarefexpectedffindings.fAtf1fhrfpostpartum,flochiafrubrafshouldfbef intermittentf andfassociatedfwit

hfuterinefcontractions.fThefvolumefofflochiafresemblesfthatfoffafheavyfmenstrualfperiod.fSmallfclotsf

arefcommon.fThefnursefshouldfdocumentftheffindingsfandfcontinueftofmonitorfthefclient.


B. Notifyfthefclient‟sfprovider.


Rationale:fThesef aref expectedf findings,f sof theref isf nof needf tof notifyf thef provider.


C. Increaseftheffrequencyfofffundalfmassage.



Rationale:fThesefarefexpectedffindingsfandftheffundusfisfalreadyffirm.fIncreasingftheffrequencyfofffundalfmassa

gefisfnotfindicatedfatfthisftime.


D. Encouragefthefclientftofemptyfherfbladder.



Rationale:fThesefarefexpectedffindings,fandf thef fundusfisf firmf atfthef midline.f Ifftheffundusf wasf deviated,fthisfwou

ldfbefanfindicationfoffafdistendedfbladderfandfthefclientfshouldfbefencouragedftofvoidftofpreventfuterin

efatony.




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3. Afnursefisfcaringfforfafnewbornfimmediatelyffollowingfbirth.fAfterfassuringfafpatentfairway,fwhatfisf thefpriorityfnursi

ngfaction?


A. AdministerfvitaminfK.



Rationale:fAdministrationf off vitaminf Kf isf important,f butf itf canf bef delayedf untilf thef newbornf isf heldf byf thefmotherfa

ndfisfbreastfed.fTherefisfanother,fmorefimportantfnursingfaction.


B. Dryfthefskin.



Rationale:fThefnewbornfshouldfbefthoroughlyfdried,fcoveredfwithfafwarmfblanket,fplacedfonfthefmother‟sfabdo

men,fandfafcapfappliedftofthefnewborn‟sfheadftofpreventfcoldfstress.fThefnewbornfrespondsftofthefc

oolerfenvironmentfbyfincreasingfhisfrespiratoryfrate,fwhichfcanfleadfto
f


respiratoryfdistress.fBasedfonfMaslow‟sfhierarchyfoffneeds,fthisfisfthefmostfimportantfnur

singfactionfafterfsecuringfthefairway.


C. Administerfeyefprophylaxis.



Rationale:fAdministrationfoffeyefprophylaxisfshouldfoccurfwithinftheffirstfhourfafterfbirth.fTherefisfanother,fmorefi

mportantfnursingfaction.


D. Placefanfidentificationfbracelet.



Rationale:fCorrectfidentificationfoffthefnewbornfisfimportant,fbutfitfcanfbefdelayed,fasflongfasf itf isfcompletedfprio

rftofthefmotherfandfnewbornfleavingfthefdeliveryfroom.fTherefisfanother,fmorefimportantfnursingfa

ction.




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4. Afnursefinfafprenatalfclinicfisfcaringfforfafclientfwhofisfatf7fweeksfoffgestation.fThefclientfreportsfurinaryffrequencyfandfas

ksfiffthisfwillfcontinuefuntilfdelivery.fWhichfofftheffollowingfresponsesfshouldfthefnursefmake?


A. "It'sfafminorfinconvenience,fwhichfyoufshouldfignore."



Rationale:fThisfisfafnontherapeuticfresponsefthatfdisregardsfthefclient‟sfconcernfandfoffersfunwarranted

reassurance.


B. "Infmostfcasesfitfonlyflastsfuntilfthef12thfweek,fbutfitfwillfcontinuefiff youfhavefpoorf bladderftone."



Rationale:fThefpresenceforfabsencefoffbladderftonefhasfnofbearingfonfurinaryffrequencyfduringfpregnancy.


C. "Therefisfnofwayftofpredictfhowflongfitfwillflastfinfeachfindividualfclient."


Rationale:fThisf isf af nontherapeuticf responsef thatf doesf notf providef appropriatef informationf tof thef client.


D. "Itfoccursfduringftheffirstftrimesterfandfnearfthefendfoffthefpregnancy."



Rationale:fUrinaryf frequencyf isf duef tof increasedf bladderf sensitivityf duringf thef firstf trimesterf andf recursfnearft

hefendfoffthefpregnancyfasfthefenlargingfuterusfplacesfpressurefonfthefbladder.




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