ATI Maternal newborn proctored exam 3 A+ GRADED

ATI Maternal newborn proctored exam 3
A+ GRADED
AMnurseMisMdevelopingMaMplanMofMcareMforMaMnewbornMwhoMisMtoMundergoMphotother
apyMforMhyperbillirubinemia.MWhichMofMtheMfollowingMactionsMshouldMtheMnurseMinclud
eMinMtheMplan?M-MRemoveMallMclothingMformMtheMnewbornMexceptMtheMdiaper

AMnurseMisMcaringMforMaMclientMwhoMisMatM15MweeksMgestation,MisMRh-
negative,MandMhasMjustMhadManMamniocentesis.MWhichMofMtheMfollowingMinterventions
MisMtheMnurse'sMpriorityMfollowingMtheMprocedure?M-MMonitorMtheMFHR



AMnurseMinManMantepartumMclinicMisMassessingMaMclientMwhoMisMatM32MweeksMofMgesta
tion.MWhichMofMtheMfollowingMfindingsMshouldMtheMnurseMreportMtoMtheMprovider?M-
MReportsMofMdecreasedMfetalMmovement



AMnurseMisMadmittingMaMclientMtoMtheMlaborMandMdeliveryMunitMwhenMtheMclientMstates,
M"MyMwaterMjustMbroke".MWhichMofMtheMfollowingMinterventionsMisMtheMnurse'sMpriority

?M-MBeginMFHRMmonitoring

AMnurseMisMcaringMforMaMclientMwhoMisMatM36MweeksMofMgestationMandMhasMaMpositiveM
contractionMstressMtest.MTheMnurseMshouldMplanMtoMprepareMtheMclientMforMwhichMofMth
eMfollowingMdiagnosticMtest?M-MBiophysicialMprofile

AMnurseMisMpreparingMtoMadministerMmagnesiumMsulfateM2g/hrMIVMtoMaMclientMwhoMis
MinMpretermMlabor.MAvailableMisM20MgMmagnesiumMsulfateMinM500MmLMofMdextroseM5

%MinMwaterM(D5W).MTheMnurseMshouldMsetMtheMIVMinfusionMpumpMtoMadministerMhow
MmanyMmL/hr?M-M50Mml/hr



AMnurseMisMcaringMforMaMclientMwhoMhasMhyperemesisMgravidarumMandMisMreceivingMI
VMfluidMreplacement.MWhichMofMtheMfollowingMfindingsMshouldMtheMnurseMreportMtoMth
eMprovider?M-MBUNM25Mmg/dL

AMnurseMisMassessingMaMlateMpretermMnewborn.MWhichMofMtheMfollowingMmanifestatio
nsMisManMindicationMofMhypoglycemia?M-MRespiratoryMdistress

AMnurseMinMaMprovider'sMofficeMisMreviewingMtheMmedicalMrecordMofMaMclientMwhoMisMi
nMtheMfirstMtrimesterMofMpregnancy.MWhichMofMtheMfollowingMshouldMtheMnurseMidentif
yMasMaMriskMfactorMforMtheMdevelopmentMofMpreeclampsiaM-
MPregestationalMDiabetesMMellitus



AMnurseMinManMantepartumMclinicMisMprovidingMcareMforMaMclientMwhoMisMatM26MweeksM
ofMgestation.MUponMreviewingMtheMclient'sMmedicalMrecord,MwhichMofMtheMfollowingMfin
dingsMshouldMtheMnurseMreportMtoMtheMprovider?M-MFundalMHeightMMeasurement

AMnurseMisMassessingMaMnewbornMwhoMisM16MhrMold.MWhichMofMtheMfollowingMfindingsM
shouldMtheMnurseMreportMtoMtheMprovider?M-MSubsternalMRetractions

AMnurseMisMcaringMforMaMclientMwhoMisMatM26MweeksMofMgestationMandMhasMepilepsy.MT
heMnurseMentersMtheMroomMandMobservesMtheMclientMhavingMaMseizure.MAfterMturningM
theMclientMheadMtoMtheMside,MwhichMofMtheMfollowingMactionsMshouldMtheMnurseMtakeMi
mmediatelyMafterMtheMseizure?M-MAdministerMoxygenMviaMaMnonrebreatherMmask

,AMnurseMisMprovidingMteachingMaboutMnonpharmologicalMpainMmanagementMtoMaMclien
tMwhoMisMbreastfeedingMandMhasMengorgement.MTheMnurseMshouldMrecommendMtheM
applicationMofMwhichMofMtheMfollowingMitems?M-MColdMcabbageMleaves

AMnurseMisMassessingMaMclientMwhoMisM1MdayMpostpartumMandMhasMaMvaginalMhemato
ma.MWhichMofMtheMfollowingMmanifestationsMshouldMtheMnurseMexpect?M-
MVaginalMpressure



AMnurseMisMassessingMaMnewbornMwhoMwasMbornMatM26MweeksMofMgestationMusingMt
heMNewMBallardMScore.MWhichMofMtheMfollowingMfindingsMshouldMtheMnurseMexpect?M
-MMinimalMarmMrecoil

AMnurseMisMprovidingMteachingMforMaMclientMwhoMhaveMbirthM2MhrMagoMaboutMtheMfacil
ityMpolicyMforMnewbornMsafety.MWhichMofMtheMfollowingMclientMstatementsMindicatesMa
nMunderstandingMofMtheMteaching?M-
MtheMpersonMwhoMcomesMtoMtakeMmyMbaby'sMpicturesMwillMbeMwearingMaMphotoMident

ificationMbadge

AMnurseMisMassessingMaMclientMwhoMisMatM36MweeksMofMgestation.MWhichMofMtheMfollo
wingMfindingsMshouldMtheMnurseMreportMtoMtheMprovider?M-
MReportMofMvisualMdisturbances



AMnurseMisMprovidingMteachingMtoMaMclientMaboutMtheMphysiologicalMchangesMthatMocc
urMduringMpregnancy.MTheMclientMisMatM10MweeksMofMgestationMandMhasMaMBMIMwithin
MtheMexpectedMreferenceMrange.MWhichMofMtheMfollowingMclientMstatementsMindicatesM

anMunderstandingMofMtheMteaching?M-
M"IMwillMlikelyMneedMtoMuseMalternativeMpositionsMforMsexualMintercourse".



AMnurseMisMcaringMforMaMclientMwhoMisManemicMatM32MweeksMofMgestationMandMisMinM
pretermMlabor.MTheMproviderMprescribedMbethamethasoneM12MmgMIM.MWhichMofMthe
MfollowingMoutcomesMshouldMtheMnurseMexpect?M-

MAMreductionMinMrespiratoryMdistressMinMtheMnewborn



AMnurseMisMcaringMforMaMclientMwhoMisMexperiencingMpreeclampsiaMandMhasMaMnewMpr
escriptionMforMIVMmagnesiumMsulfate.MWhichMofMtheMfollowingMmedicationsMshouldMth
eMnurseManticipateMadministeringMifMtheMclientMdevelopsMmagnesiumMtoxicity?M-
MCalciumMGluconate



AMnurseMisMcaringMforMaMclientMwhoMisMatM30MweeksMofMgestationMandMhasMaMprescri
ptionMforMmagnesiumMsulfateMIVMtoMtreatMpretermMlabor.MTheMnurseMshouldMnotifyMth
eMproviderMofMwhichMofMtheMfollowingMadverseMeffects?M-MRespiratoryMrateM10/min

AMnurseMisMcaringMforMaMclientMwhoMisMtoMreceiveMoxytocinMtoMaugmentMherMlabor.MW
hichMofMtheMfollowingMfindingsMcontraindicatesMtheMinfusionMofMtheMoxytocinMinfusionM
andMshouldMbeMreportedMtoMtheMprovider?M-MLateMDecelerations

AMnurseMisMteachingMaMclientMwhoMisMatM37MweeksMofMgestationMandMhasMaMprescript
ionMforMaMnon-
stressMtest.MWhichMofMtheMfollowingMinstructionsMshouldMtheMnurseMinclude?M-
M"YouMshouldMpressMtheMhandheldMbuttonMwhenMyouMfeelMyourMbabyMmove."

, AMnurseMisMassessingMaMnewbornMwhoMwasMdeliveredMvaginallyMandMexperiencedMaMti
ghtMnuchalMcord.MWhichMofMtheMfollowingMfindingsMshouldMtheMnurseMexpect?M-
MPetechiaeMoverMtheMhead



AMnurseMisMtransportingMaMnewbornMbackMtoMtheMparent'sMroomMfollowingMaMprocedur
e.MWhichMofMtheMfollowingMactionsMshouldMtheMnurseMtake?M-
MVerifyMthatMtheMparent'sMidentificationMbandMmatchesMtheMnewborn'sMidentificationMb

and

AMnurseMisMcreatingMaMplanMofMcareMwhoMisMpostpartumMandMadheresMtoMtraditionalMH
ispanicMculturalMbeliefs.MWhichMofMtheMfollowingMculturalMpracticesMshouldMtheMnurseMi
ncludeMinMtheMplanMofMcare?M-MProtectsMtheMclient'sMheadMandMfeetMfromMcoldMair

AMchargeMnurseMonMaMlaborMandMdeliveryMunitMisMteachingMaMnewlyMlicensedMnurseM
howMtoMperformMLeopoidMmaneuvers.MWhichMofMtheMfollowingMimagesMindicatesMtheM
firstMstepMofMLeopoidMmaneuvers?M-
MPictureMofMnurseMpalpatingMtopMofMbelly;MwhereMbottomMis



AMnurseMisMdevelopingMaMplanMofMcareMforMaMclientMwhoMhasMpreeclampsiaMandMisMre
ceivingMmagnesiumMsulfateMviaMaMcontinuousMIVMinfusion.MWhichMofMtheMfollowingMint
erventionsMshouldMtheMnurseMincludeMinMtheMplan?M-MMonitorMtheMFHRMcontinously

AMnurseMisMassessingMaMclientMwhoMisMatM38MweeksMofMgestationMduringMaMweeklyMpr
enatalMvisit.MWhichMofMtheMfollowingMfindingsMshouldMtheMnurseMreportMtoMtheMprovide
r?
-MWeightMgainMofM2.2MkgM(4.8Mlb)

AMnurseMisMcaringMforMaMclientMwhoMisMatM36MweeksMofMgestationMandMhasMaMprescrip
tionMforManMamniocentesis.MForMwhichMofMtheMfollowingMreasonsMshouldMtheMnurseMp
repareMtheMclientMforManMultrasound?M-MToMlocateMtheMpocketMofMfluid

AMnurseMisMteachingMaMclientMwhoMhasMaMnewMprescriptionMforMcombinedMoralMcontra
ceptivesMaboutMpotentialMadverseMeffectsMofMtheMmedication.MForMwhichMofMtheMfollowi
ngMfindingsMshouldMtheMnurseMinstructMtheMclientMtoMnotifyMtheMprovider?M-
MA.MShortnessMofMbreath

B.MBreakthroughMbleeding
C.MVomiting
D.MBreastMtenderness

Answer:MShortnessMofMbreath

A.MShortnessMofMbreath
TheMnurseMshouldMinstructMtheMclientMtoMnotifyMtheMproviderMimmediatelyMofManyMsho
rtnessMofMbreath.MShortnessMofMbreathMandMchestMpainMcanMindicateMaMpulmonaryMe
mbolusMorMmyocardialMinfarction.MAlso,MtheMnurseMshouldMinstructMtheMclientMtoMnotif
yMtheMproviderMofMotherMadverseMeffectsMthatMcanMindicateMpotentialMcomplications,Mi
ncludingMabdominalMpain,MsuddenMorMpersistentMheadaches,MblurredMvision,MandMse
vereMlegMpain.

B.MBreakthroughMbleeding
BreakthroughMbleedingMoutsideMtheMmenstrualMperiodMisMaMcommonMadverseMeffectMo
fMcombinedMoralMcontraceptives.