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(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH (NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS/A+ GRADE ASSURED VERIFIED SOLUTIONS/A+ GRADE ASSURED
as the "bloody show."
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL
2. A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small
QUESTIONS WITH VERIFIED DETAILED SOLUTIONS/A+ GRADE ASSURED
clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions
should the nurse take?
A. Document the findings and continue to monitor the client.
1. A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of
the following findings support this diagnosis?
Rationale: These are expected findings. At 1 hr postpartum, lochia rubra should be intermittent and
A. Painless red vaginal bleeding associated with uterine contractions. The volume of lochia resembles that of a heavy menstrual
period. Small clots are common. The nurse should document the findings and continue to
Rationale: Placenta previa is a condition of pregnancy when the placenta implants in the lower part of the
monitor the client.
uterus, partly or completely obstructing the cervical os (outlet to the vagina). Bright red, painless
B. Notify the client‟s provider.
vaginal bleeding occurs in the second and third trimester.
Rationale: These are expected findings, so there is no need to notify the provider.
B. Increasing abdominal pain with a nonrelaxed uterus
C. Increase the frequency of fundal massage.
Rationale: Abruptio placenta is separation of the placenta from the site of uterine implantation before
delivery of the fetus. When the placenta separates prematurely, there is internal bleeding, which Rationale: These are expected findings and the fundus is already firm. Increasing the frequency of fundal
is painful, and the uterus is nonrelaxed or becomes rigid as the separation advances. massage is not indicated at this time.
C. Abdominal pain with scant red vaginal bleeding D. Encourage the client to empty her bladder.
Rationale: Placenta previa involves minimal to severe bright red vaginal bleeding in the absence of Rationale: These are expected findings, and the fundus is firm at the midline. If the fundus was deviated,
abdominal pain. this would be an indication of a distended bladder and the client should be encouraged to void to
prevent uterine atony.
D. Intermittent abdominal pain following passage of bloody mucus
Rationale: Intermittent abdominal pain following passage of bloody mucus is a description of normal labor.
The passage of bloody mucus represents the loss of the cervical mucous plug, also referred to
A+ Test Bank Page 1 A+ Test Bank Page 2
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(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH (NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS/A+ GRADE ASSURED VERIFIED SOLUTIONS/A+ GRADE ASSURED
4. A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency
and asks if this will continue until delivery. Which of the following responses should the nurse make?
3. A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority
A. "It's a minor inconvenience, which you should ignore."
nursing action?
A. Administer vitamin K. Rationale: This is a nontherapeutic response that disregards the client‟s concern and offers unwarranted
reassurance.
Rationale: Administration of vitamin K is important, but it can be delayed until the newborn is held by the
B. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone."
mother and is breastfed. There is another, more important nursing action.
Rationale: The presence or absence of bladder tone has no bearing on urinary frequency during
B. Dry the skin.
pregnancy.
Rationale: The newborn should be thoroughly dried, covered with a warm blanket, placed on the mother‟s C. "There is no way to predict how long it will last in each individual client."
abdomen, and a cap applied to the newborn‟s head to prevent cold stress. The newborn
Rationale: This is a nontherapeutic response that does not provide appropriate information to the client.
responds to the cooler environment by increasing his respiratory rate, which can lead to
respiratory distress. Based on Maslow‟s hierarchy of needs, this is the most important nursing D. "It occurs during the first trimester and near the end of the pregnancy."
action after securing the airway.
Rationale: Urinary frequency is due to increased bladder sensitivity during the first trimester and recurs
C. Administer eye prophylaxis.
near the end of the pregnancy as the enlarging uterus places pressure on the bladder.
Rationale: Administration of eye prophylaxis should occur within the first hour after birth. There is another,
more important nursing action.
D. Place an identification bracelet.
Rationale: Correct identification of the newborn is important, but it can be delayed, as long as it is
completed prior to the mother and newborn leaving the delivery room. There is another, more
important nursing action.
A+ Test Bank Page 3 A+ Test Bank Page 4
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(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH (NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS/A+ GRADE ASSURED VERIFIED SOLUTIONS/A+ GRADE ASSURED
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse A. Clear the respiratory tract.
notices she does not have immunity to rubella. Which of the following times should the nurse understand is
recommended for rubella immunization? Rationale: Clearing the airway of the infant is the first action the nurse should take immediately following
delivery.
E. Shortly after giving birth
B. Dry the infant off and cover the head.
Rationale: The rubella immunization should be offered to the client following birth, preferably prior to
discharge from the hospital. This prevents the client from contracting rubella during the current Rationale: Drying the infant and covering the head should be done shortly after the delivery, but it is not the
or subsequent pregnancies, which would put her fetus at risk for rubella syndrome. first action the nurse should take.
F. In the third trimester C. Stimulate the infant to cry.
Rationale: Because the rubella vaccine contains a live virus, immunizing the client at this point in Rationale: Stimulating the infant to cry should be done shortly after the delivery, but it is not the first action
pregnancy would put her fetus at risk for developing rubella syndrome. the nurse should take.
D. Cut the umbilical cord.
G. Immediately
Rationale: Cutting the umbilical cord should be done shortly after the delivery, but it is not the first action
Rationale: Because the rubella vaccine contains a live virus, immunizing the client during the first trimester
the nurse should take.
would put the fetus at risk for developing a severe manifestations of rubella syndrome.
H. During her next attempt to get pregnant
Rationale: Rubella immunization must be given at least 28 days prior to pregnancy to assure that the
6. A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives.
developing fetus is not exposed to the virus and put at risk for rubella syndrome.
The client states that she is nervous because she has never had a pelvic examination. Which of the following
responses should the nurse make?
5. A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be
done first to care for the newborn?
A+ Test Bank Page 5 A+ Test Bank Page 6
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(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH (NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS/A+ GRADE ASSURED VERIFIED SOLUTIONS/A+ GRADE ASSURED
B. One artery and one vein
A. "What part of the exam makes you most nervous?" Rationale: This is not the correct combination of vessels.
C. Two arteries and one vein
Rationale: This therapeutic response recognizes the client's feelings. It also uses the therapeutic technique
of clarification to encourage the client to tell the nurse more about her concerns.
Rationale: The vein carried the oxygenated, nutrient-rich blood from the placenta to the fetus, and the two
B. "Don't worry, I will be with you during the exam." arteries returned the blood to the placenta.
D. Two arteries and two veins
Rationale: This closed-ended nontherapeutic response discounts the client's feelings and does not
encourage further discussion. Rationale: This is not the correct combination of vessels.
C. "All you need to do is relax."
Rationale: This closed-ended nontherapeutic response does not address the client's concerns and does
not encourage further discussion. It blocks communication by using a cliché and false 8. A nurse is caring for a client who is considering several methods of contraception. Which of the following methods
reassurance. of contraception should the nurse identify as being most reliable?
D. "A pelvic exam is required if you want birth control pills." A. A male condom
Rationale: This method of contraception has 11 to 16 failures for every 100 users.
Rationale: This statement fails to address the client‟s feelings that she shared with the nurse. It blocks
communication and does not encourage further discussion. B. An intrauterine device (IUD)
Rationale: An IUD is found to have a failure rate of less than 1 in 100 users, which makes it one of the most
7. A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the
umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
A. Two veins and one artery
Rationale: This is not the correct combination of vessels.
A+ Test Bank Page 7 A+ Test Bank Page 8
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(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH (NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS/A+ GRADE ASSURED VERIFIED SOLUTIONS/A+ GRADE ASSURED
as the "bloody show."
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL
2. A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small
QUESTIONS WITH VERIFIED DETAILED SOLUTIONS/A+ GRADE ASSURED
clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions
should the nurse take?
A. Document the findings and continue to monitor the client.
1. A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of
the following findings support this diagnosis?
Rationale: These are expected findings. At 1 hr postpartum, lochia rubra should be intermittent and
A. Painless red vaginal bleeding associated with uterine contractions. The volume of lochia resembles that of a heavy menstrual
period. Small clots are common. The nurse should document the findings and continue to
Rationale: Placenta previa is a condition of pregnancy when the placenta implants in the lower part of the
monitor the client.
uterus, partly or completely obstructing the cervical os (outlet to the vagina). Bright red, painless
B. Notify the client‟s provider.
vaginal bleeding occurs in the second and third trimester.
Rationale: These are expected findings, so there is no need to notify the provider.
B. Increasing abdominal pain with a nonrelaxed uterus
C. Increase the frequency of fundal massage.
Rationale: Abruptio placenta is separation of the placenta from the site of uterine implantation before
delivery of the fetus. When the placenta separates prematurely, there is internal bleeding, which Rationale: These are expected findings and the fundus is already firm. Increasing the frequency of fundal
is painful, and the uterus is nonrelaxed or becomes rigid as the separation advances. massage is not indicated at this time.
C. Abdominal pain with scant red vaginal bleeding D. Encourage the client to empty her bladder.
Rationale: Placenta previa involves minimal to severe bright red vaginal bleeding in the absence of Rationale: These are expected findings, and the fundus is firm at the midline. If the fundus was deviated,
abdominal pain. this would be an indication of a distended bladder and the client should be encouraged to void to
prevent uterine atony.
D. Intermittent abdominal pain following passage of bloody mucus
Rationale: Intermittent abdominal pain following passage of bloody mucus is a description of normal labor.
The passage of bloody mucus represents the loss of the cervical mucous plug, also referred to
A+ Test Bank Page 1 A+ Test Bank Page 2
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, lOMoARcPSD|4877358 lOMoARcPSD|4877358
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH (NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS/A+ GRADE ASSURED VERIFIED SOLUTIONS/A+ GRADE ASSURED
4. A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency
and asks if this will continue until delivery. Which of the following responses should the nurse make?
3. A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority
A. "It's a minor inconvenience, which you should ignore."
nursing action?
A. Administer vitamin K. Rationale: This is a nontherapeutic response that disregards the client‟s concern and offers unwarranted
reassurance.
Rationale: Administration of vitamin K is important, but it can be delayed until the newborn is held by the
B. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone."
mother and is breastfed. There is another, more important nursing action.
Rationale: The presence or absence of bladder tone has no bearing on urinary frequency during
B. Dry the skin.
pregnancy.
Rationale: The newborn should be thoroughly dried, covered with a warm blanket, placed on the mother‟s C. "There is no way to predict how long it will last in each individual client."
abdomen, and a cap applied to the newborn‟s head to prevent cold stress. The newborn
Rationale: This is a nontherapeutic response that does not provide appropriate information to the client.
responds to the cooler environment by increasing his respiratory rate, which can lead to
respiratory distress. Based on Maslow‟s hierarchy of needs, this is the most important nursing D. "It occurs during the first trimester and near the end of the pregnancy."
action after securing the airway.
Rationale: Urinary frequency is due to increased bladder sensitivity during the first trimester and recurs
C. Administer eye prophylaxis.
near the end of the pregnancy as the enlarging uterus places pressure on the bladder.
Rationale: Administration of eye prophylaxis should occur within the first hour after birth. There is another,
more important nursing action.
D. Place an identification bracelet.
Rationale: Correct identification of the newborn is important, but it can be delayed, as long as it is
completed prior to the mother and newborn leaving the delivery room. There is another, more
important nursing action.
A+ Test Bank Page 3 A+ Test Bank Page 4
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, lOMoARcPSD|4877358 lOMoARcPSD|4877358
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH (NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS/A+ GRADE ASSURED VERIFIED SOLUTIONS/A+ GRADE ASSURED
A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse A. Clear the respiratory tract.
notices she does not have immunity to rubella. Which of the following times should the nurse understand is
recommended for rubella immunization? Rationale: Clearing the airway of the infant is the first action the nurse should take immediately following
delivery.
E. Shortly after giving birth
B. Dry the infant off and cover the head.
Rationale: The rubella immunization should be offered to the client following birth, preferably prior to
discharge from the hospital. This prevents the client from contracting rubella during the current Rationale: Drying the infant and covering the head should be done shortly after the delivery, but it is not the
or subsequent pregnancies, which would put her fetus at risk for rubella syndrome. first action the nurse should take.
F. In the third trimester C. Stimulate the infant to cry.
Rationale: Because the rubella vaccine contains a live virus, immunizing the client at this point in Rationale: Stimulating the infant to cry should be done shortly after the delivery, but it is not the first action
pregnancy would put her fetus at risk for developing rubella syndrome. the nurse should take.
D. Cut the umbilical cord.
G. Immediately
Rationale: Cutting the umbilical cord should be done shortly after the delivery, but it is not the first action
Rationale: Because the rubella vaccine contains a live virus, immunizing the client during the first trimester
the nurse should take.
would put the fetus at risk for developing a severe manifestations of rubella syndrome.
H. During her next attempt to get pregnant
Rationale: Rubella immunization must be given at least 28 days prior to pregnancy to assure that the
6. A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives.
developing fetus is not exposed to the virus and put at risk for rubella syndrome.
The client states that she is nervous because she has never had a pelvic examination. Which of the following
responses should the nurse make?
5. A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be
done first to care for the newborn?
A+ Test Bank Page 5 A+ Test Bank Page 6
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(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH (NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL QUESTIONS WITH
VERIFIED SOLUTIONS/A+ GRADE ASSURED VERIFIED SOLUTIONS/A+ GRADE ASSURED
B. One artery and one vein
A. "What part of the exam makes you most nervous?" Rationale: This is not the correct combination of vessels.
C. Two arteries and one vein
Rationale: This therapeutic response recognizes the client's feelings. It also uses the therapeutic technique
of clarification to encourage the client to tell the nurse more about her concerns.
Rationale: The vein carried the oxygenated, nutrient-rich blood from the placenta to the fetus, and the two
B. "Don't worry, I will be with you during the exam." arteries returned the blood to the placenta.
D. Two arteries and two veins
Rationale: This closed-ended nontherapeutic response discounts the client's feelings and does not
encourage further discussion. Rationale: This is not the correct combination of vessels.
C. "All you need to do is relax."
Rationale: This closed-ended nontherapeutic response does not address the client's concerns and does
not encourage further discussion. It blocks communication by using a cliché and false 8. A nurse is caring for a client who is considering several methods of contraception. Which of the following methods
reassurance. of contraception should the nurse identify as being most reliable?
D. "A pelvic exam is required if you want birth control pills." A. A male condom
Rationale: This method of contraception has 11 to 16 failures for every 100 users.
Rationale: This statement fails to address the client‟s feelings that she shared with the nurse. It blocks
communication and does not encourage further discussion. B. An intrauterine device (IUD)
Rationale: An IUD is found to have a failure rate of less than 1 in 100 users, which makes it one of the most
7. A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the
umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?
A. Two veins and one artery
Rationale: This is not the correct combination of vessels.
A+ Test Bank Page 7 A+ Test Bank Page 8
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