g
ATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMg2024g
g
g
Agnursegisgcaringgforgagclientgwhogisgatg32gwksggestationgandgisgexperiencinggpreter
mglabor.gWhatgmedsgshouldgthegnursegplangtogadminister?g
a. misoprostolg
b. betamethasoneg
c. poractantgalfag
d. methylergonovineg-gcorrectganswer-gb.gbetamethasoneg
g
Agnursegatgagprenatalgclinicgisgcaringgforgagclientgwhogsuspectsgshegmaygbegpregnan
tgandgasksgthegnurseghowgthegprovidergwillgconfirmghergpregnancy.gThegnursegshou
ldginformgthegclientgthatgwhatglabgtestgwillgbegusedgtogconfirmghergpregnancy?g
a. urinegtestgforgpresencegofgHCGg
b. urinegtestgforgthegpresencegofgHCSg
c. bloodgtestgforgpresencegofgestrogeng
d. bloodgtestgforgthegamountgofgcirculatinggprogesteroneg-gcorrectganswer-
ga.gurinegtestgforgpresencegofgHCGg
g
Agnursegisgcaringgforgagclientgwhogbelievesgshegmaygbegpregnant.gWhatgfindinggsho
uldgthegnursegidentifygasgagpositivegsigngofgpregnancy?g
a. palpablegfetalgmovementg
b. amenorrheag
c. chadwick'sgsigng
d. positivegpregnancygtestg-gcorrectganswer-ga.gpalpablegfetalgmovementg
g
,Agnursegisgcaringgforgagclientgwhoghasgoligohydraminios.gWhatgfetalganomaliesgsho
uldgthegnursegexpect?g
a. renalgagenesisg
d.ghydrocephalusg-gcorrectganswer-ga.grenalgagenesisg
g
Agnursegisgassessinggagclientgwhogisgatg37gwksggestationgandghasgagsuspectedgpelvicg
fracturegduegtogbluntgabdgtrauma.gWhatgfindingsgshouldgthegnursegexpect?g
a.guterinegcontractionsg
b.gbradycardiag
c.gseizuresg
d.gbradypneag-gcorrectganswer-ga.guterinegcontractionsg
g
Thegnursegshouldgexpectgthegclientgtogbegexperiencingguterinegcontractionsgduegtog
abdominalgtrauma.g
g
Agnursegisgassessinggagclientgwhogisgatg12gwksggestationgandghasghydatidiformg
mole.gWhatgfindingsgshouldgthegnursegexpect?g
a.ghypothermiag
b.gdarkgbrowngvaginalgdischargeg
c.gfetalgheartgtonesg
b. atrialgseptalgdefectg
c. spinagbifidag
,d. decreasedgurinarygoutputg-gcorrectganswer-
gb.gdarkgbrowngvaginalgdischargegAghydatidiformgmole,gorgagmolargpregnancy,gisg
agbenigngproliferativeggrowthgofgthegchorionicgvilli,gwhichggivesgrisegtogmultiplegc
ysts.gThegproductsgofgconceptiongtransformgintogaglargegnumbergofgedematous,g
fluid-
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rkgbrowngandgcangcontainggrapelikegclusters.g
g
Agnursegisgassessinggagclientgwhogisgatg35gweeksgofggestationgandghasgmildggestatio
nalgHTN.gWhatgfindinggshouldgthegnursegidentifygasgthegpriority?g
a. 480gmLgurinegoutputging24ghrsg
b. 1+gproteingingthegurineg
c. +2gedemagofgthegfeetg
d. BPg144/92g-gcorrectganswer-ga.g480gmLgurinegoutputging24ghrsg
g
Whengusinggthegurgentgvs.gnonurgentgapproachgtogclientgcare,gthegnursegshouldgde
terminegthatgthegprioritygfindinggisg480gmLgofgurinegoutputging24ghrgbecausegthegmi
nimumgacceptablegurinegoutputgingangadultgclientgisg30gmL/hr.gThisgcangindicategpr
ogressiongofgpreeclampsiagtogpreeclampsiagwithgseveregfeatures,gwhichgrequiresgi
mmediategintervention.gTherefore,gthisgisgthegprioritygfinding.g
g
Agnursegisgteachinggagclientgwhogisgatg12gwksggestationgandghasgHIV.gWhatgstateme
ntgshouldgthegnursegincludegingthegteaching?g
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b. abstaingfromgsexualgintercoursegthroughoutgpregnancyg
c. breastfeedgyourgnewborngtogprovidegpassivegimmunityg
d. yougshouldgcontinuegtogtakegzidovudinegthroughoutgthegpregnancyg-
gcorrectganswer-
gd.gyougshouldgcontinuegtogtakegzidovudinegthroughoutgthegpregnancyg
g
, -cangbegtransmittedgthroughgbreastfeedingg
-shegcangcontinuegtoghavegsexg
g
Thegnursegshouldginformgthegclientgthatgtakinggprescriptiongantiviralgmedicationgev
erygdaygdecreasesgthegriskgofgtransmissiongofgHIVgtoghergnewborn.g
g
Agnursegisgprovidinggteachinggtogagclientgwhogisgatg8gwksggestationgaboutgmanifesta
tionsgtogreportgtogthegprovidergduringgpregnancy.gWhatginfogshouldgthegnurseginclu
degingthegteaching?g
a. nauseagupongawakeningg
b. blurredgorgdoublegvisiong
c. increasegingwhitegvaginalgdischargeg
d. leggcrampsgwhengsleepingg-gcorrectganswer-gb.gblurredgorgdoublegvisiong
g
Agnursegisgcaringgforgagclientgwhogisgingtheglatentgphasegofglaborgandgisgreceivinggox
ytocingviagcontinuousgIVginfusion.gThegnursegnotesgthatgthegclientgisghavinggcontrac
tionsgeveryg2gmingwhichglastg100-
110gsecondsgthatgthegfetalgheartgrategisgreassuring.gWhatgactiongshouldgthegnursegt
ake?g
a. decreasegthegdosegofgoxytocingbyghalfg
b. administergoxygengviagnonrebreathergmaskg
c. decreasegtheginfusiongrategofgthegmaintenancegIVgfluidg
d. administergterbutalineg0.25mggsubqg-gcorrectganswer-
ga.gdecreasegthegdosegofgoxytocingbyghalfg
g
Thegnursegshouldgdecreasegthegdosegofgoxytocingbyghalfgbecausegthegclientgisgexper
iencingguterinegtachysystole.g
g
ATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMg2024g
g
g
Agnursegisgcaringgforgagclientgwhogisgatg32gwksggestationgandgisgexperiencinggpreter
mglabor.gWhatgmedsgshouldgthegnursegplangtogadminister?g
a. misoprostolg
b. betamethasoneg
c. poractantgalfag
d. methylergonovineg-gcorrectganswer-gb.gbetamethasoneg
g
Agnursegatgagprenatalgclinicgisgcaringgforgagclientgwhogsuspectsgshegmaygbegpregnan
tgandgasksgthegnurseghowgthegprovidergwillgconfirmghergpregnancy.gThegnursegshou
ldginformgthegclientgthatgwhatglabgtestgwillgbegusedgtogconfirmghergpregnancy?g
a. urinegtestgforgpresencegofgHCGg
b. urinegtestgforgthegpresencegofgHCSg
c. bloodgtestgforgpresencegofgestrogeng
d. bloodgtestgforgthegamountgofgcirculatinggprogesteroneg-gcorrectganswer-
ga.gurinegtestgforgpresencegofgHCGg
g
Agnursegisgcaringgforgagclientgwhogbelievesgshegmaygbegpregnant.gWhatgfindinggsho
uldgthegnursegidentifygasgagpositivegsigngofgpregnancy?g
a. palpablegfetalgmovementg
b. amenorrheag
c. chadwick'sgsigng
d. positivegpregnancygtestg-gcorrectganswer-ga.gpalpablegfetalgmovementg
g
,Agnursegisgcaringgforgagclientgwhoghasgoligohydraminios.gWhatgfetalganomaliesgsho
uldgthegnursegexpect?g
a. renalgagenesisg
d.ghydrocephalusg-gcorrectganswer-ga.grenalgagenesisg
g
Agnursegisgassessinggagclientgwhogisgatg37gwksggestationgandghasgagsuspectedgpelvicg
fracturegduegtogbluntgabdgtrauma.gWhatgfindingsgshouldgthegnursegexpect?g
a.guterinegcontractionsg
b.gbradycardiag
c.gseizuresg
d.gbradypneag-gcorrectganswer-ga.guterinegcontractionsg
g
Thegnursegshouldgexpectgthegclientgtogbegexperiencingguterinegcontractionsgduegtog
abdominalgtrauma.g
g
Agnursegisgassessinggagclientgwhogisgatg12gwksggestationgandghasghydatidiformg
mole.gWhatgfindingsgshouldgthegnursegexpect?g
a.ghypothermiag
b.gdarkgbrowngvaginalgdischargeg
c.gfetalgheartgtonesg
b. atrialgseptalgdefectg
c. spinagbifidag
,d. decreasedgurinarygoutputg-gcorrectganswer-
gb.gdarkgbrowngvaginalgdischargegAghydatidiformgmole,gorgagmolargpregnancy,gisg
agbenigngproliferativeggrowthgofgthegchorionicgvilli,gwhichggivesgrisegtogmultiplegc
ysts.gThegproductsgofgconceptiongtransformgintogaglargegnumbergofgedematous,g
fluid-
filledgvesicles.gAsgcellsgsloughgoffgtheguterinegwall,gvaginalgdischargegisgusuallygda
rkgbrowngandgcangcontainggrapelikegclusters.g
g
Agnursegisgassessinggagclientgwhogisgatg35gweeksgofggestationgandghasgmildggestatio
nalgHTN.gWhatgfindinggshouldgthegnursegidentifygasgthegpriority?g
a. 480gmLgurinegoutputging24ghrsg
b. 1+gproteingingthegurineg
c. +2gedemagofgthegfeetg
d. BPg144/92g-gcorrectganswer-ga.g480gmLgurinegoutputging24ghrsg
g
Whengusinggthegurgentgvs.gnonurgentgapproachgtogclientgcare,gthegnursegshouldgde
terminegthatgthegprioritygfindinggisg480gmLgofgurinegoutputging24ghrgbecausegthegmi
nimumgacceptablegurinegoutputgingangadultgclientgisg30gmL/hr.gThisgcangindicategpr
ogressiongofgpreeclampsiagtogpreeclampsiagwithgseveregfeatures,gwhichgrequiresgi
mmediategintervention.gTherefore,gthisgisgthegprioritygfinding.g
g
Agnursegisgteachinggagclientgwhogisgatg12gwksggestationgandghasgHIV.gWhatgstateme
ntgshouldgthegnursegincludegingthegteaching?g
a. yougwillgbegingisolationgaftergdeliveryg
b. abstaingfromgsexualgintercoursegthroughoutgpregnancyg
c. breastfeedgyourgnewborngtogprovidegpassivegimmunityg
d. yougshouldgcontinuegtogtakegzidovudinegthroughoutgthegpregnancyg-
gcorrectganswer-
gd.gyougshouldgcontinuegtogtakegzidovudinegthroughoutgthegpregnancyg
g
, -cangbegtransmittedgthroughgbreastfeedingg
-shegcangcontinuegtoghavegsexg
g
Thegnursegshouldginformgthegclientgthatgtakinggprescriptiongantiviralgmedicationgev
erygdaygdecreasesgthegriskgofgtransmissiongofgHIVgtoghergnewborn.g
g
Agnursegisgprovidinggteachinggtogagclientgwhogisgatg8gwksggestationgaboutgmanifesta
tionsgtogreportgtogthegprovidergduringgpregnancy.gWhatginfogshouldgthegnurseginclu
degingthegteaching?g
a. nauseagupongawakeningg
b. blurredgorgdoublegvisiong
c. increasegingwhitegvaginalgdischargeg
d. leggcrampsgwhengsleepingg-gcorrectganswer-gb.gblurredgorgdoublegvisiong
g
Agnursegisgcaringgforgagclientgwhogisgingtheglatentgphasegofglaborgandgisgreceivinggox
ytocingviagcontinuousgIVginfusion.gThegnursegnotesgthatgthegclientgisghavinggcontrac
tionsgeveryg2gmingwhichglastg100-
110gsecondsgthatgthegfetalgheartgrategisgreassuring.gWhatgactiongshouldgthegnursegt
ake?g
a. decreasegthegdosegofgoxytocingbyghalfg
b. administergoxygengviagnonrebreathergmaskg
c. decreasegtheginfusiongrategofgthegmaintenancegIVgfluidg
d. administergterbutalineg0.25mggsubqg-gcorrectganswer-
ga.gdecreasegthegdosegofgoxytocingbyghalfg
g
Thegnursegshouldgdecreasegthegdosegofgoxytocingbyghalfgbecausegthegclientgisgexper
iencingguterinegtachysystole.g
g
