ATI RN Maternal Newborn Proctored 2 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\
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?
A. Painless red vaginal bleeding
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Increasing abdominal pain with a nonrelaxed
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
uterus
C. Abdominal pain with scant red vaginal bleeding
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Intermittent abdominal pain following passage of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
bloody mucus ||\\||\\
A. Painless red vaginal bleeding
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A nurse is caring for a client who is 1 hr postpartum
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and observes a large amount of lochia rubra and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
several small 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. ||\\||\\
B. Notify the client‟s provider.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Increase the frequency of fundal massage.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Encourage the client to empty her bladder.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Document the findings and continue to monitor
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the client. ||\\||\\
A nurse is caring for a newborn immediately
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
following birth. After assuring a patent airway, what ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
is the priority nursing action?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Administer vitamin K.
||\\||\\ ||\\||\\ ||\\||\\
B. Dry the skin.
||\\||\\ ||\\||\\ ||\\||\\
C. Administer eye prophylaxis.
||\\||\\ ||\\||\\ ||\\||\\
D. Place an identification bracelet.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Dry the skin.
||\\||\\ ||\\||\\ ||\\||\\
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?
A. "It's a minor inconvenience, which you should
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,ignore."
B. "In most cases it only lasts until the 12th week, but
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
it will continue if you have poor bladder tone."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. "There is no way to predict how long it will last in
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
each individual client." ||\\||\\ ||\\||\\
D. "It occurs during the first trimester and near the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
end of the pregnancy." ||\\||\\ ||\\||\\ ||\\||\\
D. "It occurs during the first trimester and near the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
end of the pregnancy." ||\\||\\ ||\\||\\ ||\\||\\
A nurse is caring for a client during the first trimester
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of pregnancy. After reviewing the client's blood work,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the nurse notices she does not have immunity to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
rubella. Which of the following times should the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse understand is recommended for rubella ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
immunization?
A. Shortly after giving birth
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. In the third trimester
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Immediately ||\\||\\
D. During her next attempt to get pregnant
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Shortly after giving birth
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, 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. Clear the respiratory tract.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Dry the infant off and cover the head.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Stimulate the infant to cry.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Cut the umbilical cord.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Clear the respiratory tract.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A nurse in a family planning clinic is caring for a 17-
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
year-old female client who is requesting oral ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
contraceptives. The client states that she is nervous ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
because she has never had a pelvic examination. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which of the following responses should the nurse
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
make?
A. "What part of the exam makes you most
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nervous?"
B. "Don't worry, I will be with you during the exam."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. "All you need to do is relax."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. "A pelvic exam is required if you want birth control
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pills."
exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\
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?
A. Painless red vaginal bleeding
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Increasing abdominal pain with a nonrelaxed
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
uterus
C. Abdominal pain with scant red vaginal bleeding
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Intermittent abdominal pain following passage of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
bloody mucus ||\\||\\
A. Painless red vaginal bleeding
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A nurse is caring for a client who is 1 hr postpartum
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and observes a large amount of lochia rubra and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
several small 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. ||\\||\\
B. Notify the client‟s provider.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Increase the frequency of fundal massage.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Encourage the client to empty her bladder.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Document the findings and continue to monitor
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the client. ||\\||\\
A nurse is caring for a newborn immediately
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
following birth. After assuring a patent airway, what ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
is the priority nursing action?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Administer vitamin K.
||\\||\\ ||\\||\\ ||\\||\\
B. Dry the skin.
||\\||\\ ||\\||\\ ||\\||\\
C. Administer eye prophylaxis.
||\\||\\ ||\\||\\ ||\\||\\
D. Place an identification bracelet.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Dry the skin.
||\\||\\ ||\\||\\ ||\\||\\
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?
A. "It's a minor inconvenience, which you should
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,ignore."
B. "In most cases it only lasts until the 12th week, but
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
it will continue if you have poor bladder tone."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. "There is no way to predict how long it will last in
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
each individual client." ||\\||\\ ||\\||\\
D. "It occurs during the first trimester and near the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
end of the pregnancy." ||\\||\\ ||\\||\\ ||\\||\\
D. "It occurs during the first trimester and near the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
end of the pregnancy." ||\\||\\ ||\\||\\ ||\\||\\
A nurse is caring for a client during the first trimester
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of pregnancy. After reviewing the client's blood work,
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the nurse notices she does not have immunity to
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
rubella. Which of the following times should the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nurse understand is recommended for rubella ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
immunization?
A. Shortly after giving birth
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. In the third trimester
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Immediately ||\\||\\
D. During her next attempt to get pregnant
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Shortly after giving birth
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, 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. Clear the respiratory tract.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. Dry the infant off and cover the head.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. Stimulate the infant to cry.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. Cut the umbilical cord.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Clear the respiratory tract.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A nurse in a family planning clinic is caring for a 17-
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
year-old female client who is requesting oral ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
contraceptives. The client states that she is nervous ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
because she has never had a pelvic examination. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Which of the following responses should the nurse
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
make?
A. "What part of the exam makes you most
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
nervous?"
B. "Don't worry, I will be with you during the exam."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. "All you need to do is relax."
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. "A pelvic exam is required if you want birth control
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pills."
