Maternal newborn ati proctored EXAM 2024/2025 WITH QUESTIONS AND ANSWERS with rationale 100% PASS A+ GRADE.

Maternal newborn ati proctored EXAM 2024-2025 QUESTIONS AND
ANSWERS with rationale 100 % PASS A+ GRADE




A nurse is caring for a client who has a soft uterus and increased lochia. What meds should the nurse plan
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to administer to promote uterine contractions?
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a. mag sulfate I,




b. methylergonovine

c. terbutaline

d. nifedipine - answer>>b. methylergonovine I, I, I,




The nurse should administer methylergonovine, an ergot alkaloid, which promotes uterine contractions.
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A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What meds
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should the nurse plan to administer?
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a. misoprostol

b. betamethasone

c. poractant alfa I,




d. methylergonovine - answer>>b. betamethasone I, I, I,




A nurse is administering a rubella immunization to a client who is 2 days postpartum. What statement
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indicates to the nurse the client needs further instruction?
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a. I cannot receive rubella immunization during pregnancy
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b. I can conceive anytime i want after 10 days
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c. I can continue to breastfeed
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d. I wills till need to have my provider perform a rubella titer with my next pregnancy - answer>>b. I can
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conceive anytime i want after 10 days
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,A client who receives a rubella immunization should not conceive for at least 1 month after receiving
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the rubella immunization to prevent injury to the fetus.
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A nurse is providing teaching to the parents of a newborn about how to care for his circumcision at
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home. What instructions should the nurse include in the teaching?
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a. use prepackaged commercial wipes to clean the circumcision site
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b. encourage nonnutritive sucking for pain relief I, I, I, I, I,




c. remove the yellow exudate with each diaper change I, I, I, I, I, I, I,




d. apply the diaper tightly over the circumcision area - answer>>b. encourage nonnutritive sucking for
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pain relief
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Allowing the newborn to suck on a pacifier is an effective form of nonpharmacological pain
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management.
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A nurse is assessing a client on the first postpartum day. Findings include fundus firm and one
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fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots,
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temperature 37.3 C (99.2 F), and pulse rate 52/min. Which of the following actions should the nurse
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take?
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Report the vital signs to the provider.
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Massage the fundus.
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Ask the client when she last voided.
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Administer an oxytocic agent. - answer>>Ask the client when she last voided
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Because the muscles supporting the uterus have been stretched during pregnancy, the fundus is easily
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displaced when the bladder is full. The fundus should be found firm at midline. A deviated, firm
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fundus indicates a full bladder. The nurse should assist the client to void.
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,A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require
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administration of this medication?
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IV narcotics administered to the mother during labor
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Maternal drug use I, I,




Hyaline membrane disease I, I,




Meconium aspiration - answer>>IV narcotics administered to the mother during labor
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The nurse should administer naloxone to reverse respiratory depression due to acute narcotic toxicity,
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which can result from IV narcotics administration during labor.
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A nurse is discussing epidural anesthesia with a client who is receiving oxytocin for induction of labor.
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Which of the following statements should the nurse make?
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"An epidural given too early during labor can cause maternal hypertension."
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"An epidural given too early during labor will not be effective in active labor."
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"An epidural given too early can cause fetal depression."
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"An epidural given too early can prolong labor." - answer>>An epidural given too early can prolong labor
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Clients who receive anesthesia before the active phase of labor usually find the progression of their
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labor to slow. The medication depresses the central nervous system. Therefore, it will take longer for
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the cervix to dilate and efface.
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A nurse is caring for a client who is pregnant and reports nausea and vomiting. Which of the following
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instructions should the nurse provide the client?
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"You should eat some crackers before rising from bed in the morning."
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"You should eat foods served at warm temperatures."
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"You should sip whole milk with breakfast."
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"You should brush your teeth immediately after meals." - answer>>You should eat some crackers before
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rising from bed in the morning
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, Morning sickness is caused by the buildup of human chorionic gonadotropin (hCG) in the mother's
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system. Dry foods eaten before rising in the morning tend to reduce the risk of nausea in clients who
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are pregnant.
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A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following
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situations should the nurse administer Rh(D) Immune Globulin?
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While the client is in labor I, I, I, I, I,




Following an episode of influenza during pregnancy Prior I, I, I, I, I, I, I,




I, to a blood transfusion
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At 28 weeks of gestation - answer>>At 28 weeks of gestion
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The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has Rh-negative
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blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies against the Rh
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factor, which will destroy any fetal RBCs in the maternal circulation and block maternal antibody
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production.
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A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor.
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Which of the following clinical manifestations in the newborn indicates toxicity due to the magnesium
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sulfate therapy?
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Respiratorydepression I,




I, Hypothermia

Hypoglycemia
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Jaundice - answer>>Respiratory depression I, I, I,




Magnesium sulfate can cause respiratory and neuromuscular depression in the newborn. The nurse
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should monitor the newborn for clinical manifestations of respiratory depression.
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