ATI Maternal newborn proctored exam 1 VERIFIRED A+ WITH 100% QUESTIONS AND ANSWERS

ATI Maternal newborn proctored exam 1
VERIFIRED A+ WITH 100%
QUESTIONS AND ANSWERS
ABnurseBisBcaringBforBaBclientBwhoBisBatB32BwksBgestationBandBisBexperiencingBpreter
mBlabor.BWhatBmedsBshouldBtheBnurseBplanBtoBadminister?
a. misoprostol
b. betamethasone
c. poractantBalfa
d. methylergonovineB-Bb.Bbetamethasone

ABnurseBatBaBprenatalBclinicBisBcaringBforBaBclientBwhoBsuspectsBsheBmayBbeBpregnant
BandBasksBtheBnurseBhowBtheBproviderBwillBconfirmBherBpregnancy.BTheBnurseBshouldB

informBtheBclientBthatBwhatBlabBtestBwillBbeBusedBtoBconfirmBherBpregnancy?
a. urineBtestBforBpresenceBofBHCG
b. urineBtestBforBtheBpresenceBofBHCS
c. bloodBtestBforBpresenceBofBestrogen
d. bloodBtestBforBtheBamountBofBcirculatingBprogesteroneB-
Ba.BurineBtestBforBpresenceBofBHCG



ABnurseBisBcaringBforBaBclientBwhoBbelievesBsheBmayBbeBpregnant.BWhatBfindingBshou
ldBtheBnurseBidentifyBasBaBpositiveBsignBofBpregnancy?
a. palpableBfetalBmovement
b. amenorrhea
c. chadwick'sBsign
d. positiveBpregnancyBtestB-Ba.BpalpableBfetalBmovement

ABnurseBisBcaringBforBaBclientBwhoBhasBoligohydraminios.BWhatBfetalBanomaliesBshoul
dBtheBnurseBexpect?
a. renalBagenesis
b. atrialBseptalBdefect
c. spinaBbifida
d. hydrocephalusB-Ba.BrenalBagenesis

ABnurseBisBassessingBaBclientBwhoBisBatB37BwksBgestationBandBhasBaBsuspectedBpelvic
BfractureBdueBtoBbluntBabdBtrauma.BWhatBfindingsBshouldBtheBnurseBexpect?

a. uterineBcontractions
b. bradycardia
c. seizures
d. bradypneaB-Ba.ButerineBcontractions

TheBnurseBshouldBexpectBtheBclientBtoBbeBexperiencingButerineBcontractionsBdueBtoBab
dominalBtrauma.

ABnurseBisBassessingBaBclientBwhoBisBatB12BwksBgestationBandBhasBhydatidiformBmole.
BWhatBfindingsBshouldBtheBnurseBexpect?

a. hypothermia
b. darkBbrownBvaginalBdischarge
c. fetalBheartBtones
d. decreasedBurinaryBoutputB-Bb.BdarkBbrownBvaginalBdischarge

,ABhydatidiformBmole,BorBaBmolarBpregnancy,BisBaBbenignBproliferativeBgrowthBofBtheBc
horionicBvilli,BwhichBgivesBriseBtoBmultipleBcysts.BTheBproductsBofBconceptionBtransfor
mBintoBaBlargeBnumberBofBedematous,Bfluid-
filledBvesicles.BAsBcellsBsloughBoffBtheButerineBwall,BvaginalBdischargeBisBusuallyBdark
BbrownBandBcanBcontainBgrapelikeBclusters.



ABnurseBisBassessingBaBclientBwhoBisBatB35BweeksBofBgestationBandBhasBmildBgestati
onalBHTN.BWhatBfindingBshouldBtheBnurseBidentifyBasBtheBpriority?
a. 480BmLBurineBoutputBinB24Bhrs
b. 1+BproteinBinBtheBurine
c.B+2BedemaBofBtheBfeet
d.BBPB144/92B-Ba.B480BmLBurineBoutputBinB24Bhrs

WhenBusingBtheBurgentBvs.BnonurgentBapproachBtoBclientBcare,BtheBnurseBshouldBdete
rmineBthatBtheBpriorityBfindingBisB480BmLBofBurineBoutputBinB24BhrBbecauseBtheBminimu
mBacceptableBurineBoutputBinBanBadultBclientBisB30BmL/hr.BThisBcanBindicateBprogressi
onBofBpreeclampsiaBtoBpreeclampsiaBwithBsevereBfeatures,BwhichBrequiresBimmediateB
intervention.BTherefore,BthisBisBtheBpriorityBfinding.

ABnurseBisBteachingBaBclientBwhoBisBatB12BwksBgestationBandBhasBHIV.BWhatBstateme
ntBshouldBtheBnurseBincludeBinBtheBteaching?
a. youBwillBbeBinBisolationBafterBdelivery
b. abstainBfromBsexualBintercourseBthroughoutBpregnancy
c. breastfeedByourBnewbornBtoBprovideBpassiveBimmunity
d. youBshouldBcontinueBtoBtakeBzidovudineBthroughoutBtheBpregnancyB-
Bd.ByouBshouldBcontinueBtoBtakeBzidovudineBthroughoutBtheBpregnancy



-canBbeBtransmittedBthroughBbreastfeeding
-sheBcanBcontinueBtoBhaveBsex

TheBnurseBshouldBinformBtheBclientBthatBtakingBprescriptionBantiviralBmedicationBevery
BdayBdecreasesBtheBriskBofBtransmissionBofBHIVBtoBherBnewborn.



ABnurseBisBprovidingBteachingBtoBaBclientBwhoBisBatB8BwksBgestationBaboutBmanifestati
onsBtoBreportBtoBtheBproviderBduringBpregnancy.BWhatBinfoBshouldBtheBnurseBincludeBi
nBtheBteaching?
a. nauseaBuponBawakening
b. blurredBorBdoubleBvision
c. increaseBinBwhiteBvaginalBdischarge
d. legBcrampsBwhenBsleepingB-Bb.BblurredBorBdoubleBvision

ABnurseBisBcaringBforBaBclientBwhoBisBinBtheBlatentBphaseBofBlaborBandBisBreceivingBoxy
tocinBviaBcontinuousBIVBinfusion.BTheBnurseBnotesBthatBtheBclientBisBhavingBcontractio
nsBeveryB2BminBwhichBlastB100-
110BsecondsBthatBtheBfetalBheartBrateBisBreassuring.BWhatBactionBshouldBtheBnurseBta
ke?
a. decreaseBtheBdoseBofBoxytocinBbyBhalf
b. administerBoxygenBviaBnonrebreatherBmask
c. decreaseBtheBinfusionBrateBofBtheBmaintenanceBIVBfluid
d. administerBterbutalineB0.25mgBsubqB-Ba.BdecreaseBtheBdoseBofBoxytocinBbyBhalf

,TheBnurseBshouldBdecreaseBtheBdoseBofBoxytocinBbyBhalfBbecauseBtheBclientBisBexperi
encingButerineBtachysystole.

ABnurseBisBcaringBforBaBclientBwhoBisBinBactiveBlaborBandBhasBmeconiumBstainingBofBth
eBamnioticBfluid.BTheBnurseBnotesBaBreassuringBFHRBtracingBfromBtheBexternalBfetalBm
onitor.BWhatBactionBshouldBtheBnurseBtake?
a. prepareBtheBclientBforBemergencyBc-section
b. performBendotrachBsuctioningBasBsoonBasBtheBfetalBheadBisBdelivered
c. prepareBequipmentBneededBforBnewbornBresuscitation
d. prepareBtheBclientBforBanBultrasoundBexamB-
Bc.BprepareBequipmentBneededBforBnewbornBresuscitation



TheBnurseBshouldBensureBthatBallBsuppliesBandBequipmentBneededBforBresuscitationB
ofBtheBnewbornBareBreadilyBavailableBforBeveryBdelivery.BEndotrachealBsuctioningBisB
recommendedBinBcasesBofBmeconiumBstainingBonlyBifBtheBnewbornBhasBpoorBrespira
toryBeffort,BdecreasedBmuscleBtone,BandBbradycardiaBafterBdelivery.

ABnurseBisBreviewingBtheBmedicalBrecordBofBaBclientBwhoBisBatB33BwksBgestationBandB
hasBplacentaBpreviaBandBbleeding.BWhatBscriptsBshouldBtheBnurseBclarifyBwithBtheBpr
ovider?
a. insertBaBlarge-boreBIVBcatheter
b. performBaBvaginalBexam
c. performBcontinuousBexternalBfetalBmonitoring
d. obtainBaBbloodBsampleBforBlabBtestingB-Bb.BperformBaBvaginalBexam

WhenBaBclientBhasBaBplacentaBprevia,BtheBplacentaBimplantsBinBtheBlowerBpartBofBtheB
uterusBandBobstructsBtheBcervicalBosB(theBopeningBtoBtheBvagina).BTheBnurseBshouldB
clarifyBthisBprescriptionBbecauseBanyBmanipulationBcanBcauseBtearingBofBtheBplacenta
BandBincreasedBbleeding.



ABnurseBisBcaringBforBaBclientBwhoBisBatB37BwksBgestationBandBisBundergoingBaBnonst
ressBtest.BTheBFHRBisB130BwithoutBaccelerationsBforBtheBpastB10Bmin.BWhatBactionBs
houldBtheBnurseBtake?
a. requestBaBscriptBforBanBinternalBfetalBscalpBelectrode
b. auscultateBtheBFHRBwithBaBdopplerBtransducer
c. reportBtheBnonreactiveBtestBresultBtoBtheBproviderBimmediately
d. useBvibroacousticBstimBonBtheBclient'sBabdBforB3BsecondsB-
Bd.BuseBvibroacousticBstimBonBtheBclient'sBabdBforB3Bseconds



TheBnurseBshouldBuseBaBvibroacousticBstimulatorBonBtheBclient'sBabdomenBtoBelicitBfet
alBactivityBbecauseBtheBfetusBisBmostBlikelyBsleeping.BFetalBmovementBshouldBcauseBa
ccelerationsBinBtheBFHR.

ABnurseBisBreviewingBlabBresultsBforBaBclientBwhoBisBatB37BwksBgestation.BTheBnurseBn
otesBthatBtheBclientBisBrubellaBnon-immune,BpositiveBforBgroupBABbeta-
hemolyticBstrep,BandBhasBaBbloodBtypeBOBneg.BWhatBactionBshouldBtheBnurseBtake?
a. instructBtheBclientBtoBobtainBaBrubellaBimmunizationBafterBdelivery
b. requestBaBscriptBforBanBantibioticBuntilBdelivery
c. informBtheBclientBthatBsheBwillBhaveBtoBdeliverBviaBc-section

, d. administerBaBdoseBofBPho(D)BimmuneBglobulinB-
Ba.BinstructBtheBclientBtoBobtainBaBrubellaBimmunizationBafterBdelivery



ABnurseBisBreviewingBtheBmedBrecordBofBaBclientBwhoBisBatB39BwksBgestationBandBhasB
polyhydramnios.BWhatBfindingBshouldBtheBnurseBexpect?
a. totalBpregnancyBwtBgainBofB3.6Bkg
b. fetalBGIBanomaly
c. gestationalBHTN
d. fundalBheightBofB34BcmB-Bb.BfetalBGIBanomaly

PolyhydramniosBisBtheBpresenceBofBexcessiveBamnioticBfluidBsurroundingBtheBunbornB
fetus.BGastrointestinalBmalformationsBandBneurologicBdisordersBareBexpectedBfindings
BforBaBfetusBexperiencingBtheBeffectsBofBpolyhydramnios.



ABnurseBisBteachingBaBclientBwhoBhasBpre-
eclampsiaBandBisBtoBreceiveBmagnesiumBsulfateBviaBcontinuousBIVBinfusionBabou
tBexpectedBadverseBeffects.BWhatBadverseBeffectsBshouldBtheBnurseBincludeBinBth
eBteaching?
a. elevatedBBP
b. feelingBofBwarmth
c. generalizedBpruritis
d. hyperactivityB-Bb.BfeelingBofBwarmth

TheBnurseBshouldBtellBtheBclientBtoBexpectBtheBfeelingBofBwarmthBallBoverBherBbodyBw
hileBtheBmagnesiumBsulfateBisBinfusing.

ABnurseBisBcaringBforBaBclientBwhoBisBinBtheBlatentBphaseBofBlaborBandBisBexperiencing
BlowBbackBpain.BWhatBactionBshouldBtheBnurseBtake?

a. positionBtheBclientBsupineBwithBlegsBelevated
b. instructBtheBclientBtoBpantBduringBcontractions
c. encourageBtheBclientBtoBsoakBinBaBwarmBbath
d. applyBpressureBtoBtheBclient'sBsacralBareaBduringBcontractionsB-
Bd.BapplyBpressureBtoBtheBclient'sBsacralBareaBduringBcontractions



ABnurseBisBteachingBaBclientBwhoBisBatB12BwksBgestationBaboutBmanifestationsBofBpote
ntialBcomplicationsBthatBsheBshouldBreportBtoBherBprovider.BWhatBinfoBshouldBtheBnurs
eBincludeBinBtheBteaching?
a. intermittentBnausea
b. whiteBvaginalBdischarge
c. swellingBofBtheBface
d. urinaryBfrequencyB-Bc.BswellingBofBtheBface

ABnurseBisBteachingBaBclientBwhoBisBatB10BwksBgestationBaboutBanBabd.BultrasoundBin
BtheBfirstBtrimester.BWhatBinfoBshouldBtheBnurseBincludeBinBtheBteaching?

a. youBwillBneedBtoBhaveBaBfullBbladderBduringBtheBultrasound
b. youBwillBhaveBaBnonBstressBtestBpriorBtoBtheBultrasound
c. theBultrasoundBwillBdetermineBtheBlengthBofByourBcervix
d. youBwillBexperienceButerineBcrampingBduringBtheBultrasoundB-
Ba.ByouBwillBneedBtoBhaveBaBfullBbladderBduringBtheBultrasound



MYBANSWER