ATI PN MATERNAL NEWBORN PROCTORED EXAM
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TESTBANK/ NGN ATI PN MATERNAL NEWBORN
ll ll ll ll ll ll
PROCTORED EXAM/ACTUAL EXAM WITH 250+
ll ll ll ll ll
QUESTIONS AND CORRECT ANSWERS WITH
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RATIONALES (VERIFIED ANSWERS) |ALREADY
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GRADED A+ ll ll
A nurse is reviewing the med record of a client who is at 39
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wks gestation and has polyhydramnios. What finding should
ll ll ll ll ll ll ll ll
the nurse expect?
ll ll ll
a. total pregnancy wt gain of 3.6 kg ll ll ll ll ll ll
b. fetal GI anomaly ll ll
c. gestational HTN l
d. fundal height of 34 cm – ll ll ll ll ll
llANSWER b. fetal GI anomaly
ll ll l l ll
RATIONALE: Polyhydramnios is the presence of excessive am ll ll ll ll ll ll ll
niotic fluid surrounding the unborn fetus. Gastrointestinal
ll ll ll ll ll ll ll
malformations and neurologic disorders are expected findings
ll ll ll ll ll ll ll
for a fetus experiencing the effects of polyhydramnios.
ll ll ll ll ll ll ll ll
A nurse is assessing a client who is at 35 wks gestation and is
ll ll ll ll ll ll ll ll ll ll ll ll ll
receiving magnesium sulfate via continuous IV infusion for
ll ll ll ll ll ll ll ll
severe pre-eclampsia. What finding should the nurse report to
ll ll ll ll ll ll ll ll ll
the provider?
ll ll
a. DTR 2+ ll
b. resp 16 ll
c. BP 150/96 ll
d. urinary output 20 mL/hr - ll ll ll ll ll ll
ANSWER d. urinary output 20 mL/hr ll l ll ll ll
RATIONALE: The nurse should report a urinary output of 20 ll ll ll ll ll ll ll ll ll
mL/hr because this can indicate inadequate renal perfusion,
ll ll ll ll ll ll ll ll
increasing the risk of magnesium sulfate toxicity. A decrease in
ll ll ll ll ll ll ll ll ll ll
,ll urinary output can also indicate a decrease in renal perfusion
ll ll ll ll ll ll ll ll ll
ll secondary to a worsening of the client's pre-eclampsia. ll ll ll ll ll ll ll
A nurse is teaching a client who is at 13 wks gestation about the
ll ll ll ll ll ll ll ll ll ll ll ll ll
treatment of incompetent cervix with cervical cerclage. What
ll ll ll ll ll ll ll ll
statement by the client indicates an understanding of teaching?
ll ll ll ll ll ll ll ll ll
a. I should go to the hospital if I think I may be in labor
ll ll ll ll ll ll ll ll ll ll ll ll ll
b. I should expect bright red bleeding while the cerclage is
ll ll ll ll ll ll ll ll ll
in place
ll ll
c. I am sad that I won't be able to get pregnant again
ll ll ll ll ll ll ll ll ll ll ll
d. I can resume having sex as soon as I feel up to it –
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ANSWER a. I should go to the hospital if I think I may be in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
labor
ll
RATIONALE: Cervical cerclage prevents premature opening of ll ll ll ll ll ll
the cervix during pregnancy. The client should immediately go
ll ll ll ll ll ll ll ll ll
to a facility for evaluation if she experiences any manifestations
ll ll ll ll ll ll ll ll ll ll
of labor while the cerclage is in place. If the client experiences
ll ll ll ll ll ll ll ll ll ll ll ll
preterm uterine contractions she might require tocolytic
ll ll ll ll ll ll ll
therapy.
ll
A nurse is teaching a client who has pre-eclampsia and is to
ll ll ll ll ll ll ll ll ll ll ll
receive magnesium sulfate via continuous IV infusion about
ll ll ll ll ll ll ll ll
expected adverse effects. What adverse effects should the nurse
ll ll ll ll ll ll ll ll ll
include in the teaching?
ll ll ll ll
a. elevated BP l
b. feeling of warmth ll ll
c. generalized pruritis ll
d. hyperactivity – ll ll
ANSWER b. feeling of warmth
l l ll ll ll ll
RATIONALE: The nurse should tell the client to expect the ll ll ll ll ll ll ll ll ll
feeling of warmth all over her body while the magnesium
ll ll ll ll ll ll ll ll ll ll
sulfate is infusing.
ll ll ll
A nurse is caring for a client who is in the latent phase of labor
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
,and is experiencing low back pain. What action should the nurse
ll ll ll ll ll ll ll ll ll ll ll
take?
ll
a. position the client supine with legs elevated
ll ll ll ll ll ll
b. instruct the client to pant during contractions
ll ll ll ll ll ll
, c. encourage the client to soak in a warm bath ll ll ll ll ll ll ll ll
d. apply pressure to the client's sacral area during contractions
ll ll ll ll ll ll ll ll
- ANSWER d. apply pressure to the client's sacral area
ll ll l l ll ll ll ll ll ll ll ll
during contractions
ll ll
A nurse is teaching a client who is at 10 wks gestation about
ll ll ll ll ll ll ll ll ll ll ll ll
an abd. ultrasound in the first trimester. What info should the
ll ll ll ll ll ll ll ll ll ll ll
nurse include in the teaching?
ll ll ll ll ll
a. you will need to have a full bladder during the ultrasound
ll ll ll ll ll ll ll ll ll ll
b. you will have a non stress test prior to the ultrasound
ll ll ll ll ll ll ll ll ll ll
c. the ultrasound will determine the length of your cervix
ll ll ll ll ll ll ll ll
d. you will experience uterine cramping during the
ll ll ll ll ll ll
ultrasound - ANSWER a. you will need to have a full
ll ll ll l l ll ll ll ll ll ll ll ll
bladder during the ultrasound
ll ll ll ll
RATIONALE: The nurse should tell the client that a full ll ll ll ll ll ll ll ll ll
bladder helps to lift the gravid uterus out of the pelvis during
ll ll ll ll ll ll ll ll ll ll ll ll
the examination. Therefore, it is important to ensure that the
ll ll ll ll ll ll ll ll ll ll
client has a full bladder to obtain the most accurate image of
ll ll ll ll ll ll ll ll ll ll ll ll
the fetus.
ll ll
A nurse is assessing a client who is 34 wks gestation and has
ll ll ll ll ll ll ll ll ll ll ll ll
mild placental abruption. What finding should the nurse
ll ll ll ll ll ll ll ll
expect?
ll
a. decreased urinary output ll ll
b. fetal distress ll
c. dark red vaginal bleeding ll ll ll
d. increased platelet count – ll ll ll
llANSWER c. dark red vaginal bleeding
ll ll l l ll ll
RATIONALE: The nurse should expect the client who has a mild ll ll ll ll ll ll ll ll ll ll
placental abruption to have minimal dark red vaginal bleeding.
ll ll ll ll ll ll ll ll ll
ll ll ll ll ll
TESTBANK/ NGN ATI PN MATERNAL NEWBORN
ll ll ll ll ll ll
PROCTORED EXAM/ACTUAL EXAM WITH 250+
ll ll ll ll ll
QUESTIONS AND CORRECT ANSWERS WITH
ll ll ll ll ll
RATIONALES (VERIFIED ANSWERS) |ALREADY
ll ll ll ll
GRADED A+ ll ll
A nurse is reviewing the med record of a client who is at 39
ll ll ll ll ll ll ll ll ll ll ll ll ll
wks gestation and has polyhydramnios. What finding should
ll ll ll ll ll ll ll ll
the nurse expect?
ll ll ll
a. total pregnancy wt gain of 3.6 kg ll ll ll ll ll ll
b. fetal GI anomaly ll ll
c. gestational HTN l
d. fundal height of 34 cm – ll ll ll ll ll
llANSWER b. fetal GI anomaly
ll ll l l ll
RATIONALE: Polyhydramnios is the presence of excessive am ll ll ll ll ll ll ll
niotic fluid surrounding the unborn fetus. Gastrointestinal
ll ll ll ll ll ll ll
malformations and neurologic disorders are expected findings
ll ll ll ll ll ll ll
for a fetus experiencing the effects of polyhydramnios.
ll ll ll ll ll ll ll ll
A nurse is assessing a client who is at 35 wks gestation and is
ll ll ll ll ll ll ll ll ll ll ll ll ll
receiving magnesium sulfate via continuous IV infusion for
ll ll ll ll ll ll ll ll
severe pre-eclampsia. What finding should the nurse report to
ll ll ll ll ll ll ll ll ll
the provider?
ll ll
a. DTR 2+ ll
b. resp 16 ll
c. BP 150/96 ll
d. urinary output 20 mL/hr - ll ll ll ll ll ll
ANSWER d. urinary output 20 mL/hr ll l ll ll ll
RATIONALE: The nurse should report a urinary output of 20 ll ll ll ll ll ll ll ll ll
mL/hr because this can indicate inadequate renal perfusion,
ll ll ll ll ll ll ll ll
increasing the risk of magnesium sulfate toxicity. A decrease in
ll ll ll ll ll ll ll ll ll ll
,ll urinary output can also indicate a decrease in renal perfusion
ll ll ll ll ll ll ll ll ll
ll secondary to a worsening of the client's pre-eclampsia. ll ll ll ll ll ll ll
A nurse is teaching a client who is at 13 wks gestation about the
ll ll ll ll ll ll ll ll ll ll ll ll ll
treatment of incompetent cervix with cervical cerclage. What
ll ll ll ll ll ll ll ll
statement by the client indicates an understanding of teaching?
ll ll ll ll ll ll ll ll ll
a. I should go to the hospital if I think I may be in labor
ll ll ll ll ll ll ll ll ll ll ll ll ll
b. I should expect bright red bleeding while the cerclage is
ll ll ll ll ll ll ll ll ll
in place
ll ll
c. I am sad that I won't be able to get pregnant again
ll ll ll ll ll ll ll ll ll ll ll
d. I can resume having sex as soon as I feel up to it –
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ANSWER a. I should go to the hospital if I think I may be in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
labor
ll
RATIONALE: Cervical cerclage prevents premature opening of ll ll ll ll ll ll
the cervix during pregnancy. The client should immediately go
ll ll ll ll ll ll ll ll ll
to a facility for evaluation if she experiences any manifestations
ll ll ll ll ll ll ll ll ll ll
of labor while the cerclage is in place. If the client experiences
ll ll ll ll ll ll ll ll ll ll ll ll
preterm uterine contractions she might require tocolytic
ll ll ll ll ll ll ll
therapy.
ll
A nurse is teaching a client who has pre-eclampsia and is to
ll ll ll ll ll ll ll ll ll ll ll
receive magnesium sulfate via continuous IV infusion about
ll ll ll ll ll ll ll ll
expected adverse effects. What adverse effects should the nurse
ll ll ll ll ll ll ll ll ll
include in the teaching?
ll ll ll ll
a. elevated BP l
b. feeling of warmth ll ll
c. generalized pruritis ll
d. hyperactivity – ll ll
ANSWER b. feeling of warmth
l l ll ll ll ll
RATIONALE: The nurse should tell the client to expect the ll ll ll ll ll ll ll ll ll
feeling of warmth all over her body while the magnesium
ll ll ll ll ll ll ll ll ll ll
sulfate is infusing.
ll ll ll
A nurse is caring for a client who is in the latent phase of labor
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
,and is experiencing low back pain. What action should the nurse
ll ll ll ll ll ll ll ll ll ll ll
take?
ll
a. position the client supine with legs elevated
ll ll ll ll ll ll
b. instruct the client to pant during contractions
ll ll ll ll ll ll
, c. encourage the client to soak in a warm bath ll ll ll ll ll ll ll ll
d. apply pressure to the client's sacral area during contractions
ll ll ll ll ll ll ll ll
- ANSWER d. apply pressure to the client's sacral area
ll ll l l ll ll ll ll ll ll ll ll
during contractions
ll ll
A nurse is teaching a client who is at 10 wks gestation about
ll ll ll ll ll ll ll ll ll ll ll ll
an abd. ultrasound in the first trimester. What info should the
ll ll ll ll ll ll ll ll ll ll ll
nurse include in the teaching?
ll ll ll ll ll
a. you will need to have a full bladder during the ultrasound
ll ll ll ll ll ll ll ll ll ll
b. you will have a non stress test prior to the ultrasound
ll ll ll ll ll ll ll ll ll ll
c. the ultrasound will determine the length of your cervix
ll ll ll ll ll ll ll ll
d. you will experience uterine cramping during the
ll ll ll ll ll ll
ultrasound - ANSWER a. you will need to have a full
ll ll ll l l ll ll ll ll ll ll ll ll
bladder during the ultrasound
ll ll ll ll
RATIONALE: The nurse should tell the client that a full ll ll ll ll ll ll ll ll ll
bladder helps to lift the gravid uterus out of the pelvis during
ll ll ll ll ll ll ll ll ll ll ll ll
the examination. Therefore, it is important to ensure that the
ll ll ll ll ll ll ll ll ll ll
client has a full bladder to obtain the most accurate image of
ll ll ll ll ll ll ll ll ll ll ll ll
the fetus.
ll ll
A nurse is assessing a client who is 34 wks gestation and has
ll ll ll ll ll ll ll ll ll ll ll ll
mild placental abruption. What finding should the nurse
ll ll ll ll ll ll ll ll
expect?
ll
a. decreased urinary output ll ll
b. fetal distress ll
c. dark red vaginal bleeding ll ll ll
d. increased platelet count – ll ll ll
llANSWER c. dark red vaginal bleeding
ll ll l l ll ll
RATIONALE: The nurse should expect the client who has a mild ll ll ll ll ll ll ll ll ll ll
placental abruption to have minimal dark red vaginal bleeding.
ll ll ll ll ll ll ll ll ll
