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ATI MATERNAL NEWBORN NUR 412 PROCTORED TESTBANK
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2022/2023 EXAM REVIEW Questions & Answers Study Guide A+
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Grade | 100% SOLVED
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A nurse is caring for a client who has oligohydramnios. What fetal
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anomalies should the nurse expect?
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a. renal agenesis
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b. atrial septal defect
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c. spina bifida
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d. hydrocephalus Correct Answer: a. renal agenesis
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A nurse is assessing a client who is at 37 wks gestation and has a
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suspected pelvic fracture due to blunt abd trauma. What findings should
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the nurse expect?
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a. uterine contractions
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b. bradycardia
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c. seizures
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d. bradypnea Correct Answer: a. uterine contractions
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The nurse should expect the client to be experiencing uterine
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contractions due to abdominal trauma.
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A nurse is assessing a client who is at 12 wks gestation and has
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hydatidiform mole. What findings should the nurse expect?
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a. hypothermia
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b. dark brown vaginal discharge
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c. fetal heart tones
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d. decreased urinary output Correct Answer: b. dark brown vaginal
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discharge
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A hydatidiform mole, or a molar pregnancy, is a benign proliferative
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growth of the chorionic villi, which gives rise to multiple cysts. The
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products of conception transform into a large number of edematous,
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fluid-filled vesicles. As cells slough off the uterine wall, vaginal
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discharge is usually dark brown and can contain grapelike clusters.
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A nurse is assessing a client who is at 35 weeks of gestation and has
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mild gestational HTN. What finding should the nurse identify as the
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priority?
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a. 480 mL urine output in 24 hrs
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b. 1+ protein in the urine
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c. +2 edema of the feet
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d. BP 144/92 Correct Answer: a. 480 mL urine output in 24 hrs
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When using the urgent vs. nonurgent approach to client care, the nurse
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should determine that the priority finding is 480 mL of urine output in
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24 hr because the minimum acceptable urine output in an adult client is
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30 mL/hr. This can indicate progression of preeclampsia to preeclampsia
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with severe features, which requires immediate intervention. Therefore,
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this is the priority finding.
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A nurse is teaching a client who is at 12 wks gestation and has HIV.
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What statement should the nurse include in the teaching?
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a. you will be in isolation after delivery
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b. abstain from sexual intercourse throughout pregnancy
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c. breastfeed your newborn to provide passive immunity
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d. you should continue to take zidovudine throughout the pregnancy
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Correct Answer: d. you should continue to take zidovudine throughout
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the pregnancy
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-can be transmitted through breastfeeding
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-she can continue to have sex
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The nurse should inform the client that taking prescription antiviral
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medication every day decreases the risk of transmission of HIV to her
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newborn.
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A nurse is providing teaching to a client who is at 8 wks gestation about
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manifestations to report to the provider during pregnancy. What info
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should the nurse include in the teaching?
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a. nausea upon awakening
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b. blurred or double vision
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c. increase in white vaginal discharge
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d. leg cramps when sleeping Correct Answer: b. blurred or double
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vision
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A nurse is caring for a client who is in the latent phase of labor and is
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receiving oxytocin via continuous IV infusion. The nurse notes that the
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client is having contractions every 2 min which last 100-110 seconds
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that the fetal heart rate is reassuring. What action should the nurse take?
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a. decrease the dose of oxytocin by half
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b. administer oxygen via nonrebreather mask
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c. decrease the infusion rate of the maintenance IV fluid
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d. administer terbutaline 0.25mg subq Correct Answer: a. decrease the
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dose of oxytocin by half
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The nurse should decrease the dose of oxytocin by half because the
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client is experiencing uterine tachysystole.
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A nurse is caring for a client who is in active labor and has meconium
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staining of the amniotic fluid. The nurse notes a reassuring FHR tracing
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from the external fetal monitor. What action should the nurse take?
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a. prepare the client for emergency c-section
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b. perform endotrach suctioning as soon as the fetal head is delivered
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c. prepare equipment needed for newborn resuscitation
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ATI MATERNAL NEWBORN NUR 412 PROCTORED TESTBANK
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2022/2023 EXAM REVIEW Questions & Answers Study Guide A+
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Grade | 100% SOLVED
sh
Sp
ne
la
tz
sh
Sp
ne
A nurse is caring for a client who has oligohydramnios. What fetal
la
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anomalies should the nurse expect?
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Sp
ne
a. renal agenesis
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b. atrial septal defect
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sh
Sp
ne
c. spina bifida
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d. hydrocephalus Correct Answer: a. renal agenesis
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Sp
ne
la
A nurse is assessing a client who is at 37 wks gestation and has a
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sh
Sp
ne
suspected pelvic fracture due to blunt abd trauma. What findings should
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the nurse expect?
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sh
Sp
a. uterine contractions
ne
la
b. bradycardia
tz
sh
Sp
c. seizures
ne
la
d. bradypnea Correct Answer: a. uterine contractions
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sh
Sp
ne
la
The nurse should expect the client to be experiencing uterine
tz
sh
Sp
contractions due to abdominal trauma.
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
A nurse is assessing a client who is at 12 wks gestation and has
la
tz
hydatidiform mole. What findings should the nurse expect?
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Sp
a. hypothermia
ne
la
tz
b. dark brown vaginal discharge
sh
Sp
ne
c. fetal heart tones
la
tz
d. decreased urinary output Correct Answer: b. dark brown vaginal
sh
Sp
ne
discharge
la
tz
sh
Sp
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
ne
la
growth of the chorionic villi, which gives rise to multiple cysts. The
tz
sh
Sp
products of conception transform into a large number of edematous,
ne
la
fluid-filled vesicles. As cells slough off the uterine wall, vaginal
tz
sh
Sp
discharge is usually dark brown and can contain grapelike clusters.
ne
la
tz
sh
Sp
A nurse is assessing a client who is at 35 weeks of gestation and has
ne
la
mild gestational HTN. What finding should the nurse identify as the
tz
sh
Sp
priority?
ne
la
a. 480 mL urine output in 24 hrs
tz
sh
Sp
b. 1+ protein in the urine
ne
la
c. +2 edema of the feet
tz
sh
Sp
d. BP 144/92 Correct Answer: a. 480 mL urine output in 24 hrs
ne
la
tz
sh
When using the urgent vs. nonurgent approach to client care, the nurse
Sp
ne
should determine that the priority finding is 480 mL of urine output in
la
sh
24 hr because the minimum acceptable urine output in an adult client is
Sp
la
Sp
, ne
tz
sh
ne
30 mL/hr. This can indicate progression of preeclampsia to preeclampsia
la
tz
with severe features, which requires immediate intervention. Therefore,
sh
Sp
this is the priority finding.
ne
la
tz
sh
Sp
ne
A nurse is teaching a client who is at 12 wks gestation and has HIV.
la
tz
What statement should the nurse include in the teaching?
sh
Sp
ne
a. you will be in isolation after delivery
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b. abstain from sexual intercourse throughout pregnancy
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sh
Sp
ne
c. breastfeed your newborn to provide passive immunity
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d. you should continue to take zidovudine throughout the pregnancy
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sh
Sp
Correct Answer: d. you should continue to take zidovudine throughout
ne
la
the pregnancy
tz
sh
Sp
ne
la
-can be transmitted through breastfeeding
tz
sh
Sp
-she can continue to have sex
ne
la
tz
sh
Sp
The nurse should inform the client that taking prescription antiviral
ne
la
medication every day decreases the risk of transmission of HIV to her
tz
sh
Sp
newborn.
ne
la
tz
sh
Sp
A nurse is providing teaching to a client who is at 8 wks gestation about
ne
la
manifestations to report to the provider during pregnancy. What info
tz
sh
Sp
should the nurse include in the teaching?
ne
la
a. nausea upon awakening
sh
Sp
la
Sp
, ne
tz
sh
ne
b. blurred or double vision
la
tz
c. increase in white vaginal discharge
sh
Sp
ne
d. leg cramps when sleeping Correct Answer: b. blurred or double
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tz
vision
sh
Sp
ne
la
tz
A nurse is caring for a client who is in the latent phase of labor and is
sh
Sp
ne
receiving oxytocin via continuous IV infusion. The nurse notes that the
la
tz
client is having contractions every 2 min which last 100-110 seconds
sh
Sp
ne
that the fetal heart rate is reassuring. What action should the nurse take?
la
tz
a. decrease the dose of oxytocin by half
sh
Sp
ne
b. administer oxygen via nonrebreather mask
la
c. decrease the infusion rate of the maintenance IV fluid
tz
sh
Sp
ne
d. administer terbutaline 0.25mg subq Correct Answer: a. decrease the
la
dose of oxytocin by half
tz
sh
Sp
ne
la
The nurse should decrease the dose of oxytocin by half because the
tz
sh
Sp
client is experiencing uterine tachysystole.
ne
la
tz
sh
Sp
A nurse is caring for a client who is in active labor and has meconium
ne
la
staining of the amniotic fluid. The nurse notes a reassuring FHR tracing
tz
sh
Sp
from the external fetal monitor. What action should the nurse take?
ne
la
a. prepare the client for emergency c-section
tz
sh
Sp
b. perform endotrach suctioning as soon as the fetal head is delivered
ne
la
c. prepare equipment needed for newborn resuscitation
sh
Sp
la
Sp
