ATI PN MATERNAL NEWBORN PROCTORED EXAM
tt tt tt tt tt
TESTBANK/ NGN ATI PN MATERNAL NEWBORN
tt tt tt tt tt tt
PROCTORED EXAM/ACTUAL EXAM WITH 250+
tt tt tt tt tt
QUESTIONS AND CORRECT ANSWERS WITH
tt tt tt tt tt
RATIONALES (VERIFIED ANSWERS) |ALREADY
tt tt tt tt
GRADED A+ tt tt
A nurse is reviewing the med record of a client who is at 39
tt tt tt tt tt tt tt tt tt tt tt tt tt
wks gestation and has polyhydramnios. What finding should the
tt tt tt tt tt tt tt tt tt
nurse expect?
tt tt
a. total pregnancy wt gain of 3.6 kg tt tt tt tt tt tt
b. fetal GI anomaly tt tt
c. gestational HTN t
d. fundal height of 34 cm – tt tt tt tt tt
ANSWER b. fetal GI anomaly
tt tt tt t t tt
RATIONALE: Polyhydramnios is the presence of excessive am tt tt tt tt tt tt tt
niotic fluid surrounding the unborn fetus. Gastrointestinal
tt tt tt tt tt tt tt
malformations and neurologic disorders are expected findings
tt tt tt tt tt tt tt
for a fetus experiencing the effects of polyhydramnios.
tt tt tt tt tt tt tt tt
A nurse is assessing a client who is at 35 wks gestation and is
tt tt tt tt tt tt tt tt tt tt tt tt tt
receiving magnesium sulfate via continuous IV infusion for
tt tt tt tt tt tt tt tt
severe pre-eclampsia. What finding should the nurse report to
tt tt tt tt tt tt tt tt tt
the provider?
tt tt
a. DTR 2+ tt
b. resp 16 tt
c. BP 150/96 tt
d. urinary output 20 mL/hr - tt tt tt tt tt tt
ANSWER d. urinary output 20 mL/hr tt t tt tt tt
RATIONALE: The nurse should report a urinary output of 20 tt tt tt tt tt tt tt tt tt
mL/hr because this can indicate inadequate renal perfusion,
tt tt tt tt tt tt tt tt
increasing the risk of magnesium sulfate toxicity. A decrease in
tt tt tt tt tt tt tt tt tt tt
urinary output can also indicate a decrease in renal perfusion
tt tt tt tt tt tt tt tt tt tt
secondary to a worsening of the client's pre-eclampsia.
tt tt tt tt tt tt tt tt
,A nurse is teaching a client who is at 13 wks gestation about the
tt tt tt tt tt tt tt tt tt tt tt tt tt
treatment of incompetent cervix with cervical cerclage. What
tt tt tt tt tt tt tt tt
statement by the client indicates an understanding of teaching?
tt tt tt tt tt tt tt tt tt
a. I should go to the hospital if I think I may be in labor
tt tt tt tt tt tt tt tt tt tt tt tt tt
b. I should expect bright red bleeding while the cerclage is
tt tt tt tt tt tt tt tt tt
in place
tt tt
c. I am sad that I won't be able to get pregnant again
tt tt tt tt tt tt tt tt tt tt tt
d. I can resume having sex as soon as I feel up to it –
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
ANSWER a. I should go to the hospital if I think I may be in
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
labor
tt
RATIONALE: Cervical cerclage prevents premature opening of tt tt tt tt tt tt
the cervix during pregnancy. The client should immediately go
tt tt tt tt tt tt tt tt tt
to a facility for evaluation if she experiences any manifestations
tt tt tt tt tt tt tt tt tt tt
of labor while the cerclage is in place. If the client experiences
tt tt tt tt tt tt tt tt tt tt tt tt
preterm uterine contractions she might require tocolytic therapy.
tt tt tt tt tt tt tt tt
A nurse is teaching a client who has pre-eclampsia and is to
tt tt tt tt tt tt tt tt tt tt tt
receive magnesium sulfate via continuous IV infusion about
tt tt tt tt tt tt tt tt
expected adverse effects. What adverse effects should the nurse
tt tt tt tt tt tt tt tt tt
include in the teaching?
tt tt tt tt
a. elevated BP t
b. feeling of warmth tt tt
c. generalized pruritis tt
d. hyperactivity – tt tt
ANSWER b. feeling of warmth
t t tt tt tt tt
RATIONALE: The nurse should tell the client to expect the tt tt tt tt tt tt tt tt tt
feeling of warmth all over her body while the magnesium sulfate
tt tt tt tt tt tt tt tt tt tt tt
is infusing.
tt tt
A nurse is caring for a client who is in the latent phase of labor
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
and is experiencing low back pain. What action should the nurse
tt tt tt tt tt tt tt tt tt tt tt
take?
tt
a. position the client supine with legs elevated tt tt tt tt tt tt
b. instruct the client to pant during contractions tt tt tt tt tt tt
,c. encourage the client to soak in a warm bath tt tt tt tt tt tt tt tt
d. apply pressure to the client's sacral area during contractionstt tt tt tt tt tt tt tt
- ANSWER d. apply pressure to the client's sacral area
tt tt tt tt tt tt tt tt tt tt tt
during contractions
tt tt
A nurse is teaching a client who is at 10 wks gestation about
tt tt tt tt tt tt tt tt tt tt tt tt
an abd. ultrasound in the first trimester. What info should the
tt tt tt tt tt tt tt tt tt tt tt
nurse include in the teaching?
tt tt tt tt tt
a. you will need to have a full bladder during the ultrasound
tt tt tt tt tt tt tt tt tt tt
b. you will have a non stress test prior to the ultrasound
tt tt tt tt tt tt tt tt tt tt
c. the ultrasound will determine the length of your cervix
tt tt tt tt tt tt tt tt
d. you will experience uterine cramping during the ultrasound
tt tt tt tt tt tt tt
- ANSWER a. you will need to have a full bladder during
tt tt tt tt tt tt tt tt tt tt tt tt tt
the ultrasound
tt tt
RATIONALE: The nurse should tell the client that a full bladder tt tt tt tt tt tt tt tt tt tt
helps to lift the gravid uterus out of the pelvis during the
tt tt tt tt tt tt tt tt tt tt tt tt
examination. Therefore, it is important to ensure that the client
tt tt tt tt tt tt tt tt tt tt
has a full bladder to obtain the most accurate image of the
tt tt tt tt tt tt tt tt tt tt tt tt
fetus.
tt
A nurse is assessing a client who is 34 wks gestation and has
tt tt tt tt tt tt tt tt tt tt tt tt
mild placental abruption. What finding should the nurse expect?
tt tt tt tt tt tt tt tt tt
a. decreased urinary output tt tt
b. fetal distress tt
c. dark red vaginal bleeding tt tt tt
d. increased platelet count – tt tt tt
ANSWER c. dark red vaginal bleeding
tt tt tt t t tt tt
RATIONALE: The nurse should expect the client who has a mild tt tt tt tt tt tt tt tt tt tt
placental abruption to have minimal dark red vaginal bleeding.
tt tt tt tt tt tt tt tt tt
A nurse is admitting a client who is in labor and
tt tt tt tt tt tt tt tt tt tt
experiencing moderate bright red vaginal bleeding. What
tt tt tt tt tt tt tt
action should the nurse take?
tt tt tt tt tt
a. obtain blood samples for baseline lab values tt tt tt tt tt tt
, b. place a spiral electrode on the fetal presenting part
tt tt tt tt tt tt tt tt
c. prepare the client for a transvaginal ultrasound tt tt tt tt tt tt
d. perform a vaginal exam to determine cervical dilation - tt tt tt tt tt tt tt tt tt
ANSWER a. obtain blood samples for baseline lab values
tt tt tt tt tt tt tt tt tt
RATIONALE: The nurse should obtain samples of the client's tt tt tt tt tt tt tt tt
blood for baseline testing of hemoglobin and hematocrit levels.
tt tt tt tt tt tt tt tt tt
A nurse is caring for a client who is at 38 wks of gestation and
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
reports no fetal movement for 24 hr. What action should the
tt tt tt tt tt tt tt tt tt tt tt
nurse take?
tt tt
a. auscultate for a FHR tt tt tt
b. reassure the client that a term fetus is less active tt tt tt tt tt tt tt tt tt
c. have the client drink orange juice tt tt tt tt tt
d. palpate the uterus for fetal movement – tt tt tt tt tt tt
ANSWER t t
a. auscultate for a FHR tt tt tt
RATIONALE: Presence of a fetal heart rate is a reassuring tt tt tt tt tt tt tt tt tt
manifestation of fetal well-being. The nurse should auscultate for
tt tt tt tt tt tt tt tt tt
the fetal heart rate using a Doppler device or an external fetal
tt tt tt tt tt tt tt tt tt tt tt tt
monitor. This is the priority nursing action.
tt tt tt tt tt tt tt
A nurse is caring for a client whose last menstrual period began
tt tt tt tt tt tt tt tt tt tt tt
july 8. Using Nageles rule, the nurse should identify the client's
tt tt tt tt tt tt tt tt tt tt tt
estimated DOB as what?
tt tt tt tt
a. oct 15 tt
b. april 15 tt
c. oct 1 tt
d. april 1 - tt tt tt t t
ANSWER b. april 15 tt tt tt
A nurse is caring for a client who is at 39 wks gestation and is
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
in the active phase of labor. The nurse observes late decels
tt tt tt tt tt tt tt tt tt tt tt
in the FHR. What finding should the nurse identify as the
tt tt tt tt tt tt tt tt tt tt tt
cause of late decels?
tt tt tt tt
a. umbilical cord compression tt tt
b. fetal head compression tt tt
tt tt tt tt tt
TESTBANK/ NGN ATI PN MATERNAL NEWBORN
tt tt tt tt tt tt
PROCTORED EXAM/ACTUAL EXAM WITH 250+
tt tt tt tt tt
QUESTIONS AND CORRECT ANSWERS WITH
tt tt tt tt tt
RATIONALES (VERIFIED ANSWERS) |ALREADY
tt tt tt tt
GRADED A+ tt tt
A nurse is reviewing the med record of a client who is at 39
tt tt tt tt tt tt tt tt tt tt tt tt tt
wks gestation and has polyhydramnios. What finding should the
tt tt tt tt tt tt tt tt tt
nurse expect?
tt tt
a. total pregnancy wt gain of 3.6 kg tt tt tt tt tt tt
b. fetal GI anomaly tt tt
c. gestational HTN t
d. fundal height of 34 cm – tt tt tt tt tt
ANSWER b. fetal GI anomaly
tt tt tt t t tt
RATIONALE: Polyhydramnios is the presence of excessive am tt tt tt tt tt tt tt
niotic fluid surrounding the unborn fetus. Gastrointestinal
tt tt tt tt tt tt tt
malformations and neurologic disorders are expected findings
tt tt tt tt tt tt tt
for a fetus experiencing the effects of polyhydramnios.
tt tt tt tt tt tt tt tt
A nurse is assessing a client who is at 35 wks gestation and is
tt tt tt tt tt tt tt tt tt tt tt tt tt
receiving magnesium sulfate via continuous IV infusion for
tt tt tt tt tt tt tt tt
severe pre-eclampsia. What finding should the nurse report to
tt tt tt tt tt tt tt tt tt
the provider?
tt tt
a. DTR 2+ tt
b. resp 16 tt
c. BP 150/96 tt
d. urinary output 20 mL/hr - tt tt tt tt tt tt
ANSWER d. urinary output 20 mL/hr tt t tt tt tt
RATIONALE: The nurse should report a urinary output of 20 tt tt tt tt tt tt tt tt tt
mL/hr because this can indicate inadequate renal perfusion,
tt tt tt tt tt tt tt tt
increasing the risk of magnesium sulfate toxicity. A decrease in
tt tt tt tt tt tt tt tt tt tt
urinary output can also indicate a decrease in renal perfusion
tt tt tt tt tt tt tt tt tt tt
secondary to a worsening of the client's pre-eclampsia.
tt tt tt tt tt tt tt tt
,A nurse is teaching a client who is at 13 wks gestation about the
tt tt tt tt tt tt tt tt tt tt tt tt tt
treatment of incompetent cervix with cervical cerclage. What
tt tt tt tt tt tt tt tt
statement by the client indicates an understanding of teaching?
tt tt tt tt tt tt tt tt tt
a. I should go to the hospital if I think I may be in labor
tt tt tt tt tt tt tt tt tt tt tt tt tt
b. I should expect bright red bleeding while the cerclage is
tt tt tt tt tt tt tt tt tt
in place
tt tt
c. I am sad that I won't be able to get pregnant again
tt tt tt tt tt tt tt tt tt tt tt
d. I can resume having sex as soon as I feel up to it –
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
ANSWER a. I should go to the hospital if I think I may be in
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
labor
tt
RATIONALE: Cervical cerclage prevents premature opening of tt tt tt tt tt tt
the cervix during pregnancy. The client should immediately go
tt tt tt tt tt tt tt tt tt
to a facility for evaluation if she experiences any manifestations
tt tt tt tt tt tt tt tt tt tt
of labor while the cerclage is in place. If the client experiences
tt tt tt tt tt tt tt tt tt tt tt tt
preterm uterine contractions she might require tocolytic therapy.
tt tt tt tt tt tt tt tt
A nurse is teaching a client who has pre-eclampsia and is to
tt tt tt tt tt tt tt tt tt tt tt
receive magnesium sulfate via continuous IV infusion about
tt tt tt tt tt tt tt tt
expected adverse effects. What adverse effects should the nurse
tt tt tt tt tt tt tt tt tt
include in the teaching?
tt tt tt tt
a. elevated BP t
b. feeling of warmth tt tt
c. generalized pruritis tt
d. hyperactivity – tt tt
ANSWER b. feeling of warmth
t t tt tt tt tt
RATIONALE: The nurse should tell the client to expect the tt tt tt tt tt tt tt tt tt
feeling of warmth all over her body while the magnesium sulfate
tt tt tt tt tt tt tt tt tt tt tt
is infusing.
tt tt
A nurse is caring for a client who is in the latent phase of labor
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
and is experiencing low back pain. What action should the nurse
tt tt tt tt tt tt tt tt tt tt tt
take?
tt
a. position the client supine with legs elevated tt tt tt tt tt tt
b. instruct the client to pant during contractions tt tt tt tt tt tt
,c. encourage the client to soak in a warm bath tt tt tt tt tt tt tt tt
d. apply pressure to the client's sacral area during contractionstt tt tt tt tt tt tt tt
- ANSWER d. apply pressure to the client's sacral area
tt tt tt tt tt tt tt tt tt tt tt
during contractions
tt tt
A nurse is teaching a client who is at 10 wks gestation about
tt tt tt tt tt tt tt tt tt tt tt tt
an abd. ultrasound in the first trimester. What info should the
tt tt tt tt tt tt tt tt tt tt tt
nurse include in the teaching?
tt tt tt tt tt
a. you will need to have a full bladder during the ultrasound
tt tt tt tt tt tt tt tt tt tt
b. you will have a non stress test prior to the ultrasound
tt tt tt tt tt tt tt tt tt tt
c. the ultrasound will determine the length of your cervix
tt tt tt tt tt tt tt tt
d. you will experience uterine cramping during the ultrasound
tt tt tt tt tt tt tt
- ANSWER a. you will need to have a full bladder during
tt tt tt tt tt tt tt tt tt tt tt tt tt
the ultrasound
tt tt
RATIONALE: The nurse should tell the client that a full bladder tt tt tt tt tt tt tt tt tt tt
helps to lift the gravid uterus out of the pelvis during the
tt tt tt tt tt tt tt tt tt tt tt tt
examination. Therefore, it is important to ensure that the client
tt tt tt tt tt tt tt tt tt tt
has a full bladder to obtain the most accurate image of the
tt tt tt tt tt tt tt tt tt tt tt tt
fetus.
tt
A nurse is assessing a client who is 34 wks gestation and has
tt tt tt tt tt tt tt tt tt tt tt tt
mild placental abruption. What finding should the nurse expect?
tt tt tt tt tt tt tt tt tt
a. decreased urinary output tt tt
b. fetal distress tt
c. dark red vaginal bleeding tt tt tt
d. increased platelet count – tt tt tt
ANSWER c. dark red vaginal bleeding
tt tt tt t t tt tt
RATIONALE: The nurse should expect the client who has a mild tt tt tt tt tt tt tt tt tt tt
placental abruption to have minimal dark red vaginal bleeding.
tt tt tt tt tt tt tt tt tt
A nurse is admitting a client who is in labor and
tt tt tt tt tt tt tt tt tt tt
experiencing moderate bright red vaginal bleeding. What
tt tt tt tt tt tt tt
action should the nurse take?
tt tt tt tt tt
a. obtain blood samples for baseline lab values tt tt tt tt tt tt
, b. place a spiral electrode on the fetal presenting part
tt tt tt tt tt tt tt tt
c. prepare the client for a transvaginal ultrasound tt tt tt tt tt tt
d. perform a vaginal exam to determine cervical dilation - tt tt tt tt tt tt tt tt tt
ANSWER a. obtain blood samples for baseline lab values
tt tt tt tt tt tt tt tt tt
RATIONALE: The nurse should obtain samples of the client's tt tt tt tt tt tt tt tt
blood for baseline testing of hemoglobin and hematocrit levels.
tt tt tt tt tt tt tt tt tt
A nurse is caring for a client who is at 38 wks of gestation and
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
reports no fetal movement for 24 hr. What action should the
tt tt tt tt tt tt tt tt tt tt tt
nurse take?
tt tt
a. auscultate for a FHR tt tt tt
b. reassure the client that a term fetus is less active tt tt tt tt tt tt tt tt tt
c. have the client drink orange juice tt tt tt tt tt
d. palpate the uterus for fetal movement – tt tt tt tt tt tt
ANSWER t t
a. auscultate for a FHR tt tt tt
RATIONALE: Presence of a fetal heart rate is a reassuring tt tt tt tt tt tt tt tt tt
manifestation of fetal well-being. The nurse should auscultate for
tt tt tt tt tt tt tt tt tt
the fetal heart rate using a Doppler device or an external fetal
tt tt tt tt tt tt tt tt tt tt tt tt
monitor. This is the priority nursing action.
tt tt tt tt tt tt tt
A nurse is caring for a client whose last menstrual period began
tt tt tt tt tt tt tt tt tt tt tt
july 8. Using Nageles rule, the nurse should identify the client's
tt tt tt tt tt tt tt tt tt tt tt
estimated DOB as what?
tt tt tt tt
a. oct 15 tt
b. april 15 tt
c. oct 1 tt
d. april 1 - tt tt tt t t
ANSWER b. april 15 tt tt tt
A nurse is caring for a client who is at 39 wks gestation and is
tt tt tt tt tt tt tt tt tt tt tt tt tt tt
in the active phase of labor. The nurse observes late decels
tt tt tt tt tt tt tt tt tt tt tt
in the FHR. What finding should the nurse identify as the
tt tt tt tt tt tt tt tt tt tt tt
cause of late decels?
tt tt tt tt
a. umbilical cord compression tt tt
b. fetal head compression tt tt
