ATI PN MATERNAL NEWBORN PROCTORED EXAM TESTBANK/ NGN ATI PN MATERNAL NEWBORN PROCTORED EXAM/ACTUAL EXAM WITH 250+ QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI PN MATERNAL NEWBORN PROCTORED EXAM
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TESTBANK/ NGN ATI PN MATERNAL NEWBORN
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PROCTORED EXAM/ACTUAL EXAM WITH 250+
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QUESTIONS AND CORRECT ANSWERS WITH
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RATIONALES (VERIFIED ANSWERS) |ALREADY
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GRADED A+ fh fh




A nurse is reviewing the med record of a client who is at 39 wks
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gestation and has polyhydramnios. What finding should the nurse
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expect?
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a. total pregnancy wt gain of 3.6 kg fh fh fh fh fh fh




b. fetal GI anomaly fh fh




c. gestationalHTN h
f




d. fundal height of 34 cm – fh fh fh fh fh




fhANSWER b.fetalGI anomaly
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f h
f fh




RATIONALE: Polyhydramnios is the presence of excessive am fh fh fh fh fh fh fh




niotic fluid surrounding the unborn fetus.Gastrointestinal
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f h
f




malformations and neurologic disorders are expected findings for a
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fetus experiencing the effects of polyhydramnios.
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A nurse is assessing a client who is at 35 wks gestation and is
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receiving magnesium sulfate via continuous IV infusion for severe
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pre-eclampsia. What finding should the nurse report to the provider?
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a. DTR 2+ fh




b. resp16 h
f




c. BP 150/96 fh




d. urinary output 20 mL/hr - fh fh fh fh fh f h




ANSWER d.urinary output 20 mL/hr fh h
f fh fh fh




RATIONALE: The nurse should report a urinary output of 20 mL/hr fh fh fh fh fh fh fh fh fh fh




because this can indicate inadequate renal perfusion, increasing the
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risk of magnesium sulfate toxicity. A decrease in urinary output can
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also indicate a decrease in renal perfusion secondary to a
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worsening of the client's pre-eclampsia.
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,A nurse is teaching a client who is at 13 wks gestation about the
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treatment of incompetent cervix with cervical cerclage. What
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statement by the client indicates an understanding of teaching?
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a. I should go to the hospital if I think I may be in labor
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b. I should expect bright red bleeding while the cerclage is in
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place
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c. I am sad that I won't be able to get pregnant again
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d. I can resume having sex as soon as I feel up to it –
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ANSWER a. I should go to the hospital if I think I may be in labor
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RATIONALE: Cervical cerclage prevents premature opening of the fh fh fh fh fh fh fh




cervix during pregnancy. The client should immediately go to a
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facility for evaluation if she experiences any manifestations of labor
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while the cerclage is in place. If the client experiences preterm
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uterine contractions she might require tocolytic therapy.
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A nurse is teaching a client who has pre-eclampsia and is to receive
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magnesium sulfate via continuous IV infusion about expected
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adverse effects. What adverse effects should the nurse include in the
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teaching?
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a. elevatedBP h
f




b. feelingof warmth h
f h
f




c. generalized pruritis fh




d. hyperactivity – h
f h
f




ANSWER b. feeling of warmth
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RATIONALE: The nurse should tell the client to expect the feeling of fh fh fh fh fh fh fh fh fh fh fh




warmth all over her body while the magnesium sulfate is infusing.
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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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experiencing low back pain. What action should the nurse take?
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a. positiontheclient supinewith legs elevated h
f h
f fh h
f fh fh




b. instructthe client to pant during contractions h
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,c. encourage the client to soak in a warm bath fh fh fh fh fh fh fh fh




d. apply pressure to the client's sacral area during contractions -
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fANSWER d. apply pressure to the client's sacral area during
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contractions
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A nurse is teaching a client who is at 10 wks gestation about an
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abd. ultrasound in the first trimester. What info should the nurse
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include in the teaching?
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a. you will need to have a full bladder during the ultrasound
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b. you will have a non stress test prior to the ultrasound
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c. theultrasound will determine thelengthof yourcervix
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f fh h
f h
f h
f h
f h
f h
f




d. you will experience uterine cramping during the ultrasound -
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fANSWER a. you will need to have a full bladder during the
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ultrasound
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RATIONALE: The nurse should tell the client that a full bladder fh fh fh fh fh fh fh fh fh fh




helps to lift the gravid uterus out of the pelvis during the examination.
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Therefore, it is important to ensure that the client has a full bladder to
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obtain the most accurate image of the fetus.
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A nurse is assessing a client who is 34 wks gestation and has mild
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placental abruption. What finding should the nurse expect?
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a. decreasedurinary output h
f fh




b. fetal distress fh




c. dark red vaginal bleeding h
f h
f fh




d. increased platelet count – fh fh fh




fhANSWER c.darkred vaginal bleeding
f h fh h
f h
f fh fh




RATIONALE: The nurse should expect the client who has a mild fh fh fh fh fh fh fh fh fh fh




placental abruption to have minimal dark red vaginal bleeding.
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A nurse is admitting a client who is in labor and experiencing
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moderate bright red vaginal bleeding. What action should the
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nurse take?
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a. obtain blood samples for baseline lab values fh fh fh fh fh fh




b. placeaspiral electrode onthe fetal presentingpart h
f h
f h
f h
f h
f fh fh h
f

, c. prepare the client for a transvaginal ultrasound fh fh h
f fh h
f fh




d. perform a vaginal exam to determine cervical dilation - fh fh fh fh fh fh fh fh fh




fANSWER a. obtain blood samples for baseline lab values
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RATIONALE: The nurse should obtain samples of the client's blood fh fh fh fh fh fh fh fh fh




for baseline testing of hemoglobin and hematocrit levels.
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A nurse is caring for a client who is at 38 wks of gestation and reports
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no fetal movement for 24 hr. What action should the nurse take?
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a. auscultatefor a FHR h
f fh fh




b. reassure the client that a term fetus is less active fh fh fh fh fh fh fh fh fh




c. havetheclient drink orange juice h
f h
f h
f fh fh




d. palpatethe uterus for fetal movement – h
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ANSWER f h




a. auscultate for a FHR fh fh fh




RATIONALE: Presence of a fetal heart rate is a reassuring fh fh fh fh fh fh fh fh fh




manifestation of fetal well-being. The nurse should auscultate for the
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fetal heart rate using a Doppler device or an external fetal monitor.
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This is the priority nursing action.
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A nurse is caring for a client whose last menstrual period began july 8.
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Using Nageles rule, the nurse should identify the client's estimated
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DOB as what?
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a. oct 15 fh




b. april 15 h
f




c. oct 1 fh




d. april 1 - fh fh fh f h




ANSWER b. april 15 fh fh fh




A nurse is caring for a client who is at 39 wks gestation and is in the
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active phase of labor. The nurse observes late decels in the FHR.
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What finding should the nurse identify as the cause of late decels?
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a. umbilicalcordcompression h
f h
f




b. fetal head compression fh fh




c. uteroplacental insufficiency fh




d. fetal ventricular septal defect fh fh fh fh




- ANSWER c. uteroplacental insufficiency
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