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