NGN ATI RN MATERNAL NEWBORN
PROCTORED EXAM 2024 WITH
MULTIPLE CHOICE QUESTIONS AND
DETAILED SOLVED SOLUTIONS
ALREADY GRADED A+ AND 100%
GUARANTEE PASS (ORIGINAL COPY!!!!!!)
A hydatidiform mole, or a molar pregnancy, is a benign
proliferative growth of the chorionic villi, which gives rise to
multiple cysts. The products of conception transform into a
large number of edematous, fluid-filled vesicles. As cells slough
off the uterine wall, vaginal discharge is usually dark brown and
can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and
has mild gestational HTN. What finding should the nurse
identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - THE CORRECT ANSWER-a. 480 mL urine output in 24
hrs
,When using the urgent vs. nonurgent approach to client care,
the nurse should determine that the priority finding is 480 mL
of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicate
progression of preeclampsia to preeclampsia with severe
features, which requires immediate intervention. Therefore,
this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has
HIV. What statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the
pregnancy - THE CORRECT ANSWER-d. you should continue to take
zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription
antiviral medication every day decreases the risk of
transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks
gestation about manifestations to report to the provider during
pregnancy. What info should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
,c. increase in white vaginal discharge
d. leg cramps when sleeping - THE CORRECT ANSWER-b. blurred or
double vision
A nurse is caring for a client who is in the latent phase of labor
and is receiving oxytocin via continuous IV infusion. The nurse
notes that the client is having contractions every 2 min which
last 100-110 seconds that the fetal heart rate is reassuring.
What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - THE CORRECT ANSWER-a.
decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because
the client is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has
meconium staining of the amniotic fluid. The nurse notes a
reassuring FHR tracing from the external fetal monitor. What
action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is
delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam - THE CORRECT
ANSWER-c. prepare equipment needed for newborn resuscitation
, The nurse should ensure that all supplies and equipment
needed for resuscitation of the newborn are readily available for
every delivery. Endotracheal suctioning is recommended in
cases of meconium staining only if the newborn has poor
respiratory effort, decreased muscle tone, and bradycardia after
delivery.
A nurse is reviewing the medical record of a client who is at 33
wks gestation and has placenta previa and bleeding. What
scripts should the nurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing - THE CORRECT ANSWER-b.
perform a vaginal exam
When a client has a placenta previa, the placenta implants in
the lower part of the uterus and obstructs the cervical os (the
opening to the vagina). The nurse should clarify this
prescription because any manipulation can cause tearing of the
placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is
undergoing a nonstress test. The FHR is 130 without
accelerations for the past 10 min. What action should the nurse
take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
PROCTORED EXAM 2024 WITH
MULTIPLE CHOICE QUESTIONS AND
DETAILED SOLVED SOLUTIONS
ALREADY GRADED A+ AND 100%
GUARANTEE PASS (ORIGINAL COPY!!!!!!)
A hydatidiform mole, or a molar pregnancy, is a benign
proliferative growth of the chorionic villi, which gives rise to
multiple cysts. The products of conception transform into a
large number of edematous, fluid-filled vesicles. As cells slough
off the uterine wall, vaginal discharge is usually dark brown and
can contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and
has mild gestational HTN. What finding should the nurse
identify as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
c. +2 edema of the feet
d. BP 144/92 - THE CORRECT ANSWER-a. 480 mL urine output in 24
hrs
,When using the urgent vs. nonurgent approach to client care,
the nurse should determine that the priority finding is 480 mL
of urine output in 24 hr because the minimum acceptable urine
output in an adult client is 30 mL/hr. This can indicate
progression of preeclampsia to preeclampsia with severe
features, which requires immediate intervention. Therefore,
this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has
HIV. What statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the
pregnancy - THE CORRECT ANSWER-d. you should continue to take
zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription
antiviral medication every day decreases the risk of
transmission of HIV to her newborn.
A nurse is providing teaching to a client who is at 8 wks
gestation about manifestations to report to the provider during
pregnancy. What info should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
,c. increase in white vaginal discharge
d. leg cramps when sleeping - THE CORRECT ANSWER-b. blurred or
double vision
A nurse is caring for a client who is in the latent phase of labor
and is receiving oxytocin via continuous IV infusion. The nurse
notes that the client is having contractions every 2 min which
last 100-110 seconds that the fetal heart rate is reassuring.
What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administer terbutaline 0.25mg subq - THE CORRECT ANSWER-a.
decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because
the client is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has
meconium staining of the amniotic fluid. The nurse notes a
reassuring FHR tracing from the external fetal monitor. What
action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is
delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam - THE CORRECT
ANSWER-c. prepare equipment needed for newborn resuscitation
, The nurse should ensure that all supplies and equipment
needed for resuscitation of the newborn are readily available for
every delivery. Endotracheal suctioning is recommended in
cases of meconium staining only if the newborn has poor
respiratory effort, decreased muscle tone, and bradycardia after
delivery.
A nurse is reviewing the medical record of a client who is at 33
wks gestation and has placenta previa and bleeding. What
scripts should the nurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtain a blood sample for lab testing - THE CORRECT ANSWER-b.
perform a vaginal exam
When a client has a placenta previa, the placenta implants in
the lower part of the uterus and obstructs the cervical os (the
opening to the vagina). The nurse should clarify this
prescription because any manipulation can cause tearing of the
placenta and increased bleeding.
A nurse is caring for a client who is at 37 wks gestation and is
undergoing a nonstress test. The FHR is 130 without
accelerations for the past 10 min. What action should the nurse
take?
a. request a script for an internal fetal scalp electrode
b. auscultate the FHR with a doppler transducer
c. report the nonreactive test result to the provider immediately
