ATI RN MATERNAL NEWBORN PROCTORED EXAM COMPLETE

ATI RN MATERNAL NEWBORN 2023 PROCTORED EXAM COMPLETE WITH ANSWERS


Amnursemismcaringmformamclientmwhomismatm32mwksmgestationmandmismexperiencingmpret
ermmlabor.mWhatmmedsmshouldmthemnursemplanmtomadminister?
a.mmisoprostol
b.mbetamethasone
c.mporactantmalfa
d.mmethylergonovinem-m"ACCURATEmANSWER"mmmmb.mbetamethasone

Amnursematmamprenatalmclinicmismcaringmformamclientmwhomsuspectsmshemmaymbempregn
antmandmasksmthemnursemhowmthemprovidermwillmconfirmmhermpregnancy.mThemnursemsh
ouldminformmthemclientmthatmwhatmlabmtestmwillmbemusedmtomconfirmmhermpregnancy?
a.murinemtestmformpresencemofmHCG
b.murinemtestmformthempresencemofmHCS
c.mbloodmtestmformpresencemofmestrogen
d.mbloodmtestmformthemamountmofmcirculatingmprogesteronem-
m"ACCURATEmANSWER"mmmma.murinemtestmformpresencemofmHCG

Amnursemismcaringmformamclientmwhombelievesmshemmaymbempregnant.mWhatmfindingmsh
ouldmthemnursemidentifymasmampositivemsignmofmpregnancy?
a.mpalpablemfetalmmovement
b.mamenorrhea
c.mchadwick'smsign
d.mpositivempregnancymtestm-m"ACCURATEmANSWER"mmmma.mpalpablemfetalmmovement

Amnursemismcaringmformamclientmwhomhasmoligohydraminios.mWhatmfetalmanomaliesmshoul
dmthemnursemexpect?
a.mrenalmagenesis
b.matrialmseptalmdefect
c.mspinambifida
d.mhydrocephalusm-m"ACCURATEmANSWER"mmmma.mrenalmagenesis

Amnursemismassessingmamclientmwhomismatm37mwksmgestationmandmhasmamsuspectedmpel
vicmfracturemduemtombluntmabdmtrauma.mWhatmfindingsmshouldmthemnursemexpect?
a.muterinemcontractions
b.mbradycardia
c.mseizures
d.mbradypneam-m"ACCURATEmANSWER"mmmma.muterinemcontractions

Themnursemshouldmexpectmthemclientmtombemexperiencingmuterinemcontractionsmduemtoma
bdominalmtrauma.

Amnursemismassessingmamclientmwhomismatm12mwksmgestationmandmhasmhydatidiformmmol
e.mWhatmfindingsmshouldmthemnursemexpect?
a.mhypothermia
b.mdarkmbrownmvaginalmdischarge
c.mfetalmheartmtones
d.mdecreasedmurinarymoutputm-
m"ACCURATEmANSWER"mmmmb.mdarkmbrownmvaginalmdischarge

Amhydatidiformmmole,mormammolarmpregnancy,mismambenignmproliferativemgrowthmofmthe
mchorionicmvilli,mwhichmgivesmrisemtommultiplemcysts.mThemproductsmofmconceptionmtransf
ormmintomamlargemnumbermofmedematous,mfluid-
filledmvesicles.mAsmcellsmsloughmoffmthemuterinemwall,mvaginalmdischargemismusuallymdarkm
brownmandmcanmcontainmgrapelikemclusters.

,Amnursemismassessingmamclientmwhomismatm35mweeksmofmgestationmandmhasmmildmgesta
tionalmHTN.mWhatmfindingmshouldmthemnursemidentifymasmthempriority?
a.m480mmLmurinemoutputminm24mhrs
b.m1+mproteinminmthemurine
c.m+2medemamofmthemfeet
d.mBPm144/92m-m"ACCURATEmANSWER"mmmma.m480mmLmurinemoutputminm24mhrs

Whenmusingmthemurgentmvs.mnonurgentmapproachmtomclientmcare,mthemnursemshouldmdet
erminemthatmthemprioritymfindingmism480mmLmofmurinemoutputminm24mhrmbecausemthem
minimummacceptablemurinemoutputminmanmadultmclientmism30mmL/
hr.mThismcanmindicatemprogressionmofmpreeclampsiamtompreeclampsiamwithmseveremfeatures
,mwhichmrequiresmimmediatemintervention.mTherefore,mthismismthemprioritymfinding.

Amnursemismteachingmamclientmwhomismatm12mwksmgestationmandmhasmHIV.mWhatmstate
mentmshouldmthemnursemincludeminmthemteaching?
a.myoumwillmbeminmisolationmaftermdelivery
b.mabstainmfrommsexualmintercoursemthroughoutmpregnancy
c.mbreastfeedmyourmnewbornmtomprovidempassivemimmunity
d.myoumshouldmcontinuemtomtakemzidovudinemthroughoutmthempregnancym-
m"ACCURATEmANSWER"mmmmd.myoumshouldmcontinuemtomtakemzidovudinemthroughoutmth
empregnancy

-canmbemtransmittedmthroughmbreastfeeding
-shemcanmcontinuemtomhavemsex

Themnursemshouldminformmthemclientmthatmtakingmprescriptionmantiviralmmedicationmevery
mdaymdecreasesmthemriskmofmtransmissionmofmHIVmtomhermnewborn.

Amnursemismprovidingmteachingmtomamclientmwhomismatm8mwksmgestationmaboutmmanifest
ationsmtomreportmtomthemprovidermduringmpregnancy.mWhatminfomshouldmthemnurseminclu
deminmthemteaching?
a.mnauseamuponmawakening
b.mblurredmormdoublemvision
c.mincreaseminmwhitemvaginalmdischarge
d.mlegmcrampsmwhenmsleepingm-m"ACCURATEmANSWER"mmmmb.mblurredmormdoublemvision

Amnursemismcaringmformamclientmwhomisminmthemlatentmphasemofmlabormandmismreceivin
gmoxytocinmviamcontinuousmIVminfusion.mThemnursemnotesmthatmthemclientmismhavingmcon
tractionsmeverym2mminmwhichmlastm100-
110msecondsmthatmthemfetalmheartmratemismreassuring.mWhatmactionmshouldmthemnursemt
ake?
a.mdecreasemthemdosemofmoxytocinmbymhalf
b.madministermoxygenmviamnonrebreathermmask
c.mdecreasemtheminfusionmratemofmthemmaintenancemIVmfluid
d.madministermterbutalinem0.25mgmsubqm-
m"ACCURATEmANSWER"mmmma.mdecreasemthemdosemofmoxytocinmbymhalf

Themnursemshouldmdecreasemthemdosemofmoxytocinmbymhalfmbecausemthemclientmismexper
iencingmuterinemtachysystole.

Amnursemismcaringmformamclientmwhomisminmactivemlabormandmhasmmeconiummstainingmo
fmthemamnioticmfluid.mThemnursemnotesmamreassuringmFHRmtracingmfrommthemexternalmfet
almmonitor.mWhatmactionmshouldmthemnursemtake?
a.mpreparemthemclientmformemergencymc-section
b.mperformmendotrachmsuctioningmasmsoonmasmthemfetalmheadmismdelivered
c.mpreparemequipmentmneededmformnewbornmresuscitation

,d.mpreparemthemclientmformanmultrasoundmexamm-
m"ACCURATEmANSWER"mmmmc.mpreparemequipmentmneededmformnewbornmresuscitation

Themnursemshouldmensuremthatmallmsuppliesmandmequipmentmneededmformresuscitationmof
mthemnewbornmaremreadilymavailablemformeverymdelivery.mEndotrachealmsuctioningmismreco
mmendedminmcasesmofmmeconiummstainingmonlymifmthemnewbornmhasmpoormrespiratoryme
ffort,mdecreasedmmusclemtone,mandmbradycardiamaftermdelivery.

Amnursemismreviewingmthemmedicalmrecordmofmamclientmwhomismatm33mwksmgestationma
ndmhasmplacentampreviamandmbleeding.mWhatmscriptsmshouldmthemnursemclarifymwithmthe
mprovider?
a.minsertmamlarge-boremIVmcatheter
b.mperformmamvaginalmexam
c.mperformmcontinuousmexternalmfetalmmonitoring
d.mobtainmambloodmsamplemformlabmtestingm-
m"ACCURATEmANSWER"mmmmb.mperformmamvaginalmexam

Whenmamclientmhasmamplacentamprevia,mthemplacentamimplantsminmthemlowermpartmofmth
emuterusmandmobstructsmthemcervicalmosm(themopeningmtomthemvagina).mThemnursemshoul
dmclarifymthismprescriptionmbecausemanymmanipulationmcanmcausemtearingmofmthemplacenta
mandmincreasedmbleeding.

Amnursemismcaringmformamclientmwhomismatm37mwksmgestationmandmismundergoingmamno
nstressmtest.mThemFHRmism130mwithoutmaccelerationsmformthempastm10mmin.mWhatmactio
nmshouldmthemnursemtake?
a.mrequestmamscriptmformanminternalmfetalmscalpmelectrode
b.mauscultatemthemFHRmwithmamdopplermtransducer
c.mreportmthemnonreactivemtestmresultmtomthemprovidermimmediately
d.musemvibroacousticmstimmonmthemclient'smabdmform3msecondsm-
m"ACCURATEmANSWER"mmmmd.musemvibroacousticmstimmonmthemclient'smabdmform3mseco
nds

Themnursemshouldmusemamvibroacousticmstimulatormonmthemclient'smabdomenmtomelicitmfet
almactivitymbecausemthemfetusmismmostmlikelymsleeping.mFetalmmovementmshouldmcausema
ccelerationsminmthemFHR.

Amnursemismreviewingmlabmresultsmformamclientmwhomismatm37mwksmgestation.mThemnurs
emnotesmthatmthemclientmismrubellamnon-immune,mpositivemformgroupmAmbeta-
hemolyticmstrep,mandmhasmambloodmtypemOmneg.mWhatmactionmshouldmthemnursemtake?
a.minstructmthemclientmtomobtainmamrubellamimmunizationmaftermdelivery
b.mrequestmamscriptmformanmantibioticmuntilmdelivery
c.minformmthemclientmthatmshemwillmhavemtomdelivermviamc-section
d.madministermamdosemofmPho(D)mimmunemglobulinm-
m"ACCURATEmANSWER"mmmma.minstructmthemclientmtomobtainmamrubellamimmunizationma
ftermdelivery

Amnursemismreviewingmthemmedmrecordmofmamclientmwhomismatm39mwksmgestationmand
mhasmpolyhydramnios.mWhatmfindingmshouldmthemnursemexpect?
a.mtotalmpregnancymwtmgainmofm3.6mkg
b.mfetalmGImanomaly
c.mgestationalmHTN
d.mfundalmheightmofm34mcmm-m"ACCURATEmANSWER"mmmmb.mfetalmGImanomaly

Polyhydramniosmismthempresencemofmexcessivemamnioticmfluidmsurroundingmthemunbornmfet
us.mGastrointestinalmmalformationsmandmneurologicmdisordersmaremexpectedmfindingsmforma
mfetusmexperiencingmthemeffectsmofmpolyhydramnios.

, Amnursemismteachingmamclientmwhomhasmpre-
eclampsiamandmismtomreceivemmagnesiummsulfatemviamcontinuousmIVminfusionmaboutmexpe
ctedmadversemeffects.mWhatmadversemeffectsmshouldmthemnursemincludeminmthemteaching?
a.melevatedmBP
b.mfeelingmofmwarmth
c.mgeneralizedmpruritis
d.mhyperactivitym-m"ACCURATEmANSWER"mmmmb.mfeelingmofmwarmth

Themnursemshouldmtellmthemclientmtomexpectmthemfeelingmofmwarmthmallmovermhermbody
mwhilemthemmagnesiummsulfatemisminfusing.

Amnursemismcaringmformamclientmwhomisminmthemlatentmphasemofmlabormandmismexperien
cingmlowmbackmpain.mWhatmactionmshouldmthemnursemtake?
a.mpositionmthemclientmsupinemwithmlegsmelevated
b.minstructmthemclientmtompantmduringmcontractions
c.mencouragemthemclientmtomsoakminmamwarmmbath
d.mapplympressuremtomthemclient'smsacralmareamduringmcontractionsm-
m"ACCURATEmANSWER"mmmmd.mapplympressuremtomthemclient'smsacralmareamduringmcontr
actions

Amnursemismteachingmamclientmwhomismatm12mwksmgestationmaboutmmanifestationsmofmp
otentialmcomplicationsmthatmshemshouldmreportmtomhermprovider.mWhatminfomshouldmthem
nursemincludeminmthemteaching?
a.mintermittentmnausea
b.mwhitemvaginalmdischarge
c.mswellingmofmthemface
d.murinarymfrequencym-m"ACCURATEmANSWER"mmmmc.mswellingmofmthemface

Amnursemismteachingmamclientmwhomismatm10mwksmgestationmaboutmanmabd.multrasound
minmthemfirstmtrimester.mWhatminfomshouldmthemnursemincludeminmthemteaching?
a.myoumwillmneedmtomhavemamfullmbladdermduringmthemultrasound
b.myoumwillmhavemamnonmstressmtestmpriormtomthemultrasound
c.mthemultrasoundmwillmdeterminemthemlengthmofmyourmcervix
d.myoumwillmexperiencemuterinemcrampingmduringmthemultrasoundm-
m"ACCURATEmANSWER"mmmma.myoumwillmneedmtomhavemamfullmbladdermduringmthemultr
asound

MYmANSWER
Themnursemshouldmtellmthemclientmthatmamfullmbladdermhelpsmtomliftmthemgravidmuterusm
outmofmthempelvismduringmthemexamination.mTherefore,mitmismimportantmtomensuremthatm
themclientmhasmamfullmbladdermtomobtainmthemmostmaccuratemimagemofmthemfetus.

Amnursemismassessingmamclientmwhomism34mwksmgestationmandmhasmmildmplacentalmabru
ption.mWhatmfindingmshouldmthemnursemexpect?
a.mdecreasedmurinarymoutput
b.mfetalmdistress
c.mdarkmredmvaginalmbleeding
d.mincreasedmplateletmcountm-m"ACCURATEmANSWER"mmmmc.mdarkmredmvaginalmbleeding

Themnursemshouldmexpectmthemclientmwhomhasmammildmplacentalmabruptionmtomhavemmi
nimalmdarkmredmvaginalmbleeding.

Amnursemismcaringmformamclientmwhosemlastmmenstrualmperiodmbeganmjulym8.mUsingmNag
elesmrule,mthemnursemshouldmidentifymthemclient'smestimatedmDOBmasmwhat?
a.moctm15
b.maprilm15
c.moctm1