Maternal newborn ati proctored exam ALL VERSIONS 2024 | LATEST AND ACCURATE REAL EXAM QUESTIONS WITH DETAILED ANSWERS | VERIFIED FOR GUARANTEED PASS | LATEST UPDATE

Question 1: A nurse is developing a plan of care for a newborn who is to undergo phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan? - A) Dress the newborn in a light cotton outfit with a hat to protect from the light - B) Remove all clothing from the newborn except the diaper. - C) Cover the newborn’s eyes with a cloth while phototherapy is in progress - D) Limit the duration of phototherapy to 2 hours per session **Correct Answer:** B) Remove all clothing from the newborn except the diaper. **Rationale:** Removing clothing allows maximum skin exposure to the phototherapy light, which is essential for effective treatment of hyperbilirubinemia. --- ### Question 2: A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure? - A) Provide education about fetal movement - B) Administer Rho(D) immune globulin if indicated - C) Monitor the fetal heart rate (FHR) - D) Assess for signs of infection **Correct Answer:** C) Monitor the fetal heart rate (FHR) **Rationale:** Monitoring the FHR is a priority to ensure that the fetus is responding appropriately following the invasive procedure of amniocentesis. --- ### Question 3: A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider? - A) Maternal weight gain of 1 lb this week - B) Mild swelling of the hands and feet - C) Reports of decreased fetal movement - D) Occasional round ligament pain **Correct Answer:** C) Reports of decreased fetal movement **Rationale:** Decreased fetal movement can indicate fetal distress or other complications and should be reported to the provider immediately. --- ### Question 4: A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke." Which of the following interventions is the nurse's priority? - A) Administer analgesics - B) Assess maternal vital signs - C) Begin fetal heart rate (FHR) monitoring - D) Prepare for an immediate delivery **Correct Answer:** C) Begin fetal heart rate (FHR) monitoring **Rationale:** FHR monitoring is crucial following rupture of membranes to assess the fetal condition and identify any potential distress. --- ### Question 5: A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests? - A) Non-stress test (NST) - B) Amniocentesis - C) Biophysical profile - D) Ultrasound examination **Correct Answer:** C) Biophysical profile **Rationale:** A positive contraction stress test indicates potential fetal distress, and a biophysical profile is used to assess fetal well-being and health. --- ### Question 6: A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor. Available is 20g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to administer how many mL/hr? - A) 25 mL/hr - B) 50 mL/hr - C) 100 mL/hr - D) 200 mL/hr **Correct Answer:** B) 50 mL/hr **Rationale:** To provide 2g/hour of magnesium sulfate, the nurse must calculate the infusion rate using the concentration, which results in a rate of 50 mL/hr. --- ### Question 7: A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider? - A) Urine specific gravity of 1.020 - B) Vital signs stable - C) BUN 25 mg/dL - D) Weight loss of 2 lbs **Correct Answer:** C) BUN 25 mg/dL **Rationale:** An elevated BUN indicates dehydration, which is a significant concern in clients with hyperemesis gravidarum and should be reported to the provider. --- ### Question 8: A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? - A) Jitteriness - B) Bradycardia - C) Respiratory distress - D) Yellow skin tone **Correct Answer:** A) Jitteriness **Rationale:** Jitteriness is a common sign of hypoglycemia in newborns. Respiratory distress is not specifically indicative of hypoglycemia. --- ### Question 9: A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy. Which of the following should the nurse identify as a risk factor for the development of preeclampsia? - A) Age under 20 years - B) History of gestational diabetes - C) Pregestational Diabetes Mellitus - D) Healthy body mass index (BMI) **Correct Answer:** C) Pregestational Diabetes Mellitus **Rationale:** Pregestational diabetes mellitus is a recognized risk factor for the development of preeclampsia in pregnancy. --- ### Question 10: A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon reviewing the client's medical record, which of the following findings should the nurse report to the provider? - A) Fundal height measurement consistent with gestational age - B) Maternal report of normal fetal movement - C) Fundal height measurement of 30 cm - D) Maternal weight gain of 10 lbs since the last visit **Correct Answer:** C) Fundal height measurement of 30 cm **Rationale:** A fundal height measurement that is significantly larger than expected for gestational age (26 weeks) may indicate potential complications such as polyhydramnios or macrosomia and should be reported to the provider. --- ### Question 11: A nurse is assessing a newborn who is 16 hours old. Which of the following findings should the nurse report to the provider? - A) Temp of 97.6°F - B) Heart rate of 140 bpm - C) Substernal retractions - D) Weight loss of 6% **Correct Answer:** C) Substernal retractions **Rationale:** Substernal retractions are a sign of respiratory distress in a newborn and warrant immediate reporting to the provider for further evaluation and intervention