ATI RN MATERNITY PROCTORED NEWEST 2024 ACTUAL
EXAM TEST BANK COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
a nurse is caring for a postpartum client who is receiving heparin via a continuous iv infusion for
thrombophlebitis in her left calf. which of the following actions should the nurse take? - answer-
:maintain the client on bed rest.
The client should remain on bed rest to decrease the risk of dislodging the clot, which could
cause a pulmonary embolism. Elevation of the affected leg is recommended.
a nurse is providing discharge teaching to a client who had a c section birth 3 days ago. which of
the following instructions should the nurse include? - answer-:"You can still become pregnant if
you are breastfeeding."
The nurse should instruct the client that breastfeeding does not prevent ovulation. Therefore,
the client can become pregnant. The nurse should discuss contraception that is safe to use
while breastfeeding.
a nurse is performing a physical assessment of a newborn. which of the following clinical
findings should the nurse expect? - answer-:Heart rate 154/min is correct. The expected
reference range for a newborn's heart rate is from 110/min to 160/min while awake.
Respiratory rate 58/min is correct. The expected reference range for a newborn's respiratory
rate is from 30/min to 60/min.
Weight 2.6 kg (5 lb 12 oz) is correct. The expected reference range for a newborn's weight is
from 2,500 to 4,000 g (5.5 lb to 8.8 lb).
, a nurse is performing a routine assessment on a client who is at 18 weeks of gestation. which of
the following findings should the nurse expect? - answer-:FHR 152 a min
The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier in gestation
with an average of approximately 160/min at 20 weeks of gestation. Therefore, this is an
expected finding by the nurse.
a nurse is reviewing the prenatal labs for a client who is at 12 weeks of gestation following an
initial prenatal visit. which of the following lab findings should the nurse report to the provider. -
answer-:hemoglobin 10 g/dl
A hemoglobin of 10 g/dL is below the expected reference range of greater than 11 g/dL for a
client who is pregnant. The nurse should report this finding to the provider to obtain a
prescription for ferrous iron supplementation because of anemia.
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 the nurse include in the plan? -
answer-:remove all clothing from the newborn except the diaper.
The nurse should remove all the newborn's clothing except the diaper while under
phototherapy. Maximum skin exposure to the ultraviolet light is needed to break down the
excess bilirubin.
a nurse is caring for a client who is at 15 weeks of gestation, is rh neg, and has just had an
amniocentesis. which of the following interventions is the nurse's priority following the
procedure? - answer-:monitor FHR
The greatest risk to this client and her fetus is fetal death. Therefore, the priority nursing
intervention is to monitor the FHR following an amniocentesis.
EXAM TEST BANK COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
a nurse is caring for a postpartum client who is receiving heparin via a continuous iv infusion for
thrombophlebitis in her left calf. which of the following actions should the nurse take? - answer-
:maintain the client on bed rest.
The client should remain on bed rest to decrease the risk of dislodging the clot, which could
cause a pulmonary embolism. Elevation of the affected leg is recommended.
a nurse is providing discharge teaching to a client who had a c section birth 3 days ago. which of
the following instructions should the nurse include? - answer-:"You can still become pregnant if
you are breastfeeding."
The nurse should instruct the client that breastfeeding does not prevent ovulation. Therefore,
the client can become pregnant. The nurse should discuss contraception that is safe to use
while breastfeeding.
a nurse is performing a physical assessment of a newborn. which of the following clinical
findings should the nurse expect? - answer-:Heart rate 154/min is correct. The expected
reference range for a newborn's heart rate is from 110/min to 160/min while awake.
Respiratory rate 58/min is correct. The expected reference range for a newborn's respiratory
rate is from 30/min to 60/min.
Weight 2.6 kg (5 lb 12 oz) is correct. The expected reference range for a newborn's weight is
from 2,500 to 4,000 g (5.5 lb to 8.8 lb).
, a nurse is performing a routine assessment on a client who is at 18 weeks of gestation. which of
the following findings should the nurse expect? - answer-:FHR 152 a min
The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier in gestation
with an average of approximately 160/min at 20 weeks of gestation. Therefore, this is an
expected finding by the nurse.
a nurse is reviewing the prenatal labs for a client who is at 12 weeks of gestation following an
initial prenatal visit. which of the following lab findings should the nurse report to the provider. -
answer-:hemoglobin 10 g/dl
A hemoglobin of 10 g/dL is below the expected reference range of greater than 11 g/dL for a
client who is pregnant. The nurse should report this finding to the provider to obtain a
prescription for ferrous iron supplementation because of anemia.
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 the nurse include in the plan? -
answer-:remove all clothing from the newborn except the diaper.
The nurse should remove all the newborn's clothing except the diaper while under
phototherapy. Maximum skin exposure to the ultraviolet light is needed to break down the
excess bilirubin.
a nurse is caring for a client who is at 15 weeks of gestation, is rh neg, and has just had an
amniocentesis. which of the following interventions is the nurse's priority following the
procedure? - answer-:monitor FHR
The greatest risk to this client and her fetus is fetal death. Therefore, the priority nursing
intervention is to monitor the FHR following an amniocentesis.
