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ATI RN Maternal Newborn proctored EXAM with NGN ALL 400 NEWEST QUESTIONS AND VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR

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Page 1 of 133




ATI RN Maternal Newborn proctored EXAM
with NGN ALL 400 NEWEST QUESTIONS AND
VERIFIED SOLUTIONS LATEST UPDATE THIS
YEAR


QUESTION: A nurse is providing teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statement by client indicates an understanding of the
teaching?


A." The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears"
D. "This medication could cause me to experience frequent blurry vison" - ANSWER-A." The
medication could cause me to experience heart palpitation" .


QUESTION: A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following laboratory tests should the nurse anticipate?


A . Urine Ketones
B. Rapid plasma regain
C. Prothrombin time
D. Urine culture - ANSWER-Urine Ketones


QUESTION: A nurse is caring for a client who is in labor and requests nonpharmacological pain
management. Which of the following nursing actions promotes client comfort?


A. Assisting the client into squatting position


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, Page 2 of 133


B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hours - ANSWER-A. Assisting the client into squatting
position


QUESTION: A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Which of the following findings should the nurse expect?


A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge - ANSWER-Malodorous Discharge


Q; A nurse is assessing a newborn following a forceps-assisted birth. Which of the following
clinical manifestations should the nurse identify as a complication of the birth method?


A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia - ANSWER-C. Facial Palsy


Most babies delivered by forceps suffer no long-term problems, but in rare cases an injury is
sustained to the facial nerve, due to the pressure of the forceps blade on the baby's head.


QUESTION: A nurse is caring for a client who is 14 weeks of gestation. At which the following
locations should the nurse place the Doppler device when assessing the fetal heart rate?


A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis



2

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B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process - ANSWER-A. Midline 2 to 3 cm (0.8 to 1.2 in) above the
symphysis pubis


QUESTION: A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia.
Which of the following findings should the nurse report to the provider?


A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3 - ANSWER-Platelet Count 60.000/ mm3


platelet count of less than 100,000 correlates with how severe the condition is.


QUESTION: A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?


A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills - ANSWER-C. breast Tenderness


Breast tenderness is a common side effect of clomiphene citrate. This is due to the hormonal
changes induced by the medication.
Here is a table summarizing some common and less common side effects of clomiphene citrate:
Common Side Effects
-Breast tenderness


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-Hot flushes
-Bloating
-Nausea


Less Common Side Effects:
- Visual disturbances
-Mood changes
-Headaches


QUESTION: A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?


A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference - ANSWER-Chest
circumference 2 cm (0.8 in) smaller than the head circumference


head circumference is always 2cm more than the chest in normal term babies


QUESTION: A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of the following interventions should the nurse include in the plan of care?


A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation
D. Swaddle the newborn in a flexed position - ANSWER-Swaddle the newborn in a flexed
position


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