NGN ATI PN MATERNAL NEWBORN PROCTORED EXAM 2020 (UPDATED 2024) 70 QUESTIONS AND ANSWERS WITH RATIONALE.

NGN ATI PN MATERNAL NEWBORN PROCTORED EXAM 2020 (UPDATED 2024) 70 QUESTIONS AND ANSWERS WITH RATIONALE. A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching? A. Ovulation will remain the same B. Hormone replacement will be needed following the procedure C. My monthly cycle will be shorter D.Ovulation remains the same A nurse is assessing a newborn who is born via forceps assisted birth. which of the following findings should the nurse identify as injury caused by forceps? A. Facial asymmetry B. Depressed anterior fontanel C. Uneven gluteal skin folds D. Epicanthal folds 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 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? “The medication could cause me to experience heart palpitation” “This medication could cause me to experience blurred vision” “This medication could cause me to Test Bank Page 3 experience ringing in my ears” “This medication could cause me to experience frequent …” A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? Urine Ketones Rapid plasma regains Prothrombin time Urine culture 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 B.Having the client lie in a supine position C.Applying fundal pressure during contractions D.Encouraging the client to void every 6 hr 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 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? Test Bank Page 4 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 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 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 A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take? A.Obtain a blood sample for a serum glucose level B.Feed the newborn immediately C.Administer 50 mL of dextrose solution IV D.Reassess the blood glucose level prior to the next feeding A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following Test Bank Page 5 findings should the charge nurse instruct the staff members to report to the provider? A.Contraction durations of 95 to 100 seconds B.Contraction frequency of 2 to 3 min apart C. Absent early deceleration of fetal heart rate D.Fetal heart rate is 140/min A nurse in a woman’s health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory disease (PID)? A.Recurrent Cystitis B.Frequent Alcohol Use C.Use of Oral Contraceptives D.Chlamydia Infection A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A.½ cup cubed avocado B.1 large banana C.1 medium potato D.1 cup cooked broccoli