Ngn Ati Rn Maternal Newborn Proctored Exam
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1. A nurse is caring for a client who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion.The nurse notes that the client is having
contractions every 2 min which last 100-110 seconds that the fetal heart rate is
reassuring.What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administerterbutaline 0.25mg subq
Answer>>a.decrease the dose of oxytocin by half
Rationale: The nurseshould decrease the dose of oxytocin by half because the client is
,experiencing uterine tachysystole.
2. A nurse is caring for a client who is in active labor and has meconium staining of the
amnioticfluid. The nurse notes a reassuring FHR tracing from the external fetal monitor.
What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam
Answer>> c.prepare equipmentneeded for newborn resuscitation
Rationale: The nurse should ensure that all supplies and equipment needed for
resuscitation of the newborn are readily available for every delivery. Endotracheal
suctioning
is recommended in cases of meconium staining only if the newborn has poor respiratory
effort, decreased muscle tone, and bradycardia after delivery.
, 3. A nurse is reviewing the medical record of a client who is at 33 wks gestationand
hasplacentapreviaandbleeding.What scriptsshouldthenurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtaina blood samplefor lab testing
Answer>> b.perform a vaginal exam
Rationale: When a client has a placenta previa, the placenta implants in the lower part of
the uterus and obstructs the cervical os (the opening to the vagina).The nurse should
clarifythisprescriptionbecauseanymanipulationcancausetearingoftheplacenta and
increased bleeding.
2025/26 Newest Exam Complete Questions With
Detailed Verified Answers, 100% Guaranteed Pass
||Complete A+ Guide
➢ 300+ Multiple Choice Questions With Correct Answers
➢ 100% Guaranteed Pass & Satisfaction
➢ Rationalized Questions With Wide Coverage
, NgnAtiRnMaternal NewbornProctoredExam2025/26Newest
xz
Exam Complete Questions With Detailed Verified Answers, 100%
Guaranteed Pass ||Complete A+ Guide
1. A nurse is caring for a client who is in the latent phase of labor and is receiving
oxytocin via continuous IV infusion.The nurse notes that the client is having
contractions every 2 min which last 100-110 seconds that the fetal heart rate is
reassuring.What action should the nurse take?
a. decrease the dose of oxytocin by half
b. administer oxygen via nonrebreather mask
c. decrease the infusion rate of the maintenance IV fluid
d. administerterbutaline 0.25mg subq
Answer>>a.decrease the dose of oxytocin by half
Rationale: The nurseshould decrease the dose of oxytocin by half because the client is
,experiencing uterine tachysystole.
2. A nurse is caring for a client who is in active labor and has meconium staining of the
amnioticfluid. The nurse notes a reassuring FHR tracing from the external fetal monitor.
What action should the nurse take?
a. prepare the client for emergency c-section
b. perform endotrach suctioning as soon as the fetal head is delivered
c. prepare equipment needed for newborn resuscitation
d. prepare the client for an ultrasound exam
Answer>> c.prepare equipmentneeded for newborn resuscitation
Rationale: The nurse should ensure that all supplies and equipment needed for
resuscitation of the newborn are readily available for every delivery. Endotracheal
suctioning
is recommended in cases of meconium staining only if the newborn has poor respiratory
effort, decreased muscle tone, and bradycardia after delivery.
, 3. A nurse is reviewing the medical record of a client who is at 33 wks gestationand
hasplacentapreviaandbleeding.What scriptsshouldthenurse clarify with the provider?
a. insert a large-bore IV catheter
b. perform a vaginal exam
c. perform continuous external fetal monitoring
d. obtaina blood samplefor lab testing
Answer>> b.perform a vaginal exam
Rationale: When a client has a placenta previa, the placenta implants in the lower part of
the uterus and obstructs the cervical os (the opening to the vagina).The nurse should
clarifythisprescriptionbecauseanymanipulationcancausetearingoftheplacenta and
increased bleeding.
