2023 ATI Maternal Newborn Proctored Retake Exam 2019 with NGN Version 3 Questions and Answers (Verified Revised Full Exam)
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ATI Maternal Newborn 2019 with NGN
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ATI Maternal Newborn 2019 With NGN
2023 ATI Maternal Newborn Proctored Retake Exam 2019 with NGN Version 3 Questions and Answers (Verified Revised Full Exam)
2023 ATI Maternal Newborn Proctored Retake Exam 2019 with NGN Version 3 Questions and Answers (Verified Revised Full Exam)
ATI Maternal Newborn Proctored 2019 Retake Exam with NGN 1. A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The client begins to show indications of magnesium sulfate toxicity. Which of the following medications should the nurse prepare to administer? A. Protamine sulfate B. Naloxone C. Calcium gluconate D. Flumazenil ANS C. Calcium gluconate Explanation The nurse should discontinue the magnesium sulfate infusion imme - diately and prepare to administer calcium gluconate IV to reverse the effects of magnesium to prevent cardiac and respiratory arrest. 2. A nurse is caring for a client who is nulliparous and experiencing hypertonic uterine dysfunction. An assessment indicates 3 cm dilation. Which of the following actions should the nurse take? A. Encourage the client to bear down with contractions B. Request a prescription to initiate oxytocin C. Offer the client hydrotherapy D. Assist the client with ambulation ANS C. Offer the client hydrotherapy Explanation Therapeutic rest measures should be initiated for a client who has hypertonic uterine dysfunction. Therapeutic rest can include hydrotherapy and anal- gesia to relieve pain. Decreasing uterine contractions and helping the client relax and sleep will help prevent early exhaustion. 3. A nurse is evaluating a client who has just received instructions about breastfeeding. Which of the following statements should the nurse identify as an indication that the client understands how to prevent mastitis? A. "I will wear an underwire bra to provide support when my milk comes in." B. "I will apply petroleum jelly if my nipples become cracked." C. "I will apply warm compresses to my breast twice a day." D. "I should avoid waiting too long between feedings." ANS D. "I should avoid waiting too long between feedings." Explanation Mastitis is an inflammation or infection of the breast. Risk factors include insufficient emptying of the breasts during breastfeeding, stress, illness, poor nutrition, and fatique. 4. A nurse is assessing a client who has hyperemesis gravidarum. Which of the following findings should the nurse expect? A. Elevated serum potassium level B. Rapid weight gain C. Peripheral edema D. Presence of ketones in the urine ANS D. Presence of ketones in the urine Explanation the nurse should expect a client who has hyperemesis gravidarum to have ketonuria due to an inadequate dietary intake, resulting in the breakdown of protein and stored fat. 5. A community health nurse is planning care for a 4 high -risk newborns who were discharged yesterday. Which of the following newborns should the nurse plan to care for first? A. A 1-week -old newborn who needs another phenylketonuria screening test B. A 4-day-old newborn who has an elevated bilirubin level and requires phototherapy C. A 10-day-old newborn who is small for gestational age and requires daily weighing. D. A 2-week -old newborn who was born at 35 weeks gestation and weighed 2, 268 g ANS B. A 4-day-old newborn who has an elevated bilirubin level and requires phototherapy. Explanation The nurse should use Maslow's Hierarchy of Needs, the ABC prior - ity-setting framework, and/or nursing knowledge to identify which risk poses the greatest threat to the client. An elevated bilirubin level can lead to kernicterus thereforeit is imperative for the nurse to initiate phototherapy immediately to help prevent this dangerous outcome. 6. A nurse is caring for a client at 12 weeks gestation who has a BMI of 45. Which of the following pieces of information should the nurse provide for the client regarding the recommended weight gain during her pregnancy? A. "You should plan to gain no more than 20 pounds during your pregnancy." B. "You should plan to gain between 25 and 35 pounds during your pregnan - cy." C. "You should not plan to gain any weight during your pregnancy because you are already well -nourished." D. "Since you hav ANS A. "You should plan to gain no more than 20 pounds during your
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