NGN Maternal newborn ati proctored
exam
A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - CORRECT ANSWER b. betamethasone
A n...
A nurse is caring for a client who is at 32 wks gestation and is
experiencing preterm labor. What meds should the nurse plan to
administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine - CORRECT ANSWER b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she
may be pregnant and asks the nurse how the provider will confirm
her pregnancy. The nurse should inform the client that what lab
test will be used to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone -
CORRECT ANSWER a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant.
What finding should the nurse identify as a positive sign of
pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
d. positive pregnancy test - CORRECT ANSWER a. palpable
fetal movement
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect?
a. renal agenesis
,b. atrial septal defect
c. spina bifida
d. hydrocephalus - CORRECT ANSWER a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings
should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea - CORRECT ANSWER a. uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect?
a. hypothermia
b. dark brown vaginal discharge
c. fetal heart tones
d. decreased urinary output - CORRECT ANSWER b. dark
brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign
proliferative growth of the chorionic villi, which gives rise to
multiple cysts. The products of conception transform into a large
number of edematous, fluid-filled vesicles. As cells slough off the
uterine wall, vaginal discharge is usually dark brown and can
contain grapelike clusters.
A nurse is assessing a client who is at 35 weeks of gestation and
has mild gestational HTN. What finding should the nurse identify
as the priority?
a. 480 mL urine output in 24 hrs
b. 1+ protein in the urine
,c. +2 edema of the feet
d. BP 144/92 - CORRECT ANSWER a. 480 mL urine output in
24 hrs
When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is 480 mL of urine
output in 24 hr because the minimum acceptable urine output in
an adult client is 30 mL/hr. This can indicate progression of
preeclampsia to preeclampsia with severe features, which
requires immediate intervention. Therefore, this is the priority
finding.
A nurse is teaching a client who is at 12 wks gestation and has
HIV. What statement should the nurse include in the teaching?
a. you will be in isolation after delivery
b. abstain from sexual intercourse throughout pregnancy
c. breastfeed your newborn to provide passive immunity
d. you should continue to take zidovudine throughout the
pregnancy - CORRECT ANSWER d. you should continue to
take zidovudine throughout the pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to
her newborn.
A nurse is providing teaching to a client who is at 8 wks gestation
about manifestations to report to the provider during pregnancy.
What info should the nurse include in the teaching?
a. nausea upon awakening
b. blurred or double vision
c. increase in white vaginal discharge
, d. leg cramps when sleeping - CORRECT ANSWER b. blurred
or double vision
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. administer terbutaline 0.25mg subq - CORRECT ANSWER
a. decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because
the client is experiencing uterine tachysystole.
A nurse is caring for a client who is in active labor and has
meconium staining of the amniotic fluid. 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 - CORRECT
ANSWER c. prepare equipment needed for newborn
resuscitation
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.
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