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Exam (elaborations)

PN ATI MATERNAL NEWBORN PROCTORED EXAM 2024

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PN ATI MATERNAL NEWBORN PROCTORED EXAM 2024

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Document information

  • June 11, 2024
  • 55
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • pn ati maternal newborn proctored exam 2024

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  • Maternal newborn
  • Maternal newborn

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By: TheAlphanurse • 4 months ago

GREAT DOC!! DETAILED ANSWERS. VALUE FOR MONEY HONESTLY. GOOD WORK

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By: kihumba • 4 months ago

GREAT DOCUMENT. VERIFIED EXAM QUESTIONS. GREAT VALUE FOR MONEY

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ATI RN MATERNAL NEWBORN ONLINE PRACTICE
PROCTORED EXAM WITH NGN 2023 | NEXT GEN
FORMAT | ACCURATE REAL EXAM QUESTIONS
AND ANSWERS WITH DETAILED SOLUTIONS AND
RATIONALES | GUARANTEED PASS | GRADED A

A weight gain of 2.2 kg (4.8lb) in a week is above the expected range and could
indicate complications. Therefore this finding should be reported to the provider.
1. A nurse is providing teaching for a client who gave birth 2hr ago about the
facility policy for newborn safety . which of the following client statement
indicates an understanding of the teaching?
a. “My sister will be able to carry my baby from the nursery to my room when
she arrives.”
b. “ The nurse will match my wrist band to my baby’s crib card when they bring
him to me.”
c. “The person who comes to take my baby’s pictures will be wearing a photo
identification badge.”
d. “My baby doesn’t need to wear the electronic security bracelet when he’s in
my room.”

Rationale
all peRsonnel woRking on the unit should be weaRing a
photo identification badge. the nuRse should instRuct the
paRent to neveR allow anyone who is not weaRing an
identification badge to come in contact with the newboRn.
2. A nurse is teaching a newly licensed nurse about collecting a specimen for
the universal newborn screening, which of the following statements should
the nurse include in the teaching?
a. “Obtain an informed consent prior to obtaining the specimen”
b. “Collect at least 1 milliliter of urine for the test”
c. “Ensure that the newborn has been receiving feedings for 24 hours prior
to obtaining the specimen”

, d. “Premeasure newborns may have false negative tests due to immature
development of liver enzymes”

Rationale
the nuRse should ensuRe that the newboRn has been
Receiving RegulaR feedings foR atleast 24 hR pRioR to
testing

3. A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client
who is in preterm labor. Available is 20g magnesium sulfate in 500 ml of
dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many ml/hr? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing zero.)

50 ml/hr
2g/hr X 500 mL = 1,000 mL/g/hr
1,000 mL/g/hr/20g = 50 mL/hr

4. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease).
Which of the following actions should the nurse take?
a. Administer antiviral medication.
b. Schedule an ultrasound examination
c. Administer Haemophilus influenzae type b vaccine.
d. Schedule an indirect Coomb’s test
Rationale
the nuRse should schedule seRial ultRasound
examinations to monitoR the fetus duRing the
pRegnancy to detect the possible development of fetal
hydRops. also, the viRus can cause miscaRRiage,
intRauteRine gRowth RestRiction, fetal anemia, oR
stillbiRth.

5. A nurse is performing a routine assessment on client who is at 18 weeks of
gestation. Which of the following findings shouls the nurse expect?

, a. Deep tendon reflexes 4+
b. Fundal height 14 cm
c. Urine protein 2+
d. FHR 152/min

Rationale
the expected Range foR the fhR is 110/min to 160/min.
the fhR is higheR eaRlieR in gestation with an aveRage
of appRoximately 160/min at 20 weeks of gestation.
theRefoRe, this is an expected finding by the nuRse.
6. A nurse is providing education about family bonding to parents who
recently adopted a newborn. The nurse should make which of the following
suggestions to aid the family’s 7-year-old child in accepting the new family
member?
a. Allow the sibling to hold the newborn during bath.
b. Make sure the sibling kisses the newborn each night
c. Obtain a gift from the newborn to present to the sibling
d. Switch the sibling’s room with the nursery.

Rationale
pResenting a gift fRom the newboRn to the sibling is a
stRategy to facilitate a school-age sibling’s
acceptance of a new family membeR. this ensuRes that
the sibling does not feel left out and that they
undeRstand theiR new Role in the family.

7. A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat perterm labor. The nurse
should notify the provider of which of the following adverse effects?
a. Client reports nausea
b. Urinary output of 40 mL/hr
c. Respiratory rate 10/min
d. Client reports feeling flushed

, Rationale
the nuRse should RepoRt a RespiRatoRy Rate of less
than 12/min to the pRovideR, because this is a
manifestation of magnesium toxicity. the nuRse should
ensuRe that the antidote, calcium gluconate is Readily
available.

8. A nurse is caring for a client who is anemic at 32 weeks of gestation and is in
preterm labor. The provider prescribed betamethasone 12 mg IM. Which of
the following outcomes should the nurse expect?
a. Decreased uterine contractions
b. An increase in the client’s hemoglobin levels
c. A reduction in respiratory distress in the newborn
d. Increased production of antibodies in the newborn

Rationale
betamethsone is a glucocoRticoid that is given to
stimulate fetal lung matuRity and pRevent
RespiRatoRy distRess.
9. A nurse is caring for a newborn who is 70 hr old

Which of the following findings should the nurse report to the provider?
Select all that apply.
Medical history
Newborn delivered by repeat cesarean birth at 40 weeks of gastation
Birth weight 7lb 12 oz (3, 515g )
Apgar scores 8 at 1 min and 9 at 5 min

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