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ATI Maternal Newborn Proctored Exam 2023/24- Questions With Accurate Solutions

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ATI Maternal Newborn Proctored Exam 2023/24- Questions With Accurate Solutions

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  • August 29, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • ati maternal newborn proctored exam 202324 quest

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ATI Maternal Newborn Proctored Exam 2023/24-
Questions With Accurate Solutions

A nurse is assisting the provider administer a dinoprostone insert labor for a
client. Which of the following actions should the nurse take? Right Ans - A.
Place the client in semi-fowler position for 1 hr after administration

A nurse is caring for a 2-day-old newborn who was born t 35 weeks gestation.
Which of the following actions should the nurse take? Right Ans - D. Insert
an orogastric decompression tube with low wall suction

A nurse is proving teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statements by the client indicated an
understanding of the teaching? Right Ans - D. "This medication could cause
me to experience heart palpitations"

A nurse in a provider's office is caring for a 20-year old client who is at 12
weeks gestation and requests an amniocentesis to determine the sex of her
fetus. Which of the following responses should the nurse make?
A."You cannot have an amniocentesis until you are at least 35 years of age.".
B."We can schedule the procedure for later today if you'd like.".
C." This procedure determines if your baby has genetic or congenital
disorders.".
D,"Your provider will schedule a chorionic villus sampling to determine the
sex of your baby.". Right Ans - C." This procedure determines if your baby
has genetic or congenital disorders."

A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Which of the following findings should the nurse expect? Right Ans - A.
Uterine Tenderness

A nurse manager on the labor and delivery unit is teaching a group of newly
licensed nurses about maternal cytomegalovirus. Which of the following
information should the nurse manager include in the teaching? Right Ans -
A. "Transmission can occur via the saliva and urine of the newborn"

A nurse is caring for a client who has hyperermesis gravidarum. Which of the
following laboratory tests should the nurse anticipate?

,A. complete blood count
B. Liver enzymes
C. Bilirubin Level
D. Urine ketones Right Ans - D. Urine Ketones

When using the urgent vs nonurgen approach to client care, the nurse should
determine that the priority laboratory test to check is urine ketones. Excessive
ketones in the urine indicate the body is not using carbohydrates from food as
fuel and is inadequately trying to break down fat.

A nurse is caring for four clients. For which of the following clients should the
nurse auscultate the fetal heart rate during the prenatal visit? Right Ans -
D. A client who has felt quickening for the first time

A nurse is monitoring a client who has preeclampsia and is receiving
magnesium sulfate by continuous IV infusion. Which of the following findings
should the nurse report to the provider? Right Ans - D. Urine output less
than 20

A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an
understanding of the teaching?

A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
D. "My monthly menstrual period will be shorter." Right Ans - B. "Ovulation
will remain the same."

Ovulation (egg release from the ovaries) will remain the same. Tubal ligation
also known as having your tubes tied or tubal sterilization is a type of
permanent birth control. During tubal ligation, the fallopian tubes are cut, tied
or blocked to permanently prevent pregnancy. Tubal ligation prevents an egg
from traveling from the ovaries through the fallopian tubes and blocks sperm
from traveling up the fallopian tubes to the egg. The procedure doesn't affect
your menstrual cycle it just prevents fertilization.

,A nurse is assessing a newborn following 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 Right Ans - C. Facial Palsy

Difficult delivery, with or without the use of an instrument called forceps, may
lead to facial palsy. Facial paralysis 15 minutes after forceps birth or absence
of movement on affected side is especially noticeable when infant cries.

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 hrs. Right Ans - A. Assisting the
client into squatting position

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 Right Ans - D. Malodorous Discharge

Although trichomoniasis may be asymptomatic, women commonly experience
characteristically yellowish-to-greenish, frothy, mucopurulent, copious,
malodorous discharge. Inflammation of the vulva, vagina, or both may be
present; and the woman may complain of irritation and pruritus. Dysuria and
dyspareunia are often present.

, A nurse is caring for a client who is at 14 weeks of gestation. At which of the
following locations should the nurse place the doppler device when assessing
the fetal heart rate?

A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process Right Ans - A. Midline 2 to 3 cm (0.8 to 1.2
in) above the symphysis pubis

Toward the end of the first trimester, before the uterus is an abdominal organ,
the fetal heart tones (FHTs) can be heard with an ultrasound fetoscope or an
ultrasound stethoscope (Fig. 8-8). To hear the FHTs, place the instrument in
the midline just above the symphysis pubis and apply firm pressure. The
woman and her family should be offered the opportunity to listen to the FHTs.
The health status of the fetus is assessed at each visit for the remainder of the
pregnancy.

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?

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 Right Ans - D. Platelet Count 60,000/ mm3

Platelets < 100,000/mm3 (60,000/mm3) is below the expected reference
range, which can indicate DIC. The nurse should report this result to the
provider. In a 24-hour specimen proteinuria is defined as a concentration at
or > 300 mg/24 hours.

A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?

A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills Right Ans - C. Breast Tenderness

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