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Maternal newborn ati proctored exam 2024/2025 already graded A+
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Maternalnewborn
ati
proctored
exam
2019
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
-
ANSb.
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
-
ANSa.
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
-
ANSa.
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
-
ANSa.
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
-
ANSa.
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
-
ANSb.
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
-
ANSa.
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
-
ANSd.
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
-
ANSb.
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
-
ANSa.
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
-
ANSc.
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.
A
nurse
is
reviewing
the
medical
record
of
a
client
who
is
at
33
wks
gestation
and
has
placenta
previa
and
bleeding.
What
scripts
should
the
nurse
clarify
with
the
provider?
a.
insert
a
large-bore
IV
catheter
b.
perform
a
vaginal
exam
c.
perform
continuous
external
fetal
monitoring
d.
obtain
a
blood
sample
for
lab
testing
-
ANSb.
perform
a
vaginal
exam
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
clarify
this
prescription
because
any
manipulation
can
cause
tearing
of
the
placenta
and
increased
bleeding.
A
nurse
is
caring
for
a
client
who
is
at
37
wks
gestation
and
is
undergoing
a
nonstress
test.
The
FHR
is
130
without
accelerations
for
the
past
10
min.
What
action
should
the
nurse
take?
a.
request
a
script
for
an
internal
fetal
scalp
electrode
b.
auscultate
the
FHR
with
a
doppler
transducer
c.
report
the
nonreactive
test
result
to
the
provider
immediately
d.
use
vibroacoustic
stim
on
the
client's
abd
for
3
seconds
-
ANSd.
use
vibroacoustic
stim
on
the
client's
abd
for
3
seconds
The
nurse
should
use
a
vibroacoustic
stimulator
on
the
client's
abdomen
to
elicit
fetal
activity
because
the
fetus
is
most
likely
sleeping.
Fetal
movement
should
cause
accelerations
in
the
FHR. A
nurse
is
reviewing
lab
results
for
a
client
who
is
at
37
wks
gestation.
The
nurse
notes
that
the
client
is
rubella
non-immune,
positive
for
group
A
beta-hemolytic
strep,
and
has
a
blood
type
O
neg.
What
action
should
the
nurse
take?
a.
instruct
the
client
to
obtain
a
rubella
immunization
after
delivery
b.
request
a
script
for
an
antibiotic
until
delivery
c.
inform
the
client
that
she
will
have
to
deliver
via
c-section
d.
administer
a
dose
of
Pho(D)
immune
globulin
-
ANSa.
instruct
the
client
to
obtain
a
rubella
immunization
after
delivery
A
nurse
is
reviewing
the
med
record
of
a
client
who
is
at
39
wks
gestation
and
has
polyhydramnios.
What
finding
should
the
nurse
expect?
a.
total
pregnancy
wt
gain
of
3.6
kg
b.
fetal
GI
anomaly
c.
gestational
HTN
d.
fundal
height
of
34
cm
-
ANSb.
fetal
GI
anomaly
Polyhydramnios
is
the
presence
of
excessive
amniotic
fluid
surrounding
the
unborn
fetus.
Gastrointestinal
malformations
and
neurologic
disorders
are
expected
findings
for
a
fetus
experiencing
the
effects
of
polyhydramnios.
A
nurse
is
teaching
a
client
who
has
pre-eclampsia
and
is
to
receive
magnesium
sulfate
via
continuous
IV
infusion
about
expected
adverse
effects.
What
adverse
effects
should
the
nurse
include
in
the
teaching?
a.
elevated
BP
b.
feeling
of
warmth
c.
generalized
pruritis
d.
hyperactivity
-
ANSb.
feeling
of
warmth
The
nurse
should
tell
the
client
to
expect
the
feeling
of
warmth
all
over
her
body
while
the
magnesium
sulfate
is
infusing.
A
nurse
is
caring
for
a
client
who
is
in
the
latent
phase
of
labor
and
is
experiencing
low
back
pain.
What
action
should
the
nurse
take?
a.
position
the
client
supine
with
legs
elevated
b.
instruct
the
client
to
pant
during
contractions
c.
encourage
the
client
to
soak
in
a
warm
bath
d.
apply
pressure
to
the
client's
sacral
area
during
contractions
-
ANSd.
apply
pressure
to
the
client's
sacral
area
during
contractions
A
nurse
is
teaching
a
client
who
is
at
12
wks
gestation
about
manifestations
of
potential
complications
that
she
should
report
to
her
provider.
What
info
should
the
nurse
include
in
the
teaching?
a.
intermittent
nausea
b.
white
vaginal
discharge
c.
swelling
of
the
face
d.
urinary
frequency
-
ANSc.
swelling
of
the
face
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