ATI RN MATERNAL NEWBORN PROCTORED EXAM
WITH NGN LATEST 2024 COMPLETE 180 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS/ RATED A+
A nurse at an antepartum clinic is caring for a client who is at 4 months of
gestation. The client reports continued nausea and vomiting and scant, prune-
colored discharge. She has experienced no weight loss and has a fundal height
larger than expected. Which of the following complications should the nurse
suspect?
A. Hyperemesis gravidarum
B. Threatened abortion
C. Hydatidiform mole
D. Preterm labor - Correct Answer - C. Hydatidiform mole
a nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy.
which of the following findings is seen with this condition?
a. no alteration in menses
b. trans vaginal ultrasound indicating a fetus in the uterus
c. serum progesterone greater than the expected reference range
d. report of severe shoulder pain - Correct Answer - d report of severe shoulder
pain
A nurse is admitting a client who is in labor and has HIV. which of the
following interventions should the nurse identify as contraindicated for
this client? SATA
pg. 1
, a. episotomy
b. oxytocin infusion
c. forceps
d. c-section
e. internal fetal monitoring - Correct Answer -
a) episotomy
c) forceps
e) internal fetal monitoring
a nurse in an antepartum clinic is assessing a client who has a TORCH infection.
Which of the following findings should the nurse expect? SATA
a. joint pain
b. malaise
c. rash
d. urinary frequency
e. tender lymph nodes - Correct Answer – a) joint pain b) malaise c) rash
e) tender lymph nodes
a nurse is caring for a client who has gonorrhea. which of the following meds
should the nurse anticipate the provider will give?
a Ceftriaxone
b Fluconazole
c Metronidazole
d Zidovudine - Correct Answer - a Ceftriaxone
A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following laboratory tests should the nurse anticipate?
pg. 2
,A. Urine Ketones
B. Rapid plasma regains
C. Prothrombin time
D. Urine culture - Correct Answer – A. Urine Ketones
A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effects should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills - Correct Answer - C (vision disturbances).
A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?
A. Bulging fontanelles
B. Nasal flaring
C. Length from head to heel of 40cm
D. Chest circumference 2c (smaller than the head circumference - Correct Answer - D
A nurse is planning care for a newborn who has necrotizing abstinence
syndrome. Which of the following interventions should the nurse include in the
plan of care?
A.Increase the newborn visual stimulation
B. Weigh the newborn everyday
C. Discourage parental interaction after a social evaluation
D. Swaddle the newborn in a flexed position - Correct Answer - D
pg. 3
, A nurse is caring for a newborn who his 6 hours old had has a bedside
glucometer reading of 65mg/dl. The newborns mother has type 2 diabetes
mellitus. Which of the following actions should the nurse take.
A. obtain a blood sampling for a serum glucose level.
B. Feed the newborn immediately
C. Administer 50ml of dextrose
D. Reassess the blood glucose reading prior to the next feeding - Correct Answer - D
A nurse is providing teaching to a client about exercise safety during pregnancy.
Which of the folioing statements by the client indicates an understanding of the
teaching (SATA)?
A. I will limit my time in the hot tub to 30 miniutes after exercise
B. I should consume three 8 ounce glasses of water after I exercise
C. I will check my heart rate every 15 minutes during
D. I should limit exercise sessions to 30 minutes when the weather is humid
E. I should rest by lying on my side for 10 minutes following exercise. - Correct Answer -
BDE
A charge nurse is teaching a group of staff nurses about fetal monitoring during
labor. Which of the following findings should the charge nurse instruct the staff
members to report to the provider?
A. Contractions duration 95 seconds to 100 seconds
B. Contraction frequency 2-3 minutes
C. Absent early decelerations of fetal heart rate - Correct Answer - C
A nursing is caring for a client who is in labor. the nurse should identify that
which of the following infections can be treated during labor or immediately
following birth? SATA
a. gonorrhea
pg. 4
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