2024 ATI Maternal Newborn Nursing Proctored Exam With Answers (79 Solved Questions)

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ATI RN Maternal Newborn Proctored Exam With NGN Updated 2024A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which ofthe following findings should the nurse expect?A. Thick, White Vaginal DischargeB. Urinary FrequencyC. Vulva LesionsD. Malodorous Discharge - Malodorous DischargeA nurse is caring for a client who is 14 weeks of gestation. At which the following locationsshould 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 pubisB. Left Upper AbdomenC. Two fingerbreadths above the umbilicusD. Lateral at the Xiphoid Process - A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysispubisA nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which ofthe following findings should the nurse report to the provider?A. Urine protein concentration 200 mg/ 24 hrB. Creatinine 0.8 mg/ dLC. Hemoglobin 14.8 g/ dLD. Platelet Count 60.000/ mm3 - Platelet Count 60.000/ mm3platelet count of less than 100,000 correlates with how severe the condition is.A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Whichof the following adverse effect should the nurse include?A. Tinnitus

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B. Urinary FrequencyC. Breast TendernessD. Chills - C. breast TendernessBreast tenderness is a common side effect of clomiphene citrate. This is due to thehormonal changes induced by the medication.Here is a table summarizing some common and less common side effects of clomiphenecitrate:Common Side Effects-Breast tenderness-Hot flushes-Bloating-NauseaLess Common Side Effects:- Visual disturbances-Mood changes-HeadachesA nurse is assessing a newborn following a forceps-assisted birth. Which of the followingclinical manifestations should the nurse identify as a complication of the birth method?A. HypoglycemiaB. PolycythemiaC. Facial PalsyD. Bronchopulmonary dysplasia - C. Facial PalsyMost babies delivered by forceps suffer no long-term problems, but in rare cases an injuryis sustained to the facial nerve, due to the pressure of the forceps blade on the baby's head.A nurse is providing teaching about terbutaline to a client who is experiencing pretermlabor. Which of the following statement by client indicates an understanding of the teaching?A." The medication could cause me to experience heart palpitation"B. "This medication could cause me to experience blurred vision"

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C. "This medication could cause me to experience ringing in my ears"D. "This medication could cause me to experience frequent blurry vison" - A." The medicationcould cause me to experience heart palpitation" .A nurse is caring for a client who has hyperemesis gravidarum. Which of the followinglaboratory tests should the nurse anticipate?A . Urine KetonesB. Rapid plasma regainC. Prothrombin timeD. Urine culture - Urine KetonesA nurse is caring for a client who is in labor and requests nonpharmacological painmanagement. Which of the following nursing actions promotes client comfort?A. Assisting the client into squatting positionB. Having the client lie in a supine positionC. Applying fundal pressure during contractionsD. Encouraging the client to void every 6 hours - A. Assisting the client into squattingpositionA nurse is assessing a newborn upon admission to the nursery. Which of the following shouldthe nurse expect?A. Bulging FontanelsB. Nasal FlaringC. Length from head to heel of 40 cm (15.7 in)D. Chest circumference 2 cm (0.8 in) smaller than the head circumference - Chestcircumference 2 cm (0.8 in) smaller than the head circumferencehead circumference is always 2cm more than the chest in normal term babies

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A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of thefollowing interventions should the nurse include in the plan of care?A. Increase the newborn's visual stimulationB. Weigh the newborn every other dayC. Discourage parental interaction until after a social evaluationD. Swaddle the newborn in a flexed position - Swaddle the newborn in a flexed positionto increase comfort that newborn is receiving.A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actionsshould the nurse take?A. Obtain a blood sample for a serum glucose levelB. Feed the newborn immediatelyC. Administer 50 mL of dextrose solution IVD. Reassess the blood glucose level prior to the next feeding - Reassess the blood glucoselevel prior to the next feedingnewborn blood glucose is normal because it has separated from it's source of energy whichis the mother. Blood glucose for newborn to be considered hypoglycemic is 45mg/dl andbelow.A nurse is providing teaching to a client about exercise safety during pregnancy. Which ofthe following statements by the client indicates an understanding of the teaching? (Select allthat apply).A. "I will limit my time in the hot tub to 30 minutes 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 exercise sessions."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." - C. "I will check myheart rate every 15 minutes during exercise sessions."

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E. "I should rest by lying on my side for 10 minutes following exercise."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 reportto the provider?A. Contraction durations of 95 to 100 secondsB. Contraction frequency of 2 to 3 min apartC. Absent early deceleration of fetal heart rateD. Fetal heart rate is 140/min - Contraction frequency of 2 to 3 min apartlabor is progressing and might deliver soonA nurse in a woman's health clinic is obtaining a health history from a client. Which of thefollowing findings should the nurse identify as increasing the client's risk for developingpelvic inflammatory disease (PID)?A. Recurrent CystitisB. Frequent Alcohol UseC. Use of Oral ContraceptivesD. Chlamydia Infection - Chlamydia InfectionSTDs can cause PIDA nurse is teaching a prenatal class about immunizations that newborns receive followingbirth. Which of the following immunizations should the nurse include in the teaching?A. Hepatitis BB. RotavirusC. PneumococcalD. Varicella - Hepatitis BPart of the EINC and immunizations is Hepa B which follows just when the baby is born

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A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet.The client asks the nurse which foods she should eat to ensure adequate calcium intake. Thenurse should instruct the client that which of the following foods has the highest amount ofcalcium?A. ½ cup cubed avocadoB. 1 large bananaC. 1 medium potatoD. 1 cup cooked broccoli - 1 cup cooked broccoliThere are 47mg of calcium in a 100 grams of broccoli.A nurse in a provider's office is assessing a client at her first antepartum visit. The clientstates that the first day of her last menstrual period was March 8. Use Nagele's rule tocalculate the estimated date of delivery. - December 15, 2020A nurse is caring for a client who is in the second stage of labor. Which of the followingmanifestations should the nurse expect?A. The client expels the placentaB. The client experiences gradual dilation of the cervixC. The client begins have regular contractions.D. The client delivers the newborn - The client delivers the newborndelivering the fetus is the second stage, first is the labor stage, third is delivering theplacenta.A nurse is assessing a client who is at 37 weeks of gestation. Which of the followingstatement by the client requires immediate intervention by the nurse?A. "It burns when I urinateB. "My feet are really swollen today".C. "I didn't have lunch today, but I have breakfast this morning". - "It burns when I urinate"

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sign of a UTIA nurse is providing discharge teaching to a new parent about car seat safety. Which of thefollowing statements by the parent indicates an understanding of the teaching?A. "I should position my baby's car seat at a 45-degree angle in the car."B. "I should place the car seat rear facing until my baby is 12 months old."C. "I should place the harness snugly in a slot above my baby's shoulders."D. "I should position the retainer clip at the top of my baby's abdomen." - A. "I shouldposition my baby's car seat at a 45-degree angle in the car."A. "I should position my baby's car seat at a 45-degree angle in the car."This is correct. A 45-degree angle is recommended to prevent the baby's head from floppingforward, which could obstruct their airway.B. "I should place the car seat rear facing until my baby is 12 months old."This is incorrect. The American Academy of Pediatrics recommends that children shouldremain in a rear-facing car seat until they reach the highest weight or height allowed bytheir car seat's manufacturer, which is typically around 2 years of age or more.C. "I should place the harness snugly in a slot above my baby's shoulders."This is incorrect. For a rear-facing car seat, the harness straps should be threaded throughslots that are at or below the baby's shoulders.D. "I should position the retainer clip at the top of my baby's abdomen."This is incorrect. The retainer clip, also known as the chest clip, should be positioned at thelevel of the baby's armpits to keep the harness straps properly positioned.A nurse is developing an educational program about hemolytic diseases in newborns for agroup of newly licensed nurses. Which of the following genetic information should the nurseinclude in the program as a cause of hemolytic disease?A. The mother is Rh-positive and the newborn is Rh negativeB. The mother is Rh-negative and the newborn is Rh positiveC. The mother and the newborn are both Rh positive

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