ATI RN Maternal Newborn Proctored Exam Version 14 With Answers (70 Solved Questions)

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VERSION 141. A nurse is assessing a newborn following aforceps assisted birth. Which of the followingclinical manifestations should the nurse identify as a complication of the birth method?A.HypoglycemiaB.Polycythemia

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C.Facial PalsyD.Bronchopumonary dysplasia2. A nurse is providing teaching about terbutaline toa client who is experiencing preterm labor.Which of the following statement by client indicates an understanding of the teaching?“The medication could cause me to experience heart paptation”“This medication could cause me to experience blurred vision”“This medication could cause me to experience ringing in my ears”“This medication could cause me to experience frequent …”4. A nurse is caring for a client who has hyperemesis gravidarum. Which of the followinglaboratory tests should the nurse anticipate?Urine KetonesRapid plasma regainProthrombin timeUrine culture5. A nurse is caring for a client who is in labor and requests nonpharmacological painmanagement. Which of the following nursing actions promotes clientcomfort?A.Assisting the client into squatting position

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B.Having the client lie in a supine positionC.Applying fundal pressure during contractionsD.Encouraging the client to void every 6 hr6. A nurse caring for a client who is at 20 weeks of gestation and hastrichomoniasis. Which ofthe following findings should the nurse expect?A.Thick, White Vaginal DischargeB.Urinary FrequencyC.Vulva LesionsD.Malodorous Discharge7. A 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 Process8.A nurse isassessing 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.Creatnine 0.8 mg/ dLC.Hemoglobin 14.8 g/ dLD.Platelet Count 60.000/ mm39. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Whichof the following adverse effect should the nurse include?A.TinnitusB.Urinary FrequencyC.Breast TendernessD.Chills10. A nurse is assessing a newborn upon admission to the nursery. Which of the followingshould the nurse expect?

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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 circumference11. 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 position12. 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 thenurse 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 feeding13. 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 all thatapply).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.”14. A charge nurseis teaching a group of staff nurses about fetal monitoring during labor. Whichof the following findings should the charge nurse instruct the staff members to report to theprovider?A.Contraction durations of 95 to 100 secondsB.Contraction frequency of 2 to3 min apartC.Absent early deceleration of fetal heart rate

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D.Fetal heart rate is 140/min15. A 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’srisk for developing pelvicinflammatory disease (PID)?A.Recurrent CystitisB.Frequent Alcohol UseC.Use of Oral ContraceptivesD.Chlamydia Infection16. A 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.Varicella17. A nurse is providing nutritional guidance to a client who is pregnant and follows a vegandiet. The client asks the nurse whichfoods 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 broccoli18. 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 to calculatethe estimated date of delivery. (Use the MMDD format with four numerals and no spaces orpunctuation.)19. A nurse is caring for a client who is in the second stage of labor. Which of the followingmanifestations should the nurse expect?

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