2019, 2023 ATI RN Maternal Newborn Nursing Protected Exam With Answers (70 Solved Questions)

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2023 ATI RN Maternal Newborn Proctored 2019 NGN(REVISED FULL EXAM)1.A nurse is using Nagele’sRule to calculate the expected delivery date of a client whoreports that the first day of her last menstrual cycle was July 28th. Which of the followingdates should the nurse document as the client’s expected delivery date?a.May 5th-3 months & + 7 daysb.April 21stc.--d.--2.A nurse is caring for a client who is in active labor and has gonorrhea. For which of thefollowing potential complications of gonorrhea should the nurse monitor?*OBPrologue*a.Excessive bleeding after birthb.Vaginal laceration during birthc.Oligohydramniosd.Chorioamnionitis-infection of the membranes3.A nurse is providing teaching to a postpartum client who has a prescription for a rubellaimmunization. Which of the following client statements indicates understanding of theteaching?a.“I willreceive a series of three immunizations and each one will be a monthapart”b.“I should avoid breastfeeding for 2 weeks following the immunization”c.“Ishould avoid becoming pregnant for at least 1 month followingtheimmunization”d.“I will report joint pain that develops after the immunization to my providerimmediately”4.A nurse is providing prenatal teaching to a client who practices a vegan diet and is tryingto increase intake of vitamin B12 which of the following foods should the nurserecommend? a.Brown riceb.Fresh citrus fruits-high in vitamin Cc.Carrotsd.Fortified Soy milk

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5.A nurse is performing an initial assessment of a newborn who was delivered with a nuchalcord. Which of the following clinical findings should the nurse expect?*OB Prologue*a.Periauricular papillomasb.Telangiectatic nevi-stork bites; flat pink or red marks that easily blanch & are found ontheback of the neck, nose, upper eyelid, and middle of the forehead; usually fade by 2ndyear of lifec.Petechiaed.Erythema toxic-newborn rash6.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.Administer 50 mL of dextrose solution IV.b.Feed the newborn immediatelyc.???? for serum glucose leveld.Recheck prior to next feeding7.A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeksof gestation. Which of the following actions should the nurse take? (Click on the“exhibit”button for additional information about the client. There are threetabs that contain separatecategories of data.)Neisseria gonorrhoeae in prenatal history exhibit 3a.Obtain a maternal serum alpha-fetoprotein specimenb.Obtain a blood culturec.Administer ceftriaxone IMATI pg. 53 Gonorrhea (Neisseria gonorrhoeae)d.Administerrubella vaccine8.A client who is at 16 weeks of gestation asks a nurse how to prepare her toddler to have ayounger sibling. Which of the following statements should the nurse make?a.“You should hold your newborn in your arms when you introduce him to your toddler”b.“you should place your toddler in time-out if she exhibits regressive behavior after thebaby is born”c.“You should give your toddler a gift from the baby when she visits you in the facility”d.“You should move your toddler out of her crib 2 weeks prior to your due date”9.A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp.Which of the following actions should the nurse include in the plan?a.Dress the newborn in a thin layer of clothing during therapy.b. Ensure the newborn’seyes are closed beneath the shield.c.Give the newborn 1 oz of glucose water every 4 hr.

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d.Apply a thin layer of lotion to the newborn’s skin every 8 hr.10.A nurse is assessing a client during her first prenatal visit. The client reports March 20 asher last menstrual period. Use naegele's rule to calculate the estimated date of delivery. (UsetheMMDD format with four numerals and no spaces or punctuation). (FILL IN )1227-3months & + 7 days11.A nurse is caring for a client who has a placenta previa.Which of the following findingsshould the nurse expect?a.Firm, rigid abdomen-abrupto placentaeb.Painless, vaginal bleedingc.Uterine hypertonicityd.--12.A nurse manager on the labor and delivery unit is teaching a group of newly licensednurses about maternalcytomegalovirus.Which of the following information should thenurse manager include in the teaching?a.Transmission can occur via the saliva and urine of the newbornATI pg. 50 (its droplet)b.Lesions are visible on the mother's genitaliac.???? that airborne precautions be initiated for the newborn”d.???? with acyclovir prior to delivery”13.A nurse is providing discharge instructions to a client who is 24 hr postpartum and hasdecided not to breastfeed. Which of the following instructions should the nurse include intheteaching?*OB Prologue*a.“Pump your breasts twice daily to relieve discomfort from engorgement.”b.“Shower daily, allowing warm water to run directly over your breasts.”c.“Apply ice to your breasts using a 15 minutes on, 45 min offschedule.”d.--14.A nurse is assessing a client who is 32 weeks of gestation and is receiving magnesiumsulfate via continuous IV infusion. Which of the following findings should the nurse report tothe provider?*OB Prologue*a.BP 150/100 mm Hgb.Decrease in frequency of contractionsc.Urinary output 35 mL/hrd. Absent deep-tendonreflexes15.A nurse is caring for a newborn who hasexstrophy of the bladder.Which of thefollowing actions--surgical correction?*OB Prologue* same as 16 laugh out loud!!

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a.Keep the newborn in aside-lying position.b.Restrict the newborn’s fluid intake.c.Cover the newborn’s bladder with a sterile, non-adherent dressing.d.Exert gentle pressure on the newborn’s bladder with sterile gauze.16.A nurse is caring for a newborn who has exstrophy of the bladder. Which of thefollowing actions should the nurse take prior to the beginning of surgical correction?*OBPrologue*a.Keep the newborn in a side-lying positionb.Restrict newborn’s fluid intakec.Cover the newborn’s bladder with sterile, non-adherent dressingd.Exert gentle pressure on the newborn’s bladder with sterile gauze17.A nurse is teaching a client and her partner about the technique of counter pressureduring labor. Which of the following statements by the nurse is appropriate?a.“Your partner will apply upward pressure on your lower abdomen betweencontractions.”b.“Your partner will apply pressure to the top of your uterus during contractions.”c.“Your partner will apply steady pressure with a tennis ball to your lowerback.”d.“Your partner will apply continuous, firm pressure between your thumb andindexfinger.”18.A nurse is providing dietary teaching to a client who is at 32 weeks of gestation and hascholelithiasis.Which of the following foods should the nurse recommend for the client toinclude in her diet?a.Baconcheeseburgerb.French friedc.Baked chickencholelithiasis isthe formation ofgallstones.d.Whole milk19.A nurse is caring for a client who is at32 weeks of gestationand has gestationaldiabetes mellitus. Which of the following findings should the nurse reportto the provider?a.The client has a fundal height of 38 cm.Should range + or-2 cm .(the fundal heightshould be 32cm, 38cm is way too big and the baby is macrosomic)b.The client reports 12 fetal movements in 1 hr.c.The client has a fasting blood glucose of 90 mg/dL.d.The client has non-pitting pedal edema.

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20.A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesiumsulfate for preeclampsia. The nurse should recognize which of the following manifestations asan adverse reaction to themedication?*OB Prologue*a.Respiratory rate 16/minb.Hyperglycemiac.Hypertensiond. 20 ml/hrurine21.A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of thefollowing findings should the nurse expect?a.WBC count 9,000/mm3b.Uterinetenderness(course hero)c.Temperature 37.4 C (99.3 F)d.Scant lochiaRationale:Endometritis is a phenomenon of occurrence of the inflammation of the endometriumlining. Some of the common symptoms of endometritis are abnormal vaginal bleeding, pain in theabdomen, and fever. Scant lochia is the bloody discharge associated with the postpartum afterdelivery of the child.22.A nurse is providing discharge instructions to a client who is breastfeeding her newborn.Which of the following instructions should the nurse include?*OB Prologue*a.Offer the newborn 30 mL (1oz) of water between feedingsb.Expect two to four wet diapers every 24 hrc. Allow the baby to feed at least every 3hrd. Feed the newborn 5-10 mins per breast-(at least 15-20 minutes)23.A nurse isreviewing the electronic medical record of a postpartum client. The nurse shouldidentify which of the following factors places the client at risk for an infection?a.Placenta previab.Midline episiotomy(course hero)c.Meconium-stained fluidd.Gestational hypertensionRationale:Midline episiotomy is associated with the occurrence of the higher risk of postpartumperineal infections in the women after delivery. It is associated with an increasing pain, discharge,edema.24.A nurse is caring for a client who is in labor and just received epidural anesthesia. Theclient’s blood pressure is 90/58 mm Hg. Which of the following actions should thenursetake?*OB Prologue*a.Turn the client on their side.

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