PN MATERNAL NEWBORN PROCTORED ATI EXAM
ACTUAL VERIFIED EXAM QUESTIONS AND VERIFIED
ANSWERS.pdf||NEWEST EXAM!!!
A nurse is reviewing the medical record of a client at 33
weeks gestation who has placenta previa and bleeding.
Which of the following prescriptions should the nurse
clarify with the provider? - Answer-A. Perform a vaginal
examination
B. Perform continuous external fetal monitoring
C. Insert a large bore IV catheter
D. Obtain a blood sample for laboratory testing
A. Perform a vaginal examination
When a client has 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 assessing a pregnant client who is at 38 weeks
gestation. The client reports that her breathing has
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become easier but notes an increased frequency of
urination. The nurse should document this occurrence as
which of the following? - Answer-A. Effacement
B. Dilation
C. Lightening
D. Quickening
C. Lightening
Lightning describe the engagement of the fetal head into
the pelvis. When this occurs, breathing becomes easier,
but urination is more frequent
A charge nurse is providing teaching for a newly hired
nurse about the potential side effects of an epidural
anesthetic for a laboring client. Which of the following
effects should the charge nurse include in teaching? -
Answer-A. Newborn respiratory depression at birth
B. Impaired ability of the neonate to maintain body
temperature
C. Impaired placental perfusion
D. Decreased fetal heart rate (FHR) variability
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C. Impaired placental perfusion
Maternal hypotension can occur in 10% to 30% of women
who receive epidural or spinal anesthesia. This can result
in decreased blood flow to the placenta and impaired
delivery of oxygen to the fetus
A nurse in a clinic is assessing a client who is at 13 weeks
of gestation and has hyperemesis gravidarum. Which of
the following findings should the nurse identify as the
priority? - Answer-A. Blood pressure 90/52 mmHg
B. Ketones 2+
C. Specific gravity 1.035
D. Sodium 130mEq/L
B. Ketones 2+
The greatest risk to this client is malnutrition that poses a
serious risk to the developing fetus. Ketonuria indicates
that the client's body is breaking down fat and protein
stores for energy and cannot provide the fetus with
essential nutrients. Therefore, this is the priority finding,
and the nurse should report it to the provider immediately.