ATI Maternal & Newborn Nursing (NGN) Proctored Exam – Latest Exam Questions and Answers Practice Set

(NGN)ATI MATERNAL NEWBORN PROCTORED EXAM cn cn cn cn




LATEST EXAM QUESTION AND cn cn cn cn




ANSWERS cn




A nurse is teaching a client who is at 12 wks gestation and has HIV. What statement
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should the nurse include in the teaching?
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a. you will be in isolation after delivery cn cn cn cn cn cn




b. abstain from sexual intercourse throughout pregnancy cn cn cn cn cn




c. breastfeed your newborn to provide passive immunity
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d. you should continue to take zidovudine throughout the pregnancy
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- ANSWER-d. youshould continue to take zidovudine throughout the pregnancy
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-can be transmitted through breastfeeding
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-she can continue to have sex cn cn cn cn cn




The nurse should inform the client that taking prescription antiviral medication every day
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decreases the risk of transmission of HIV to her newborn.
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A nurse is providing teaching to a client who is at 8 wks gestation about manifestationsto
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report to the provider during pregnancy. What info should the nurse include in the
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teaching?
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a. nausea upon awakening
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b. blurred or double vision
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c. increase in white vaginal discharge
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d. leg cramps when sleeping
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- ANSWER-b. blurred or double vision
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A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin
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via continuous IV infusion. The nurse notes that the client is having contractions every 2
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min which last 100-110 seconds that the fetal heart rate is reassuring. What action should
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the nurse take?
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a. decrease the dose of oxytocin by half cn cn cn cn cn cn




b. administer oxygen via nonrebreather mask cn cn cn cn




c. decrease the infusion rate of the maintenance IV fluid cn cn cn cn cn cn cn cn




d. administer terbutaline 0.25mg subq cn cn cn cn




- ANSWER-a. decrease the dose of oxytocin byhalf
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c




The nurse should decrease the dose of oxytocin by half because the client is
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experiencing uterine tachysystole.
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A nurse is caring for a client who is in active labor and has meconium staining of the
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amniotic fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor.
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What action should the nurse take?
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a. prepare the client for emergency c-section cn cn cn cn cn




b. perform endotrach suctioning as soon as the fetal head is deliveredc. cn cn cn cn cn cn cn cn cn cn cn




prepare equipment needed for newborn resuscitation
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,d. prepare the client for an ultrasound exam
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- ANSWER-c. prepare equipment neededfor newborn resuscitation
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The nurse should ensure that all supplies and equipment needed for resuscitation of the
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newborn are readily available for every delivery. Endotracheal suctioning is
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recommended in cases of meconium staining only if the newborn has poor respiratory
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effort, decreased muscle tone, and bradycardia after delivery.
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A nurse is reviewing the medical record of a client who is at 33 wks gestation and has
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placenta previa and bleeding. What scripts should the nurse clarify with the provider?a.
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c




insert a large-bore IV catheter
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b. perform a vaginal exam cn cn cn




c. perform continuous external fetal monitoring cn cn cn cn




d. obtain a blood sample for lab testing cn cn cn cn cn cn




- ANSWER-b. perform a vaginal exam
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When a client has a placenta previa, the placenta implants in the lower part of the uterus
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and obstructs the cervical os (the opening to the vagina). The nurse should clarify this
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prescription because any manipulation can cause tearing of the placenta andincreased
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bleeding.
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A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress
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test. The FHR is 130 without accelerations for the past 10 min. What action should the
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nurse take?
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a. request a script for an internal fetal scalp electrode
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b. auscultate the FHR with a doppler transducer
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c. report the nonreactive test result to the provider immediately
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d. use vibroacoustic stim on the client's abd for 3 seconds
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- ANSWER-d. usevibroacoustic stim on the client's abd for 3 seconds
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The nurse should use a vibroacoustic stimulator on the client's abdomen to elicit fetal
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activity because the fetus is most likely sleeping. Fetal movement should cause
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accelerations in the FHR.
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A nurse is reviewing lab results for a client who is at 37 wks gestation. The nurse notes
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that the client is rubella non-immune, positive for group A beta-hemolytic strep, and hasa
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c




blood type O neg. What action should the nurse take?
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a. instruct the client to obtain a rubella immunization after deliveryb.
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request a script for an antibiotic until delivery
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c. inform the client that she will have to deliver via c-section
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d. administer a dose of Pho(D) immune globulin
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- ANSWER-a. instruct the client toobtain a rubella immunization after delivery
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,A nurse is reviewing the med record of a client who is at 39 wks gestation and has
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polyhydramnios. What finding should the nurse expect?
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a. total pregnancy wt gain of 3.6 kg
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b. fetal GI anomaly
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c. gestational HTN
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d. fundal height of 34 cm
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- ANSWER-b. fetal GI anomaly
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Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus. cn cn cn cn cn cn cn cn cn cn cn




Gastrointestinal malformations and neurologic disorders are expected findings fora fetus
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experiencing the effects of polyhydramnios.
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A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate
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via continuous IV infusion about expected adverse effects. What adverse effects should
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the nurse include in the teaching?
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a. elevated BP cn




b. feeling of warmth cn cn




c. generalized pruritis
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d. hyperactivity cn cn




- ANSWER-b. feeling of warmth
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The nurse should tell the client to expect the feeling of warmth all over her body whilethe
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magnesium sulfate is infusing.
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A nurse is caring for a client who is in the latent phase of labor and is experiencing low
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back pain. What action should the nurse take?
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a. position the client supine with legs elevated
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b. instruct the client to pant during contractions
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c. encourage the client to soak in a warm bath
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d. apply pressure to the client's sacral area during contractions
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- ANSWER-d. applypressure to the client's sacral area during contractions
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A nurse is teaching a client who is at 12 wks gestation about manifestations of potential
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complications that she should report to her provider. What info should the nurse includein
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c




the teaching?
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a. intermittent nausea cn




b. white vaginal discharge cn cn




c. swelling of the face
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d. urinary frequency
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- ANSWER-c. swelling of the face
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A nurse is caring for a client who is at 32 wks gestation and is experiencing pretermlabor.
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What meds should the nurse plan to administer?
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a. misoprostol
b. betamethasone
c. poractant alfa
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, d. methylergonovine
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- ANSWER-b. betamethasone
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A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and
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asks the nurse how the provider will confirm her pregnancy. The nurse should inform the
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client that what lab test will be used to confirm her pregnancy?
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a. urine test for presence of HCG cn cn cn cn cn




b. urine test for the presence of HCS cn cn cn cn cn cn




c. blood test for presence of estrogen
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d. blood test for the amount of circulating progesterone
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- ANSWER-a. urine test forpresence of HCG
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A nurse is caring for a client who believes she may be pregnant. What finding should
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the nurse identify as a positive sign of pregnancy?
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a. palpable fetal movement
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b. amenorrhea
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c. chadwick's sign
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d. positive pregnancy test
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- ANSWER-a. palpable fetal movement
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A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the
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nurse expect?
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a. renal agenesis cn




b. atrial septal defect cn cn




c. spina bifida
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d. hydrocephaluscn




- ANSWER-a. renal agenesis
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A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic
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fracture due to blunt abd trauma. What findings should the nurse expect?
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a. uterine contractions
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b. bradycardia
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c. seizures cn




d. bradypnea cn




- ANSWER-a. uterine contractions
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The nurse should expect the client to be experiencing uterine contractions due to
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abdominal trauma.
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A nurse is assessing a client who is at 12 wks gestation and has hydatidiform mole.What
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findings should the nurse expect?
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a. hypothermia
b. dark brown vaginal discharge cn cn cn




c. fetal heart tones
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d. decreased urinary output
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- ANSWER-b. dark brown vaginal discharge
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