ATI PN Maternal Newborn Practice CMS PRACTICE EXAM A (Latest 2023/ 2024) | Questions and Verified Answers with Rationales | 100% Correct

ATI PN Maternal Newborn Practice CMS PRACTICE EXAM A (Latest 2023/ 2024) | Questions and Verified Answers with Rationales | 100% Correct Q: A nurse is caring for a newborn who has a high-pitched cry and does not respond to consoling efforts. Which of the following neonatal data collection tools should the nurse expect to complete? -Apgar score -Newborn Hearing Screen -Critical Congenital Heart Disease screen (CCHD) -Neonatal Abstinence Scoring System Answer: Neonatal Abstinence Scoring System. This newborn is exhibiting manifestations of opioid withdrawal. Other manifestations incluse restlessness, tremors, increased muscle tone, and an exaggerated Moro Reflex. Q: A nurse is reviewing the prenatal record of a client who is at 34 weeks of gestation. Which of the following results should the nurse identify as a desirable outcome? - Negative rubella titer - Reactive nonstress test - 1-hr glucose tolerance screening test result of 150 mg/dL - Hemoglobin 9.5 g/dL Answer: Reactive nonstress test. A reactive nonstress test indicates fetal well-being and is a desirable outcome. Q: A nurse is assisting w/ the care of a client who is at 40 weeks of gestation and is in active labor. Which of the following findings should the nurse report to the charge nurse? - Maternal temperature of 37.5 C (99.5 F) -Contractions every 3 minutes. -Presence of bloody show -Prolonged deceleration of FHR Answer: Prolonged deceleration of FHR. Prolonged deceleration of the FHR is a manifestation of an emergent condition such as uterine rupture or umbilical cord prolapse. Charge nurse should report finding to provider. Q: A nurse in a prenatal clinic is caring for a client who is at 16 weeks of gestation and has a positive Hepatitis B test result. Which of the following actions should the nurse take? - Instruct the client to avoid crowds until a repeat hepatitis B test is negative - Tell the client that they will need to start the hepatitis B vaccine series after birth - Explain to the client that they will receive the hepatitis B immune globulin immediately - Inform the client that hepatitis B cannot be transmitted to the fetus Answer: Explain to the client that they will receive the hepatitis B immune globulin immedi- ately. The nurse should explain to the client the need to receive the hepatitis immune globulin decreases the risk of transmission to the fetus. All sexual partners and members of the household should see their providers for prophylactic treatment Q: A nurse is assisting with planning care for a client who is breastfeeding and has mastitis. Which of the following recommendations should the nurse include? -Instruct the client to discontinue feeding from the affected breast -Tell the client to wear and underwire bra -Instruct the client to apply warm compresses to the affected breast -Administer an antiviral medication Answer: Instruct the client to apply warm compresses to the affected breast. Warm compresses will help reduce inflammation and edema. This will enable more effective emptying of the breast to prevent milk stasis which decreases bacterial growth. Q: A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal examination. Which of the following findings should the nurse report to the provider? -Blurred vision -Nonpitting ankle edema -10 fetal movements in 2 hrs -Leg cramps Answer: Blurred vision Blurred vision should be reported to the provider as it is an indication the client may have preeclampsia. Q: A nurse is caring for a client who is at 30 weeks of gestation. Which of the following findings should the nurse report to the provider? -2+ urinary protein -Leukorrhea -Spider nevi -30 cm fundal height Answer: 2+ urinary protein. 2+ urinary protein is a manifestation of preeclampsia. Q: A nurse is collecting data from a client who is 32 hr postpartum. Which of the following findings should the nurse expect? -Saturation of one perineal pad every 15 mins. -Fundus 2 cm above the umbillicus -Temperature of 39 C (102.2 F) -Urine output of 3,000 mL in 24 hr Answer: Urine output of 3,000 mL in 24 hr. Postpartum diuresis to begin approximately 12 hr after birth. A urine output of 3,000 mL in 24 is an expected finding. Q: A nurse is assisting w/ monitoring a newborn who is 3 days old and received phototherapy. Which of the following laboratory values should the nurse recognize as an indication that the therapy has been effective? -Glucose 45 mg/dL -WBC count 10,000/mm3