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RN ATI MATERNAL NEWBORN PROCTOR EXAM
NEWEST 2024 ACTUAL EXAM TEST BANK
COMPLETE 270 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY PASSED!!
A nurse is caring for a client who is in labor. A vaginal
examination reveals the following information: 2cm, 50%, +1,
right occiput anterior. Based on this information, which of the
following position should the nurse document in the medical
record?
Transverse
Breech
Vertex
Mentum - ANSWER- Vertex
Rationale: ROA describes the relationship of the presenting
part of the fetus to the client's pelvis. In this case, the
occipital bone is the presenting part and is located anteriorly
in the client's right side. Based on the presentation of the
fetus, the position is vertex.
,2|Page
A nurse is caring for a client who desires an intrauterine device
(IUD) for contraception. Which of the following findings is a
contraindication for the use of this device?
Hypertension
Menorrhagia
History of multiple gestations
History of thromboembolic disease - ANSWER- Menorrhagia
Rationale: An IUD is a small plastic or copper device placed
inside the uterus that changes the uterine environment to
prevent pregnancy. An IUD is contraindicated for women
who have menorrhagia, severe dysmenorrhea, or history of
ectopic pregnancy.
A nurse is caring for a client who is at 39 weeks of gestation and
is in active labor. Which of the following actions should the
nurse include in the plan of care?
Keep four side rails up while the client is in bed.
Monitor fetal heart rate every hour.
Insert an indwelling urinary catheter.
Check the cervix prior to analgesic administration. - ANSWER-
Check the cervix prior to analgesic administration
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Rationale: Prior to administering an analgesic during active
labor, the nurse must know how many centimeters the cervix
is dilated. If administered too close to the time of delivery,
the analgesic could cause respiratory depression in the
newborn.
A nurse is caring for a client who has trichomoniasis and a
prescription for metronidazole. Which of the following
instructions should the nurse provide to the client about the
treatment plan?
"Your partner needs to be cultured and be treated with
metronidazole only if his cultures are positive."
"You and your partner need to take the medication and use a
condom during intercourse until cultures are negative."
"If both you and your partner are treated simultaneously, you
may continue to engage in sexual intercourse."
"Only you will need to take the metronidazole, but you should
not have intercourse until your culture is negative." - ANSWER-
You and your partner need to take the medication and use a
condom during intercourse until cultures are negative
Rationale: Trichomonas vaginalis is the organism that
causes the sexually transmitted infection trichomoniasis.
Both men and women can be infected with trichomoniasis.
Clinical findings include yellowish to greenish, frothy,
mucopurulent, copious discharge with an unpleasant odor,
, 4|Page
as well as itching, burning, or redness of the vulva and
vagina. Trichomoniasis can be treated easily with
metronidazole. However, for the treatment to work, it is
important to make sure both sexual partners receive
treatment to prevent reinfection. Instruct the client to use
condoms during sexual intercourse while being treated.
A nurse is caring for four newborns. Which of the following
newborns is at greatest risk for hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome - ANSWER- A
newborn who is large for gestational age
Rationale: Large for gestational age (LGA) newborns are
those newborns whose weight is at or above the 90th
percentile. One of the most common etiologies of LGA
newborns is a mother who is diabetic. LGA newborns,
especially those born to mothers who have diabetes, are at
increased risk for hypoglycemia. Other newborns at risk for
hypoglycemia are small for gestational age (SGA) newborns
(those below the 10th percentile), premature newborns, and
newborns who have perinatal hypoxia.
RN ATI MATERNAL NEWBORN PROCTOR EXAM
NEWEST 2024 ACTUAL EXAM TEST BANK
COMPLETE 270 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY PASSED!!
A nurse is caring for a client who is in labor. A vaginal
examination reveals the following information: 2cm, 50%, +1,
right occiput anterior. Based on this information, which of the
following position should the nurse document in the medical
record?
Transverse
Breech
Vertex
Mentum - ANSWER- Vertex
Rationale: ROA describes the relationship of the presenting
part of the fetus to the client's pelvis. In this case, the
occipital bone is the presenting part and is located anteriorly
in the client's right side. Based on the presentation of the
fetus, the position is vertex.
,2|Page
A nurse is caring for a client who desires an intrauterine device
(IUD) for contraception. Which of the following findings is a
contraindication for the use of this device?
Hypertension
Menorrhagia
History of multiple gestations
History of thromboembolic disease - ANSWER- Menorrhagia
Rationale: An IUD is a small plastic or copper device placed
inside the uterus that changes the uterine environment to
prevent pregnancy. An IUD is contraindicated for women
who have menorrhagia, severe dysmenorrhea, or history of
ectopic pregnancy.
A nurse is caring for a client who is at 39 weeks of gestation and
is in active labor. Which of the following actions should the
nurse include in the plan of care?
Keep four side rails up while the client is in bed.
Monitor fetal heart rate every hour.
Insert an indwelling urinary catheter.
Check the cervix prior to analgesic administration. - ANSWER-
Check the cervix prior to analgesic administration
,3|Page
Rationale: Prior to administering an analgesic during active
labor, the nurse must know how many centimeters the cervix
is dilated. If administered too close to the time of delivery,
the analgesic could cause respiratory depression in the
newborn.
A nurse is caring for a client who has trichomoniasis and a
prescription for metronidazole. Which of the following
instructions should the nurse provide to the client about the
treatment plan?
"Your partner needs to be cultured and be treated with
metronidazole only if his cultures are positive."
"You and your partner need to take the medication and use a
condom during intercourse until cultures are negative."
"If both you and your partner are treated simultaneously, you
may continue to engage in sexual intercourse."
"Only you will need to take the metronidazole, but you should
not have intercourse until your culture is negative." - ANSWER-
You and your partner need to take the medication and use a
condom during intercourse until cultures are negative
Rationale: Trichomonas vaginalis is the organism that
causes the sexually transmitted infection trichomoniasis.
Both men and women can be infected with trichomoniasis.
Clinical findings include yellowish to greenish, frothy,
mucopurulent, copious discharge with an unpleasant odor,
, 4|Page
as well as itching, burning, or redness of the vulva and
vagina. Trichomoniasis can be treated easily with
metronidazole. However, for the treatment to work, it is
important to make sure both sexual partners receive
treatment to prevent reinfection. Instruct the client to use
condoms during sexual intercourse while being treated.
A nurse is caring for four newborns. Which of the following
newborns is at greatest risk for hypoglycemia?
A newborn who is large for gestational age
A newborn who has an Rh incompatibility
A newborn who has pathologic jaundice
A newborn who has fetal alcohol syndrome - ANSWER- A
newborn who is large for gestational age
Rationale: Large for gestational age (LGA) newborns are
those newborns whose weight is at or above the 90th
percentile. One of the most common etiologies of LGA
newborns is a mother who is diabetic. LGA newborns,
especially those born to mothers who have diabetes, are at
increased risk for hypoglycemia. Other newborns at risk for
hypoglycemia are small for gestational age (SGA) newborns
(those below the 10th percentile), premature newborns, and
newborns who have perinatal hypoxia.
