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NGN ATI RN MATERNAL NEWBORN PROCTORED
1. A nurse is assessing a newborn following a forceps-assisted birth. Which of the
following clinical manifestations should the nurse identify as a complication of the
birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia: C. Facial Palsy
Most babies delivered by forceps suffer no long-term problems, but in rare cases an
injury is sustained to the facial nerve, due to the pressure of the forceps blade on the
baby's head.
2. A nurse is providing teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statement by client indicates an
understanding of the teaching?
A." The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears" D. "This
medication could cause me to experience frequent blurry vison": A." The
medication could cause me to experience heart palpitation" .
3. A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following laboratory tests should the nurse anticipate?
A . Urine Ketones
B. Rapid plasma regain
C. Prothrombin time
D. Urine culture: Urine Ketones
4. A nurse is caring for a client who is in labor and requests nonpharmacological
pain management. Which of the following nursing actions promotes client comfort?
A. Assisting the client into squatting position
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B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hours: A. Assisting the client into squatting
position
5. A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge: Malodorous Discharge
6. A nurse is caring for a client who is 14 weeks of gestation. At which the following
locations should the nurse place the Doppler device when assessing the fetal heart
rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process: A. Midline 2 to 3 cm (0.8 to 1.2 in) above the
symphysis pubis
7. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia.
Which of the following findings should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3: Platelet Count 60.000/ mm3
platelet count of less than 100,000 correlates with how severe the condition is.
8. A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
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D. Chills: C. breast Tenderness
Breast tenderness is a common side effect of clomiphene citrate. This is due to the
hormonal changes induced by the medication.
Here is a table summarizing some common and less common side effects of
clomiphene citrate: Common Side Effects
-Breast tenderness
-Hot flushes
-
Bloatin
g -
Nausea
Less Common Side Effects:
- Visual disturbances
-Mood changes
-Headaches
9. A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference: Chest
circumference 2 cm (0.8 in) smaller than the head circumference
head circumference is always 2cm more than the chest in normal term babies
10. A nurse is planning care for a newborn who has neonatal abstinence
syndrome. Which of the following interventions should the nurse include in the
plan of care?
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation