lOMoAR cPSD| 4877358
(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
RIFIEDfSOLUTIONS/A+fGRADEfASSURED
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUALQU
f f f f f f f f
ESTIONS WITH VERIFIED DETAILED SOLUTIONS/A+ GRADE ASSURED
f f f f f f
1. Afnursefisfcaringfforfafclientfwhofisfatf36fweeksfoffgestationfandfwhofhasfafsuspectedfplacentafprevia.fWhichfofftheffoll
owingffindingsfsupportfthisfdiagnosis?
A. Painlessfredfvaginalfbleeding
Rationale:fPlacentaf previaf isf af conditionf off pregnancyf whenf thef placentaf implantsf inf thef lowerf partf off thefuterus,f
partlyforfcompletelyfobstructingfthefcervicalfosf(outletftofthefvagina).fBrightfred,fpainlessfvaginalfblee
dingfoccursfinfthefsecondfandfthirdftrimester.
B. Increasingfabdominalfpainfwithfafnonrelaxedfuterus
Rationale:fAbruptiofplacentafisfseparationfoffthefplacentaffromf thef sitef off uterinef implantationf beforefdeliveryfofft
heffetus.fWhenfthefplacentafseparatesfprematurely,ftherefisfinternalfbleeding,fwhichfisfpainful,fandft
hefuterusfisfnonrelaxedforfbecomesfrigidfasfthefseparationfadvances.
C. Abdominalfpainfwithfscantfredfvaginalfbleeding
Rationale:fPlacentafpreviafinvolvesfminimalftofseverefbrightfredfvaginalfbleedingfinfthefabsencefoffabdominalfpai
n.
D. Intermittentfabdominalfpainffollowingfpassagefoffbloodyfmucus
Rationale:fIntermittentfabdominalfpainffollowingfpassagefoffbloodyfmucusfisfafdescriptionfoffnormalflabor.fThef
passagefoffbloodyfmucusfrepresentsftheflossf offthefcervicalfmucousf plug,falsofreferredfto
A+fTestfBank Pagef1
DownloadedfbyfRickyfBobf()
, lOMoAR cPSD| 4877358
(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
RIFIEDfSOLUTIONS/A+fGRADEfASSURED
asfthef"bloodyfshow."
2. Afnursefisfcaringfforfafclientfwhofisf1fhrfpostpartumfandfobservesfaflargefamountfofflochiafrubrafandfseveralfsmallfclotsfonf
thefclient'sfperinealfpad.fTheffundusfisfmidlinefandffirmfatfthefumbilicus.fWhichfofftheffollowingfactionsfshouldfthefnurseft
ake?
A. Documentftheffindingsfandfcontinueftofmonitorfthefclient.
Rationale:fThesefarefexpectedffindings.fAtf1fhrfpostpartum,flochiafrubrafshouldfbef intermittentf andfassociatedfwit
hfuterinefcontractions.fThefvolumefofflochiafresemblesfthatfoffafheavyfmenstrualfperiod.fSmallfclotsf
arefcommon.fThefnursefshouldfdocumentftheffindingsfandfcontinueftofmonitorfthefclient.
B. Notifyfthefclient‟sfprovider.
Rationale:fThesef aref expectedf findings,f sof theref isf nof needf tof notifyf thef provider.
C. Increaseftheffrequencyfofffundalfmassage.
Rationale:fThesefarefexpectedffindingsfandftheffundusfisfalreadyffirm.fIncreasingftheffrequencyfofffundalfmassa
gefisfnotfindicatedfatfthisftime.
D. Encouragefthefclientftofemptyfherfbladder.
Rationale:fThesefarefexpectedffindings,fandf thef fundusfisf firmf atfthef midline.f Ifftheffundusf wasf deviated,fthisfwou
ldfbefanfindicationfoffafdistendedfbladderfandfthefclientfshouldfbefencouragedftofvoidftofpreventfuterin
efatony.
A+fTestfBank Pagef2
DownloadedfbyfRickyfBobf()
, lOMoAR cPSD| 4877358
(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
RIFIEDfSOLUTIONS/A+fGRADEfASSURED
3. Afnursefisfcaringfforfafnewbornfimmediatelyffollowingfbirth.fAfterfassuringfafpatentfairway,fwhatfisf thefpriorityfnursi
ngfaction?
A. AdministerfvitaminfK.
Rationale:fAdministrationf off vitaminf Kf isf important,f butf itf canf bef delayedf untilf thef newbornf isf heldf byf thefmotherfa
ndfisfbreastfed.fTherefisfanother,fmorefimportantfnursingfaction.
B. Dryfthefskin.
Rationale:fThefnewbornfshouldfbefthoroughlyfdried,fcoveredfwithfafwarmfblanket,fplacedfonfthefmother‟sfabdo
men,fandfafcapfappliedftofthefnewborn‟sfheadftofpreventfcoldfstress.fThefnewbornfrespondsftofthefc
oolerfenvironmentfbyfincreasingfhisfrespiratoryfrate,fwhichfcanfleadfto
f
respiratoryfdistress.fBasedfonfMaslow‟sfhierarchyfoffneeds,fthisfisfthefmostfimportantfnur
singfactionfafterfsecuringfthefairway.
C. Administerfeyefprophylaxis.
Rationale:fAdministrationfoffeyefprophylaxisfshouldfoccurfwithinftheffirstfhourfafterfbirth.fTherefisfanother,fmorefi
mportantfnursingfaction.
D. Placefanfidentificationfbracelet.
Rationale:fCorrectfidentificationfoffthefnewbornfisfimportant,fbutfitfcanfbefdelayed,fasflongfasf itf isfcompletedfprio
rftofthefmotherfandfnewbornfleavingfthefdeliveryfroom.fTherefisfanother,fmorefimportantfnursingfa
ction.
A+fTestfBank Pagef3
DownloadedfbyfRickyfBobf()
, lOMoAR cPSD| 4877358
(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
RIFIEDfSOLUTIONS/A+fGRADEfASSURED
4. Afnursefinfafprenatalfclinicfisfcaringfforfafclientfwhofisfatf7fweeksfoffgestation.fThefclientfreportsfurinaryffrequencyfandfas
ksfiffthisfwillfcontinuefuntilfdelivery.fWhichfofftheffollowingfresponsesfshouldfthefnursefmake?
A. "It'sfafminorfinconvenience,fwhichfyoufshouldfignore."
Rationale:fThisfisfafnontherapeuticfresponsefthatfdisregardsfthefclient‟sfconcernfandfoffersfunwarranted
reassurance.
B. "Infmostfcasesfitfonlyflastsfuntilfthef12thfweek,fbutfitfwillfcontinuefiff youfhavefpoorf bladderftone."
Rationale:fThefpresenceforfabsencefoffbladderftonefhasfnofbearingfonfurinaryffrequencyfduringfpregnancy.
C. "Therefisfnofwayftofpredictfhowflongfitfwillflastfinfeachfindividualfclient."
Rationale:fThisf isf af nontherapeuticf responsef thatf doesf notf providef appropriatef informationf tof thef client.
D. "Itfoccursfduringftheffirstftrimesterfandfnearfthefendfoffthefpregnancy."
Rationale:fUrinaryf frequencyf isf duef tof increasedf bladderf sensitivityf duringf thef firstf trimesterf andf recursfnearft
hefendfoffthefpregnancyfasfthefenlargingfuterusfplacesfpressurefonfthefbladder.
A+fTestfBank Pagef4
DownloadedfbyfRickyfBobf()
(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
RIFIEDfSOLUTIONS/A+fGRADEfASSURED
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUALQU
f f f f f f f f
ESTIONS WITH VERIFIED DETAILED SOLUTIONS/A+ GRADE ASSURED
f f f f f f
1. Afnursefisfcaringfforfafclientfwhofisfatf36fweeksfoffgestationfandfwhofhasfafsuspectedfplacentafprevia.fWhichfofftheffoll
owingffindingsfsupportfthisfdiagnosis?
A. Painlessfredfvaginalfbleeding
Rationale:fPlacentaf previaf isf af conditionf off pregnancyf whenf thef placentaf implantsf inf thef lowerf partf off thefuterus,f
partlyforfcompletelyfobstructingfthefcervicalfosf(outletftofthefvagina).fBrightfred,fpainlessfvaginalfblee
dingfoccursfinfthefsecondfandfthirdftrimester.
B. Increasingfabdominalfpainfwithfafnonrelaxedfuterus
Rationale:fAbruptiofplacentafisfseparationfoffthefplacentaffromf thef sitef off uterinef implantationf beforefdeliveryfofft
heffetus.fWhenfthefplacentafseparatesfprematurely,ftherefisfinternalfbleeding,fwhichfisfpainful,fandft
hefuterusfisfnonrelaxedforfbecomesfrigidfasfthefseparationfadvances.
C. Abdominalfpainfwithfscantfredfvaginalfbleeding
Rationale:fPlacentafpreviafinvolvesfminimalftofseverefbrightfredfvaginalfbleedingfinfthefabsencefoffabdominalfpai
n.
D. Intermittentfabdominalfpainffollowingfpassagefoffbloodyfmucus
Rationale:fIntermittentfabdominalfpainffollowingfpassagefoffbloodyfmucusfisfafdescriptionfoffnormalflabor.fThef
passagefoffbloodyfmucusfrepresentsftheflossf offthefcervicalfmucousf plug,falsofreferredfto
A+fTestfBank Pagef1
DownloadedfbyfRickyfBobf()
, lOMoAR cPSD| 4877358
(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
RIFIEDfSOLUTIONS/A+fGRADEfASSURED
asfthef"bloodyfshow."
2. Afnursefisfcaringfforfafclientfwhofisf1fhrfpostpartumfandfobservesfaflargefamountfofflochiafrubrafandfseveralfsmallfclotsfonf
thefclient'sfperinealfpad.fTheffundusfisfmidlinefandffirmfatfthefumbilicus.fWhichfofftheffollowingfactionsfshouldfthefnurseft
ake?
A. Documentftheffindingsfandfcontinueftofmonitorfthefclient.
Rationale:fThesefarefexpectedffindings.fAtf1fhrfpostpartum,flochiafrubrafshouldfbef intermittentf andfassociatedfwit
hfuterinefcontractions.fThefvolumefofflochiafresemblesfthatfoffafheavyfmenstrualfperiod.fSmallfclotsf
arefcommon.fThefnursefshouldfdocumentftheffindingsfandfcontinueftofmonitorfthefclient.
B. Notifyfthefclient‟sfprovider.
Rationale:fThesef aref expectedf findings,f sof theref isf nof needf tof notifyf thef provider.
C. Increaseftheffrequencyfofffundalfmassage.
Rationale:fThesefarefexpectedffindingsfandftheffundusfisfalreadyffirm.fIncreasingftheffrequencyfofffundalfmassa
gefisfnotfindicatedfatfthisftime.
D. Encouragefthefclientftofemptyfherfbladder.
Rationale:fThesefarefexpectedffindings,fandf thef fundusfisf firmf atfthef midline.f Ifftheffundusf wasf deviated,fthisfwou
ldfbefanfindicationfoffafdistendedfbladderfandfthefclientfshouldfbefencouragedftofvoidftofpreventfuterin
efatony.
A+fTestfBank Pagef2
DownloadedfbyfRickyfBobf()
, lOMoAR cPSD| 4877358
(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
RIFIEDfSOLUTIONS/A+fGRADEfASSURED
3. Afnursefisfcaringfforfafnewbornfimmediatelyffollowingfbirth.fAfterfassuringfafpatentfairway,fwhatfisf thefpriorityfnursi
ngfaction?
A. AdministerfvitaminfK.
Rationale:fAdministrationf off vitaminf Kf isf important,f butf itf canf bef delayedf untilf thef newbornf isf heldf byf thefmotherfa
ndfisfbreastfed.fTherefisfanother,fmorefimportantfnursingfaction.
B. Dryfthefskin.
Rationale:fThefnewbornfshouldfbefthoroughlyfdried,fcoveredfwithfafwarmfblanket,fplacedfonfthefmother‟sfabdo
men,fandfafcapfappliedftofthefnewborn‟sfheadftofpreventfcoldfstress.fThefnewbornfrespondsftofthefc
oolerfenvironmentfbyfincreasingfhisfrespiratoryfrate,fwhichfcanfleadfto
f
respiratoryfdistress.fBasedfonfMaslow‟sfhierarchyfoffneeds,fthisfisfthefmostfimportantfnur
singfactionfafterfsecuringfthefairway.
C. Administerfeyefprophylaxis.
Rationale:fAdministrationfoffeyefprophylaxisfshouldfoccurfwithinftheffirstfhourfafterfbirth.fTherefisfanother,fmorefi
mportantfnursingfaction.
D. Placefanfidentificationfbracelet.
Rationale:fCorrectfidentificationfoffthefnewbornfisfimportant,fbutfitfcanfbefdelayed,fasflongfasf itf isfcompletedfprio
rftofthefmotherfandfnewbornfleavingfthefdeliveryfroom.fTherefisfanother,fmorefimportantfnursingfa
ction.
A+fTestfBank Pagef3
DownloadedfbyfRickyfBobf()
, lOMoAR cPSD| 4877358
(NGN)fATIfRNfMATERNALfNEWBORNfPROCTOREDfEXAMfTESTBANKACTUALfQUESTIONSfWITHfVE
RIFIEDfSOLUTIONS/A+fGRADEfASSURED
4. Afnursefinfafprenatalfclinicfisfcaringfforfafclientfwhofisfatf7fweeksfoffgestation.fThefclientfreportsfurinaryffrequencyfandfas
ksfiffthisfwillfcontinuefuntilfdelivery.fWhichfofftheffollowingfresponsesfshouldfthefnursefmake?
A. "It'sfafminorfinconvenience,fwhichfyoufshouldfignore."
Rationale:fThisfisfafnontherapeuticfresponsefthatfdisregardsfthefclient‟sfconcernfandfoffersfunwarranted
reassurance.
B. "Infmostfcasesfitfonlyflastsfuntilfthef12thfweek,fbutfitfwillfcontinuefiff youfhavefpoorf bladderftone."
Rationale:fThefpresenceforfabsencefoffbladderftonefhasfnofbearingfonfurinaryffrequencyfduringfpregnancy.
C. "Therefisfnofwayftofpredictfhowflongfitfwillflastfinfeachfindividualfclient."
Rationale:fThisf isf af nontherapeuticf responsef thatf doesf notf providef appropriatef informationf tof thef client.
D. "Itfoccursfduringftheffirstftrimesterfandfnearfthefendfoffthefpregnancy."
Rationale:fUrinaryf frequencyf isf duef tof increasedf bladderf sensitivityf duringf thef firstf trimesterf andf recursfnearft
hefendfoffthefpregnancyfasfthefenlargingfuterusfplacesfpressurefonfthefbladder.
A+fTestfBank Pagef4
DownloadedfbyfRickyfBobf()
