NGN MATERNAL NEWBORN
x x
PROCTORED EXAM 4 2024
x x x x
A xnurse xis xcaring xfor xa xclient xwho xis xat x32 xwks xgestation xand xis xexperiencing
xpreterm xlabor. xWhat xmeds xshould xthe xnurse xplan xto xadminister? xa. xmisoprostol
b. betamethasone
c. poractant xalfa
d. methylergonovine x- xb. xbetamethasone
A xnurse xat xa xprenatal xclinic xis xcaring xfor xa xclient xwho xsuspects xshe xmay xbe
xpregnant xand xasks xthe xnurse xhow xthe xprovider xwill xconfirm xher xpregnancy. xThe
xnurse xshould xinform xthe xclient xthat xwhat xlab xtest xwill xbe xused xto xconfirm xher
xpregnancy? xa. xurine xtest xfor xpresence xof xHCG
b. urine xtest xfor xthe xpresence xof xHCS
c. blood xtest xfor xpresence xof xestrogen
d. blood xtest xfor xthe xamount xof xcirculating xprogesterone x- xa. xurine xtest xfor xpresence
xof
HCG
A xnurse xis xcaring xfor xa xclient xwho xbelieves xshe xmay xbe xpregnant. xWhat xfinding
xshould xthe xnurse xidentify xas xa xpositive xsign xof xpregnancy? xa. xpalpable xfetal
xmovement
b. amenorrhea
c. chadwick's xsign
d. positive xpregnancy xtest x- xa. xpalpable xfetal xmovement
A xnurse xis xcaring xfor xa xclient xwho xhas xoligohydraminios. xWhat xfetal xanomalies
xshould xthe xnurse xexpect?
a. renal xagenesis
b. atrial xseptal xdefect
c. spina xbifida
d. hydrocephalus x- xa. xrenal xagenesis
A xnurse xis xassessing xa xclient xwho xis xat x37 xwks xgestation xand xhas xa xsuspected
xpelvic xfracture xdue xto xblunt xabd xtrauma. xWhat xfindings xshould xthe xnurse
xexpect? xa. xuterine xcontractions
,b. bradycardia
c. seizures
d. bradypnea x- xa. xuterine xcontractions
The xnurse xshould xexpect xthe xclient xto xbe xexperiencing xuterine xcontractions xdue xto
xabdominal xtrauma.
A xnurse xis xassessing xa xclient xwho xis xat x12 xwks xgestation xand xhas xhydatidiform
xmole.
What xfindings xshould xthe xnurse xexpect?
xa. xhypothermia
b. dark xbrown xvaginal xdischarge
c. fetal xheart xtones
d. decreased xurinary xoutput x- xb. xdark xbrown xvaginal xdischarge
A xhydatidiform xmole, xor xa xmolar xpregnancy, xis xa xbenign xproliferative xgrowth xof xthe
xchorionic xvilli, xwhich xgives xrise xto xmultiple xcysts. xThe xproducts xof xconception
xtransform xinto xa xlarge xnumber xof xedematous, xfluid-filled xvesicles. xAs xcells xslough xoff
xthe xuterine xwall, xvaginal xdischarge xis xusually xdark xbrown xand xcan xcontain xgrapelike
xclusters.
A xnurse xis xassessing xa xclient xwho xis xat x35 xweeks xof xgestation xand xhas xmild
xgestational xHTN. xWhat xfinding xshould xthe xnurse xidentify xas xthe xpriority? xa. x480
xmL xurine xoutput xin x24 xhrs
b. 1+ xprotein xin xthe xurine
c. +2 xedema xof xthe xfeet
d. BP x144/92 x- xa. x480 xmL xurine xoutput xin x24 xhrs
When xusing xthe xurgent xvs. xnonurgent xapproach xto xclient xcare, xthe xnurse xshould
xdetermine xthat xthe xpriority xfinding xis x480 xmL xof xurine xoutput xin x24 xhr xbecause xthe
xminimum xacceptable xurine xoutput xin xan xadult xclient xis x30 xmL/hr. xThis xcan xindicate
xprogression xof xpreeclampsia xto xpreeclampsia xwith xsevere xfeatures, xwhich xrequires
ximmediate xintervention. xTherefore, xthis xis xthe xpriority xfinding.
A xnurse xis xteaching xa xclient xwho xis xat x12 xwks xgestation xand xhas xHIV. xWhat
xstatement xshould xthe xnurse xinclude xin xthe xteaching? xa. xyou xwill xbe xin xisolation
xafter xdelivery
b. abstain xfrom xsexual xintercourse xthroughout xpregnancy
c. breastfeed xyour xnewborn xto xprovide xpassive ximmunity
,d. you xshould xcontinue xto xtake xzidovudine xthroughout xthe xpregnancy x- xd. xyou xshould
xcontinue xto xtake xzidovudine xthroughout xthe xpregnancy
-can xbe xtransmitted xthrough xbreastfeeding
-she xcan xcontinue xto xhave xsex
The xnurse xshould xinform xthe xclient xthat xtaking xprescription xantiviral xmedication xevery
xday xdecreases xthe xrisk xof xtransmission xof xHIV xto xher xnewborn.
A xnurse xis xproviding xteaching xto xa xclient xwho xis xat x8 xwks xgestation xabout
xmanifestations xto xreport xto xthe xprovider xduring xpregnancy. xWhat xinfo xshould xthe
xnurse xinclude xin xthe xteaching?
a. nausea xupon xawakening
b. blurred xor xdouble xvision
c. increase xin xwhite xvaginal xdischarge
d. leg xcramps xwhen xsleeping x- xb. xblurred xor xdouble xvision
A xnurse xis xcaring xfor xa xclient xwho xis xin xthe xlatent xphase xof xlabor xand xis xreceiving
xoxytocin xvia xcontinuous xIV xinfusion. xThe xnurse xnotes xthat xthe xclient xis xhaving
xcontractions xevery x2 xmin xwhich xlast x100-110 xseconds xthat xthe xfetal xheart xrate xis
xreassuring. xWhat xaction xshould xthe xnurse xtake?
a. decrease xthe xdose xof xoxytocin xby xhalf
b. administer xoxygen xvia xnonrebreather xmask
c. decrease xthe xinfusion xrate xof xthe xmaintenance xIV xfluid
d. administer xterbutaline x0.25mg xsubq x- xa. xdecrease xthe xdose xof xoxytocin xby xhalf
The xnurse xshould xdecrease xthe xdose xof xoxytocin xby xhalf xbecause xthe xclient xis
xexperiencing xuterine xtachysystole.
A xnurse xis xcaring xfor xa xclient xwho xis xin xactive xlabor xand xhas xmeconium xstaining xof
xthe xamniotic xfluid. xThe xnurse xnotes xa xreassuring xFHR xtracing xfrom xthe xexternal xfetal
xmonitor.
What xaction xshould xthe xnurse xtake?
a. prepare xthe xclient xfor xemergency xc-section
b. perform xendotrach xsuctioning xas xsoon xas xthe xfetal xhead xis xdelivered
c. prepare xequipment xneeded xfor xnewborn xresuscitation
d. prepare xthe xclient xfor xan xultrasound xexam x- xc. xprepare xequipment xneeded xfor
xnewborn xresuscitation
, The xnurse xshould xensure xthat xall xsupplies xand xequipment xneeded xfor xresuscitation
xof xthe xnewborn xare xreadily xavailable xfor xevery xdelivery. xEndotracheal xsuctioning xis
xrecommended xin xcases xof xmeconium xstaining xonly xif xthe xnewborn xhas xpoor
xrespiratory xeffort, xdecreased xmuscle xtone, xand xbradycardia xafter xdelivery.
A xnurse xis xreviewing xthe xmedical xrecord xof xa xclient xwho xis xat x33 xwks xgestation
xand xhas xplacenta xprevia xand xbleeding. xWhat xscripts xshould xthe xnurse xclarify xwith
xthe xprovider? xa. xinsert xa xlarge-bore xIV xcatheter
b. perform xa xvaginal xexam
c. perform xcontinuous xexternal xfetal xmonitoring
d. obtain xa xblood xsample xfor xlab xtesting x- xb. xperform xa xvaginal xexam
When xa xclient xhas xa xplacenta xprevia, xthe xplacenta ximplants xin xthe xlower xpart xof xthe
xuterus xand xobstructs xthe xcervical xos x(the xopening xto xthe xvagina). xThe xnurse xshould
xclarify xthis xprescription xbecause xany xmanipulation xcan xcause xtearing xof xthe xplacenta
xand xincreased xbleeding.
A xnurse xis xcaring xfor xa xclient xwho xis xat x37 xwks xgestation xand xis xundergoing xa
xnonstress xtest. xThe xFHR xis x130 xwithout xaccelerations xfor xthe xpast x10 xmin. xWhat
xaction xshould xthe xnurse xtake?
a. request xa xscript xfor xan xinternal xfetal xscalp xelectrode
b. auscultate xthe xFHR xwith xa xdoppler xtransducer
c. report xthe xnonreactive xtest xresult xto xthe xprovider ximmediately
d. use xvibroacoustic xstim xon xthe xclient's xabd xfor x3 xseconds x- xd. xuse xvibroacoustic
xstim xon xthe xclient's xabd xfor x3 xseconds
The xnurse xshould xuse xa xvibroacoustic xstimulator xon xthe xclient's xabdomen xto xelicit
xfetal xactivity xbecause xthe xfetus xis xmost xlikely xsleeping. xFetal xmovement xshould
xcause xaccelerations xin xthe xFHR.
A xnurse xis xreviewing xlab xresults xfor xa xclient xwho xis xat x37 xwks xgestation. xThe xnurse
xnotes xthat xthe xclient xis xrubella xnon-immune, xpositive xfor xgroup xA xbeta-hemolytic
xstrep, xand xhas xa xblood xtype xO xneg. xWhat xaction xshould xthe xnurse xtake?
a. instruct xthe xclient xto xobtain xa xrubella ximmunization xafter xdelivery
b. request xa xscript xfor xan xantibiotic xuntil xdelivery
c. inform xthe xclient xthat xshe xwill xhave xto xdeliver xvia xc-section
d. administer xa xdose xof xPho(D) ximmune xglobulin x- xa. xinstruct xthe xclient xto xobtain xa
xrubella ximmunization xafter xdelivery
x x
PROCTORED EXAM 4 2024
x x x x
A xnurse xis xcaring xfor xa xclient xwho xis xat x32 xwks xgestation xand xis xexperiencing
xpreterm xlabor. xWhat xmeds xshould xthe xnurse xplan xto xadminister? xa. xmisoprostol
b. betamethasone
c. poractant xalfa
d. methylergonovine x- xb. xbetamethasone
A xnurse xat xa xprenatal xclinic xis xcaring xfor xa xclient xwho xsuspects xshe xmay xbe
xpregnant xand xasks xthe xnurse xhow xthe xprovider xwill xconfirm xher xpregnancy. xThe
xnurse xshould xinform xthe xclient xthat xwhat xlab xtest xwill xbe xused xto xconfirm xher
xpregnancy? xa. xurine xtest xfor xpresence xof xHCG
b. urine xtest xfor xthe xpresence xof xHCS
c. blood xtest xfor xpresence xof xestrogen
d. blood xtest xfor xthe xamount xof xcirculating xprogesterone x- xa. xurine xtest xfor xpresence
xof
HCG
A xnurse xis xcaring xfor xa xclient xwho xbelieves xshe xmay xbe xpregnant. xWhat xfinding
xshould xthe xnurse xidentify xas xa xpositive xsign xof xpregnancy? xa. xpalpable xfetal
xmovement
b. amenorrhea
c. chadwick's xsign
d. positive xpregnancy xtest x- xa. xpalpable xfetal xmovement
A xnurse xis xcaring xfor xa xclient xwho xhas xoligohydraminios. xWhat xfetal xanomalies
xshould xthe xnurse xexpect?
a. renal xagenesis
b. atrial xseptal xdefect
c. spina xbifida
d. hydrocephalus x- xa. xrenal xagenesis
A xnurse xis xassessing xa xclient xwho xis xat x37 xwks xgestation xand xhas xa xsuspected
xpelvic xfracture xdue xto xblunt xabd xtrauma. xWhat xfindings xshould xthe xnurse
xexpect? xa. xuterine xcontractions
,b. bradycardia
c. seizures
d. bradypnea x- xa. xuterine xcontractions
The xnurse xshould xexpect xthe xclient xto xbe xexperiencing xuterine xcontractions xdue xto
xabdominal xtrauma.
A xnurse xis xassessing xa xclient xwho xis xat x12 xwks xgestation xand xhas xhydatidiform
xmole.
What xfindings xshould xthe xnurse xexpect?
xa. xhypothermia
b. dark xbrown xvaginal xdischarge
c. fetal xheart xtones
d. decreased xurinary xoutput x- xb. xdark xbrown xvaginal xdischarge
A xhydatidiform xmole, xor xa xmolar xpregnancy, xis xa xbenign xproliferative xgrowth xof xthe
xchorionic xvilli, xwhich xgives xrise xto xmultiple xcysts. xThe xproducts xof xconception
xtransform xinto xa xlarge xnumber xof xedematous, xfluid-filled xvesicles. xAs xcells xslough xoff
xthe xuterine xwall, xvaginal xdischarge xis xusually xdark xbrown xand xcan xcontain xgrapelike
xclusters.
A xnurse xis xassessing xa xclient xwho xis xat x35 xweeks xof xgestation xand xhas xmild
xgestational xHTN. xWhat xfinding xshould xthe xnurse xidentify xas xthe xpriority? xa. x480
xmL xurine xoutput xin x24 xhrs
b. 1+ xprotein xin xthe xurine
c. +2 xedema xof xthe xfeet
d. BP x144/92 x- xa. x480 xmL xurine xoutput xin x24 xhrs
When xusing xthe xurgent xvs. xnonurgent xapproach xto xclient xcare, xthe xnurse xshould
xdetermine xthat xthe xpriority xfinding xis x480 xmL xof xurine xoutput xin x24 xhr xbecause xthe
xminimum xacceptable xurine xoutput xin xan xadult xclient xis x30 xmL/hr. xThis xcan xindicate
xprogression xof xpreeclampsia xto xpreeclampsia xwith xsevere xfeatures, xwhich xrequires
ximmediate xintervention. xTherefore, xthis xis xthe xpriority xfinding.
A xnurse xis xteaching xa xclient xwho xis xat x12 xwks xgestation xand xhas xHIV. xWhat
xstatement xshould xthe xnurse xinclude xin xthe xteaching? xa. xyou xwill xbe xin xisolation
xafter xdelivery
b. abstain xfrom xsexual xintercourse xthroughout xpregnancy
c. breastfeed xyour xnewborn xto xprovide xpassive ximmunity
,d. you xshould xcontinue xto xtake xzidovudine xthroughout xthe xpregnancy x- xd. xyou xshould
xcontinue xto xtake xzidovudine xthroughout xthe xpregnancy
-can xbe xtransmitted xthrough xbreastfeeding
-she xcan xcontinue xto xhave xsex
The xnurse xshould xinform xthe xclient xthat xtaking xprescription xantiviral xmedication xevery
xday xdecreases xthe xrisk xof xtransmission xof xHIV xto xher xnewborn.
A xnurse xis xproviding xteaching xto xa xclient xwho xis xat x8 xwks xgestation xabout
xmanifestations xto xreport xto xthe xprovider xduring xpregnancy. xWhat xinfo xshould xthe
xnurse xinclude xin xthe xteaching?
a. nausea xupon xawakening
b. blurred xor xdouble xvision
c. increase xin xwhite xvaginal xdischarge
d. leg xcramps xwhen xsleeping x- xb. xblurred xor xdouble xvision
A xnurse xis xcaring xfor xa xclient xwho xis xin xthe xlatent xphase xof xlabor xand xis xreceiving
xoxytocin xvia xcontinuous xIV xinfusion. xThe xnurse xnotes xthat xthe xclient xis xhaving
xcontractions xevery x2 xmin xwhich xlast x100-110 xseconds xthat xthe xfetal xheart xrate xis
xreassuring. xWhat xaction xshould xthe xnurse xtake?
a. decrease xthe xdose xof xoxytocin xby xhalf
b. administer xoxygen xvia xnonrebreather xmask
c. decrease xthe xinfusion xrate xof xthe xmaintenance xIV xfluid
d. administer xterbutaline x0.25mg xsubq x- xa. xdecrease xthe xdose xof xoxytocin xby xhalf
The xnurse xshould xdecrease xthe xdose xof xoxytocin xby xhalf xbecause xthe xclient xis
xexperiencing xuterine xtachysystole.
A xnurse xis xcaring xfor xa xclient xwho xis xin xactive xlabor xand xhas xmeconium xstaining xof
xthe xamniotic xfluid. xThe xnurse xnotes xa xreassuring xFHR xtracing xfrom xthe xexternal xfetal
xmonitor.
What xaction xshould xthe xnurse xtake?
a. prepare xthe xclient xfor xemergency xc-section
b. perform xendotrach xsuctioning xas xsoon xas xthe xfetal xhead xis xdelivered
c. prepare xequipment xneeded xfor xnewborn xresuscitation
d. prepare xthe xclient xfor xan xultrasound xexam x- xc. xprepare xequipment xneeded xfor
xnewborn xresuscitation
, The xnurse xshould xensure xthat xall xsupplies xand xequipment xneeded xfor xresuscitation
xof xthe xnewborn xare xreadily xavailable xfor xevery xdelivery. xEndotracheal xsuctioning xis
xrecommended xin xcases xof xmeconium xstaining xonly xif xthe xnewborn xhas xpoor
xrespiratory xeffort, xdecreased xmuscle xtone, xand xbradycardia xafter xdelivery.
A xnurse xis xreviewing xthe xmedical xrecord xof xa xclient xwho xis xat x33 xwks xgestation
xand xhas xplacenta xprevia xand xbleeding. xWhat xscripts xshould xthe xnurse xclarify xwith
xthe xprovider? xa. xinsert xa xlarge-bore xIV xcatheter
b. perform xa xvaginal xexam
c. perform xcontinuous xexternal xfetal xmonitoring
d. obtain xa xblood xsample xfor xlab xtesting x- xb. xperform xa xvaginal xexam
When xa xclient xhas xa xplacenta xprevia, xthe xplacenta ximplants xin xthe xlower xpart xof xthe
xuterus xand xobstructs xthe xcervical xos x(the xopening xto xthe xvagina). xThe xnurse xshould
xclarify xthis xprescription xbecause xany xmanipulation xcan xcause xtearing xof xthe xplacenta
xand xincreased xbleeding.
A xnurse xis xcaring xfor xa xclient xwho xis xat x37 xwks xgestation xand xis xundergoing xa
xnonstress xtest. xThe xFHR xis x130 xwithout xaccelerations xfor xthe xpast x10 xmin. xWhat
xaction xshould xthe xnurse xtake?
a. request xa xscript xfor xan xinternal xfetal xscalp xelectrode
b. auscultate xthe xFHR xwith xa xdoppler xtransducer
c. report xthe xnonreactive xtest xresult xto xthe xprovider ximmediately
d. use xvibroacoustic xstim xon xthe xclient's xabd xfor x3 xseconds x- xd. xuse xvibroacoustic
xstim xon xthe xclient's xabd xfor x3 xseconds
The xnurse xshould xuse xa xvibroacoustic xstimulator xon xthe xclient's xabdomen xto xelicit
xfetal xactivity xbecause xthe xfetus xis xmost xlikely xsleeping. xFetal xmovement xshould
xcause xaccelerations xin xthe xFHR.
A xnurse xis xreviewing xlab xresults xfor xa xclient xwho xis xat x37 xwks xgestation. xThe xnurse
xnotes xthat xthe xclient xis xrubella xnon-immune, xpositive xfor xgroup xA xbeta-hemolytic
xstrep, xand xhas xa xblood xtype xO xneg. xWhat xaction xshould xthe xnurse xtake?
a. instruct xthe xclient xto xobtain xa xrubella ximmunization xafter xdelivery
b. request xa xscript xfor xan xantibiotic xuntil xdelivery
c. inform xthe xclient xthat xshe xwill xhave xto xdeliver xvia xc-section
d. administer xa xdose xof xPho(D) ximmune xglobulin x- xa. xinstruct xthe xclient xto xobtain xa
xrubella ximmunization xafter xdelivery
