lOMoAR cPSD| 4877358
(NGN)nATInRNnMATERNALnNEWBORNnPROCTOREDnEXAMnTESTBANKACTUALnQUESTIONSnWITHn
VERIFIEDnSOLUTIONS/A+nGRADEnASSURED
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUALQ
n n n n n n n n
UESTIONS WITH VERIFIED DETAILED SOLUTIONS/A+ GRADE ASSURED
n n n n n n
1. Annursenisncaringnfornanclientnwhonisnatn36nweeksnofngestationnandnwhonhasnansuspectednplacentanprevia.nWhichnofn
thenfollowingnfindingsnsupportnthisndiagnosis?
A. Painlessnrednvaginalnbleeding
Rationale:nPlacentan previan isn an conditionn ofn pregnancyn whenn then placentan implantsn inn then lowern partn ofn thenut
erus,npartlynorncompletelynobstructingnthencervicalnosn(outletntonthenvagina).nBrightnred,npainlessnv
aginalnbleedingnoccursninnthensecondnandnthirdntrimester.
B. Increasingnabdominalnpainnwithnannonrelaxednuterus
Rationale:nAbruptionplacentanisnseparationnofnthenplacentanfromn then siten ofn uterinen implantationn beforendeliver
ynofnthenfetus.nWhennthenplacentanseparatesnprematurely,ntherenisninternalnbleeding,nwhichnisnpain
ful,nandnthenuterusnisnnonrelaxednornbecomesnrigidnasnthenseparationnadvances.
C. Abdominalnpainnwithnscantnrednvaginalnbleeding
Rationale:nPlacentanprevianinvolvesnminimalntonseverenbrightnrednvaginalnbleedingninnthenabsencenofnabdomin
alnpain.
D. Intermittentnabdominalnpainnfollowingnpassagenofnbloodynmucus
Rationale:nIntermittentnabdominalnpainnfollowingnpassagenofnbloodynmucusnisnandescriptionnofnnormalnlabor.n
Thenpassagenofnbloodynmucusnrepresentsnthenlossnofnthencervicalnmucousnplug,nalsonreferrednto
A+nTestnBank Pagen1
DownloadednbynRickynBobn(
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, lOMoAR cPSD| 4877358
(NGN)nATInRNnMATERNALnNEWBORNnPROCTOREDnEXAMnTESTBANKACTUALnQUESTIONSnWITHn
VERIFIEDnSOLUTIONS/A+nGRADEnASSURED
asnthen"bloodynshow."
2. Annursenisncaringnfornanclientnwhonisn1nhrnpostpartumnandnobservesnanlargenamountnofnlochianrubranandnseveralnsmalln
clotsnonnthenclient'snperinealnpad.nThenfundusnisnmidlinenandnfirmnatnthenumbilicus.nWhichnofnthenfollowingnactionsnsh
ouldnthennursentake?
A. Documentnthenfindingsnandncontinuentonmonitornthenclient.
Rationale:nThesenarenexpectednfindings.nAtn1nhrnpostpartum,nlochianrubranshouldnben intermittentn andnassociate
dnwithnuterinencontractions.nThenvolumenofnlochianresemblesnthatnofnanheavynmenstrualnperiod.nS
mallnclotsnarencommon.nThennursenshouldndocumentnthenfindingsnandncontinuentonmonitornthencli
ent.
B. Notifynthenclient‟snprovider.
Rationale:nThesen aren expectedn findings,n son theren isn non needn ton notifyn then provider.
C. Increasenthenfrequencynofnfundalnmassage.
Rationale:nThesenarenexpectednfindingsnandnthenfundusnisnalreadynfirm.nIncreasingnthenfrequencynofnfundalnm
assagenisnnotnindicatednatnthisntime.
D. Encouragenthenclientntonemptynhernbladder.
Rationale:nThesenarenexpectednfindings,nandn then fundusnisn firmn atnthen midline.n Ifnthenfundusn wasn deviated,nthi
snwouldnbenannindicationnofnandistendednbladdernandnthenclientnshouldnbenencouragedntonvoidntonpr
eventnuterinenatony.
A+nTestnBank Pagen2
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, lOMoAR cPSD| 4877358
(NGN)nATInRNnMATERNALnNEWBORNnPROCTOREDnEXAMnTESTBANKACTUALnQUESTIONSnWITHn
VERIFIEDnSOLUTIONS/A+nGRADEnASSURED
3. Annursenisncaringnfornannewbornnimmediatelynfollowingnbirth.nAfternassuringnanpatentnairway,nwhatnisn thenpriorityn
nursingnaction?
A. AdministernvitaminnK.
Rationale:nAdministrationn ofn vitaminn Kn isn important,n butn itn cann ben delayedn untiln then newbornn isn heldn byn thenmo
thernandnisnbreastfed.nTherenisnanother,nmorenimportantnnursingnaction.
B. Drynthenskin.
Rationale:nThennewbornnshouldnbenthoroughlyndried,ncoverednwithnanwarmnblanket,nplacednonnthenmother‟sna
bdomen,nandnancapnappliedntonthennewborn‟snheadntonpreventncoldnstress.nThennewbornnrespon
dsntonthencoolernenvironmentnbynincreasingnhisnrespiratorynrate,nwhichncannleadnto
n
respiratoryndistress.nBasednonnMaslow‟snhierarchynofnneeds,nthisnisnthenmostnimportantn
nursingnactionnafternsecuringnthenairway.
C. Administerneyenprophylaxis.
Rationale:nAdministrationnofneyenprophylaxisnshouldnoccurnwithinnthenfirstnhournafternbirth.nTherenisnanother,n
morenimportantnnursingnaction.
D. Placenannidentificationnbracelet.
Rationale:nCorrectnidentificationnofnthennewbornnisnimportant,nbutnitncannbendelayed,nasnlongnasn itn isncomplete
dnpriorntonthenmothernandnnewbornnleavingnthendeliverynroom.nTherenisnanother,nmorenimportant
nnursingnaction.
A+nTestnBank Pagen3
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, lOMoAR cPSD| 4877358
(NGN)nATInRNnMATERNALnNEWBORNnPROCTOREDnEXAMnTESTBANKACTUALnQUESTIONSnWITHn
VERIFIEDnSOLUTIONS/A+nGRADEnASSURED
4. Annurseninnanprenatalnclinicnisncaringnfornanclientnwhonisnatn7nweeksnofngestation.nThenclientnreportsnurinarynfrequencyn
andnasksnifnthisnwillncontinuenuntilndelivery.nWhichnofnthenfollowingnresponsesnshouldnthennursenmake?
A. "It'snanminorninconvenience,nwhichnyounshouldnignore."
Rationale:nThisnisnannontherapeuticnresponsenthatndisregardsnthenclient‟snconcernnandnoffersnunwarranted
reassurance.
B. "Innmostncasesnitnonlynlastsnuntilnthen12thnweek,nbutnitnwillncontinuenifnyounhavenpoorn bladderntone."
Rationale:nThenpresencenornabsencenofnbladderntonenhasnnonbearingnonnurinarynfrequencynduringnpregnancy
.
C. "Therenisnnonwayntonpredictnhownlongnitnwillnlastninneachnindividualnclient."
Rationale:nThisn isn an nontherapeuticn responsen thatn doesn notn providen appropriaten informationn ton then client.
D. "Itnoccursnduringnthenfirstntrimesternandnnearnthenendnofnthenpregnancy."
Rationale:nUrinaryn frequencyn isn duen ton increasedn bladdern sensitivityn duringn then firstn trimestern andn recursnn
earnthenendnofnthenpregnancynasnthenenlargingnuterusnplacesnpressurenonnthenbladder.
A+nTestnBank Pagen4
DownloadednbynRickynBobn(
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(NGN)nATInRNnMATERNALnNEWBORNnPROCTOREDnEXAMnTESTBANKACTUALnQUESTIONSnWITHn
VERIFIEDnSOLUTIONS/A+nGRADEnASSURED
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUALQ
n n n n n n n n
UESTIONS WITH VERIFIED DETAILED SOLUTIONS/A+ GRADE ASSURED
n n n n n n
1. Annursenisncaringnfornanclientnwhonisnatn36nweeksnofngestationnandnwhonhasnansuspectednplacentanprevia.nWhichnofn
thenfollowingnfindingsnsupportnthisndiagnosis?
A. Painlessnrednvaginalnbleeding
Rationale:nPlacentan previan isn an conditionn ofn pregnancyn whenn then placentan implantsn inn then lowern partn ofn thenut
erus,npartlynorncompletelynobstructingnthencervicalnosn(outletntonthenvagina).nBrightnred,npainlessnv
aginalnbleedingnoccursninnthensecondnandnthirdntrimester.
B. Increasingnabdominalnpainnwithnannonrelaxednuterus
Rationale:nAbruptionplacentanisnseparationnofnthenplacentanfromn then siten ofn uterinen implantationn beforendeliver
ynofnthenfetus.nWhennthenplacentanseparatesnprematurely,ntherenisninternalnbleeding,nwhichnisnpain
ful,nandnthenuterusnisnnonrelaxednornbecomesnrigidnasnthenseparationnadvances.
C. Abdominalnpainnwithnscantnrednvaginalnbleeding
Rationale:nPlacentanprevianinvolvesnminimalntonseverenbrightnrednvaginalnbleedingninnthenabsencenofnabdomin
alnpain.
D. Intermittentnabdominalnpainnfollowingnpassagenofnbloodynmucus
Rationale:nIntermittentnabdominalnpainnfollowingnpassagenofnbloodynmucusnisnandescriptionnofnnormalnlabor.n
Thenpassagenofnbloodynmucusnrepresentsnthenlossnofnthencervicalnmucousnplug,nalsonreferrednto
A+nTestnBank Pagen1
DownloadednbynRickynBobn(
)
, lOMoAR cPSD| 4877358
(NGN)nATInRNnMATERNALnNEWBORNnPROCTOREDnEXAMnTESTBANKACTUALnQUESTIONSnWITHn
VERIFIEDnSOLUTIONS/A+nGRADEnASSURED
asnthen"bloodynshow."
2. Annursenisncaringnfornanclientnwhonisn1nhrnpostpartumnandnobservesnanlargenamountnofnlochianrubranandnseveralnsmalln
clotsnonnthenclient'snperinealnpad.nThenfundusnisnmidlinenandnfirmnatnthenumbilicus.nWhichnofnthenfollowingnactionsnsh
ouldnthennursentake?
A. Documentnthenfindingsnandncontinuentonmonitornthenclient.
Rationale:nThesenarenexpectednfindings.nAtn1nhrnpostpartum,nlochianrubranshouldnben intermittentn andnassociate
dnwithnuterinencontractions.nThenvolumenofnlochianresemblesnthatnofnanheavynmenstrualnperiod.nS
mallnclotsnarencommon.nThennursenshouldndocumentnthenfindingsnandncontinuentonmonitornthencli
ent.
B. Notifynthenclient‟snprovider.
Rationale:nThesen aren expectedn findings,n son theren isn non needn ton notifyn then provider.
C. Increasenthenfrequencynofnfundalnmassage.
Rationale:nThesenarenexpectednfindingsnandnthenfundusnisnalreadynfirm.nIncreasingnthenfrequencynofnfundalnm
assagenisnnotnindicatednatnthisntime.
D. Encouragenthenclientntonemptynhernbladder.
Rationale:nThesenarenexpectednfindings,nandn then fundusnisn firmn atnthen midline.n Ifnthenfundusn wasn deviated,nthi
snwouldnbenannindicationnofnandistendednbladdernandnthenclientnshouldnbenencouragedntonvoidntonpr
eventnuterinenatony.
A+nTestnBank Pagen2
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, lOMoAR cPSD| 4877358
(NGN)nATInRNnMATERNALnNEWBORNnPROCTOREDnEXAMnTESTBANKACTUALnQUESTIONSnWITHn
VERIFIEDnSOLUTIONS/A+nGRADEnASSURED
3. Annursenisncaringnfornannewbornnimmediatelynfollowingnbirth.nAfternassuringnanpatentnairway,nwhatnisn thenpriorityn
nursingnaction?
A. AdministernvitaminnK.
Rationale:nAdministrationn ofn vitaminn Kn isn important,n butn itn cann ben delayedn untiln then newbornn isn heldn byn thenmo
thernandnisnbreastfed.nTherenisnanother,nmorenimportantnnursingnaction.
B. Drynthenskin.
Rationale:nThennewbornnshouldnbenthoroughlyndried,ncoverednwithnanwarmnblanket,nplacednonnthenmother‟sna
bdomen,nandnancapnappliedntonthennewborn‟snheadntonpreventncoldnstress.nThennewbornnrespon
dsntonthencoolernenvironmentnbynincreasingnhisnrespiratorynrate,nwhichncannleadnto
n
respiratoryndistress.nBasednonnMaslow‟snhierarchynofnneeds,nthisnisnthenmostnimportantn
nursingnactionnafternsecuringnthenairway.
C. Administerneyenprophylaxis.
Rationale:nAdministrationnofneyenprophylaxisnshouldnoccurnwithinnthenfirstnhournafternbirth.nTherenisnanother,n
morenimportantnnursingnaction.
D. Placenannidentificationnbracelet.
Rationale:nCorrectnidentificationnofnthennewbornnisnimportant,nbutnitncannbendelayed,nasnlongnasn itn isncomplete
dnpriorntonthenmothernandnnewbornnleavingnthendeliverynroom.nTherenisnanother,nmorenimportant
nnursingnaction.
A+nTestnBank Pagen3
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, lOMoAR cPSD| 4877358
(NGN)nATInRNnMATERNALnNEWBORNnPROCTOREDnEXAMnTESTBANKACTUALnQUESTIONSnWITHn
VERIFIEDnSOLUTIONS/A+nGRADEnASSURED
4. Annurseninnanprenatalnclinicnisncaringnfornanclientnwhonisnatn7nweeksnofngestation.nThenclientnreportsnurinarynfrequencyn
andnasksnifnthisnwillncontinuenuntilndelivery.nWhichnofnthenfollowingnresponsesnshouldnthennursenmake?
A. "It'snanminorninconvenience,nwhichnyounshouldnignore."
Rationale:nThisnisnannontherapeuticnresponsenthatndisregardsnthenclient‟snconcernnandnoffersnunwarranted
reassurance.
B. "Innmostncasesnitnonlynlastsnuntilnthen12thnweek,nbutnitnwillncontinuenifnyounhavenpoorn bladderntone."
Rationale:nThenpresencenornabsencenofnbladderntonenhasnnonbearingnonnurinarynfrequencynduringnpregnancy
.
C. "Therenisnnonwayntonpredictnhownlongnitnwillnlastninneachnindividualnclient."
Rationale:nThisn isn an nontherapeuticn responsen thatn doesn notn providen appropriaten informationn ton then client.
D. "Itnoccursnduringnthenfirstntrimesternandnnearnthenendnofnthenpregnancy."
Rationale:nUrinaryn frequencyn isn duen ton increasedn bladdern sensitivityn duringn then firstn trimestern andn recursnn
earnthenendnofnthenpregnancynasnthenenlargingnuterusnplacesnpressurenonnthenbladder.
A+nTestnBank Pagen4
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