(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
HgVERIFIEDgSOLUTIONS/A+gGRADEgASSURED
(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUA
LgQUESTIONSgWITHgVERIFIEDgDETAILEDgSOLUTIONS/A+gGRADEgASSURED
1.gAgnursegisgcaringgforgagclientgwhogisgatg36gweeksgofggestationgandgwhoghasgagsuspectedgplacentagprevia.gWhic
hgofgthegfollowinggfindingsgsupportgthisgdiagnosis?
A. Painlessgredgvaginalgbleeding
Rationale:gPlacentagpreviagisgagconditiongofgpregnancygwhengthegplacentagimplantsgingtheglowergpartgofgt
heguterus,gpartlygorgcompletelygobstructinggthegcervicalgosg(outletgtogthegvagina).gBrightgred,gp
ainlessgvaginalgbleedinggoccursgingthegsecondgandgthirdgtrimester.
B. Increasinggabdominalgpaingwithgagnonrelaxedguterus
Rationale:gAbruptiogplacentagisgseparationgofgthegplacentagfromg theg siteg ofg uterineg implantationg beforegd
eliverygofgthegfetus.gWhengthegplacentagseparatesgprematurely,gtheregisginternalgbleeding,gwhic
hgisgpainful,gandgtheguterusgisgnonrelaxedgorgbecomesgrigidgasgthegseparationgadvances.
C. Abdominalgpaingwithgscantgredgvaginalgbleeding
Rationale:gPlacentagpreviag involvesg minimalg tog severegbrightg redg vaginalg bleedingg ing theg absenceg ofgab
dominalgpain.
D. Intermittentgabdominalgpaingfollowinggpassagegofgbloodygmucus
Rationale:gIntermittentgabdominalgpaingfollowinggpassagegofgbloodygmucusgisgagdescriptiongofgnormalgla
bor.gThegpassagegofgbloodygmucusgrepresentsgtheglossgofgthegcervicalgmucousgplug,galsogre
ferredgto
A+gTestgBank Pageg1
DownloadedgbygRickygBobg(
m)
, (NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
HgVERIFIEDgSOLUTIONS/A+gGRADEgASSURED
asgtheg"bloodygshow."
2.gAgnursegisgcaringgforgagclientgwhogisg1ghrgpostpartumg andgobservesgaglargegamountgofglochiagrubragandgseveralg
smallgclotsgongthegclient'sgperinealgpad.gThegfundusgisgmidlinegandgfirmgatgthegumbilicus.gWhichgofgthegfollowingg
actionsgshouldgthegnursegtake?
A. Documentgthegfindingsgandgcontinuegtogmonitorgthegclient.
Rationale:gThesegaregexpectedgfindings.gAtg1ghrgpostpartum,glochiagrubragshouldgbeg intermittentg andgass
ociatedgwithguterinegcontractions.gThegvolumegofglochiagresemblesgthatgofgagheavygmenstrual
gperiod.gSmallgclotsgaregcommon.gThegnursegshouldgdocumentgthegfindingsgandgcontinuegtog
monitorgthegclient.
B. Notifygthegclient‟sgprovider.
Rationale:gThesegareg expectedg findings,g sog thereg isg nog needg tog notifyg theg provider.
C. Increasegthegfrequencygofgfundalgmassage.
Rationale:gThesegaregexpectedgfindingsgandgthegfundusgisgalreadygfirm.gIncreasinggthegfrequencygofgfun
dalgmassagegisgnotgindicatedgatgthisgtime.
D. Encouragegthegclientgtogemptyghergbladder.
Rationale:gThesegaregexpectedgfindings,gandgthegfundusgisgfirmgatgthegmidline.gIfgthegfundusgwasgdeviate
d,gthisgwouldgbegangindicationgofgagdistendedgbladdergandgthegclientgshouldgbegencouragedgto
gvoidgtogpreventguterinegatony.
A+gTestgBank Pageg2
DownloadedgbygRickygBobg(
m)
, (NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
HgVERIFIEDgSOLUTIONS/A+gGRADEgASSURED
3.gAgnursegisgcaringgforgagnewborngimmediatelygfollowinggbirth.gAftergassuringgagpatentgairway,gwhatgisg thegpriority
gnursinggaction?
A. AdministergvitamingK.
Rationale:gAdministrationgofgvitamingKgisgimportant,gbutgitgcangbegdelayedguntilgthegnewborngisgheldgbygt
hegmothergandgisgbreastfed.gTheregisganother,gmoregimportantgnursinggaction.
B. Drygthegskin.
Rationale:gThegnewborngshouldgbegthoroughlygdried,gcoveredgwithgagwarmgblanket,gplacedgongthegmoth
er‟sgabdomen,gandgagcapgappliedgtogthegnewborn‟sgheadgtogpreventgcoldgstress.gThegnewbo
rngrespondsgtogthegcoolergenvironmentgbygincreasingghisgrespiratorygrate,gwhichgcangleadgto
respiratorygdistress.gBasedgongMaslow‟sghierarchygofgneeds,gthisgisgthegmostgimportantgnur
singgactiongaftergsecuringgthegairway.
C. Administergeyegprophylaxis.
Rationale:gAdministrationgofgeyegprophylaxisgshouldgoccurgwithingthegfirstghourgaftergbirth.gTheregisganot
her,gmoregimportantgnursinggaction.
D. Placegangidentificationgbracelet.
Rationale:gCorrectgidentificationgofgthegnewborngisgimportant,gbutgitgcangbegdelayed,gasglonggasg itg is
completedgpriorgtogthegmothergandgnewborngleavinggthegdeliverygroom.gTheregisganother,gmor
egimportantgnursinggaction.
A+gTestgBank Pageg3
DownloadedgbygRickygBobg(
m)
, (NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
HgVERIFIEDgSOLUTIONS/A+gGRADEgASSURED
4.gAgnursegingagprenatalgclinicgisgcaringgforgagclientgwhogisgatg7gweeksgofggestation.gThegclientgreportsgurinarygfreq
uencygandgasksgifgthisgwillgcontinueguntilgdelivery.gWhichgofgthegfollowinggresponsesgshouldgthegnursegmake?
A. "It'sgagminorginconvenience,gwhichgyougshouldgignore."
Rationale:gThisgisgagnontherapeuticgresponsegthatgdisregardsgthegclient‟sgconcerngandgoffersgunwarranted
reassurance.
B. "Ingmostgcasesgitgonlyglastsguntilgtheg12thgweek,gbutgitgwillgcontinuegifgyoughavegpoorg bladdergtone."
Rationale:gThegpresencegorgabsencegofgbladdergtoneghasgnogbearinggongurinarygfrequencygduringgpregn
ancy.
C. "Theregisgnogwaygtogpredictghowglonggitgwillglastgingeachgindividualgclient."
Rationale:gThisgisg ag nontherapeuticg responseg thatg doesg notg provideg appropriateg informationg tog theg client.
D. "Itgoccursgduringgthegfirstgtrimestergandgneargthegendgofgthegpregnancy."
Rationale:gUrinarygfrequencyg isg dueg tog increasedg bladderg sensitivityg duringg theg firstg trimesterg andg recurs
gneargthegendgofgthegpregnancygasgthegenlargingguterusgplacesgpressuregongthegbladder.
A+gTestgBank Pageg4
DownloadedgbygRickygBobg(
m)
HgVERIFIEDgSOLUTIONS/A+gGRADEgASSURED
(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUA
LgQUESTIONSgWITHgVERIFIEDgDETAILEDgSOLUTIONS/A+gGRADEgASSURED
1.gAgnursegisgcaringgforgagclientgwhogisgatg36gweeksgofggestationgandgwhoghasgagsuspectedgplacentagprevia.gWhic
hgofgthegfollowinggfindingsgsupportgthisgdiagnosis?
A. Painlessgredgvaginalgbleeding
Rationale:gPlacentagpreviagisgagconditiongofgpregnancygwhengthegplacentagimplantsgingtheglowergpartgofgt
heguterus,gpartlygorgcompletelygobstructinggthegcervicalgosg(outletgtogthegvagina).gBrightgred,gp
ainlessgvaginalgbleedinggoccursgingthegsecondgandgthirdgtrimester.
B. Increasinggabdominalgpaingwithgagnonrelaxedguterus
Rationale:gAbruptiogplacentagisgseparationgofgthegplacentagfromg theg siteg ofg uterineg implantationg beforegd
eliverygofgthegfetus.gWhengthegplacentagseparatesgprematurely,gtheregisginternalgbleeding,gwhic
hgisgpainful,gandgtheguterusgisgnonrelaxedgorgbecomesgrigidgasgthegseparationgadvances.
C. Abdominalgpaingwithgscantgredgvaginalgbleeding
Rationale:gPlacentagpreviag involvesg minimalg tog severegbrightg redg vaginalg bleedingg ing theg absenceg ofgab
dominalgpain.
D. Intermittentgabdominalgpaingfollowinggpassagegofgbloodygmucus
Rationale:gIntermittentgabdominalgpaingfollowinggpassagegofgbloodygmucusgisgagdescriptiongofgnormalgla
bor.gThegpassagegofgbloodygmucusgrepresentsgtheglossgofgthegcervicalgmucousgplug,galsogre
ferredgto
A+gTestgBank Pageg1
DownloadedgbygRickygBobg(
m)
, (NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
HgVERIFIEDgSOLUTIONS/A+gGRADEgASSURED
asgtheg"bloodygshow."
2.gAgnursegisgcaringgforgagclientgwhogisg1ghrgpostpartumg andgobservesgaglargegamountgofglochiagrubragandgseveralg
smallgclotsgongthegclient'sgperinealgpad.gThegfundusgisgmidlinegandgfirmgatgthegumbilicus.gWhichgofgthegfollowingg
actionsgshouldgthegnursegtake?
A. Documentgthegfindingsgandgcontinuegtogmonitorgthegclient.
Rationale:gThesegaregexpectedgfindings.gAtg1ghrgpostpartum,glochiagrubragshouldgbeg intermittentg andgass
ociatedgwithguterinegcontractions.gThegvolumegofglochiagresemblesgthatgofgagheavygmenstrual
gperiod.gSmallgclotsgaregcommon.gThegnursegshouldgdocumentgthegfindingsgandgcontinuegtog
monitorgthegclient.
B. Notifygthegclient‟sgprovider.
Rationale:gThesegareg expectedg findings,g sog thereg isg nog needg tog notifyg theg provider.
C. Increasegthegfrequencygofgfundalgmassage.
Rationale:gThesegaregexpectedgfindingsgandgthegfundusgisgalreadygfirm.gIncreasinggthegfrequencygofgfun
dalgmassagegisgnotgindicatedgatgthisgtime.
D. Encouragegthegclientgtogemptyghergbladder.
Rationale:gThesegaregexpectedgfindings,gandgthegfundusgisgfirmgatgthegmidline.gIfgthegfundusgwasgdeviate
d,gthisgwouldgbegangindicationgofgagdistendedgbladdergandgthegclientgshouldgbegencouragedgto
gvoidgtogpreventguterinegatony.
A+gTestgBank Pageg2
DownloadedgbygRickygBobg(
m)
, (NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
HgVERIFIEDgSOLUTIONS/A+gGRADEgASSURED
3.gAgnursegisgcaringgforgagnewborngimmediatelygfollowinggbirth.gAftergassuringgagpatentgairway,gwhatgisg thegpriority
gnursinggaction?
A. AdministergvitamingK.
Rationale:gAdministrationgofgvitamingKgisgimportant,gbutgitgcangbegdelayedguntilgthegnewborngisgheldgbygt
hegmothergandgisgbreastfed.gTheregisganother,gmoregimportantgnursinggaction.
B. Drygthegskin.
Rationale:gThegnewborngshouldgbegthoroughlygdried,gcoveredgwithgagwarmgblanket,gplacedgongthegmoth
er‟sgabdomen,gandgagcapgappliedgtogthegnewborn‟sgheadgtogpreventgcoldgstress.gThegnewbo
rngrespondsgtogthegcoolergenvironmentgbygincreasingghisgrespiratorygrate,gwhichgcangleadgto
respiratorygdistress.gBasedgongMaslow‟sghierarchygofgneeds,gthisgisgthegmostgimportantgnur
singgactiongaftergsecuringgthegairway.
C. Administergeyegprophylaxis.
Rationale:gAdministrationgofgeyegprophylaxisgshouldgoccurgwithingthegfirstghourgaftergbirth.gTheregisganot
her,gmoregimportantgnursinggaction.
D. Placegangidentificationgbracelet.
Rationale:gCorrectgidentificationgofgthegnewborngisgimportant,gbutgitgcangbegdelayed,gasglonggasg itg is
completedgpriorgtogthegmothergandgnewborngleavinggthegdeliverygroom.gTheregisganother,gmor
egimportantgnursinggaction.
A+gTestgBank Pageg3
DownloadedgbygRickygBobg(
m)
, (NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
HgVERIFIEDgSOLUTIONS/A+gGRADEgASSURED
4.gAgnursegingagprenatalgclinicgisgcaringgforgagclientgwhogisgatg7gweeksgofggestation.gThegclientgreportsgurinarygfreq
uencygandgasksgifgthisgwillgcontinueguntilgdelivery.gWhichgofgthegfollowinggresponsesgshouldgthegnursegmake?
A. "It'sgagminorginconvenience,gwhichgyougshouldgignore."
Rationale:gThisgisgagnontherapeuticgresponsegthatgdisregardsgthegclient‟sgconcerngandgoffersgunwarranted
reassurance.
B. "Ingmostgcasesgitgonlyglastsguntilgtheg12thgweek,gbutgitgwillgcontinuegifgyoughavegpoorg bladdergtone."
Rationale:gThegpresencegorgabsencegofgbladdergtoneghasgnogbearinggongurinarygfrequencygduringgpregn
ancy.
C. "Theregisgnogwaygtogpredictghowglonggitgwillglastgingeachgindividualgclient."
Rationale:gThisgisg ag nontherapeuticg responseg thatg doesg notg provideg appropriateg informationg tog theg client.
D. "Itgoccursgduringgthegfirstgtrimestergandgneargthegendgofgthegpregnancy."
Rationale:gUrinarygfrequencyg isg dueg tog increasedg bladderg sensitivityg duringg theg firstg trimesterg andg recurs
gneargthegendgofgthegpregnancygasgthegenlargingguterusgplacesgpressuregongthegbladder.
A+gTestgBank Pageg4
DownloadedgbygRickygBobg(
m)
