صg 8:57g 2024/3/2 (NGN)gATIgRNgMaternalgNewborngProctoredgEXAMgTestbankact
9 ual
(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
Hg VERIFIEDgSOLUTIONS/A+gGRADEgASSURED
(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQ
UESTIONSgWITHgVERIFIEDgDETAILEDgSOLUTIONS/A+gGRADEgASSURED
1.gAgnursegisgcaringgforg agclientg whogisg atg 36g weeksg ofg gestationg andg whoghasg agsuspectedgplacenta
gprevia.gWhichgofg theg followinggfindingsgsupportgthisgdiagnosis?
A. Painlessg redg vaginalg bleeding
Rationale:g Placentag previag isg ag conditiong ofg pregnancyg wheng theg placentag implantsg ing theg lowerg par
tg ofg the
uterus,g partlyg orgcompletelyg obstructingg thegcervicalgosg(outletgtog thegvagina).g Brightgred,g
painlessg vaginalg bleedingg occursging thegsecondg andgthirdg trimester.
B. Increasingg abdominalg paing withg ag nonrelaxedg uterus
Rationale:g Abruptiogplacentagisgseparationgofgthegplacentagfromg theg siteg ofg uterineg implantation
g beforeg deliverygofgthegfetus.gWheng theg placentagseparatesg prematurely,gtheregisginte
rnalgbleeding,g which
isg painful,g andg theg uterusg isg nonrelaxedg org becomesg rigidg asg theg separationg advances.
C. Abdominalg paing withg scantg redg vaginalg bleeding
Rationale:g Placentag previag involvesg minimalg tog severeg brightg redg vaginalg bleedingg ing theg abse
nceg ofg abdominalgpain.
D. Intermittentg abdominalg paing followingg passageg ofg bloodyg mucus
Rationale:gIntermittentgabdominalgpaingfollowingg passageg ofg bloodygmucusgisg agdescriptiong ofg nor
malglabor.g Theg passageg ofg bloodyg mucusg representsg theg lossg ofg theg cervicalg mucou
sg plug,g alsog referredg to
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Hg VERIFIEDgSOLUTIONS/A+gGRADEgASSURED
asg theg "bloodyg show."
2.gAgnurseg isg caringg forg ag clientg whog isg 1g hrg postpartumg andg observesg ag largeg amountg ofg lochiag rubrag a
ndg severalg small
clotsg ongthegclient'sg perinealgpad.g Theg fundusgisgmidlineg andg firmgatgtheg umbilicus.g Whichg ofgthegfoll
owingg actionsg shouldgtheg nurseg take?
A. Documentg theg findingsg andg continueg tog monitorg theg client.
Rationale:g Thesegaregexpectedgfindings.gAtg1ghrgpostpartum,glochiagrubragshouldgbeg intermittentg
andg associatedg withg uterinegcontractions.g Thegvolumeg ofglochiagresemblesg thatgofg agh
eavygmenstrual
period.gSmallgclotsgaregcommon.g Theg nursegshouldg documentg thegfindingsg andg conti
nueg tog monitorgthegclient.
B. Notifygtheg client‟sg provider.
Rationale:g Theseg areg expectedg findings,g sog thereg isg nog needg tog notifyg theg provider.
C. Increaseg theg frequencyg ofg fundalg massage.
Rationale:gTheseg areg expectedg findingsg andgthegfundusgisg alreadygfirm.gIncreasinggthegfrequenc
ygofg fundalg massagegisgnotgindicatedg atg thisgtime.
D. Encourageg theg clientg tog emptyg herg bladder.
Rationale:g Theseg areg expectedg findings,g andg theg fundusg isg firmg atg theg midline.g Ifg theg fundusg wasg
deviated,
thisg wouldg beg angindicationg ofgag distendedg bladderg andgthegclientgshouldg beg encouragedg
togvoidgtog preventg uterineg atony.
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(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
Hg VERIFIEDgSOLUTIONS/A+gGRADEgASSURED
3.gAgnurseg isg caringg forg ag newborng immediatelyg followingg birth.gAfterg assuringg ag patentg airway,g whatg isg the
g priority
nursingg action?
A. Administerg vitaming K.
Rationale:g Administrationg ofg vitamingKgisgimportant,g butgitgcang begdelayedg untilgtheg newborngi
sgheldg bygtheg mothergandgisg breastfed.g Theregisganother,gmoregimportantgnursingg
action.
B. Dryg theg skin.
Rationale:gTheg newborng shouldg begthoroughlygdried,gcoveredg withg ag warmgblanket,gplacedgong
thegmother‟sg abdomen,gandgagcapgappliedgtogthegnewborn‟sgheadgtogpreventgcold
gstress.gThegnewborng respondsg tog thegcoolerg environmentg bygincreasingghisgrespirat
orygrate,g whichgcangleadgto
respiratorygdistress.gBasedgongMaslow‟sghierarchygofg needs,g thisgisgthegmostgimport
antg nursingg actiong aftergsecuringg theg airway.
C. Administerg eyeg prophylaxis.
Rationale:gAdministrationg ofg eyegprophylaxisgshouldg occurgwithingthegfirstg hourg afterg birth.g Ther
egisganother,g moregimportantg nursingg action.
D. Placeg ang identificationg bracelet.
Rationale:g Correctgidentificationgofgthegnewborngisgimportant,gbutgitgcangbegdelayed,gasglongga
sg itg isg completedg priorg togthegmotherg andgnewborngleavinggtheg deliverygroom.gTh
eregisganother,gmore
importantg nursingg action.
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(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
Hg VERIFIEDgSOLUTIONS/A+gGRADEgASSURED
4.gAgnursegingag prenatalgclinicgisgcaringg forg agclientg whogisg atg7g weeksg ofg gestation.gThegclientgrepor
tsgurinarygfrequencyg andg asksgifg thisgwillgcontinueg untilgdelivery.gWhichgofg thegfollowinggresponsesgs
houldgtheg nursegmake?
A. "It'sg ag minorg inconvenience,g whichg youg shouldg ignore."
Rationale:g Thisg isg ag nontherapeuticg responseg thatg disregardsg theg client‟sg concerng andg offersg unwarr
anted
reassurance.
B. "Ing mostg casesg itg onlyg lastsg untilg theg 12thg week,g butg itg willg continueg ifg youg haveg poorg bladderg tone
."
Rationale:gTheg presenceg orgabsencegofg bladderg toneg hasgnog bearingg ong urinarygfrequencyg du
ringg pregnancy.
C. "Thereg isg nog wayg tog predictg howg longg itg willg lastg ing eachg individualg client."
Rationale:g Thisg isg ag nontherapeuticg responseg thatg doesg notg provideg appropriateg informationg tog theg c
lient.
D. "Itg occursg duringg theg firstg trimesterg andg nearg theg endg ofg theg pregnancy."
Rationale:g Urinaryg frequencyg isg dueg tog increasedg bladderg sensitivityg duringg theg firstg trimesterg andg re
curs
nearg theg endg ofg theg pregnancyg asg theg enlargingg uterusg placesg pressureg ong theg bladder.
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9 ual
(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
Hg VERIFIEDgSOLUTIONS/A+gGRADEgASSURED
(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQ
UESTIONSgWITHgVERIFIEDgDETAILEDgSOLUTIONS/A+gGRADEgASSURED
1.gAgnursegisgcaringgforg agclientg whogisg atg 36g weeksg ofg gestationg andg whoghasg agsuspectedgplacenta
gprevia.gWhichgofg theg followinggfindingsgsupportgthisgdiagnosis?
A. Painlessg redg vaginalg bleeding
Rationale:g Placentag previag isg ag conditiong ofg pregnancyg wheng theg placentag implantsg ing theg lowerg par
tg ofg the
uterus,g partlyg orgcompletelyg obstructingg thegcervicalgosg(outletgtog thegvagina).g Brightgred,g
painlessg vaginalg bleedingg occursging thegsecondg andgthirdg trimester.
B. Increasingg abdominalg paing withg ag nonrelaxedg uterus
Rationale:g Abruptiogplacentagisgseparationgofgthegplacentagfromg theg siteg ofg uterineg implantation
g beforeg deliverygofgthegfetus.gWheng theg placentagseparatesg prematurely,gtheregisginte
rnalgbleeding,g which
isg painful,g andg theg uterusg isg nonrelaxedg org becomesg rigidg asg theg separationg advances.
C. Abdominalg paing withg scantg redg vaginalg bleeding
Rationale:g Placentag previag involvesg minimalg tog severeg brightg redg vaginalg bleedingg ing theg abse
nceg ofg abdominalgpain.
D. Intermittentg abdominalg paing followingg passageg ofg bloodyg mucus
Rationale:gIntermittentgabdominalgpaingfollowingg passageg ofg bloodygmucusgisg agdescriptiong ofg nor
malglabor.g Theg passageg ofg bloodyg mucusg representsg theg lossg ofg theg cervicalg mucou
sg plug,g alsog referredg to
A+gTestgBank Pageg1
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,صg 8:57g 2024/3/2 (NGN)gATIgRNgMaternalgNewborngProctoredgEXAMgTestbankact
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(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
Hg VERIFIEDgSOLUTIONS/A+gGRADEgASSURED
asg theg "bloodyg show."
2.gAgnurseg isg caringg forg ag clientg whog isg 1g hrg postpartumg andg observesg ag largeg amountg ofg lochiag rubrag a
ndg severalg small
clotsg ongthegclient'sg perinealgpad.g Theg fundusgisgmidlineg andg firmgatgtheg umbilicus.g Whichg ofgthegfoll
owingg actionsg shouldgtheg nurseg take?
A. Documentg theg findingsg andg continueg tog monitorg theg client.
Rationale:g Thesegaregexpectedgfindings.gAtg1ghrgpostpartum,glochiagrubragshouldgbeg intermittentg
andg associatedg withg uterinegcontractions.g Thegvolumeg ofglochiagresemblesg thatgofg agh
eavygmenstrual
period.gSmallgclotsgaregcommon.g Theg nursegshouldg documentg thegfindingsg andg conti
nueg tog monitorgthegclient.
B. Notifygtheg client‟sg provider.
Rationale:g Theseg areg expectedg findings,g sog thereg isg nog needg tog notifyg theg provider.
C. Increaseg theg frequencyg ofg fundalg massage.
Rationale:gTheseg areg expectedg findingsg andgthegfundusgisg alreadygfirm.gIncreasinggthegfrequenc
ygofg fundalg massagegisgnotgindicatedg atg thisgtime.
D. Encourageg theg clientg tog emptyg herg bladder.
Rationale:g Theseg areg expectedg findings,g andg theg fundusg isg firmg atg theg midline.g Ifg theg fundusg wasg
deviated,
thisg wouldg beg angindicationg ofgag distendedg bladderg andgthegclientgshouldg beg encouragedg
togvoidgtog preventg uterineg atony.
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(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
Hg VERIFIEDgSOLUTIONS/A+gGRADEgASSURED
3.gAgnurseg isg caringg forg ag newborng immediatelyg followingg birth.gAfterg assuringg ag patentg airway,g whatg isg the
g priority
nursingg action?
A. Administerg vitaming K.
Rationale:g Administrationg ofg vitamingKgisgimportant,g butgitgcang begdelayedg untilgtheg newborngi
sgheldg bygtheg mothergandgisg breastfed.g Theregisganother,gmoregimportantgnursingg
action.
B. Dryg theg skin.
Rationale:gTheg newborng shouldg begthoroughlygdried,gcoveredg withg ag warmgblanket,gplacedgong
thegmother‟sg abdomen,gandgagcapgappliedgtogthegnewborn‟sgheadgtogpreventgcold
gstress.gThegnewborng respondsg tog thegcoolerg environmentg bygincreasingghisgrespirat
orygrate,g whichgcangleadgto
respiratorygdistress.gBasedgongMaslow‟sghierarchygofg needs,g thisgisgthegmostgimport
antg nursingg actiong aftergsecuringg theg airway.
C. Administerg eyeg prophylaxis.
Rationale:gAdministrationg ofg eyegprophylaxisgshouldg occurgwithingthegfirstg hourg afterg birth.g Ther
egisganother,g moregimportantg nursingg action.
D. Placeg ang identificationg bracelet.
Rationale:g Correctgidentificationgofgthegnewborngisgimportant,gbutgitgcangbegdelayed,gasglongga
sg itg isg completedg priorg togthegmotherg andgnewborngleavinggtheg deliverygroom.gTh
eregisganother,gmore
importantg nursingg action.
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9 ual
(NGN)gATIgRNgMATERNALgNEWBORNgPROCTOREDgEXAMgTESTBANKACTUALgQUESTIONSgWIT
Hg VERIFIEDgSOLUTIONS/A+gGRADEgASSURED
4.gAgnursegingag prenatalgclinicgisgcaringg forg agclientg whogisg atg7g weeksg ofg gestation.gThegclientgrepor
tsgurinarygfrequencyg andg asksgifg thisgwillgcontinueg untilgdelivery.gWhichgofg thegfollowinggresponsesgs
houldgtheg nursegmake?
A. "It'sg ag minorg inconvenience,g whichg youg shouldg ignore."
Rationale:g Thisg isg ag nontherapeuticg responseg thatg disregardsg theg client‟sg concerng andg offersg unwarr
anted
reassurance.
B. "Ing mostg casesg itg onlyg lastsg untilg theg 12thg week,g butg itg willg continueg ifg youg haveg poorg bladderg tone
."
Rationale:gTheg presenceg orgabsencegofg bladderg toneg hasgnog bearingg ong urinarygfrequencyg du
ringg pregnancy.
C. "Thereg isg nog wayg tog predictg howg longg itg willg lastg ing eachg individualg client."
Rationale:g Thisg isg ag nontherapeuticg responseg thatg doesg notg provideg appropriateg informationg tog theg c
lient.
D. "Itg occursg duringg theg firstg trimesterg andg nearg theg endg ofg theg pregnancy."
Rationale:g Urinaryg frequencyg isg dueg tog increasedg bladderg sensitivityg duringg theg firstg trimesterg andg re
curs
nearg theg endg ofg theg pregnancyg asg theg enlargingg uterusg placesg pressureg ong theg bladder.
A+gTestgBank Pageg4
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