Test Bank for NUR404/ Maternity ATI Proctored Exam
g g g g g g g g
Questions and Correct Detailed Answers/ Updated 2024
g g g g g g
Rated A+ g
Thegnursegisgassessinggagclientginglabor.gOngwhichgcomplicationgofglaborersgidentifiedgwithingtheg2030gN
ationalgHealthgGoalsgwillgthegnursegfocus?
A. uterinegrupture
B. prolapsedgfetalgcord
C. hypotonicgcontractions
D. hypertonicgcontractionsg-gANSWERg-gA
Nursesgcanghelpgthegnationgachievegtheg2020gNationalgHealthgGoalsgforgcomplicationsgofglaborgbygbein
ggalertgtogthegpreliminarygsymptomsgofguterinegrupture,gwhichgaccountsgforgagsubstantialgnumbergofg
maternalgdeathsgduringglabor.gHypotonicgandghypertonicgcontractionsgandgprolapsedgfetalgcordgaregnot
gidentifiedgasgspecificgcomplicationsgofglaborgwithingtheg2020gNationalgHealthgGoals.
Anginfantgwasgborngaftergagfacegpresentation.gWhengselectinggagnursinggdiagnosisgforgthegnewborn,gwhi
chgbodygsystemgdoesgthegnursegidentifygasgagpriority?
A. respiratory
B. genitourinary
C. cardiovascular
D. gastrointestinalg-gANSWERg-gA
Babiesgborngaftergagfacegpresentationghavegaggreatgdealgofgfacialgedemagandgmaybegpurplegfromgbruisin
g.gTheginfantgmustgbegobservedgcloselygforgagpatentgairway,gwhichgisgthegpriority.gAgfacegpresentationgd
oesgnotgaffectgthegcardiovasculargorggenitourinarygsystems.gIfglipedemagisgsevere,gthegnewborngmightgn
eedggavagegfeedingsguntilgthegedemagsubsidesgandgsuckinggcangoccur.
pg.g1
,Thegfetusgofgagpregnantgclientgisgingagbreechgpresentation.gWheregwillgthegnursegauscultategfetalgheartg
sounds?
A. lowgingthegabdomen
B. leftglateralgabdomen
C. highgingthegabdomen
D. rightglateralgabdomeng-gANSWERg-gC
Withgagbreechgpresentation,gfetalgheartgsoundsgusuallygaregheardghighgingthegabdomen.gIngagbreechgpresen
tation,gfetalgheartgsoundsgwillgnotgbegheardglowgingthegabdomengorgovergthegleftgorgrightglateralgabdominalg
regions.
Agmultiparagclientginglaborgisghavinggcontractionsgwhichgareg2gminutesgapartgbutgrarelygoverg50gmmgHggingst
rength;gthegrestingguterinegtonegisghigh,g20gtog25gmmgHg.gThegclientgasksgwhatgshegcangdogtogmakegcontra
ctionsgmoregeffective.gThegnurse'sgbestgresponsegis:
A. restgbetweengcontractions.
B. requestgoxytocingtogstrengthengthegcontractions.
C. begpatientgasgcontractionsgwillgstrengthengbygthemselves.
D. ambulategtogmakegthegcontractionsgregular.g-gANSWERg-gA
Thegclient'sgcontractionsgareghypertonicgbecausegofgtheghighgrestinggtone.gHypertonicgcontractionsgoccu
rgbecausegtheguterusgisgbeinggoverstimulatedgorgerraticallygstimulated.gRest,gnotgactivity,gisgeffectiveging
helpinggcontractionsgbecomegmoregproductive.gOxytocingisgcontraindicated.gTheregisgnogguaranteegthat
gwaitinggwillgchangegthegstatusgofgthegcontractions.
Afterganghourgofgoxytocingtherapy,gagwomanginglaborgstatesgshegfeelsgdizzygandgnauseated.gThegnurse'sg
bestgactiongwouldgbegto:
A. assessgthegrategofgflowgofgthegoxytocinginfusion.
B. administergoralgorangegjuicegforgaddedgpotassium.
pg.g2
,C. assessghergvaginallygforgfullgdilationg(dilatation).
D. instructghergtogbreathegingandgoutgrapidly.g-gANSWERg-gA
Agtoxicgeffectgofgoxytocingtherapygisgwatergintoxication.gSymptomsgincludegdizzinessgandgnausea.gAsses
singgandgslowinggtheginfusiongrategwillgrelievegsymptoms.
Agwomangisgingtheghospitalgonlyg15gminutesgwhengshegbeginsgtoggivegbirthgprecipitously.gThegfetalghea
dgbeginsgtogemergegasgthegnursegwalksgintogtheglaborgroom.gThegnurse'sgbestgactiongwouldgbegto:
A. placegaghandggentlygongthegfetalgheadgtogguidegbirth.
B. askghergtogpushgwithgthegnextgcontractiongsogbirthgisgrapid.
C. assessgbloodgpressuregandgpulsegtogdetectgplacentalgbleeding.
D. attachgagfetalgmonitorgtogdeterminegfetalgstatus.g-gANSWERg-gA
Aftergdelivery,gagclientgisgdiagnosedgwithgplacentagsuccenturiata.gForgwhatgproceduregshouldgthegnurseg
preparegthisgclient?
A. lavagegofgtheguterus
B. repairgofgangepisiotomy
C. manualgremovalgofgaccessoryglobes
D. emergencygresuscitationgofgthegnewborng-gANSWERg-gC
Agplacentagsuccenturiatagisgagplacentagthatghasgonegorgmoregaccessoryglobesgconnectedgtogthegmaingpl
acentagbygbloodgvessels.gThisgdisordergneedsgtogbegrecognizedgbecausegthegsmallglobesgmaygbegretained
gingtheguterusgaftergbirth,gleadinggtogseveregmaternalghemorrhage.gOncegthegremainingglobesgare
recognizedgandgremovedgfromgtheguterusgmanually,gtheguterusgwillgcontractgwithgnogadversegmaternal
geffects.gUterineglavagegisgnotgagtreatmentgforgthisgdisorder.gThisgdisordergisgnotgspecificallygassociatedg
withgangepisiotomy.gNogfetalgabnormalitygisgassociatedgwithgthisgdisorder.
Thegnursegisgcaringgforgagclientginglaborgwhosegfetusgisgingangocciputgposteriorgposition.gWhichginterventiong
shouldgthegnursegusegtogreducegthisgclient'sgdiscomfort?
pg.g3
, A. Massagegtheglowergback.
B. Placegingagpronegposition.
C. Applygicegpacksgtogtheglowergback.
D. PlacegingthegTrendelenburggposition.g-gANSWERg-gA
Becausegthegfetalgheadgrotatesgagainstgthegsacrumgingthegocciputgposteriorgposition,gthegclientgmaygex
periencegpressuregandgpaingingtheglowergbackgbecausegofgsacralgnervegcompression.gApplyinggcounterg
pressuregongthegsacrumgbygagbackgrubgmaygbeghelpfulgingrelievinggagportiongofgthegpain.gThegclientgdo
esgnotgneedgtogbegplacedgingthegpronegorgTrendelenburggpositions.gIcegpacksgaregnotgindicatedgtogredu
cegthisgpain.
Whilegthegplacentagisgbeinggdeliveredgafterglabor,gagclientgexperiencesgangamnioticgfluidgembolism.gWha
tgshouldgthegnursegdogfirstgtoghelpgthisgclient?
A. Administergoxygengbygnasalgcannula.
B. Increasegintravenousgfluidginfusiongrate.
C. Putgfirmgpressuregongthegfundusgofgtheguterus.
D. Tellgthegclientgtogtakegshort,gshallowgbreaths.g-gANSWERg-gA
Thegclinicalgpicturegofgangamnioticgfluidgembolismgisgdramatic.gThegclientgsuddenlygexperiencesgsha
rpgchestgpaingandgisgunablegtogbreathegasgpulmonarygarterygconstrictiongoccurs.gThegimmediate
managementgisgoxygengadministrationgbygfacegmaskgorgcannula.gIntravenousgfluids;gpressuregongt
hegfundus;gorgtakinggshort,gshallowgbreathsgisgnotggoinggtoghelpgthegmanifestationsgofgangamnioti
cgfluidgembolism.
Agclientginglaborghasgagspinalgcordginjurygandgisgunablegtogeffectivelygpushgwithgcontractions.gForcepsgw
illgbegused.gWhatgshouldgthegnursegdogtogpreparegthegclientgforgthisgtypegofgdelivery?gSelectgallgthatgap
ply.
A. Providegoxygeng2gLgviagfacegmask.
B. Validategthatgthegcervixgisgfullygdilated.
C. Determinegthatgthegclient'sgbladdergisgempty.
D. Begingangintravenousginfusiongofgreplacementgfluid.
pg.g4
g g g g g g g g
Questions and Correct Detailed Answers/ Updated 2024
g g g g g g
Rated A+ g
Thegnursegisgassessinggagclientginglabor.gOngwhichgcomplicationgofglaborersgidentifiedgwithingtheg2030gN
ationalgHealthgGoalsgwillgthegnursegfocus?
A. uterinegrupture
B. prolapsedgfetalgcord
C. hypotonicgcontractions
D. hypertonicgcontractionsg-gANSWERg-gA
Nursesgcanghelpgthegnationgachievegtheg2020gNationalgHealthgGoalsgforgcomplicationsgofglaborgbygbein
ggalertgtogthegpreliminarygsymptomsgofguterinegrupture,gwhichgaccountsgforgagsubstantialgnumbergofg
maternalgdeathsgduringglabor.gHypotonicgandghypertonicgcontractionsgandgprolapsedgfetalgcordgaregnot
gidentifiedgasgspecificgcomplicationsgofglaborgwithingtheg2020gNationalgHealthgGoals.
Anginfantgwasgborngaftergagfacegpresentation.gWhengselectinggagnursinggdiagnosisgforgthegnewborn,gwhi
chgbodygsystemgdoesgthegnursegidentifygasgagpriority?
A. respiratory
B. genitourinary
C. cardiovascular
D. gastrointestinalg-gANSWERg-gA
Babiesgborngaftergagfacegpresentationghavegaggreatgdealgofgfacialgedemagandgmaybegpurplegfromgbruisin
g.gTheginfantgmustgbegobservedgcloselygforgagpatentgairway,gwhichgisgthegpriority.gAgfacegpresentationgd
oesgnotgaffectgthegcardiovasculargorggenitourinarygsystems.gIfglipedemagisgsevere,gthegnewborngmightgn
eedggavagegfeedingsguntilgthegedemagsubsidesgandgsuckinggcangoccur.
pg.g1
,Thegfetusgofgagpregnantgclientgisgingagbreechgpresentation.gWheregwillgthegnursegauscultategfetalgheartg
sounds?
A. lowgingthegabdomen
B. leftglateralgabdomen
C. highgingthegabdomen
D. rightglateralgabdomeng-gANSWERg-gC
Withgagbreechgpresentation,gfetalgheartgsoundsgusuallygaregheardghighgingthegabdomen.gIngagbreechgpresen
tation,gfetalgheartgsoundsgwillgnotgbegheardglowgingthegabdomengorgovergthegleftgorgrightglateralgabdominalg
regions.
Agmultiparagclientginglaborgisghavinggcontractionsgwhichgareg2gminutesgapartgbutgrarelygoverg50gmmgHggingst
rength;gthegrestingguterinegtonegisghigh,g20gtog25gmmgHg.gThegclientgasksgwhatgshegcangdogtogmakegcontra
ctionsgmoregeffective.gThegnurse'sgbestgresponsegis:
A. restgbetweengcontractions.
B. requestgoxytocingtogstrengthengthegcontractions.
C. begpatientgasgcontractionsgwillgstrengthengbygthemselves.
D. ambulategtogmakegthegcontractionsgregular.g-gANSWERg-gA
Thegclient'sgcontractionsgareghypertonicgbecausegofgtheghighgrestinggtone.gHypertonicgcontractionsgoccu
rgbecausegtheguterusgisgbeinggoverstimulatedgorgerraticallygstimulated.gRest,gnotgactivity,gisgeffectiveging
helpinggcontractionsgbecomegmoregproductive.gOxytocingisgcontraindicated.gTheregisgnogguaranteegthat
gwaitinggwillgchangegthegstatusgofgthegcontractions.
Afterganghourgofgoxytocingtherapy,gagwomanginglaborgstatesgshegfeelsgdizzygandgnauseated.gThegnurse'sg
bestgactiongwouldgbegto:
A. assessgthegrategofgflowgofgthegoxytocinginfusion.
B. administergoralgorangegjuicegforgaddedgpotassium.
pg.g2
,C. assessghergvaginallygforgfullgdilationg(dilatation).
D. instructghergtogbreathegingandgoutgrapidly.g-gANSWERg-gA
Agtoxicgeffectgofgoxytocingtherapygisgwatergintoxication.gSymptomsgincludegdizzinessgandgnausea.gAsses
singgandgslowinggtheginfusiongrategwillgrelievegsymptoms.
Agwomangisgingtheghospitalgonlyg15gminutesgwhengshegbeginsgtoggivegbirthgprecipitously.gThegfetalghea
dgbeginsgtogemergegasgthegnursegwalksgintogtheglaborgroom.gThegnurse'sgbestgactiongwouldgbegto:
A. placegaghandggentlygongthegfetalgheadgtogguidegbirth.
B. askghergtogpushgwithgthegnextgcontractiongsogbirthgisgrapid.
C. assessgbloodgpressuregandgpulsegtogdetectgplacentalgbleeding.
D. attachgagfetalgmonitorgtogdeterminegfetalgstatus.g-gANSWERg-gA
Aftergdelivery,gagclientgisgdiagnosedgwithgplacentagsuccenturiata.gForgwhatgproceduregshouldgthegnurseg
preparegthisgclient?
A. lavagegofgtheguterus
B. repairgofgangepisiotomy
C. manualgremovalgofgaccessoryglobes
D. emergencygresuscitationgofgthegnewborng-gANSWERg-gC
Agplacentagsuccenturiatagisgagplacentagthatghasgonegorgmoregaccessoryglobesgconnectedgtogthegmaingpl
acentagbygbloodgvessels.gThisgdisordergneedsgtogbegrecognizedgbecausegthegsmallglobesgmaygbegretained
gingtheguterusgaftergbirth,gleadinggtogseveregmaternalghemorrhage.gOncegthegremainingglobesgare
recognizedgandgremovedgfromgtheguterusgmanually,gtheguterusgwillgcontractgwithgnogadversegmaternal
geffects.gUterineglavagegisgnotgagtreatmentgforgthisgdisorder.gThisgdisordergisgnotgspecificallygassociatedg
withgangepisiotomy.gNogfetalgabnormalitygisgassociatedgwithgthisgdisorder.
Thegnursegisgcaringgforgagclientginglaborgwhosegfetusgisgingangocciputgposteriorgposition.gWhichginterventiong
shouldgthegnursegusegtogreducegthisgclient'sgdiscomfort?
pg.g3
, A. Massagegtheglowergback.
B. Placegingagpronegposition.
C. Applygicegpacksgtogtheglowergback.
D. PlacegingthegTrendelenburggposition.g-gANSWERg-gA
Becausegthegfetalgheadgrotatesgagainstgthegsacrumgingthegocciputgposteriorgposition,gthegclientgmaygex
periencegpressuregandgpaingingtheglowergbackgbecausegofgsacralgnervegcompression.gApplyinggcounterg
pressuregongthegsacrumgbygagbackgrubgmaygbeghelpfulgingrelievinggagportiongofgthegpain.gThegclientgdo
esgnotgneedgtogbegplacedgingthegpronegorgTrendelenburggpositions.gIcegpacksgaregnotgindicatedgtogredu
cegthisgpain.
Whilegthegplacentagisgbeinggdeliveredgafterglabor,gagclientgexperiencesgangamnioticgfluidgembolism.gWha
tgshouldgthegnursegdogfirstgtoghelpgthisgclient?
A. Administergoxygengbygnasalgcannula.
B. Increasegintravenousgfluidginfusiongrate.
C. Putgfirmgpressuregongthegfundusgofgtheguterus.
D. Tellgthegclientgtogtakegshort,gshallowgbreaths.g-gANSWERg-gA
Thegclinicalgpicturegofgangamnioticgfluidgembolismgisgdramatic.gThegclientgsuddenlygexperiencesgsha
rpgchestgpaingandgisgunablegtogbreathegasgpulmonarygarterygconstrictiongoccurs.gThegimmediate
managementgisgoxygengadministrationgbygfacegmaskgorgcannula.gIntravenousgfluids;gpressuregongt
hegfundus;gorgtakinggshort,gshallowgbreathsgisgnotggoinggtoghelpgthegmanifestationsgofgangamnioti
cgfluidgembolism.
Agclientginglaborghasgagspinalgcordginjurygandgisgunablegtogeffectivelygpushgwithgcontractions.gForcepsgw
illgbegused.gWhatgshouldgthegnursegdogtogpreparegthegclientgforgthisgtypegofgdelivery?gSelectgallgthatgap
ply.
A. Providegoxygeng2gLgviagfacegmask.
B. Validategthatgthegcervixgisgfullygdilated.
C. Determinegthatgthegclient'sgbladdergisgempty.
D. Begingangintravenousginfusiongofgreplacementgfluid.
pg.g4
