صd 8:57d 2024/3/29 (NGN)dATIdRNdMaternaldNewborndProctoreddEXAMdTestbankactu
al
(NGN)dATIdRNdMATERNALdNEWBORN dPROCTOREDdEXAMdTESTBANKACTUALdQUESTIONSdWITHd
VERIFIEDdSOLUTIONS/A+dGRADEdASSURED
(NGN)dATIdRNdMATERNALdNEWBORNdPROCTOREDdEXAMdTESTBANKACTUALdQU
ESTIONSdWITHdVERIFIEDdDETAILEDdSOLUTIONS/A+dGRADEdASSURED
1.dAdnursedisdcaringdfordadclientdwhodisdatd36dweeksdofd gestationdanddwhodhasdadsuspecteddplacentadprevia.d
Whichdofd thedfollowingdfindingsdsupportdthisddiagnosis?
A. Painlessd redd vaginal d bleeding
Rationale:d Placentad previad isd ad conditiond ofd pregnancyd whend thed placentad implantsd ind thed lowerd partd ofd th
e
uterus,dpartlydordcompletelydobstructingdthedcervical dosd(outletdtodthedvagina).dBrightdred,dpainles
sd vaginal dbleedingdoccursdindthedseconddanddthirddtrimester.
B. Increasingd abdominal d paind withd ad nonrelaxedd uterus
Rationale:d Abruptiodplacentadisdseparationdofdthedplacentadfromd thed sited ofd uterined implantationd befo
red deliverydofdthedfetus.dWhendthedplacentadseparatesdprematurely,dtheredisdinternal dbleedin
g,dwhich
isd painful,d andd thed uterusd isd nonrelaxedd ord becomesd rigidd asd thed separationd advances.
C. Abdominald paind withd scantd redd vaginald bleeding
Rationale:d Placentad previad involvesd minimald tod severed brightd redd vaginald bleedingd ind thed absenced o
fd abdominaldpain.
D. Intermittentd abdominal d paind followingd passaged ofd bloodyd mucus
Rationale:dIntermittentdabdominal dpaindfollowingdpassagedofdbloodydmucusdisdaddescriptiondofdnormal dla
bor.d Thed passaged ofd bloodyd mucusd representsd thed lossd ofd thed cervicald mucousd plug,d als
od referredd to
A+dTestdBank Paged1
about:blank 1/238
,صd 8:57d 2024/3/29 (NGN)dATIdRNdMaternaldNewborndProctoreddEXAMdTestbankactu
al
(NGN)dATIdRNdMATERNALdNEWBORN dPROCTOREDdEXAMdTESTBANKACTUALdQUESTIONSdWITHd
VERIFIEDdSOLUTIONS/A+dGRADEdASSURED
asd thed "bloodyd show."
2.dAdnursed isdcaringd ford ad clientd whod isd 1d hrd postpartumd andd observesd ad larged amountd ofd lochiad rubrad andd sever
ald small
clotsdondthedclient'sdperineal dpad.dThedfundusdisdmidlinedanddfirmdatdthedumbilicus.dWhichdofdthedfollowingda
ctionsd shoulddthednursedtake?
A. Documentd thed findingsd andd continued tod monitord thed client.
Rationale:d Thesedaredexpecteddfindings.dAtd1dhrdpostpartum,dlochiadrubradshoulddbed intermittentd andd
associateddwithduterinedcontractions.dThedvolumedofdlochiadresemblesdthatdofdadheavydmens
trual
period.dSmall dclotsdaredcommon.dThednursed shouldddocumentdthedfindingsdanddcontinuedt
od monitordthedclient.
B. Notifydthedclient‟sdprovider.
Rationale:d Thesed ared expectedd findings,d sod thered isd nod needd tod notifyd thed provider.
C. Increased thed frequencyd ofd fundal d massage.
Rationale:dThesedaredexpecteddfindingsdanddthedfundusdisdalreadydfirm.dIncreasingdthedfrequencydofdf
undal d massagedisdnotdindicateddatdthisdtime.
D. Encouraged thed clientd tod emptyd herd bladder.
Rationale:d Thesed ared expectedd findings,d andd thed fundusd isd firmd atd thed midline.d Ifd thed fundusd wasd deviated
,
thisdwoulddbedandindicationdofdaddistendeddbladderdanddthedclientdshoulddbedencourageddtodvoi
ddtod preventduterinedatony.
A+dTestdBank Paged2
about:blank 2/238
,صd 8:57d 2024/3/29 (NGN)dATIdRNdMaternaldNewborndProctoreddEXAMdTestbankactu
al
(NGN)dATIdRNdMATERNALdNEWBORN dPROCTOREDdEXAMdTESTBANKACTUALdQUESTIONSdWITHd
VERIFIEDdSOLUTIONS/A+dGRADEdASSURED
3.dAdnursed isd caringd ford ad newbornd immediatelyd followingd birth.dAfterd assuringd ad patentd airway,d whatd isd thed priority
nursingd action?
A. Administerd vitamind K.
Rationale:d AdministrationdofdvitamindKdisdimportant,dbutditdcandbeddelayedduntil dthednewborndisdheldd
bydthed motherdanddisdbreastfed.dTheredisdanother,dmoredimportantdnursingdaction.
B. Dryd thed skin.
Rationale:dThednewborndshoulddbedthoroughlyddried,dcovereddwithdadwarmdblanket,dplaceddondthedm
other‟sd abdomen,danddadcapdapplieddtodthednewborn‟sdheaddtodpreventdcolddstress.dThe
dnewbornd responds dtodthedcoolerdenvironmentdbydincreasingdhisdrespiratorydrate,dwhichdc
andleaddto
respiratoryddistress.dBaseddondMaslow‟sdhierarchydofdneeds,dthisdisdthedmostdimportantdn
ursingd actiondafterdsecuringdthedairway.
C. Administerd eyed prophylaxis.
Rationale:dAdministrationdofdeyedprophylaxisdshoulddoccurdwithindthedfirstdhourdafterdbirth.dTheredisda
nother,d moredimportantdnursingdaction.
D. Placed and identificationd bracelet.
Rationale:d Correctdidentificationdofdthednewborndisdimportant,dbutditdcandbeddelayed,dasdlongdasd itd is
d completeddpriordtodthedmotherdanddnewborndleavingdtheddeliverydroom.dTheredisdanothe
r,dmore
importantd nursingd action.
A+dTestdBank Paged3
about:blank 3/238
, صd 8:57d 2024/3/29 (NGN)dATIdRNdMaternaldNewborndProctoreddEXAMdTestbankactu
al
(NGN)dATIdRNdMATERNALdNEWBORN dPROCTOREDdEXAMdTESTBANKACTUALdQUESTIONSdWITHd
VERIFIEDdSOLUTIONS/A+dGRADEdASSURED
4.dAdnursedindadprenatal dclinicdisdcaringdfordadclientdwhodisdatd7dweeksdofdgestation.dThedclientdreportsdurinary
dfrequencyd anddasksdifd thisdwill dcontinueduntilddelivery.dWhichdofd thedfollowingdresponsesdshoulddthednurse
dmake?
A. "It'sd ad minord inconvenience,d whichd youd shouldd ignore."
Rationale:dThisd isd ad nontherapeutic d responsed thatd disregardsd thed client‟sd concernd andd offersd unwarranted
reassurance.
B. "Ind mostd casesd itd onlyd lastsd until d thed 12thd week,d butd itd will d continued ifd youd haved poord bladderd tone."
Rationale:dThedpresencedordabsencedofdbladderdtonedhasdnodbearingdondurinarydfrequencydduringd p
regnancy.
C. "Thered isd nod wayd tod predictd howd longd itd willd lastd ind eachd individuald client."
Rationale:d Thisd isd ad nontherapeuticd responsed thatd doesd notd provided appropriated informationd tod thed client.
D. "Itd occursd duringd thed firstd trimesterd andd neard thed endd ofd thed pregnancy."
Rationale:d Urinaryd frequencyd isd dued tod increasedd bladderd sensitivityd duringd thed firstd trimesterd andd recurs
neard thed endd ofd thed pregnancyd asd thed enlargingd uterusd placesd pressured ond thed bladder.
A+dTestdBank Paged4
about:blank 4/238
al
(NGN)dATIdRNdMATERNALdNEWBORN dPROCTOREDdEXAMdTESTBANKACTUALdQUESTIONSdWITHd
VERIFIEDdSOLUTIONS/A+dGRADEdASSURED
(NGN)dATIdRNdMATERNALdNEWBORNdPROCTOREDdEXAMdTESTBANKACTUALdQU
ESTIONSdWITHdVERIFIEDdDETAILEDdSOLUTIONS/A+dGRADEdASSURED
1.dAdnursedisdcaringdfordadclientdwhodisdatd36dweeksdofd gestationdanddwhodhasdadsuspecteddplacentadprevia.d
Whichdofd thedfollowingdfindingsdsupportdthisddiagnosis?
A. Painlessd redd vaginal d bleeding
Rationale:d Placentad previad isd ad conditiond ofd pregnancyd whend thed placentad implantsd ind thed lowerd partd ofd th
e
uterus,dpartlydordcompletelydobstructingdthedcervical dosd(outletdtodthedvagina).dBrightdred,dpainles
sd vaginal dbleedingdoccursdindthedseconddanddthirddtrimester.
B. Increasingd abdominal d paind withd ad nonrelaxedd uterus
Rationale:d Abruptiodplacentadisdseparationdofdthedplacentadfromd thed sited ofd uterined implantationd befo
red deliverydofdthedfetus.dWhendthedplacentadseparatesdprematurely,dtheredisdinternal dbleedin
g,dwhich
isd painful,d andd thed uterusd isd nonrelaxedd ord becomesd rigidd asd thed separationd advances.
C. Abdominald paind withd scantd redd vaginald bleeding
Rationale:d Placentad previad involvesd minimald tod severed brightd redd vaginald bleedingd ind thed absenced o
fd abdominaldpain.
D. Intermittentd abdominal d paind followingd passaged ofd bloodyd mucus
Rationale:dIntermittentdabdominal dpaindfollowingdpassagedofdbloodydmucusdisdaddescriptiondofdnormal dla
bor.d Thed passaged ofd bloodyd mucusd representsd thed lossd ofd thed cervicald mucousd plug,d als
od referredd to
A+dTestdBank Paged1
about:blank 1/238
,صd 8:57d 2024/3/29 (NGN)dATIdRNdMaternaldNewborndProctoreddEXAMdTestbankactu
al
(NGN)dATIdRNdMATERNALdNEWBORN dPROCTOREDdEXAMdTESTBANKACTUALdQUESTIONSdWITHd
VERIFIEDdSOLUTIONS/A+dGRADEdASSURED
asd thed "bloodyd show."
2.dAdnursed isdcaringd ford ad clientd whod isd 1d hrd postpartumd andd observesd ad larged amountd ofd lochiad rubrad andd sever
ald small
clotsdondthedclient'sdperineal dpad.dThedfundusdisdmidlinedanddfirmdatdthedumbilicus.dWhichdofdthedfollowingda
ctionsd shoulddthednursedtake?
A. Documentd thed findingsd andd continued tod monitord thed client.
Rationale:d Thesedaredexpecteddfindings.dAtd1dhrdpostpartum,dlochiadrubradshoulddbed intermittentd andd
associateddwithduterinedcontractions.dThedvolumedofdlochiadresemblesdthatdofdadheavydmens
trual
period.dSmall dclotsdaredcommon.dThednursed shouldddocumentdthedfindingsdanddcontinuedt
od monitordthedclient.
B. Notifydthedclient‟sdprovider.
Rationale:d Thesed ared expectedd findings,d sod thered isd nod needd tod notifyd thed provider.
C. Increased thed frequencyd ofd fundal d massage.
Rationale:dThesedaredexpecteddfindingsdanddthedfundusdisdalreadydfirm.dIncreasingdthedfrequencydofdf
undal d massagedisdnotdindicateddatdthisdtime.
D. Encouraged thed clientd tod emptyd herd bladder.
Rationale:d Thesed ared expectedd findings,d andd thed fundusd isd firmd atd thed midline.d Ifd thed fundusd wasd deviated
,
thisdwoulddbedandindicationdofdaddistendeddbladderdanddthedclientdshoulddbedencourageddtodvoi
ddtod preventduterinedatony.
A+dTestdBank Paged2
about:blank 2/238
,صd 8:57d 2024/3/29 (NGN)dATIdRNdMaternaldNewborndProctoreddEXAMdTestbankactu
al
(NGN)dATIdRNdMATERNALdNEWBORN dPROCTOREDdEXAMdTESTBANKACTUALdQUESTIONSdWITHd
VERIFIEDdSOLUTIONS/A+dGRADEdASSURED
3.dAdnursed isd caringd ford ad newbornd immediatelyd followingd birth.dAfterd assuringd ad patentd airway,d whatd isd thed priority
nursingd action?
A. Administerd vitamind K.
Rationale:d AdministrationdofdvitamindKdisdimportant,dbutditdcandbeddelayedduntil dthednewborndisdheldd
bydthed motherdanddisdbreastfed.dTheredisdanother,dmoredimportantdnursingdaction.
B. Dryd thed skin.
Rationale:dThednewborndshoulddbedthoroughlyddried,dcovereddwithdadwarmdblanket,dplaceddondthedm
other‟sd abdomen,danddadcapdapplieddtodthednewborn‟sdheaddtodpreventdcolddstress.dThe
dnewbornd responds dtodthedcoolerdenvironmentdbydincreasingdhisdrespiratorydrate,dwhichdc
andleaddto
respiratoryddistress.dBaseddondMaslow‟sdhierarchydofdneeds,dthisdisdthedmostdimportantdn
ursingd actiondafterdsecuringdthedairway.
C. Administerd eyed prophylaxis.
Rationale:dAdministrationdofdeyedprophylaxisdshoulddoccurdwithindthedfirstdhourdafterdbirth.dTheredisda
nother,d moredimportantdnursingdaction.
D. Placed and identificationd bracelet.
Rationale:d Correctdidentificationdofdthednewborndisdimportant,dbutditdcandbeddelayed,dasdlongdasd itd is
d completeddpriordtodthedmotherdanddnewborndleavingdtheddeliverydroom.dTheredisdanothe
r,dmore
importantd nursingd action.
A+dTestdBank Paged3
about:blank 3/238
, صd 8:57d 2024/3/29 (NGN)dATIdRNdMaternaldNewborndProctoreddEXAMdTestbankactu
al
(NGN)dATIdRNdMATERNALdNEWBORN dPROCTOREDdEXAMdTESTBANKACTUALdQUESTIONSdWITHd
VERIFIEDdSOLUTIONS/A+dGRADEdASSURED
4.dAdnursedindadprenatal dclinicdisdcaringdfordadclientdwhodisdatd7dweeksdofdgestation.dThedclientdreportsdurinary
dfrequencyd anddasksdifd thisdwill dcontinueduntilddelivery.dWhichdofd thedfollowingdresponsesdshoulddthednurse
dmake?
A. "It'sd ad minord inconvenience,d whichd youd shouldd ignore."
Rationale:dThisd isd ad nontherapeutic d responsed thatd disregardsd thed client‟sd concernd andd offersd unwarranted
reassurance.
B. "Ind mostd casesd itd onlyd lastsd until d thed 12thd week,d butd itd will d continued ifd youd haved poord bladderd tone."
Rationale:dThedpresencedordabsencedofdbladderdtonedhasdnodbearingdondurinarydfrequencydduringd p
regnancy.
C. "Thered isd nod wayd tod predictd howd longd itd willd lastd ind eachd individuald client."
Rationale:d Thisd isd ad nontherapeuticd responsed thatd doesd notd provided appropriated informationd tod thed client.
D. "Itd occursd duringd thed firstd trimesterd andd neard thed endd ofd thed pregnancy."
Rationale:d Urinaryd frequencyd isd dued tod increasedd bladderd sensitivityd duringd thed firstd trimesterd andd recurs
neard thed endd ofd thed pregnancyd asd thed enlargingd uterusd placesd pressured ond thed bladder.
A+dTestdBank Paged4
about:blank 4/238
