صp 8:57p 2024/3/29 (NGN)pATIpRNpMaternalpNewbornpProctoredpEXAMpTestbankactu
al
(NGN)pATIpRNpMATERNALpNEWBORN pPROCTOREDpEXAMpTESTBANKACTUALpQUESTIONSpWITHp
VERIFIEDpSOLUTIONS/A+pGRADEpASSURED
(NGN)pATIpRNpMATERNALpNEWBORNpPROCTOREDpEXAMpTESTBANKACTUALpQU
ESTIONSpWITHpVERIFIEDpDETAILEDpSOLUTIONS/A+pGRADEpASSURED
1.pApnursepispcaringpforpapclientpwhopispatp36pweekspofp gestationpandpwhophaspapsuspectedpplacentapprevia.p
Whichpofp thepfollowingpfindingspsupportpthispdiagnosis?
A. Painlessp redp vaginal p bleeding
Rationale:p Placentap previap isp ap conditionp ofp pregnancyp whenp thep placentap implantsp inp thep lowerp partp ofp th
e
uterus,ppartlyporpcompletelypobstructingpthepcervical posp(outletptopthepvagina).pBrightpred,ppainles
sp vaginal pbleedingpoccurspinpthepsecondpandpthirdptrimester.
B. Increasingp abdominal p painp withp ap nonrelaxedp uterus
Rationale:p Abruptiopplacentapispseparationpofpthepplacentapfromp thep sitep ofp uterinep implantationp befo
rep deliverypofpthepfetus.pWhenpthepplacentapseparatespprematurely,ptherepispinternal pbleedin
g,pwhich
isp painful,p andp thep uterusp isp nonrelaxedp orp becomesp rigidp asp thep separationp advances.
C. Abdominalp painp withp scantp redp vaginalp bleeding
Rationale:p Placentap previap involvesp minimalp top severep brightp redp vaginalp bleedingp inp thep absencep o
fp abdominalppain.
D. Intermittentp abdominal p painp followingp passagep ofp bloodyp mucus
Rationale:pIntermittentpabdominal ppainpfollowingppassagepofpbloodypmucuspispapdescriptionpofpnormal pla
bor.p Thep passagep ofp bloodyp mucusp representsp thep lossp ofp thep cervicalp mucousp plug,p als
op referredp to
A+pTestpBank Pagep1
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,صp 8:57p 2024/3/29 (NGN)pATIpRNpMaternalpNewbornpProctoredpEXAMpTestbankactu
al
(NGN)pATIpRNpMATERNALpNEWBORN pPROCTOREDpEXAMpTESTBANKACTUALpQUESTIONSpWITHp
VERIFIEDpSOLUTIONS/A+pGRADEpASSURED
asp thep "bloodyp show."
2.pApnursep ispcaringp forp ap clientp whop isp 1p hrp postpartump andp observesp ap largep amountp ofp lochiap rubrap andp sever
alp small
clotsponpthepclient'spperineal ppad.pThepfunduspispmidlinepandpfirmpatpthepumbilicus.pWhichpofpthepfollowingpa
ctionsp shouldpthepnurseptake?
A. Documentp thep findingsp andp continuep top monitorp thep client.
Rationale:p Theseparepexpectedpfindings.pAtp1phrppostpartum,plochiaprubrapshouldpbep intermittentp andp
associatedpwithputerinepcontractions.pThepvolumepofplochiapresemblespthatpofpapheavypmens
trual
period.pSmall pclotsparepcommon.pThepnursep shouldpdocumentpthepfindingspandpcontinuept
op monitorpthepclient.
B. Notifypthepclient‟spprovider.
Rationale:p Thesep arep expectedp findings,p sop therep isp nop needp top notifyp thep provider.
C. Increasep thep frequencyp ofp fundal p massage.
Rationale:pTheseparepexpectedpfindingspandpthepfunduspispalreadypfirm.pIncreasingpthepfrequencypofpf
undal p massagepispnotpindicatedpatpthisptime.
D. Encouragep thep clientp top emptyp herp bladder.
Rationale:p Thesep arep expectedp findings,p andp thep fundusp isp firmp atp thep midline.p Ifp thep fundusp wasp deviated
,
thispwouldpbepanpindicationpofpapdistendedpbladderpandpthepclientpshouldpbepencouragedptopvoi
dptop preventputerinepatony.
A+pTestpBank Pagep2
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,صp 8:57p 2024/3/29 (NGN)pATIpRNpMaternalpNewbornpProctoredpEXAMpTestbankactu
al
(NGN)pATIpRNpMATERNALpNEWBORN pPROCTOREDpEXAMpTESTBANKACTUALpQUESTIONSpWITHp
VERIFIEDpSOLUTIONS/A+pGRADEpASSURED
3.pApnursep isp caringp forp ap newbornp immediatelyp followingp birth.pAfterp assuringp ap patentp airway,p whatp isp thep priority
nursingp action?
A. Administerp vitaminp K.
Rationale:p AdministrationpofpvitaminpKpispimportant,pbutpitpcanpbepdelayedpuntil pthepnewbornpispheldp
bypthep motherpandpispbreastfed.pTherepispanother,pmorepimportantpnursingpaction.
B. Dryp thep skin.
Rationale:pThepnewbornpshouldpbepthoroughlypdried,pcoveredpwithpapwarmpblanket,pplacedponpthepm
other‟sp abdomen,pandpapcappappliedptopthepnewborn‟spheadptoppreventpcoldpstress.pThe
pnewbornp responds ptopthepcoolerpenvironmentpbypincreasingphisprespiratoryprate,pwhichpc
anpleadpto
respiratorypdistress.pBasedponpMaslow‟sphierarchypofpneeds,pthispispthepmostpimportantpn
ursingp actionpafterpsecuringpthepairway.
C. Administerp eyep prophylaxis.
Rationale:pAdministrationpofpeyepprophylaxispshouldpoccurpwithinpthepfirstphourpafterpbirth.pTherepispa
nother,p morepimportantpnursingpaction.
D. Placep anp identificationp bracelet.
Rationale:p Correctpidentificationpofpthepnewbornpispimportant,pbutpitpcanpbepdelayed,pasplongpasp itp is
p completedppriorptopthepmotherpandpnewbornpleavingpthepdeliveryproom.pTherepispanothe
r,pmore
importantp nursingp action.
A+pTestpBank Pagep3
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, صp 8:57p 2024/3/29 (NGN)pATIpRNpMaternalpNewbornpProctoredpEXAMpTestbankactu
al
(NGN)pATIpRNpMATERNALpNEWBORN pPROCTOREDpEXAMpTESTBANKACTUALpQUESTIONSpWITHp
VERIFIEDpSOLUTIONS/A+pGRADEpASSURED
4.pApnursepinpapprenatal pclinicpispcaringpforpapclientpwhopispatp7pweekspofpgestation.pThepclientpreportspurinary
pfrequencyp andpaskspifp thispwill pcontinuepuntilpdelivery.pWhichpofp thepfollowingpresponsespshouldpthepnurse
pmake?
A. "It'sp ap minorp inconvenience,p whichp youp shouldp ignore."
Rationale:pThisp isp ap nontherapeutic p responsep thatp disregardsp thep client‟sp concernp andp offersp unwarranted
reassurance.
B. "Inp mostp casesp itp onlyp lastsp until p thep 12thp week,p butp itp will p continuep ifp youp havep poorp bladderp tone."
Rationale:pTheppresenceporpabsencepofpbladderptonephaspnopbearingponpurinarypfrequencypduringp p
regnancy.
C. "Therep isp nop wayp top predictp howp longp itp willp lastp inp eachp individualp client."
Rationale:p Thisp isp ap nontherapeuticp responsep thatp doesp notp providep appropriatep informationp top thep client.
D. "Itp occursp duringp thep firstp trimesterp andp nearp thep endp ofp thep pregnancy."
Rationale:p Urinaryp frequencyp isp duep top increasedp bladderp sensitivityp duringp thep firstp trimesterp andp recurs
nearp thep endp ofp thep pregnancyp asp thep enlargingp uterusp placesp pressurep onp thep bladder.
A+pTestpBank Pagep4
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al
(NGN)pATIpRNpMATERNALpNEWBORN pPROCTOREDpEXAMpTESTBANKACTUALpQUESTIONSpWITHp
VERIFIEDpSOLUTIONS/A+pGRADEpASSURED
(NGN)pATIpRNpMATERNALpNEWBORNpPROCTOREDpEXAMpTESTBANKACTUALpQU
ESTIONSpWITHpVERIFIEDpDETAILEDpSOLUTIONS/A+pGRADEpASSURED
1.pApnursepispcaringpforpapclientpwhopispatp36pweekspofp gestationpandpwhophaspapsuspectedpplacentapprevia.p
Whichpofp thepfollowingpfindingspsupportpthispdiagnosis?
A. Painlessp redp vaginal p bleeding
Rationale:p Placentap previap isp ap conditionp ofp pregnancyp whenp thep placentap implantsp inp thep lowerp partp ofp th
e
uterus,ppartlyporpcompletelypobstructingpthepcervical posp(outletptopthepvagina).pBrightpred,ppainles
sp vaginal pbleedingpoccurspinpthepsecondpandpthirdptrimester.
B. Increasingp abdominal p painp withp ap nonrelaxedp uterus
Rationale:p Abruptiopplacentapispseparationpofpthepplacentapfromp thep sitep ofp uterinep implantationp befo
rep deliverypofpthepfetus.pWhenpthepplacentapseparatespprematurely,ptherepispinternal pbleedin
g,pwhich
isp painful,p andp thep uterusp isp nonrelaxedp orp becomesp rigidp asp thep separationp advances.
C. Abdominalp painp withp scantp redp vaginalp bleeding
Rationale:p Placentap previap involvesp minimalp top severep brightp redp vaginalp bleedingp inp thep absencep o
fp abdominalppain.
D. Intermittentp abdominal p painp followingp passagep ofp bloodyp mucus
Rationale:pIntermittentpabdominal ppainpfollowingppassagepofpbloodypmucuspispapdescriptionpofpnormal pla
bor.p Thep passagep ofp bloodyp mucusp representsp thep lossp ofp thep cervicalp mucousp plug,p als
op referredp to
A+pTestpBank Pagep1
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,صp 8:57p 2024/3/29 (NGN)pATIpRNpMaternalpNewbornpProctoredpEXAMpTestbankactu
al
(NGN)pATIpRNpMATERNALpNEWBORN pPROCTOREDpEXAMpTESTBANKACTUALpQUESTIONSpWITHp
VERIFIEDpSOLUTIONS/A+pGRADEpASSURED
asp thep "bloodyp show."
2.pApnursep ispcaringp forp ap clientp whop isp 1p hrp postpartump andp observesp ap largep amountp ofp lochiap rubrap andp sever
alp small
clotsponpthepclient'spperineal ppad.pThepfunduspispmidlinepandpfirmpatpthepumbilicus.pWhichpofpthepfollowingpa
ctionsp shouldpthepnurseptake?
A. Documentp thep findingsp andp continuep top monitorp thep client.
Rationale:p Theseparepexpectedpfindings.pAtp1phrppostpartum,plochiaprubrapshouldpbep intermittentp andp
associatedpwithputerinepcontractions.pThepvolumepofplochiapresemblespthatpofpapheavypmens
trual
period.pSmall pclotsparepcommon.pThepnursep shouldpdocumentpthepfindingspandpcontinuept
op monitorpthepclient.
B. Notifypthepclient‟spprovider.
Rationale:p Thesep arep expectedp findings,p sop therep isp nop needp top notifyp thep provider.
C. Increasep thep frequencyp ofp fundal p massage.
Rationale:pTheseparepexpectedpfindingspandpthepfunduspispalreadypfirm.pIncreasingpthepfrequencypofpf
undal p massagepispnotpindicatedpatpthisptime.
D. Encouragep thep clientp top emptyp herp bladder.
Rationale:p Thesep arep expectedp findings,p andp thep fundusp isp firmp atp thep midline.p Ifp thep fundusp wasp deviated
,
thispwouldpbepanpindicationpofpapdistendedpbladderpandpthepclientpshouldpbepencouragedptopvoi
dptop preventputerinepatony.
A+pTestpBank Pagep2
about:blank 2/238
,صp 8:57p 2024/3/29 (NGN)pATIpRNpMaternalpNewbornpProctoredpEXAMpTestbankactu
al
(NGN)pATIpRNpMATERNALpNEWBORN pPROCTOREDpEXAMpTESTBANKACTUALpQUESTIONSpWITHp
VERIFIEDpSOLUTIONS/A+pGRADEpASSURED
3.pApnursep isp caringp forp ap newbornp immediatelyp followingp birth.pAfterp assuringp ap patentp airway,p whatp isp thep priority
nursingp action?
A. Administerp vitaminp K.
Rationale:p AdministrationpofpvitaminpKpispimportant,pbutpitpcanpbepdelayedpuntil pthepnewbornpispheldp
bypthep motherpandpispbreastfed.pTherepispanother,pmorepimportantpnursingpaction.
B. Dryp thep skin.
Rationale:pThepnewbornpshouldpbepthoroughlypdried,pcoveredpwithpapwarmpblanket,pplacedponpthepm
other‟sp abdomen,pandpapcappappliedptopthepnewborn‟spheadptoppreventpcoldpstress.pThe
pnewbornp responds ptopthepcoolerpenvironmentpbypincreasingphisprespiratoryprate,pwhichpc
anpleadpto
respiratorypdistress.pBasedponpMaslow‟sphierarchypofpneeds,pthispispthepmostpimportantpn
ursingp actionpafterpsecuringpthepairway.
C. Administerp eyep prophylaxis.
Rationale:pAdministrationpofpeyepprophylaxispshouldpoccurpwithinpthepfirstphourpafterpbirth.pTherepispa
nother,p morepimportantpnursingpaction.
D. Placep anp identificationp bracelet.
Rationale:p Correctpidentificationpofpthepnewbornpispimportant,pbutpitpcanpbepdelayed,pasplongpasp itp is
p completedppriorptopthepmotherpandpnewbornpleavingpthepdeliveryproom.pTherepispanothe
r,pmore
importantp nursingp action.
A+pTestpBank Pagep3
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, صp 8:57p 2024/3/29 (NGN)pATIpRNpMaternalpNewbornpProctoredpEXAMpTestbankactu
al
(NGN)pATIpRNpMATERNALpNEWBORN pPROCTOREDpEXAMpTESTBANKACTUALpQUESTIONSpWITHp
VERIFIEDpSOLUTIONS/A+pGRADEpASSURED
4.pApnursepinpapprenatal pclinicpispcaringpforpapclientpwhopispatp7pweekspofpgestation.pThepclientpreportspurinary
pfrequencyp andpaskspifp thispwill pcontinuepuntilpdelivery.pWhichpofp thepfollowingpresponsespshouldpthepnurse
pmake?
A. "It'sp ap minorp inconvenience,p whichp youp shouldp ignore."
Rationale:pThisp isp ap nontherapeutic p responsep thatp disregardsp thep client‟sp concernp andp offersp unwarranted
reassurance.
B. "Inp mostp casesp itp onlyp lastsp until p thep 12thp week,p butp itp will p continuep ifp youp havep poorp bladderp tone."
Rationale:pTheppresenceporpabsencepofpbladderptonephaspnopbearingponpurinarypfrequencypduringp p
regnancy.
C. "Therep isp nop wayp top predictp howp longp itp willp lastp inp eachp individualp client."
Rationale:p Thisp isp ap nontherapeuticp responsep thatp doesp notp providep appropriatep informationp top thep client.
D. "Itp occursp duringp thep firstp trimesterp andp nearp thep endp ofp thep pregnancy."
Rationale:p Urinaryp frequencyp isp duep top increasedp bladderp sensitivityp duringp thep firstp trimesterp andp recurs
nearp thep endp ofp thep pregnancyp asp thep enlargingp uterusp placesp pressurep onp thep bladder.
A+pTestpBank Pagep4
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