صk 8:57k 2024/3/29 (NGN)kATIkRNkMaternalkNewbornkProctoredkEXAMkTestbankactua
l
(NGN)kATIkRNkMATERNALkNEWBORN kPROCTOREDkEXAMkTESTBANKACTUALkQUESTIONSkWITHk V
ERIFIEDkSOLUTIONS/A+kGRADEkASSURED
(NGN)kATIkRNkMATERNALkNEWBORNkPROCTOREDkEXAMkTESTBANKACTUALkQU
ESTIONSkWITHkVERIFIEDkDETAILEDkSOLUTIONS/A+kGRADEkASSURED
1.kAknursekiskcaringkforkakclientkwhokiskatk36kweekskofk gestationkandkwhokhaskaksuspectedkplacentakprevia.kW
hichkofk thekfollowingkfindingsksupportkthiskdiagnosis?
A. Painlessk redk vaginal k bleeding
Rationale:k Placentak previak isk ak conditionk ofk pregnancyk whenk thek placentak implantsk ink thek lowerk partk ofk the
uterus,kpartlykorkcompletelykobstructingkthekcervicalkosk(outletktokthekvagina).kBrightkred,kpainless
k vaginal kbleedingkoccurskinktheksecondkandkthirdktrimester.
B. Increasingk abdominal k paink withk ak nonrelaxedk uterus
Rationale:k Abruptiokplacentakiskseparationkofkthekplacentakfromk thek sitek ofk uterinek implantationk before
k deliverykofkthekfetus.kWhenkthekplacentakseparateskprematurely,ktherekiskinternal kbleeding,k
which
isk painful,k andk thek uterusk isk nonrelaxedk ork becomesk rigidk ask thek separationk advances.
C. Abdominalk paink withk scantk redk vaginalk bleeding
Rationale:k Placentak previak involvesk minimalk tok severek brightk redk vaginalk bleedingk ink thek absencek of
k abdominalkpain.
D. Intermittentk abdominal k paink followingk passagek ofk bloodyk mucus
Rationale:kIntermittentkabdominalkpainkfollowingkpassagekofkbloodykmucuskiskakdescriptionkofknormalklab
or.k Thek passagek ofk bloodyk mucusk representsk thek lossk ofk thek cervicalk mucousk plug,k alsok r
eferredk to
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,صk 8:57k 2024/3/29 (NGN)kATIkRNkMaternalkNewbornkProctoredkEXAMkTestbankactua
l
(NGN)kATIkRNkMATERNALkNEWBORN kPROCTOREDkEXAMkTESTBANKACTUALkQUESTIONSkWITHk V
ERIFIEDkSOLUTIONS/A+kGRADEkASSURED
ask thek "bloodyk show."
2.kAknursek iskcaringk fork ak clientk whok isk 1k hrk postpartumk andk observesk ak largek amountk ofk lochiak rubrak andk several k
small
clotskonkthekclient'skperineal kpad.kThekfunduskiskmidlinekandkfirmkatkthekumbilicus.kWhichkofkthekfollowingkacti
onsk shouldktheknursektake?
A. Documentk thek findingsk andk continuek tok monitork thek client.
Rationale:k Thesekarekexpectedkfindings.kAtk1khrkpostpartum,klochiakrubrakshouldkbek intermittentk andk as
sociatedkwithkuterinekcontractions.kThekvolumekofklochiakresembleskthatkofkakheavykmenstrua
l
period.kSmallkclotskarekcommon.kTheknursekshouldkdocumentkthekfindingskandkcontinuekto
k monitorkthekclient.
B. Notifykthek client‟skprovider.
Rationale:k Thesek arek expectedk findings,k sok therek isk nok needk tok notifyk thek provider.
C. Increasek thek frequencyk ofk fundal k massage.
Rationale:kThesekarekexpectedkfindingskandkthekfunduskiskalreadykfirm.kIncreasingkthekfrequencykofkfu
ndalk massagekisknotkindicatedkatkthisktime.
D. Encouragek thek clientk tok emptyk herk bladder.
Rationale:k Thesek arek expectedk findings,k andk thek fundusk isk firmk atk thek midline.k Ifk thek fundusk wask deviated,
thiskwouldkbekankindicationkofkakdistendedkbladderkandkthekclientkshouldkbekencouragedktokvoidk
tok preventkuterinekatony.
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,صk 8:57k 2024/3/29 (NGN)kATIkRNkMaternalkNewbornkProctoredkEXAMkTestbankactua
l
(NGN)kATIkRNkMATERNALkNEWBORN kPROCTOREDkEXAMkTESTBANKACTUALkQUESTIONSkWITHk V
ERIFIEDkSOLUTIONS/A+kGRADEkASSURED
3.kAknursek isk caringk fork ak newbornk immediatelyk followingk birth.kAfterk assuringk ak patentk airway,k whatk isk thek priority
nursingk action?
A. Administerk vitamink K.
Rationale:k AdministrationkofkvitaminkKkiskimportant,kbutkitkcankbekdelayedkuntil ktheknewbornkiskheldkb
ykthek motherkandkiskbreastfed.kTherekiskanother,kmorekimportantknursingkaction.
B. Drykthek skin.
Rationale:kTheknewbornkshouldkbekthoroughlykdried,kcoveredkwithkakwarmkblanket,kplacedkonkthekmot
her‟sk abdomen,kandkakcapkappliedktoktheknewborn‟skheadktokpreventkcoldkstress.kThekne
wbornk respondsktokthekcoolerkenvironmentkbykincreasingkhiskrespiratorykrate,kwhichkcankle
adkto
respiratorykdistress.kBasedkonkMaslow‟skhierarchykofkneeds,kthiskiskthekmostkimportantknur
singk actionkafterksecuringkthekairway.
C. Administerk eyek prophylaxis.
Rationale:kAdministrationkofkeyekprophylaxiskshouldkoccurkwithinkthekfirstkhourkafterkbirth.kTherekiskan
other,k morekimportantknursingkaction.
D. Placek ank identificationk bracelet.
Rationale:k Correctkidentificationkofktheknewbornkiskimportant,kbutkitkcankbekdelayed,kasklongkask itk isk
completedkpriorktokthekmotherkandknewbornkleavingkthekdeliverykroom.kTherekiskanother,k
more
importantk nursingk action.
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, صk 8:57k 2024/3/29 (NGN)kATIkRNkMaternalkNewbornkProctoredkEXAMkTestbankactua
l
(NGN)kATIkRNkMATERNALkNEWBORN kPROCTOREDkEXAMkTESTBANKACTUALkQUESTIONSkWITHk V
ERIFIEDkSOLUTIONS/A+kGRADEkASSURED
4.kAknursekinkakprenatalkclinickiskcaringkforkakclientkwhokiskatk7kweekskofkgestation.kThekclientkreportskurinarykfr
equencyk andkaskskifk thiskwillkcontinuekuntilkdelivery.kWhichkofk thekfollowingkresponseskshouldktheknursekmak
e?
A. "It'sk ak minork inconvenience,k whichk youk shouldk ignore."
Rationale:kThisk isk ak nontherapeutick responsek thatk disregardsk thek client‟sk concernk andk offersk unwarranted
reassurance.
B. "Ink mostk casesk itk onlyk lastsk untilk thek 12thk week,k butk itk willk continuek ifk youk havek poork bladderk tone."
Rationale:kThekpresencekorkabsencekofkbladderktonekhasknokbearingkonkurinarykfrequencykduringk pr
egnancy.
C. "Therek isk nok wayk tok predictk howk longk itk willk lastk ink eachk individual k client."
Rationale:k Thisk isk ak nontherapeutick responsek thatk doesk notk providek appropriatek informationk tok thek client.
D. "Itk occursk duringk thek firstk trimesterk andk neark thek endk ofk thek pregnancy."
Rationale:k Urinaryk frequencyk isk duek tok increasedk bladderk sensitivityk duringk thek firstk trimesterk andk recurs
neark thek endk ofk thek pregnancyk ask thek enlargingk uterusk placesk pressurek onk thek bladder.
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l
(NGN)kATIkRNkMATERNALkNEWBORN kPROCTOREDkEXAMkTESTBANKACTUALkQUESTIONSkWITHk V
ERIFIEDkSOLUTIONS/A+kGRADEkASSURED
(NGN)kATIkRNkMATERNALkNEWBORNkPROCTOREDkEXAMkTESTBANKACTUALkQU
ESTIONSkWITHkVERIFIEDkDETAILEDkSOLUTIONS/A+kGRADEkASSURED
1.kAknursekiskcaringkforkakclientkwhokiskatk36kweekskofk gestationkandkwhokhaskaksuspectedkplacentakprevia.kW
hichkofk thekfollowingkfindingsksupportkthiskdiagnosis?
A. Painlessk redk vaginal k bleeding
Rationale:k Placentak previak isk ak conditionk ofk pregnancyk whenk thek placentak implantsk ink thek lowerk partk ofk the
uterus,kpartlykorkcompletelykobstructingkthekcervicalkosk(outletktokthekvagina).kBrightkred,kpainless
k vaginal kbleedingkoccurskinktheksecondkandkthirdktrimester.
B. Increasingk abdominal k paink withk ak nonrelaxedk uterus
Rationale:k Abruptiokplacentakiskseparationkofkthekplacentakfromk thek sitek ofk uterinek implantationk before
k deliverykofkthekfetus.kWhenkthekplacentakseparateskprematurely,ktherekiskinternal kbleeding,k
which
isk painful,k andk thek uterusk isk nonrelaxedk ork becomesk rigidk ask thek separationk advances.
C. Abdominalk paink withk scantk redk vaginalk bleeding
Rationale:k Placentak previak involvesk minimalk tok severek brightk redk vaginalk bleedingk ink thek absencek of
k abdominalkpain.
D. Intermittentk abdominal k paink followingk passagek ofk bloodyk mucus
Rationale:kIntermittentkabdominalkpainkfollowingkpassagekofkbloodykmucuskiskakdescriptionkofknormalklab
or.k Thek passagek ofk bloodyk mucusk representsk thek lossk ofk thek cervicalk mucousk plug,k alsok r
eferredk to
A+kTestkBank Pagek1
about:blank 1/238
,صk 8:57k 2024/3/29 (NGN)kATIkRNkMaternalkNewbornkProctoredkEXAMkTestbankactua
l
(NGN)kATIkRNkMATERNALkNEWBORN kPROCTOREDkEXAMkTESTBANKACTUALkQUESTIONSkWITHk V
ERIFIEDkSOLUTIONS/A+kGRADEkASSURED
ask thek "bloodyk show."
2.kAknursek iskcaringk fork ak clientk whok isk 1k hrk postpartumk andk observesk ak largek amountk ofk lochiak rubrak andk several k
small
clotskonkthekclient'skperineal kpad.kThekfunduskiskmidlinekandkfirmkatkthekumbilicus.kWhichkofkthekfollowingkacti
onsk shouldktheknursektake?
A. Documentk thek findingsk andk continuek tok monitork thek client.
Rationale:k Thesekarekexpectedkfindings.kAtk1khrkpostpartum,klochiakrubrakshouldkbek intermittentk andk as
sociatedkwithkuterinekcontractions.kThekvolumekofklochiakresembleskthatkofkakheavykmenstrua
l
period.kSmallkclotskarekcommon.kTheknursekshouldkdocumentkthekfindingskandkcontinuekto
k monitorkthekclient.
B. Notifykthek client‟skprovider.
Rationale:k Thesek arek expectedk findings,k sok therek isk nok needk tok notifyk thek provider.
C. Increasek thek frequencyk ofk fundal k massage.
Rationale:kThesekarekexpectedkfindingskandkthekfunduskiskalreadykfirm.kIncreasingkthekfrequencykofkfu
ndalk massagekisknotkindicatedkatkthisktime.
D. Encouragek thek clientk tok emptyk herk bladder.
Rationale:k Thesek arek expectedk findings,k andk thek fundusk isk firmk atk thek midline.k Ifk thek fundusk wask deviated,
thiskwouldkbekankindicationkofkakdistendedkbladderkandkthekclientkshouldkbekencouragedktokvoidk
tok preventkuterinekatony.
A+kTestkBank Pagek2
about:blank 2/238
,صk 8:57k 2024/3/29 (NGN)kATIkRNkMaternalkNewbornkProctoredkEXAMkTestbankactua
l
(NGN)kATIkRNkMATERNALkNEWBORN kPROCTOREDkEXAMkTESTBANKACTUALkQUESTIONSkWITHk V
ERIFIEDkSOLUTIONS/A+kGRADEkASSURED
3.kAknursek isk caringk fork ak newbornk immediatelyk followingk birth.kAfterk assuringk ak patentk airway,k whatk isk thek priority
nursingk action?
A. Administerk vitamink K.
Rationale:k AdministrationkofkvitaminkKkiskimportant,kbutkitkcankbekdelayedkuntil ktheknewbornkiskheldkb
ykthek motherkandkiskbreastfed.kTherekiskanother,kmorekimportantknursingkaction.
B. Drykthek skin.
Rationale:kTheknewbornkshouldkbekthoroughlykdried,kcoveredkwithkakwarmkblanket,kplacedkonkthekmot
her‟sk abdomen,kandkakcapkappliedktoktheknewborn‟skheadktokpreventkcoldkstress.kThekne
wbornk respondsktokthekcoolerkenvironmentkbykincreasingkhiskrespiratorykrate,kwhichkcankle
adkto
respiratorykdistress.kBasedkonkMaslow‟skhierarchykofkneeds,kthiskiskthekmostkimportantknur
singk actionkafterksecuringkthekairway.
C. Administerk eyek prophylaxis.
Rationale:kAdministrationkofkeyekprophylaxiskshouldkoccurkwithinkthekfirstkhourkafterkbirth.kTherekiskan
other,k morekimportantknursingkaction.
D. Placek ank identificationk bracelet.
Rationale:k Correctkidentificationkofktheknewbornkiskimportant,kbutkitkcankbekdelayed,kasklongkask itk isk
completedkpriorktokthekmotherkandknewbornkleavingkthekdeliverykroom.kTherekiskanother,k
more
importantk nursingk action.
A+kTestkBank Pagek3
about:blank 3/238
, صk 8:57k 2024/3/29 (NGN)kATIkRNkMaternalkNewbornkProctoredkEXAMkTestbankactua
l
(NGN)kATIkRNkMATERNALkNEWBORN kPROCTOREDkEXAMkTESTBANKACTUALkQUESTIONSkWITHk V
ERIFIEDkSOLUTIONS/A+kGRADEkASSURED
4.kAknursekinkakprenatalkclinickiskcaringkforkakclientkwhokiskatk7kweekskofkgestation.kThekclientkreportskurinarykfr
equencyk andkaskskifk thiskwillkcontinuekuntilkdelivery.kWhichkofk thekfollowingkresponseskshouldktheknursekmak
e?
A. "It'sk ak minork inconvenience,k whichk youk shouldk ignore."
Rationale:kThisk isk ak nontherapeutick responsek thatk disregardsk thek client‟sk concernk andk offersk unwarranted
reassurance.
B. "Ink mostk casesk itk onlyk lastsk untilk thek 12thk week,k butk itk willk continuek ifk youk havek poork bladderk tone."
Rationale:kThekpresencekorkabsencekofkbladderktonekhasknokbearingkonkurinarykfrequencykduringk pr
egnancy.
C. "Therek isk nok wayk tok predictk howk longk itk willk lastk ink eachk individual k client."
Rationale:k Thisk isk ak nontherapeutick responsek thatk doesk notk providek appropriatek informationk tok thek client.
D. "Itk occursk duringk thek firstk trimesterk andk neark thek endk ofk thek pregnancy."
Rationale:k Urinaryk frequencyk isk duek tok increasedk bladderk sensitivityk duringk thek firstk trimesterk andk recurs
neark thek endk ofk thek pregnancyk ask thek enlargingk uterusk placesk pressurek onk thek bladder.
A+kTestkBank Pagek4
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