(NGN) ATI RN MATERNAL NEWBORN
PROCTORED EXAM TESTBANKACTUAL
QUESTIONS WITH VERIFIED DETAILED
SOLUTIONS/A+ GRADE ASSURED
1. A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected
placenta previa. Which of the following findings support this diagnosis?
A. Painless red vaginal bleeding
Rationale: Placenta previa is a condition of pregnancy when the placenta implants in the
lower part of the
uterus, partly or completely obstructing the cervical os (outlet to the vagina).
Bright red, painless vaginal bleeding occurs in the second and third trimester.
B. Increasing abdominal pain with a nonrelaxed uterus
Rationale: Abruptio placenta is separation of the placenta from the site of uterine
implantation before delivery of the fetus. When the placenta separates
prematurely, there is internal bleeding, which
is painful, and the uterus is nonrelaxed or becomes rigid as the separation
advances.
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, C. Abdominal pain with scant red vaginal bleeding
Rationale: Placenta previa involves minimal to severe bright red vaginal bleeding in
the absence of abdominal pain.
D. Intermittent abdominal pain following passage of bloody mucus
Rationale: Intermittent abdominal pain following passage of bloody mucus is a
description of normal labor. The passage of bloody mucus represents the
loss of the cervical mucous plug, also referred to
A+ Test Bank
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL
QUESTIONS WITH VERIFIED SOLUTIONS/A+ GRADE
ASSURED
as the "bloody show."
2. A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia
rubra and several small
clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which
of the following actions should the nurse take?
A. Document the findings and continue to monitor the client.
Rationale: These are expected findings. At 1 hr postpartum, lochia rubra should be
intermittent and associated with uterine contractions. The volume of lochia
resembles that of a heavy menstrual
about:blan 2/248
k
, period. Small clots are common. The nurse should document the findings
and continue to monitor the client.
B. Notify the client‟s provider.
Rationale: These are expected findings, so there is no need to notify the provider.
C. Increase the frequency of fundal massage.
Rationale: These are expected findings and the fundus is already firm. Increasing
the frequency of fundal massage is not indicated at this time.
D. Encourage the client to empty her bladder.
Rationale: These are expected findings, and the fundus is firm at the midline. If the
fundus was deviated,
this would be an indication of a distended bladder and the client should be
encouraged to void to prevent uterine atony.
A+ Test Bank
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL
QUESTIONS WITH VERIFIED SOLUTIONS/A+ GRADE
ASSURED
3. A nurse is caring for a newborn immediately following birth. After assuring a patent airway,
what is the priority
nursing action?
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k
, A. Administer vitamin K.
Rationale: Administration of vitamin K is important, but it can be delayed until the
newborn is held by the mother and is breastfed. There is another, more
important nursing action.
B. Dry the skin.
Rationale: The newborn should be thoroughly dried, covered with a warm blanket,
placed on the mother‟s abdomen, and a cap applied to the newborn‟s
head to prevent cold stress. The newborn responds to the cooler
environment by increasing his respiratory rate, which can lead to
respiratory distress. Based on Maslow‟s hierarchy of needs, this is the
most important nursing action after securing the airway.
C. Administer eye prophylaxis.
Rationale: Administration of eye prophylaxis should occur within the first hour
after birth. There is another, more important nursing action.
D. Place an identification bracelet.
Rationale: Correct identification of the newborn is important, but it can be delayed,
as long as it is completed prior to the mother and newborn leaving the
delivery room. There is another, more
important nursing action.
about:blan 4/248
k
PROCTORED EXAM TESTBANKACTUAL
QUESTIONS WITH VERIFIED DETAILED
SOLUTIONS/A+ GRADE ASSURED
1. A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected
placenta previa. Which of the following findings support this diagnosis?
A. Painless red vaginal bleeding
Rationale: Placenta previa is a condition of pregnancy when the placenta implants in the
lower part of the
uterus, partly or completely obstructing the cervical os (outlet to the vagina).
Bright red, painless vaginal bleeding occurs in the second and third trimester.
B. Increasing abdominal pain with a nonrelaxed uterus
Rationale: Abruptio placenta is separation of the placenta from the site of uterine
implantation before delivery of the fetus. When the placenta separates
prematurely, there is internal bleeding, which
is painful, and the uterus is nonrelaxed or becomes rigid as the separation
advances.
about:blan 1/248
k
, C. Abdominal pain with scant red vaginal bleeding
Rationale: Placenta previa involves minimal to severe bright red vaginal bleeding in
the absence of abdominal pain.
D. Intermittent abdominal pain following passage of bloody mucus
Rationale: Intermittent abdominal pain following passage of bloody mucus is a
description of normal labor. The passage of bloody mucus represents the
loss of the cervical mucous plug, also referred to
A+ Test Bank
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL
QUESTIONS WITH VERIFIED SOLUTIONS/A+ GRADE
ASSURED
as the "bloody show."
2. A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia
rubra and several small
clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which
of the following actions should the nurse take?
A. Document the findings and continue to monitor the client.
Rationale: These are expected findings. At 1 hr postpartum, lochia rubra should be
intermittent and associated with uterine contractions. The volume of lochia
resembles that of a heavy menstrual
about:blan 2/248
k
, period. Small clots are common. The nurse should document the findings
and continue to monitor the client.
B. Notify the client‟s provider.
Rationale: These are expected findings, so there is no need to notify the provider.
C. Increase the frequency of fundal massage.
Rationale: These are expected findings and the fundus is already firm. Increasing
the frequency of fundal massage is not indicated at this time.
D. Encourage the client to empty her bladder.
Rationale: These are expected findings, and the fundus is firm at the midline. If the
fundus was deviated,
this would be an indication of a distended bladder and the client should be
encouraged to void to prevent uterine atony.
A+ Test Bank
(NGN) ATI RN MATERNAL NEWBORN PROCTORED EXAM TESTBANKACTUAL
QUESTIONS WITH VERIFIED SOLUTIONS/A+ GRADE
ASSURED
3. A nurse is caring for a newborn immediately following birth. After assuring a patent airway,
what is the priority
nursing action?
about:blan 3/248
k
, A. Administer vitamin K.
Rationale: Administration of vitamin K is important, but it can be delayed until the
newborn is held by the mother and is breastfed. There is another, more
important nursing action.
B. Dry the skin.
Rationale: The newborn should be thoroughly dried, covered with a warm blanket,
placed on the mother‟s abdomen, and a cap applied to the newborn‟s
head to prevent cold stress. The newborn responds to the cooler
environment by increasing his respiratory rate, which can lead to
respiratory distress. Based on Maslow‟s hierarchy of needs, this is the
most important nursing action after securing the airway.
C. Administer eye prophylaxis.
Rationale: Administration of eye prophylaxis should occur within the first hour
after birth. There is another, more important nursing action.
D. Place an identification bracelet.
Rationale: Correct identification of the newborn is important, but it can be delayed,
as long as it is completed prior to the mother and newborn leaving the
delivery room. There is another, more
important nursing action.
about:blan 4/248
k
