ATI PN MATERNAL NEWBORN PROCTORED EXAM

ATI PN MATERNAL NEWBORN PROCTORED EXAM

VERSION 26

1-IV MAT ml/hr. 12.5 2-Women in the bathroom who has delivery at the bathroom. The nurse call for help.

15- The nurse is teaching a new mother about breast feeding. The client tell the nurse that her sister become very uncomfortable when she tries to breast feeding because she had too much milk What suggestion should the nurse provide to help this client complains with the discomfort associated with engorged breast ?ANSWER / Wear a supportive bra at all time.16- A 38 weeks primigravida is admitted in labor -delivery with a non – reactive result (NST).The nurse begins a contraction stress with oxytocin Pitocin infusion.Which finding is most important for the nurse to reporthealthprovider?ANSWER/ A pattern of fetal late decelerations

17- A 33 years old client gravida 7 para 5 is submitted to the hospital in emergency room at 32 weeks of gestation.She is not pain, is alert and is not acute distress FHR 120 BEATS/MINUTES with minim variability. She tells the nurse thatshe woke up to find that she was lyingin a pool a blood. Which assessment data should the nurse obtain first?Cervical dilation Maternal blood pressure Hematocrit and Hemoglobin Uterine Contraction ANSWER / Blood pressure

18- During the admission of a newborn, the nurse identifies alocalized swelling that does not cross the suture line on the posterior area of the parietal bone. What intervention the nurse implement?ANSWER Notification pediatrician of the cephalohematoma

19-A 34 weeks’ gestation multigravida come to clinic for her bi- monthlyappointment. Which assessment finding should the nurse report in the healthcare provider?-1+ Edema in lower extremities.-Fundal height of 30 cm.-Fetal heart rate 110 beats/minute.-weight gain of 2 pounds.

20-A primipara at 20weeks’ gestation is scheduled on ultrasound. In preparing the 1 / 2

client for the procedure. The nurse should explain that the primary reason for conducting the diagnosis study is obtain which information ANSWER Fetal growth and gestational age.

21- A client tells the nurse that she thinks is pregnant. Which sign a symptom and signs provide is the best indication that the client is pregnant?ANSWER/ Hegar’s sign

22- A client who is 38 weeks pregnant is concerned her body get communicable disease before any immunizations are given. Which physiological mechanism should the nurse responding to the mother’s concerns?ANSWER/ Passive immunity in the first months of life provides protection in newborns.

23- Which action should the nurse take on infant who was born yesterday weighing 7.5 lbs. Weighing 7 pounds today ANSWER/ Inform and assure the mother that this a normal weight loss.

24.- When planning care for a laboring client, the nurse identifies the need to withhold solid food while the client is in labor. What is the best intervention?

Answer: an increase of aspiration can occur if general anesthesia is need it

25.- At client at 40 weeks’gestation is admitted in active labor, a laboratory finding indicate that she is HIV positive. What action should the nurse plan to perform?Select all the apply encourage the mother to bottle feed Use standard precautions

26.- A client who is 32 weeks gestation arrives at the clinic reporting nauseas and vomiting for the past 24 hours. The nurse reviews the record and observes there is a been of rapid weight gain over 6 weeks. Which action should the nurse implement first|?

• inspect pedal edema
• listen the fetal heart rate
• obtain a blood pressure
• ask for 24 hours diet recall

• A post-partum client who is RH negative refuse to receive globulin (RHO

GAM) after a delivery of an infant who is RH positive, which intervention should the nurse provide the client?the R-positive factor from the fetus threatens her blood cells

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