ATI PN MATERNAL NEWBORN PROCTORED EXAM

ATI PN MATERNAL NEWBORN PROCTORED EXAM

VERSION 30

• The nurse is planning discharge teaching for a client who had an evacuation of

gestational trophoblastic disease (GTD) two days ago. Which information is most important for the nurse to include in this client’s teaching plan?

• Oral contraceptive use for at least one year.

• The nurse is planning care for a client at 30-weeks gestation who is experiencing

preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory distress syndrome?

• Betamethasone (Celestone) 12 mg deep IM.

• The nurse places one hand above the symphysis while massaging the

fundus of a multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce infant. Which information should the nurse provide the client about this fiding? B. Both the lower uterine segment and the fundus must be massaged.

• Which instruction should the nurse include in the discharge teaching plan of a 7-

year-old girl with a history of frequent urinary tract infections?

• Monitor for changes in urinary odor.
• A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6

mg/dl and a hematocrit of 25.1%. What foot should the nurse encourage this client to include in her diet? B. Chicken.

• The newborn nursery admission protocol includes a prescption for phytonadione

(Vitamin K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2 mg/ml. How many ml should the nurse administer?

0.3

• The nurse is preparing to administer methylergonovine maleate (Methergine) to

a postpartum client. Based on what assessment finding should the nurse withhold the drug? C. Blood pressure 149/90.

• The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both

parents and a 12-year-old sibling are the child bedside. Which instruction best supports this family? A. “ While waiting for the healthcare provider, only one visitor may stay with the child” 1 / 2

• The nurse is planning care for a 16-year-old, who has juvenile rheumatoid

arthritis (JRA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement? C. Exercise in a swimming pool.

• A primigravida arrives at the observation unit of the maternity unit because

thinks is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats/minute and the contractions are occurring irregularly every 10 to 15 minutes. What assessment finding confirms to the nurse that the client is not labor at this time?

• Contractions decrease with walking.

• Which toy is most appropriate for a 10-year-old child with acute rheumatic fever

who is on strict bedrest?

• Checkers

• The nurse has completed a teaching plan for the mother of a child who is taking

digitalis and a diuretic for treatment of the heart failure. Choosing which lunch would indicate that the mother understands the best diet for her child?

• Peanut butter and banana sandwich with orange juice.

• A breastfeeding infant, screened for congenital hypothyroidism, is found to

have low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). What is the best explanation for this finding?

• The TSH is high because of the low production of T4 by the thyroid.

• A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns

cyanotic. What should the nurse do first?

• Stimulate the infant to cry.

• At 6-weeks gestation, the rubella titer of a client indicates she is non-immune.

When is the best time to administer a rubella vaccine to this client?

• Early postpartum, within 72 hours of delivery.

• A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment

is most important for the nurse to obtain each time the infusion rate is increased?

• Contraction pattern.

• One day after vaginal delivery of a full-term baby, a postpartum client’s white

blood cell count is 15,000/mm3. What action should the nurse take first?

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