ATI PN MATERNAL NEWBORN PROCTORED EXAM

ATI PN MATERNAL NEWBORN PROCTORED EXAM

VERSION 33

• The nurse is scheduling a client with gestational diabetes for an amniocentesis because the

fetus has an estimated weight of 8 pounds at 36- weeks’ gestation. This amniocentesis is being performed to obtain which information?

• Presence of a neural tube defect
• Gender of the fetus
• Fetal lung maturity
• Chromosomal abnormalities

2- The nurse assesses a client admitted to the labor and delivery unit and obtains the following data: dark red vaginal bleeding, uterus slightly tense between contractions, BP 110/68, FHR 110 beats/minute, cervix 1 cm dilated and uneffaced. Based on these assessment findings, what intervention should the nurse implement?Monitoring bleeding from IV sites 3- Following the vaginal delivery of a 10-pound infant, the nurse assesses a new mothers vaginal bleeding and finds that she has saturated two pads in 30minutes and has a boggy uterus. What action should the nurse implement first?

• Have the client empty her bladder
• Inspect the perineum for lacerations
• Increase oxytocin IV infusion
• Perform fundal massage until firm

4- When assessing a pregnant woman at 39 weeks gestation who is admitted to labor and delivery, which finding is most important to report to the HCP?

• +1 pedal edema
• 130/70 blood pressure
• 101.2 F oral temp *
• +1 proteinuria

5-A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and cervix dialed 3cm. The nurse’s assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribes an oxytocin drip. Which data is most important for the nurse to monitor?

• Clients hourly blood pressure
• Preparation for emergency cesarean birth
• Intensity, interval, and length of contractions
• Checking the perineum for bulging
• / 1