ATI RN MATERNITY PROCTORED EXAM

ATI RN MATERNITY PROCTORED EXAM

VERSION 32

• 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.

• T h e nurse is pla nning care for a client at 30-we e ks gestation who is experiencing

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

• Betamethasone (Celestone) 12 mg deep IM.

• T h e nurse places o n e hand above the s ymphys is while massaging the

fundus of a multiparous client whose uterine tone is b o g gy 15 min utes after delivering a 7 p o u n d 10 ounce infant. W h i c h inf ormation sho uld the nu rse provide the client about this fiding? B. Both the low er uterine segment and the fundus must be massaged.

• Which instruction should the n urse include in the dischar ge teaching plan of a 7-

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

• Monitor for changes in urinary odor.
• A pr e g na nt woman in the first trimester of p r e g n a n cy has a he m oglobin of 8.6

mg/dl and a hematocrit of 25.1%. What foot sho uld the nurs e e nc ourage this client to include in her diet? B. Chic k e n .

• 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

• T h e nurse is preparing to adminis ter methyle rg o no v ine mal e at e (Methergine) to

a post p artum client. Based on wh a t assessment finding should the nurs e withhold the drug? C. Blood pressure 149/90.

• T h e nurse is preparing a 10-year-old with a lac erated fore he ad for suturing. Both

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

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• T h e nurse is plan ning c are for a 16-year-old, who has juvenile r he umatoid

arthritis (JRA). The nurse includes activities to strengthen and m obilize the joints and surroun ding muscle. W h i c h phys ical therapy r e gimen should the nurse e n c o u r a ge the adolescent to implemen t? C. Exercise in a s w i mming pool.

10.A primigravida arrives at the observation unit of the maternity unit b e c a u s e thinks is in labor. The nurse applies the external fetal heart monitor a n d d etermines that the fetal heart rate is 1 4 0 beats/minute a n d the contractions are occurring irregularly e very 10 to 15 minutes. W h at a s sessment finding conf irms to the n urse that the client is not labor at this tim e?

• Contractions decrease with walking.

11.Which toy is m ost appropriate for a 10-year-old child with ac ute rheum atic fever who is on strict bedrest?

• Checkers

12.The nu rse has completed a te ac hing pl an for the mother of a child who is taking digitalis and a diuretic for treatm ent of the heart failure. C h oosing which lunch would indicate that the mother unders tands the bes t diet for her child?

• Peanut butter and banana sandwich with orange juice.

13.A breas tfeeding infant, sc r e e n ed for congenital h ypothyroidism, is found to h a v e low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). W h at is the best ex planation for this finding?

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

14.A full-term, 24-hour-old infant in the nurs ery regurgitates and suddenly turns cyanotic. What sho uld the n urse do first?

• Stimulate the infant to cry.

15.At 6-weeks gestation, the rubella titer of a client indicates she is non-immune.When is the bes t time to administer a rubella vaccine to this client?

• Early postpartum, within 72 hours of delivery.

16.A client is receiving oxytoc in (Pitocin) to augment early labor. Which assessment is m o st important for the n urs e to obtain each time the infusion rate is inc reased?

• Contraction pattern.

17.One d a y after vaginal delivery of a full-term ba by, a p os tpartu m client’s white blood cell count is 15, 0 0 0 /mm3. W h at action sho uld the n urse take first?

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