ATI RN MATERNITY PROCTORED EXAM

ATI RN MATERNITY PROCTORED EXAM

VERSION 34

1-Awoman is brought to the labor and delivery unit after delivering a term infant and the placenta in the hospital parking lot 10 minutes ago. Which action should the muse perform first?

A- Massage thefundus and give an oxytocic agent

B-Collect specimenfor hemoglobin and hematocrit

C-Place the infant to breast for bonding

D- Inspect the perineum for lacerations

2-Aprimigravida client asks the nurse about exercising during pregnancy to help her prepare for labor Which recommendation should the nurse provide?

A-Limit exercise to brisk walking during pregnancy

B-Stretching exercises are good preparation for labor

C- Leg lifts will help to strengthen abdominal muscles

D-Avoid weight-bearing exercises until the postpartum period

3- the father of a 3-day old infant who is breast feeding calls the postpartum help to report that his wife is acting strangely She is irritable , can the baby and frequently cries for no apparent reason What information is most important for the nurse to provide this father?

A- Afluctuation in hormones in the early postpartum period can cause mood changes

B-Contact the clinic if the behaviors continue for more than two weeks or become worse

C-Tell the father to count the newborn's number of soiled diapers over the next few days

D- Recommend giving supplemental bottle Seedings to the baby between breast feeding

4- a client at 32 weeks gestation presents with extreme abdominal tenderness and a small amount of bright red vaginal bleeding Her blood pressure is respiratory rate is 24 breath / minute and her heart rate is 116 breast/ minutes he is dizzy with cold clammy skin priority?

A-Type and cross match for 4 units of whole blood B-Lactated Ringer's at 200 mi/hr. using an 18-gauge needle C-Monitor oxygen saturation rate per pulse oximeter D-insert a Foley catheter 1 / 2

5- A primipara presents to the perinatal unit describing rupture of the membranes (ROM) occurring 12 hours prior to coming to the hospital is begun and 8 hours later the client's contractions are irregular and mild Based on these data, the nurse plans to monitor which sign for the average laboring client

A-Maternal blood pressure B-Color of amniotic fluid C-Deep tendon reflexes D- Maternal temperature

6- Vaginal prostaglandin gel is used to induce labor for a woman who is at 42-weeks’ gestation Thirty minutes after insertion of the gel, the client complain vaginal warmth, and is experiencing 90 second contractions with fetal heart rate decelerations What action should the nurse implement first?

A-Assess the maternal vital signs

B-AIncrease the IV infusion rate.

C-Notify thehealthcare provider

D-Tum to a side-lying position

7-Cient at 35 weeks’ gestation complains of a "pan whenever the baby moves on assessment, the nurse notes the client's temperature to 101.2 F(38.4) with severe abdominal or uterine tenderness on palpation the nurse knows that these findings are indicative of which condition?

A-Abruptioplacenta B- Chorioamniondis C-Round ligament strain D-Viralinfection

8- A woman who is 38 weeks’ gestation is receiving magnesium sulfate for severe preeclampsia Which assessment finding warrants immediate intervention by the nurse

A-dizzinesswhenstanding

B-Absent patellar reflexes

C-Sinus tachycardia

D- Lower back pain

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