NGN ATI RN MATERNAL NEWBORN
PROCTORED EXAM 2024 ACTUAL
EXAM COMPLETE 70 QUESTIONS
WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS)
/ALREADY GRADED A+
A nurse is teaching a client who is at 13 wks
gestation about the treatment of incompetent cervix
with cervical cerclage. What statement by the client
indicates an understanding of teaching?
a. I should go to the hospital if I think I may be in
labor
b. I should expect bright red bleeding while the
cerclage is in place
c. I am sad that I won't be able to get pregnant again
d. I can resume having sex as soon as I feel up to it -
....ANSWER...a. I should go to the hospital if I think I
may be in labor
,Cervical cerclage prevents premature opening of the
cervix during pregnancy. The client should
immediately go to a facility for evaluation if she
experiences any manifestations of labor while the
cerclage is in place. If the client experiences
preterm uterine contractions she might require
tocolytic therapy.
A nurse is admitting a client who is in labor and
experiencing moderate bright red vaginal bleeding.
What action should the nurse take?
a. obtain blood samples for baseline lab values
b. place a spiral electrode on the fetal presenting
part
c. prepare the client for a transvaginal ultrasound
d. perform a vaginal exam to determine cervical
dilation - ....ANSWER...a. obtain blood samples for
baseline lab values
The nurse should obtain samples of the client's
blood for baseline testing of hemoglobin and
hematocrit levels.
,A nurse is caring for a client who is at 38 wks of
gestation and reports no fetal movement for 24 hr.
What action should the nurse take?
a. auscultate for a FHR
b. reassure the client that a term fetus is less active
c. have the client drink orange juice
d. palpate the uterus for fetal movement -
....ANSWER...a. auscultate for a FHR
Presence of a fetal heart rate is a reassuring
manifestation of fetal well-being. The nurse should
auscultate for the fetal heart rate using a Doppler
device or an external fetal monitor. This is the
priority nursing action.
A nurse is caring for a client who is at 35 wks
gestation and has severe pre-eclampsia. What
assessment provides the most accurate info
regarding the client's fluid and electrolyte status.
a. daily wt
b. bp
c. severity of edema
d. I&O - ....ANSWER...a. daily wt
, A nurse is teaching a client who is at 30 wks
gestation about warning signs of complications that
she should report to her provider. What finding
should the nurse include in the teaching?
a. 10 fetal movements per hour
b. mild constipation
c. vaginal bleeding
d. nasal congestion - ....ANSWER...c. vaginal bleeding
Vaginal bleeding can be an abnormal finding during
pregnancy that might indicate a complication such as
placental abruption, placenta previa, or preterm
labor.
A nurse is teaching a client who is at 8 wks
gestation and has a uterine fibroid about potential
effects of the fibroid during pregnancy. What info
should the nurse include?
a. you will have to undergo a c-section birth because
of the fibroid
b. the fibroid can increase the risk for postpartum
hemorrhage
c. the fibroid will shrink during pregnancy
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