rn ati maternal newborn proctored exam comprehensi
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ATI RN MATERNAL NEWBORN 2024 PROCTORED EXAM |
70 QUESTIONS AND ANSWERS | LEVEL 3 EXAM
1. A nurse is planning care immediately following birth for a newborn who has Myelomeningocele that is
cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
a. Administer broad-spectrum antibiotics
b. cleanse the site with Povidone iodine
c. monitor the rectal temperature every 4 hours
d. prepare for surgical closure after 72 hours
2. A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter reading of 65 mg /
DL. The New Orleans mother has Type 2 diabetes mellitus. Which of the following actions should the
nurse take?
a. Administer 50 mL of dextrose solution IV
b. obtain a blood sample of serum glucose level
c. reassess the blood glucose level prior to the next feeding
d. Feed the newborn immediately
3. A nurse is caring for four enter-partum clients. Which of the following clients should the nurse assess
first?
a. A client who is at 7 weeks of gestation and reports urinary frequency
b. a client who is at 32 weeks of gestation and reports seeing floating spots
c. a client who is 38 weeks of gestation and reports leg cramps
d. a client who is at 20 weeks of gestation and reports periodic numbness in her fingers
4. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions Should
the nurse include in the plan of care?
a. Use a fetal scalp electrode during labor and delivery
b. Bathe the newborn before initiating skin to skin contact
instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation d. administer
pneumococcal immunization to the
newborn within 4 hours following birth
,c.
5. A nurse is caring for a client who has placenta previa. Which of the following findings should the nurse
expect?
a. Firm rigid abdomen
b. painless, vaginal bleeding
c. uterine hypertonicity
d. persistent headache
6. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lap.
Which of the following actions should the nurse include?
a. Apply a thin layer lotion to the newborn skin every 8 hours
b. trust in you born in a thin layer clothing during the therapy
c. ensure the newborn's eyes are closed beneath the shield
d. give the newborn 1 oz of glucose water every 4 hours
7. A client who is 16 weeks of gestation asks the nurse how to prepare her father to a younger sibling.
Statements should the nurse make?
a. You should hold your newborn in your arms when you introduce him to your
toddler
b. you should move your toddler out of her crib 2 weeks prior to your due date c.
you should give your toddler a gift from the baby when she visit
d. You
should place your toddler in timeout if she exhibits regressive Behavior after the baby
is born
8. A nurse is observing an adolescent client who is offering her newborn a bottle while he is laying in
the bassinet. When the nurse offers to pick the newborn up and place them in the client's arms, the
mother States < No, the baby is too tired to be held=. Which of the following actions should the
nurse take?
a. Insist that the mother pick up the newborn to feed him
b. demonstrate how to hold a newborn and allow the client to practice
c. persuade the client to breastfeed the newborn to promote bonding
d. offer to take the newborn to the nursery to finish his feeding
,c.
9. A nurse is assessing a client who is in preterm labor and has a new prescription or terbutaline 0.25 mg
subcutaneous. For which of the following findings should the nurse Withhold the medication and Report
to the provider?
a. fasting blood glucose 75 mg / DL
b. blood pressure 88/58 mmhg
c. urinary output 40 ml /hr
d. FHR 120/min
10. A nurse is providing teaching to the parents of a newborn about the plastibell circumcision technique.
Which of the following? - p170-171 - postprocedure bottom of 170 and goes into top of 171.
a. the plastibell will be removed 4 hours after the procedure
b. notify the provider is the end of your penis appears dark red
make sure the newborn's diaper is snug
d. yellow exudate will form at the surgical site in 24 hours
11. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the
following instructions should the nurse include?
a. Expect 2 to 4 wet diapers every 24 hours
b. allow the baby to feed at least every 3 hours
c. offer the newborn 30 ml (1 oz.) a water between feedings
d. feed the newborn 5 to 10 minutes per breast
12. A nurse is assessing a client during her first prenatal visit the client reports March 20th us her last
menstrual.. Use Niagele9s rule to calculate the estimated date of delivery. Use the mmdd format with
four
numerals and no spaces or punctuation. 03/20 !"#$%$& 12/27
13. A nurse is caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the
client which of the following vaccinations? Select all the apply a. Varicella b. human papillomavirus c.
Diphtheria - acellular pertussis
, c.
d. inactivated influenza
e. measles, mumps, and rubella
14. A nurse is caring for a client who has preterm labor and receiving magnesium sulfate by continuous IV
infusion. Which of the following laboratory values should the nurse review during tocolytic therapy? a.
indirect Coombs test b. liver enzymes
uric acid level
d. Serum medication level
15. A nurse is caring for a client who reports spontaneous rupture. The
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