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ATI MATERNAL NEWBORN NGN PROCTORED EXAM 2023 | CONTAINS FORMS A B AND C WITH ACCURATE DETAILED ANSWERS WITH RATIONALES AND NGN QUESTIONS | ACCURATE AND VERIFIED FOR GUARANTEED PASS€23,03
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ATI MATERNAL NEWBORN NGN PROCTORED EXAM 2023 | CONTAINS FORMS A B AND C WITH ACCURATE DETAILED ANSWERS WITH RATIONALES AND NGN QUESTIONS | ACCURATE AND VERIFIED FOR GUARANTEED PASS
ATI MATERNAL NEWBORN NGN PROCTORED EXAM 2023 |
CONTAINS FORMS A B AND C WITH ACCURATE DETAILED
ANSWERS WITH RATIONALES AND NGN QUESTIONS |
ACCURATE AND VERIFIED FOR GUARANTEED PASS
ATI MATERNAL NEWBORN NGN PROCTORED EXAM 2023 | CONTAINS FORMS A B AND C WITH ACCURATE DETAILED ANSWERS WITH RATIONALES AND NGN QUESTIONS | ACCUR ATE AND VERIFIED FOR GUARANTEED PASS A nurse is providing teaching t a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected range. Which of the following client statements indicates an understanding of the teaching? A. "I will not gain more than 15 to 20 pounds during my pregnancy." B. "I will likely need to use alternative positions for sexual intercourse." C. "I'm glad I had a breast reduction years ago, so they will not enlarge with my pregnancy." D. "I'm glad I have a light complexion and will not get any stretch marks." B. The weight gain of pregnancy will likely require alternative positions for sexual intercourse. This client statement indicates that she understands the nurse's teaching about the physiological changes that occur during pregnancy. A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect? A. Deep tendon reflexes 4+ B. Fundal height 14 cm C. Urine protein 2+ D. FHR 152/min D. The expected range for the FHR is 110/min to 160/min. The FHR is higher earlier in gestation with an average of approximately 160/min at 20 weeks of gestation. Therefore, this is an expected finding by the nurse. A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn? A. Apply a cool pack for 10 min to the heel prior to the puncture. B. Request a prescription for IM analgesic. C. Use a manual lance blade to pierce the skin. D. Place the newborn skin to skin on the mother's chest. D. Placing the newborn skin to skin on the mother's chest is an effective technique to significantly decrease the newborn's pain level and anxiety. The nurse should implement this technique before, during, and after the procedure. A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the following findings should the nurse report to the provider? A. Blood pressure 136/88 mm Hg B. Report of insomnia C. Weight gain of 2.2 kg (4.8 lb) D. Report of Braxton Hicks contractions C. A weight gain of 2.2 kg (4.8 lb) in a week is above the expected reference range and could indicate complications. Therefore, this finding should be reported to the provider. A nurse is providing discharge teaching to a client who had a cesarean birth 3 days ago. Which of the following instructions should the nurse include? A. "You can resume sexual activity in 1 week." B. "You won't need to do Kegel exercises since you had a cesarean." C. "You can still become pregnant if you are breastfeeding." D. "You are safe to start adding sit -ups to your exercise routine in 2 weeks." C. The nurse should instruct the client that breastfeeding does not prevent ovulation. Therefore, the client can become pregnant. The nurse should discuss contraception that is safe to use while breastfeeding. A nurse is assessing a client who received carboprost for postpartum hemorrhage. Which of the following findings is an adverse effect of this medication? A. Hypertension B. Hypothermia C. Constipation D. Muscle Weakness A. The nurse should recognize that carboprost is a vasoconstrictor that can cause hypertension. A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia? A. Hypertonia B. Increased feeding C. Hyperthermia D. Respiratory distress D. Late preterm newborns are at an increased risk for hypoglycemia due to decreased glycogen stores and immature insulin secretion. Respiratory distress is a manifestation of hypoglycemia. Other manifestations of hypoglycemia include an abnormal cry, jitterin ess, lethargy, poor feeding, apnea, and seizures. A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching? A. "Obtain an informed consent prior to obtaining the specimen." B. "Collect at least 1 milliliter of urine for the test." C. "Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen." D. "Premature newborns may have false negative tests due to immature development of liver enzymes." D. Premature newborns have a delayed development of liver enzymes which can cause a false positive result. A nurse is reviewing the prenatal laboratory results for a client who is at 12 weeks of gestation following an initial prenatal visit. Which of the following laboratory findings should the nurse report to the provider? A. Hemoglobin 10 g/dL B. WBC count 10,000/mm3 C. Platelets 250,000/mm3 D. Fasting blood glucose 90 mg/dL A. A hemoglobin of 10 g/dL is below the expected reference range of greater than 11 g/dL for a client who is pregnant. The nurse should report this finding to the provider to obtain a prescription for ferrous iron supplementation because of anemia. A nurse is caring for a client who is at 30 weeks of gestation and as a prescription for magnesium sulfate IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects? A. Client reports nausea B. Urinary output of 40 mL/hr C. Respiratory rate 10/min D. Client reports feeling flushed C. The nurse should report a respiratory rate of less than 12/min to the provider, because this is a manifestation of magnesium toxicity. The nurse should ensure that the antidote, calcium gluconate, is readily available. A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the following outcomes should the nurse expect? A. Decreased uterine contractions B. An increase in the client's hemoglobin levels C. A reduction in respiratory distress in the newborn D. Increased production of antibodies in the newborn C. Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent respiratory distress. What is the first step in the leopold maneuver? Evidence -based practice indicates the nurse should perform this step first when performing Leopold maneuvers. During this step, the nurse palpates the client's abdomen with the palms to determine which fetal part is in the uterine fundus. This step also id entifies the lie (transverse or longitudinal) and presentation (cephalic or breech) of the fetus. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Which of the following laboratory tests should the nurse expect the provider to prescribe? A. Kleihauer -Betke test B. Progesterone serum level C. Lecithin/sphingomyelin (L/S) ratio D. Maternal Alpha -fetoprotein (AFP)
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