2024 ATI RN MATERNAL NEWBORN PROCTORED 2023
FINAL VERSION EXAM WITH GUARANTEED
DISTINCTION ANSWERS FROM EXPERT
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➢ Whichof
... [Show More] thefollowingis apotential complicationofoligohydramnios? A. Preterm labor
B. Fetal growthrestriction C. Polyhydramnios D. All of theabove Answer: B. Fetal growth restriction
Intrapartum:
➢Whichstageof labor ischaracterized by theperiod between theend of thethird stage and
the mother's recovery from delivery? A. First stage B. Second stage C. Third stage D. Fourth stage
Answer: D. Fourth stage
➢ What is therecommended methodof painrelief duringlabor for a woman with ahighrisk pregnancy? A. Epidural anesthesia B. Spinal anesthesia C. Intravenous opioids D. All of the
above Answer: A. Epidural anesthesia
➢ Which of the following is a potential complication of a vacuum-assisted delivery? A.
Fetal distress B. Maternal hemorrhage C. Intra-abdominal injury D. Allof theabove Answer: C.
Intra-abdominal injury
Postpartum:
➢ Which of the following is a potential complication of a retained placenta? A.
Preeclampsia B. Postpartum hemorrhage C. Gestational diabetes D. Allof theabove Answer: B.
Postpartum hemorrhage
➢ A nurse is caring for a client who is in active labor and has had nocervical change in
the last 4 hours. Which of the following statements should the nurse make?
Yourprovider will insertanintrauterinepressurecatheterto monitorthestrengthof your
contractions.
Insertionofanintrauterinepressurecatheter isnecessarytodetermine
uterine contraction intensity, which will identify whether or not the
contractions are adequate for the progression of labor.
➢ A nurse on a postpartum unit is caring for a client who is experiencing
hypovolemic shock. Afternotifyingtheprovider,whichof thefollowingactions
shouldthenursetake next?
Massagetheclient’sfundus.
Thegreatest risk totheclient ishemorrhage.Therefore, thenext action
the nurse should take is to massage the client’s fundus toexpel clots and
promote contractions.
➢ A nurse is reviewing the medical record of a client who is one day postpartum.
The client had a vaginal birth with a fourth- degree perineal laceration. The nurse
should contact the provider regarding whichof the followingprescriptions?
Bisacodylrectalsuppositorydailyasneededforconstipation
The nurse should not administer a rectal suppository or enema to a
client who has a fourth-degree perineal laceration. These can cause
separation of the suture line,bleeding, or infection.
➢ A nurse is caring for a client who is at 26 weeks gestation and has
epilepsy. Thenurseenterstheroom andobserves theclienthavinga
seizure. After turning the client’s head to one side, which of the following
actions should the nurse take immediately after the seizure?
Administeroxygenviaanonrebreather mask.
Whenusingtheairway,breathing,andcirculationapproachto
client care, the nurse should place the priority on
administering oxygen to the client via a nonrebreather mask
toensure adequateoxygenation to mother and fetus.
➢ A nurseinaprenatal clinic iscaringforaclient whoreports thather
menstrual period is 2 weeks late. The client appears anxious and asks the
nurse if she is pregnant. Which of the following responses should the nurse
make?
”Youcan miss yourperiodforseveralother reasons. Describeyourtypical
menstrual cycle”.
Amenorrhea is a presumptive sign of pregnancy, not a positivesign.
Therefore, thenurse should exploretheclient’smenstrual cycle to
determineothernecessary interventions.
➢ A nurse is providing discharge teaching to a client who is postpartum
and was taking insulin for gestational diabetes mellitus. Which of the
following instructions should the nurseinclude in the teaching?
”Youshouldgeta2-houroralglucosetolerancetest in 6-12 weeks.”
The nurse should instruct the client to get 2-hour oral glucose
tolerance test 6-12 weeks postpartum and every 3 years to
screen for type 2 diabetes. The nurse should instruct the client
that blood glucose levels return to the expected reference range
after childbirth. Therefore, the client does not need to monitor
her blood glucose levels or continue the insulin at home.
➢ What is the recommended method of pain relief for a woman who has a
perineal laceration after delivery? A. Nonsteroidal anti-inflammatorydrugs (NSAIDs)
B. Acetaminophen C. Sitz baths D. All of the above Answer: D. All of the above
➢ Which of thefollowingis apotential complicationof neonatal
hyperbilirubinemia? A. Hypoglycemia B. Kernicterus C. Respiratory distress
syndrome D. All of the above Answer: B. Kernicterus
Newborn Care:
➢What is therecommended methodofadministering thefirstdoseof hepatitis B
vaccine to a newborn? A. Intramuscular injection B. Oral administration C. Topical
application D. Subcut
➢ Which of thefollowingis apotential complicationof neonatal respiratory
distress syndrome? A. Hypoglycemia B. Pneumonia C. Patent ductus arteriosus
D. All of the above Answer: D. All of the above
➢ What is therecommended methodof administeringvitaminKto anewborn
whois at risk for bleeding? A. Intramuscular injection B. Oral administration C.
Topical application D. Subcutaneous injection Answer: A. Intramuscular injection
Professional Practice:
➢ What is the primary responsibility of a nurse or midwife in advocating for
patient and family-centered care in maternal and newborn healthcare? A. Promoting
shared decision- making B. Ensuringpatientprivacyand confidentiality C. Providing
evidence-based care D. All of the above Answer:
A. Promotingshareddecision-making
➢ Which of thefollowingis apotential barrier toimplementing evidencebased
practice in maternal and newborn healthcare? A. Resistance to change B. Limited
access to technology C. Lack of funding D. All of the above Answer: D. All of the
above
➢ Which of the following is a potential ethical issue related to the use of
assisted reproductive technologies in maternal and newborn healthcare? A. Use of
donor gametes B. Multiple gestationpregnancies C. Preimplantation genetic
diagnosis (PGD) D. Allof theabove Answer: D. All of the above
➢ Which of the following is a professional standard for nursing practice in
maternal and newborn healthcare? A. Collaboration withpatients and families B.
Continuityofcare C. Cultural competence D. All of the above Answer: D. All of the
above
➢ Which of thefollowingis apotential legal issuerelated to maternal and
newborn healthcare? A. Informed consent B. Medical malpractice C.
Abandonment D. All of the above Answer: D. All of theabove
Anatomyand Physiology:
➢ Which of thefollowinghormones is responsiblefor stimulating uterine
contractions during labor? A. Progesterone B. Estrogen C. Prolactin D. Oxytocin
Answer: D. Oxytocin
➢ What is thefunctionof thecervix during pregnancy? A. To secrete mucus
that prevents infection B. To protect the fetus from trauma C. To regulate fetal
temperature D. All of the above Answer: A. To secrete mucus that prevents infection
➢Whichof thefollowingis a potential causeof maleinfertility? A.Varicocele B.
Cryptorchidism
C. Testicular cancer D. All of theabove Answer: D. All of theabove
Antepartum: [Show Less]