NGN ATI RN MATERNAL NEWBORN PROCTORED EXAM 70 ACTUAL QUESTIONS WITH VERIFIED SOLUTIONS/A+ GRADE ASSURED

A nurse is caring for a client who has active genital herpes simplex virus type 2. Which
of the followingmedications should the nurse plan to administer?
A. Metronidazole
B. Penicillin
C. Acyclovir
D. Gentamicin
2. A nurse is caring for a client following an amniocentesis. The nurse should observe the
client for which of thefollowing complications?
A. Hyperemesis
B. Proteinuria
C. Hypoxia
D. Haemorrhage
3. A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion
for labor induction.Which of the following interventions should the nurse include in the
plan?
A. Increase the infusion rate every 30 to 60 min.
B. Maintain the client in a supine position.
C. Titrate the infusion rate by 4 milliunits/min.
D. Limit IV intake to 4 L per 24 hr.
4. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which
of the followingactions should the nurse take? (Click on the “Exhibit” button for
additional information about the newborn. Three tabs contain separate categories of
date.)
A. Administer nitric oxide inhalation therapy to the newborn
B. Insert an orogastric decompression tube with low wall suction.
C. Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr.
D. Measure the abdominal circumference at the level of the newborn’s umbilicus every 2
hr.
5. A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late
decelerations of thefetal heart rate on the monitor Tracing. Which of the following action
should the nurse take?
A. Decrease maintenance IV solution infusion rate.
B. Place the client in a lateral position.
C. Administer misoprostol 25 mcg
vaginally
D. Administer oxygen via face mask
at 2 L/min
6. A nurse is planning care for a client who is pregnant and has HIV. Which of the following
actions should thenurse include in the plan of care?
A. Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation.
B. Use a fetal scalp electrode during labor and delivery.
C. Administer a pneumococcal immunization to the newborn within 4 hr following birth.
D. Bathe the newborn before initiating skin-to-skin contact
7. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr
postpartum and has aboggy uterus. For which of the following assessment findings should
the nurse withhold the medication?
A. Blood pressure 142/92 mm Hg
B. Urine output 100 mL in hr
C. Pulse 58/min
D. Respiratory rate 14/min
8. A nurse is assessing a newborn following a forceps assisted birth. Which of the following
clinical manifestationsshould the nurse identify as a complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. D. Bronchopulmonary dysplasia
9. A nurse is providing teaching about terbutaline to a client who is experiencing preterm
labor. Which of thefollowing statement by the client indicates an understanding of the
teaching?
A. “The medication could cause me to experience heart palpitation”
B. “This medication could cause me to experience blurred vision”
C. “This medication could cause me to experience ringing in my ears”
D. “This medication could cause me to experience frequent …”
4. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following
laboratory tests should thenurse anticipate?
A. Urine Ketones
B. Rapid plasma regain
C. Prothrombin time
D. Urine culture
5. A nurse is caring for a client who is in labour and requests nonpharmacological pain
management. Which of thefollowing nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr
6. A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis.
Which of the followingfindings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
7. A nurse is caring for a client who is 14 weeks of gestation. At which the following
locations should the nurseplace the Doppler device when assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
8. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia.
Which of the followingfindings should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatnine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3
9. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility.
Which of the followingadverse effect should the nurse include?
A. Tinnitus
B. Urinary
FrequencyC.
Breast
Tenderness
D. Chills
10. A nurse is assessing a newborn upon admission to the nursery. Which of the following should
the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to the heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
11.A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of the followinginterventions should the nurse include in the plan of care.
A. Increase the newborn’s visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a
social evaluation
D. Swaddle the newborn in a flexed position
12. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer
reading of 65 mg/ dL. Thenewborn’s mother has type 2 diabetes mellitus. Which of the
following actions should the nurse take?
A. Obtain a blood sample for a serum glucose level
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next feeding
13. A nurse is providing teaching to a client about exercise safety during pregnancy.
Which of the followingstatements by the client indicates an understanding of the
teaching? (Select all that apply).
A. “I will limit my time in the hot tub to 30 minutes after exercise.”
B. “I should consume three 8-ounce glasses of water after I exercise.”
C. “I will check my heart rate every 15 minutes during exercise sessions.”
D. “I should limit exercise sessions to 30 minutes when the weather is humid.”
E. “I should rest by lying on my side for 10 minutes following exercise.”
14. A charge nurse is teaching a group of staff nurses about fetal monitoring during labor.
Which of the followingfindings should the charge nurse instruct the staff members to report
to the provider?
A. Contraction duration of 95 to 100 seconds
B. Contraction frequency of 2 to 3 min apart
C. Absent early deceleration of fetal heart rate
D. Fetal heart rate is 140/min
15. A nurse in a woman’s health clinic is obtaining a health history from a client. Which of
the following findingsshould the nurse identify as increasing the client’s risk for developing
the pelvic inflammatory disease (PID)?
A. Recurrent Cystitis
B. Frequent Alcohol Use
C. Use of Oral
Contraceptives
D. Chlamydia Infection
16. A nurse is teaching a prenatal class about immunizations that newborns receive
following birth. Which of thefollowing immunizations should the nurse include in the
teaching?
A. Hepatitis B
B. Rotavirus
C. Pneumococcal
D. Varicella
17. A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan
diet. The client asks thenurse which foods she should eat to ensure adequate calcium intake.
The nurse should instruct the client that which of the following foods has the highest amount
of calcium?
A. ½ cup cubed avocado
B. 1 large banana
C. 1 medium potato
D. 1 cup cooked broccoli
18. A nurse in a provider’s office is assessing a client at her first antepartum visit. The client
states that the first dayof her last menstrual period was March 8. Use Nagele’s rule to
calculate the estimated date of delivery. (Use the MMDD format with four numerals and no
spaces or punctuation.)
December 15