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2024 ATI RN MATERNAL NEWBORN PROCTORED 2023 FINAL VERSION EXAM WITH GUARANTEED DISTINCTION ANSWERS FROM EXPERT DOWNLOAD TO SCORE A+ ➢ Whichof 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: