2023 ATI RN Maternal Newborn Proctored Retake Exam with NGN Version 4 Questions and Answers (Verified Revised Full Exam)

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ATI RN Maternal Newborn Proctored 2023 Retake Examwith NGN

1. A nurse is caring for a client who is in preterm labor and is receiving

magnesium sulfate. The client begins to show indications of magnesium

sulfate toxicity. Which of the following medications should the nurse prepareto administer?

A. Protamine sulfate

B. Naloxone

C. Calcium gluconate

D. Flumazenil

ANS C. Calcium gluconate

Explanation The nurse should discontinue the magnesium sulfate infusion immediately and prepare to administer calcium gluconate IV to reverse the effects of

magnesium to prevent cardiac and respiratory arrest.

2. A nurse is caring for a client who is nulliparous and experiencing hypertonicuterine dysfunction. An assessment indicates 3 cm dilation. Which of the

following actions should the nurse take?

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A. Encourage the client to bear down with contractions

B. Request a prescription to initiate oxytocin

C. Offer the client hydrotherapy

D. Assist the client with ambulation

ANS C. Offer the client hydrotherapy

Explanation Therapeutic rest measures should be initiated for a client who has

hypertonic uterine dysfunction.Therapeutic rest can include hydrotherapy and analgesia to relieve pain. Decreasing uterine contractions and helping the client relax

and sleep will help prevent early exhaustion.

3. A nurse is evaluating a client who has just received instructions about

breastfeeding.Which of the following statements should the nurse identify asan indication that the client understands how to prevent mastitis?

A. "I will wear an underwire bra to provide support when my milk comes in."

B. "I will apply petroleum jelly if my nipples become cracked."

C. "I will apply warm compresses to my breast twice a day."

D. "I should avoid waiting too long between feedings."

ANS D."I should avoid waitingtoo long between feedings."

Explanation Mastitis is an inflammation or infection of the breast. Risk factors

include insufficient emptying of the breasts during breastfeeding, stress, illness, poornutrition, and fatique.

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4. A nurse is assessing a client who has hyperemesis gravidarum. Which of

the following findings should the nurse expect?

A. Elevated serum potassium level

B. Rapid weight gain

C. Peripheral edema

D. Presence of ketones in the urine

ANS D. Presence of ketones in the urine

Explanation the nurse should expect a client who has hyperemesis gravidarum to

have ketonuria due to an inadequate dietary intake, resulting in the breakdown of

protein and stored fat.

5. A community health nurse is planning care for a 4 high-risk newborns whowere discharged yesterday.Which of the following newborns should the nurseplan to care for first?

A. A 1-week-old newborn who needs another phenylketonuria screening testB. A 4-day-old newborn who has an elevated bilirubin level and requires

phototherapy

C. A 10-day-old newborn who is small for gestational age and requires daily

weighing.

D. A 2-week-old newborn who was born at 35 weeks gestation and weighed

2, 268 g

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ANS B. A 4-day-old newborn who has an elevated bilirubin level and requires

phototherapy.

Explanation The nurse should use Maslow's Hierarchy of Needs, the ABC priority-setting framework, and/or nursing knowledge to identify which risk poses the

greatest threat to the client. An elevated bilirubin level can lead to kernicterus

thereforeit is imperative for the nurse to initiate phototherapy immediately to help

prevent this dangerous outcome.

6. A nurse is caring for a client at 12 weeks gestation who has a BMI of 45.

Which of the following pieces of information should the nurse provide for theclient regarding the recommended weight gain during her pregnancy?

A. "You should plan to gain no more than 20 pounds during your pregnancy."B. "You should plan to gain between 25 and 35 pounds during your pregnancy."

C. "You should not plan to gain any weight during your pregnancy because

you are already well-nourished."

D. "Since you hav

ANS A."You should plan to gain no more than 20 pounds during your