Ati Pn Maternal Proctored Exam 2023 With Ngn

RN ATI Maternal Newborn 2023 with NGN Question 1 Anurse is providing discharge teaching about car seat sality to a parent of a newbarn. Which of the following statements by the parent indic an understanding of the teaching? camtum my baby's car seat around when she weighs 15 will place thy by brward facing car seat in my Dock seat CONTILE Question 2 3 Question 4 5 Question 6 Question 7 Question: 8 Question: 8 Question: 8 Upon recognizing and analyzing newborn findings of temperature below the expected range, respiratory rate above the expected range, and hypoglycemia, the nurse’s priority hypothesis is that this newborn is most likely experiencing cold stress. It is important to generate solutions and take actions that address cold stress. Therefore, the nurse should monitor the newborn’s temperature and glucose levels because a newborn experiencing cold stress is at risk for developing metabolic acidosis. To evaluate the client’s response to these interventions, the nurse should monitor the newborn’s temperature and glucose levels. Question: 9 Answer is D Question: 10 Answer is A Question: 11 Answer is A Question: 12 Answer D Question: 13 of 70 Answer is C Question: 14 of 70 Answer is C Question: 15 of 70 Answer is D Question: 16 of 70 Answer is A Question: 17 of 70 A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists with preventing neural tube birth defects. Question: 18 of 70 Flaccid uterus is correct Excess vaginal bleeding is correct Question: 19 of 70 Answer is C Question: 20 of 70 Answer is D Question: 21 of 70 Answer is A Question: 22 of 70 Answer is A Question: 23 of 70 Answer is B Question: 23 of 70 Active Question: 24 of 70 Abdominal assessment is correct. Abdominal tenderness with palpation is not an expected finding with an abdominal assessment; therefore, the nurse should report this finding to the provider. Vaginal discharge is correct. Greenish vaginal discharge indicates that the adolescent has an infection, which is not an expected finding; therefore, the nurse should report this finding to the provider. Heart rate is incorrect. The adolescent's heart rate of 100/min is within the expected reference range; therefore, the nurse does not need to report this finding to the provider. Temperature is correct. The client's temperature of 38.3° C (101° F) is above the expected reference range. An elevated temperature could signal infection or inflammation; therefore, the nurse should report this finding to the provider. Dyspareunia is correct. Dyspareunia is painful intercourse, which can be associated with STIs; therefore, the nurse should report this finding to the provider. Condom usage is correct. Sexual activity without the use of condoms increases the risk of contracting STIs; therefore, the nurse should report this finding to the provider. Question: 26 of 70 Abdominal pain is consistent with gonorrhea. Gonorrhea can present with reports of acute or chronic lower abdominal pain. Greenish discharge is consistent with trichomoniasis and gonorrhea. Green-yellow discharge can occur in both trichomoniasis and gonorrhea. Candidiasis causes thick, white, lumpy discharge. Diabetes is consistent with candidiasis. Diabetes is a predisposing factor for yeast infections because high glucose levels provide an environment with enough glucose to allow the growth of yeast. Pain on urination is consistent with trichomoniasis, gonorrhea, and candidiasis. Dysuria is a manifestation of trichomoniasis, gonorrhea, and candidiasis and can be the result of urine flowing over an irritated and inflamed vulva and surrounding skin. Absence of condom use is consistent with trichomoniasis and gonorrhea. Sexual activity without the use of a condom can result in the transmission of STIs. Candidiasis is a vaginal infection that is not sexually transmitted. Question: 26 of 70 Box 1 Pelvic inflammatory disease is correct. Pelvic inflammatory disease (PID) is an infection that involves the pelvic reproductive organs. There are several causative agents that lead to infection, including Neisseria gonorrhoeae and C. trachomatis. PID occurs as a result from untreated infections ascending from the vagina. Manifestations include fever, increased C-reactive protein, nausea, and vomiting; therefore, the nurse should suspect the adolescent is developing PID. Ectopic pregnancy is incorrect. Ectopic pregnancy is characterized by lower abdominal pain on one side, vaginal spotting or bleeding, and a delayed menstrual period. The adolescent reports having a normal menstrual period 3 weeks ago. The beta hCG test was negative and there are no other indications that the adolescent has an ectopic pregnancy; therefore, there is another condition the adolescent is most likely developing. Pyelonephritis is incorrect. Pyelonephritis is an inflammation of the upper urinary tract and kidneys and usually develops following a bladder infection. It is characterized by fever, flank pain, dysuria, and urgency. The adolescent's urinalysis has a negative leukocyte esterase and an absence of white blood cells and bacteria. These findings do not indicate the presence of a bladder infection; therefore, there is another condition the adolescent is most likely developing. Box 2 C-reactive protein is correct. The adolescent's C-reactive protein is elevated, which is a manifestation of PID. Beta hCG level is incorrect. The beta hCG test was negative and there are no other indications the adolescent has an ectopic pregnancy; therefore, there is another condition the adolescent is most likely developing. Urinalysis is incorrect. The adolescent's urinalysis has a negative leukocyte esterase and an absence of white blood cells and nitrites. These findings do not indicate the presence of a bladder infection; therefore, there is another condition the adolescent is most likely developing. Question: 27 of 70 Ceftriaxone and doxycycline are correct. The nurse suspects that the adolescent is experiencing pelvic inflammatory disease (PID); Therefore, the nurse should anticipate a provider's prescription for ceftriaxone and doxycycline. The recommended treatment for PID in an outpatient setting is ceftriaxone administered as a single dose intramuscularly, along with doxycycline administered orally 2x/day for 14 days. The treatment regimen may change following the results of the cervical culture Dropdown 1 Providing education on medications is correct. The nurse should first educate the adolescent regarding medications because clients have the right to know the purpose and potential adverse reactions of all prescribed medications before receiving them. An understanding of the prescribed medications will increase the likelihood that the adolescent will adhere to the prescribed therapy. Question: 28 of 70 Dropdown 1 Providing education on medications is correct. The nurse should first educate the adolescent regarding medications because clients have the right to know the purpose and potential adverse reactions of all prescribed medications before receiving them. An understanding of the prescribed medications will increase the likelihood that the adolescent will adhere to the prescribed therapy. Scheduling follow-up appointments and administering doxycycline is incorrect. The nurse should schedule the adolescent for a follow-up appointment; however, there is another action that the nurse should take first. The nurse should not administer doxycycline because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take. Dropdown 2 Administering ceftriaxone is correct. Ceftriaxone is designated as a NOW prescription, which means it should be given within 90 min of the provider writing the prescription. The nurse should administer ceftriaxone after educating the adolescent about the purpose and potential adverse reactions of the medication. Administering metronidazole and educating on condom use is incorrect. The nurse should not administer metronidazole because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take. The nurse should educate the adolescent regarding condom use; however, there is another action that the nurse should take first. Question: 29 of 70 "I should continue taking all my medications even if I don't show any symptoms" indicates an understanding of the teaching. The nurse instructed the adolescent to complete all of their medications, even if they begin to feel better. "If I continue to get this type of infection, it can affect my ability to have kids in the future" indicates an understanding of the teaching. The nurse instructed the adolescent that repeated instances of PID can cause infertility. "I should go to the emergency department if my urine turns dark" indicates the need for further education. The nurse informed the adolescent that while taking metronidazole their urine might turn dark, they should not be alarmed because dark urine is an adverse effect of taking this medication. "As long as I keep my IUD, I don't need to use condoms" indicates the need for further education. The nurse informed the adolescent that they should use a condom to decrease the risk of contracting an STI; IUDs effectively prevent pregnancy, not STIs. "I'm more likely to get a sunburn while taking these medications" indicates an understanding of the teaching. The nurse informed the adolescent that they might experience increased sensitivity to sunlight while using doxycycline and that they should use sunscreen and wear protective clothing while taking the medication. Question: 30 of 70 Oligohydramnios Question: 31 of 70 decreased platelet count Question: 32 of 70 monitor the FH Question: 33 of 70 First, palpate the client's fundus to identify the fetal part. Second, the nurse should determine the location of the fetal back. Third, the nurse should palpate for the fetal part presenting at the inlet. Fourth, the nurse should palpate the cephalic prominence to identify the attitude of the head. Question: 34 of 70 Maintain the client on bed rest Question: 35 of 70 a client who is at 11 weeks of gestation and reports abdominal cramping. Question: 36 of 70 Late decelerations Question: 37 of 70 verify the newborn's identity Question: 38 of 70 monitor the client's blood pressure every 5 to 10 min Question: 39 of 70 The nurse should match the number on the parent’s identification band to the number on the newborn’s identification band. Question: 41 of 70 have calcium gluconate readily available Question: 42 of 70 Jaundice Question: 43 of 70 Depression Question: 44 of 70 The nurse should prepare the client for a BPP Question: 45 of 70 The nurse should instruct the client to press the handheld button when the fetus move Question: 46 of 70 Levonorgestrel is an emergency contraceptive which inhibits ovulation to prevent conception. The nurse should instruct the adolescent to take this medication as soon as possible within 72 hr after unprotected sexual intercourse. Question: 47 of 70 Temperature Question: 48 of 70 Answer is A Question: 49 of 70 perform Leopold maneuvers Question: 50 of 70 Answer is B Question: 51 of 70 The nurse should administer azithromycin 4 tablets orally. Question: 52 of 70 Chin quivering Question: 53 of 70 Answer is D : FHR 152/min Question: 54 of 70 Determine respiratory function Question: 55 of 70 Answer is A Question: 56 of 70 Answer is D Question: 57 of 70 Uterine contractions is correct. Gestational age is correct Vaginal examination is correct. Question: 58 of 70 When analyzing cues, the nurse should recognize that the newborn is experiencing hypoglycemia. Decreased temperature, poor feeding, respiratory distress, and lethargy are consistent with hypoglycemia. When analyzing cues, the nurse should recognize that the newborn is experiencing hyperbilirubinemia. Yellow sclera and oral mucosa, and poor feeding are consistent with hyperbilirubinemia. A newborn with an ecchymotic caput succedaneum is at higher risk for hyperbilirubinemia. When analyzing cues, the nurse should recognize that the newborn is experiencing sepsis. Decreased temperature, yellow sclera and oral mucosa, poor feeding, respiratory distress, and lethargy are consistent with sepsis. Question: 59 of 70 The nurse should teach the client to continue to take their insulin as prescribed during illness to prevent hypoglycemic and hyperglycemic episodes. Question: 60 of 70 Leakage of fluid from the vagina Question 61 Question 62 Question 63 Question 64 Question 65 Question 66