RN MATERNAL NEWBORN OB ATI PROCTORED EXAM 2023

RN MATERNAL NEWBORN OB ATI PROCTORED EXAM 2023

31. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions
should the nurse include in the plan of care?
A. Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation.
B. Use a fetalscalp electrode during labor and delivery.
C. Administer a pneumococcal immunization to the newborn within 4 hr following birth. - this is given
after testing the baby for reaction to HIV antigen and if negative, vaccine will be given after 4 hours of
birth to baby
D. Bathe the newborn before initiating skin-to-skin contact
32. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr
postpartum and has a boggy uterus. For which of the following assessment findings should the nurse
withhold the medication?
A. Blood pressure 142/92 mm Hg - this medication is contraindicated for hypertension
B. Urine output 100 mL in hr
C. Pulse 58/min
D. Respiratory rate 14/min
33. A nurse isreviewing laboratory results for client who is pregnant. The Nurse should expect which
of the following laboratory values to increase?
A. RBC count - the RBC normally increasing during pregnancy due to hormonal changes
B. Bilirubin
C. Fasting blood glucose
D. BUN
34. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses
of dexamethasone 6 mg IM 12 hr. Available in dexamethasome 10 mg/mL. How many mL of
dexamethasome should the nurse administer per dose? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use trailing zero.) mL.
D/H x V
6mg/10mg x 1mL = 0.6mL per dose
35. A nurse is caring for four clients. For which of the following clients should the nurse auscultate the
fetal heart rate during the prenatal visit?
A. A client who has an ultrasound that confirms a molar pregnancy
B. A client who has a crown-rump length of 7 weeks gestation
C. A client who has a positive urine pregnancy test 1 week after missed menses
D. A client who has felt quickening for the first time - FHT can’t be fully appreciated at 7 weeks AOG,
pregnancy test just confirmed after missed menses and there's no FHT by an embryo, there is no fetus in
h-moles to auscultate FHT hence letter D,