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ati pn maternal newborn proctor exam, Exams of Nursing

ati pn maternal newborn proctor exam

Typology: Exams

2024/2025

Uploaded on 06/12/2025

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91. Advanced Clinical Judgment - Opioid Use During Pregnancy
A pregnant client at 32 weeks gestation with a history of opioid use disorder reports
withdrawal symptoms and asks if she should stop all medications.
What is the priority nursing intervention?
1. Encourage abrupt opioid cessation
2. Educate the client on medication-assisted treatment (MAT)
3. Delay intervention until delivery
4. Increase fluid intake to manage withdrawal
92. Case-Based - NAS Feeding Challenges
A newborn diagnosed with Neonatal Abstinence Syndrome (NAS) is experiencing poor
feeding, excessive sucking, and difficulty latching onto the bottle.
Which nursing interventions should be prioritized? Select all that apply.
1. Use a slow-flow nipple for easier feeding
2. Encourage prolonged feeding sessions
3. Offer small, frequent feedings
4. Delay feeding until symptoms improve
5. Minimize environmental stimuli during feedings
93. Multi-Step Decision-Making - Pharmacologic Treatment for NAS
A newborn experiencing severe withdrawal symptoms has a Finnegan score of 13,
indicating the need for medication.
Which medication should the nurse anticipate administering?
1. Dextrose IV
2. Morphine or methadone per protocol
3. Acetaminophen
4. Furosemide
94. Priority Nursing Action - Postpartum Support for Opioid-Using Mothers
A postpartum client with opioid use disorder expresses guilt and difficulty bonding with her
newborn.
Which nursing interventions are appropriate? Select all that apply.
1. Encourage skin-to-skin contact and breastfeeding if appropriate
2. Isolate the client to minimize stress
3. Refer the client to support groups or addiction recovery programs
4. Recommend discontinuing treatment after birth
5. Provide education on newborn care and NAS management
95. Critical Thinking - NAS Discharge Planning
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91. Advanced Clinical Judgment - Opioid Use During Pregnancy A pregnant client at 32 weeks gestation with a history of opioid use disorder reports withdrawal symptoms and asks if she should stop all medications. What is the priority nursing intervention? 1. Encourage abrupt opioid cessation 2. Educate the client on medication-assisted treatment (MAT) 3. Delay intervention until delivery 4. Increase fluid intake to manage withdrawal 92. Case-Based - NAS Feeding Challenges A newborn diagnosed with Neonatal Abstinence Syndrome (NAS) is experiencing poor feeding, excessive sucking, and difficulty latching onto the bottle. Which nursing interventions should be prioritized? Select all that apply. 1. Use a slow-flow nipple for easier feeding 2. Encourage prolonged feeding sessions 3. Offer small, frequent feedings 4. Delay feeding until symptoms improve 5. **Minimize environmental stimuli during feedings

  1. Multi-Step Decision-Making - Pharmacologic Treatment for NAS** A newborn experiencing severe withdrawal symptoms has a Finnegan score of 13 , indicating the need for medication. Which medication should the nurse anticipate administering?
    1. Dextrose IV
    2. Morphine or methadone per protocol
    3. Acetaminophen
    4. Furosemide 94. Priority Nursing Action - Postpartum Support for Opioid-Using Mothers A postpartum client with opioid use disorder expresses guilt and difficulty bonding with her newborn. Which nursing interventions are appropriate? Select all that apply.
    5. Encourage skin-to-skin contact and breastfeeding if appropriate
    6. Isolate the client to minimize stress
    7. Refer the client to support groups or addiction recovery programs
    8. Recommend discontinuing treatment after birth
    9. **Provide education on newborn care and NAS management
  2. Critical Thinking - NAS Discharge Planning**

A nurse is preparing a newborn diagnosed with Neonatal Abstinence Syndrome (NAS) for discharge. Which instructions should be included for the parents? Select all that apply.

  1. Monitor for continued feeding difficulties or irritability
  2. Limit parent-infant interaction to avoid overstimulation
  3. Ensure follow-up care with a pediatric provider for developmental monitoring
  4. Use bright lights and loud sounds to stimulate the newborn
  5. Practice gentle rocking and soothing techniques