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ati pn maternal proctor exam, Exams of Nursing

ati pn maternal newborn proctor exam

Typology: Exams

2024/2025

Uploaded on 06/12/2025

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tiffy-tiffytiff 🇺🇸

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70. Critical Thinking - NAS Long-Term Considerations
A nurse is educating parents of a newborn diagnosed with NAS.
Which points should be included in the discharge teaching? Select all that apply.
1. Monitor the infant for ongoing irritability and feeding difficulties
2. Limit parent-infant interaction to decrease overstimulation
3. Follow up with a pediatric provider for continued developmental assessment
4. Use loud music and bright lights to engage the infant
5. Practice gentle rocking and soothing techniques
68. Multi-Step Decision-Making - Non-Pharmacologic Care for NAS
A newborn experiencing withdrawal symptoms is irritable, difficult to console, and has
frequent sneezing and yawning.
Which interventions should the nurse initiate? Select all that apply.
1. Swaddle the newborn tightly
2. Keep the newborn in a low-stimulation environment
3. Encourage skin-to-skin contact with parents
4. Administer IV fluids immediately
5. Offer small, frequent feedings
69. Priority Nursing Action - NAS Feeding Challenges
A newborn with NAS is experiencing poor sucking reflex and difficulty latching onto the
bottle.
What intervention should the nurse implement?
1. Increase environmental stimuli to encourage feeding
2. Use a specialized slow-flow nipple
3. Avoid feeding until withdrawal symptoms subside
4. Encourage rapid feeding sessions
70. Critical Thinking - NAS Long-Term Considerations
A nurse is educating parents of a newborn diagnosed with NAS.
Which points should be included in the discharge teaching? Select all that apply.
1. Monitor the infant for ongoing irritability and feeding difficulties
2. Limit parent-infant interaction to decrease overstimulation
3. Follow up with a pediatric provider for continued developmental assessment
4. Use loud music and bright lights to engage the infant
5. Practice gentle rocking and soothing techniques
Advanced Critical Thinking - Neonatal Sepsis Risk
A 3-hour-old newborn born to a mother with prolonged rupture of membranes (PROM)
has temperature instability, poor feeding, and tachypnea.
Which interventions are appropriate? Select all that apply.
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70. Critical Thinking - NAS Long-Term Considerations A nurse is educating parents of a newborn diagnosed with NAS. Which points should be included in the discharge teaching? Select all that apply. 1. Monitor the infant for ongoing irritability and feeding difficulties 2. Limit parent-infant interaction to decrease overstimulation 3. Follow up with a pediatric provider for continued developmental assessment 4. Use loud music and bright lights to engage the infant 5. **Practice gentle rocking and soothing techniques

  1. Multi-Step Decision-Making - Non-Pharmacologic Care for NAS** A newborn experiencing withdrawal symptoms is irritable, difficult to console, and has frequent sneezing and yawning. Which interventions should the nurse initiate? Select all that apply.
    1. Swaddle the newborn tightly
    2. Keep the newborn in a low-stimulation environment
    3. Encourage skin-to-skin contact with parents
    4. Administer IV fluids immediately
    5. Offer **small, frequent feedings
  2. Priority Nursing Action - NAS Feeding Challenges** A newborn with NAS is experiencing poor sucking reflex and difficulty latching onto the bottle. What intervention should the nurse implement?
    1. Increase environmental stimuli to encourage feeding
    2. Use a specialized slow-flow nipple
    3. Avoid feeding until withdrawal symptoms subside
    4. Encourage rapid feeding sessions 70. Critical Thinking - NAS Long-Term Considerations A nurse is educating parents of a newborn diagnosed with NAS. Which points should be included in the discharge teaching? Select all that apply.
    5. Monitor the infant for ongoing irritability and feeding difficulties
    6. Limit parent-infant interaction to decrease overstimulation
    7. Follow up with a pediatric provider for continued developmental assessment
    8. Use loud music and bright lights to engage the infant
    9. Practice gentle rocking and soothing techniques Advanced Critical Thinking - Neonatal Sepsis Risk A 3-hour-old newborn born to a mother with prolonged rupture of membranes (PROM) has temperature instability, poor feeding, and tachypnea. Which interventions are appropriate? Select all that apply.

**1. Obtain blood cultures and start antibiotics

  1. Delay feeding until symptoms improve
  2. Monitor respiratory status closely
  3. Keep newborn swaddled at all times
  4. Assess for lethargy or irritability
  5. Priority Nursing Action - Shoulder Dystocia Emergency** During delivery, the fetal head retracts back against the perineum ("turtle sign") , signaling shoulder dystocia. What is the priority nursing intervention?
  6. Apply fundal pressure
  7. Perform McRoberts maneuver and apply suprapubic pressure
  8. Encourage maternal pushing
  9. Notify NICU team 63. Multi-Step Decision-Making - Postpartum Hemorrhage Emergency A postpartum client who delivered twins continues to have heavy bleeding despite fundal massage and oxytocin infusion. BP is 75/40 mmHg , HR is 138 bpm , and skin is cold and clammy. Which action should the nurse take next?
  10. Administer carboprost or misoprostol per protocol
  11. Offer fluids and reassess
  12. Apply abdominal binders
  13. Encourage breastfeeding