Download 2025 ATI MATERNAL NEWBORN PROCTORED EXAM LATEST REAL QUESTIONS AND CORRECT ANSWERS GRADE A and more Exams Nursing in PDF only on Docsity!
CORRECT ANSWER a. urine test for presence of HCG d. blood test for the amount of circulating progesterone - c. blood test for presence of estrogen b. urine test for the presence of HCS a. misoprostol administer? experiencing preterm labor. What meds should the nurse plan to A nurse is caring for a client who is at 32 wks gestation and is
2025 ATI MATERNAL NEWBORN PROCTORED
EXAM LATEST REAL QUESTIONS AND CORRECT
ANSWERS GRADE A
b. betamethasone c. poractant alfa d. methylergonovine - CORRECT ANSWER b. betamethasone A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy. The nurse should inform the client that what lab test will be used to confirm her pregnancy? a. urine test for presence of HCG A nurse is caring for a client who believes she may be pregnant. What finding should the nurse identify as a positive sign of pregnancy? a. palpable fetal movement b. amenorrhea c. chadwick's sign
d. bradypnea - CORRECT ANSWER a. uterine contractions c. seizures b. dark brown vaginal discharge hypothermia hydatidiform mole. What findings should the nurse expect? A nurse is assessing a client who is at 12 wks gestation and has anomalies should the nurse expect? d. hydrocephalus - CORRECT ANSWER a. renal agenesis c. spina bifida The nurse should expect the client to be experiencing uterine d. positive pregnancy test - CORRECT ANSWER a. palpable fetal movement A nurse is caring for a client who has oligohydraminios. What fetal a. renal agenesis b. atrial septal defect A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic fracture due to blunt abd trauma. What findings should the nurse expect? a. uterine contractions b. bradycardia contractions due to abdominal trauma. a. c. fetal heart tones d. decreased urinary output - CORRECT ANSWER b. dark brown vaginal discharge A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi, which gives rise to multiple cysts. The products of conception transform into a large number of edematous, fluid-filled vesicles. As cells slough off the
a. d. administer terbutaline 0.25mg subq - CORRECT ANSWER c. decrease the infusion rate of the maintenance IV fluid b. administer oxygen via nonrebreather mask a. decrease the dose of oxytocin by half or double vision d. leg cramps when sleeping - CORRECT ANSWER b. blurred the client is experiencing uterine tachysystole. The nurse should decrease the dose of oxytocin by half because her newborn. A nurse is providing teaching to a client who is at 8 wks gestation about manifestations to report to the provider during pregnancy. What info should the nurse include in the teaching? a. nausea upon awakening b. blurred or double vision c. increase in white vaginal discharge A nurse is caring for a client who is in the latent phase of labor and is receiving oxytocin via continuous IV infusion. The nurse notes that the client is having contractions every 2 min which last 100 - 110 seconds that the fetal heart rate is reassuring. What action should the nurse take? decrease the dose of oxytocin by half A nurse is caring for a client who is in active labor and has meconium staining of the amniotic fluid. The nurse notes a reassuring FHR tracing from the external fetal monitor. What action should the nurse take? a. prepare the client for emergency c-section medication every day decreases the risk of transmission of HIV to
A nurse is reviewing the medical record of a client who is at 33 wks gestation and has placenta previa and bleeding. What large-bore IV catheter A nurse is caring for a client who is at 37 wks gestation and is undergoing a nonstress test. The FHR is 130 without accelerations for the past 10 min. What action should the nurse take? a. request a script for an internal fetal scalp electrode d. prepare the client for an ultrasound exam - CORRECT ANSWER c. prepare equipment needed for newborn resuscitation The nurse should ensure that all supplies and equipment needed for resuscitation of the newborn are readily available for every delivery. Endotracheal suctioning is recommended in cases of meconium staining only if the newborn has poor respiratory effort, decreased muscle tone, and bradycardia after delivery. scripts should the nurse clarify with the provider? a. insert a b. perform a vaginal exam c. perform continuous external fetal monitoring d. obtain a blood sample for lab testing - CORRECT ANSWER b. perform a vaginal exam When a client has a placenta previa, the placenta implants in the lower part of the uterus and obstructs the cervical os (the opening to the vagina). The nurse should clarify this prescription because any manipulation can cause tearing of the placenta and increased bleeding. c. prepare equipment needed for newborn resuscitation b. perform endotrach suctioning as soon as the fetal head is delivered
c. swelling of the face b. white vaginal discharge b. instruct the client to pant during contractions a. position the client supine with legs elevated over her body while the magnesium sulfate is infusing. Polyhydramnios is the presence of excessive amniotic fluid surrounding the unborn fetus. Gastrointestinal malformations and neurologic disorders are expected findings for a fetus experiencing the effects of polyhydramnios. A nurse is teaching a client who has pre-eclampsia and is to receive magnesium sulfate via continuous IV infusion about expected adverse effects. What adverse effects should the nurse include in the teaching? a. elevated BP b. feeling of warmth c. generalized pruritis d. hyperactivity - CORRECT ANSWER b. feeling of warmth The nurse should tell the client to expect the feeling of warmth all A nurse is caring for a client who is in the latent phase of labor and is experiencing low back pain. What action should the nurse take? c. encourage the client to soak in a warm bath d. apply pressure to the client's sacral area during contractions - CORRECT ANSWER d. apply pressure to the client's sacral area during contractions A nurse is teaching a client who is at 12 wks gestation about manifestations of potential complications that she should report to her provider. What info should the nurse include in the teaching? a. intermittent nausea
abruption to have minimal dark red vaginal bleeding. d. urinary frequency - CORRECT ANSWER c. swelling of the face A nurse is teaching a client who is at 10 wks gestation about an abd. ultrasound in the first trimester. What info should the nurse include in the teaching? a. you will need to have a full bladder during the ultrasound b. you will have a non stress test prior to the ultrasound c. the ultrasound will determine the length of your cervix d. you will experience uterine cramping during the ultrasound - CORRECT ANSWER a. you will need to have a full bladder during the ultrasound MY ANSWER The nurse should tell the client that a full bladder helps to lift the gravid uterus out of the pelvis during the examination. Therefore, it is important to ensure that the client has a full bladder to obtain the most accurate image of the fetus. A nurse is assessing a client who is 34 wks gestation and has mild placental abruption. What finding should the nurse expect? a. decreased urinary output b. fetal distress c. dark red vaginal bleeding d. increased platelet count - CORRECT ANSWER c. dark red vaginal bleeding The nurse should expect the client who has a mild placental A nurse is caring for a client whose last menstrual period began july 8. Using Nageles rule, the nurse should identify the client's estimated DOB as what? a. oct 15
b. reassure the client that a term fetus is less active The nurse should obtain samples of the client's blood for baseline statement by the client indicates an understanding of teaching? a. I should go to the hospital if I think I may be in labor b. I should expect bright red bleeding while the cerclage is in place c. I am sad that I won't be able to get pregnant again d. I can resume having sex as soon as I feel up to it - CORRECT ANSWER a. I should go to the hospital if I think I may be in labor Cervical cerclage prevents premature opening of the cervix during pregnancy. The client should immediately go to a facility for evaluation if she experiences any manifestations of labor while the cerclage is in place. If the client experiences preterm uterine contractions she might require tocolytic therapy. A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. What action should the nurse take? a. obtain blood samples for baseline lab values b. place a spiral electrode on the fetal presenting part c. prepare the client for a transvaginal ultrasound d. perform a vaginal exam to determine cervical dilation - CORRECT ANSWER a. obtain blood samples for baseline lab values testing of hemoglobin and hematocrit levels. A nurse is caring for a client who is at 38 wks of gestation and reports no fetal movement for 24 hr. What action should the nurse take? a. auscultate for a FHR
d. nasal congestion - CORRECT ANSWER c. vaginal bleeding c. vaginal bleeding daily wt accurate info regarding the client's fluid and electrolyte status. severe pre-eclampsia. What assessment provides the most A nurse is caring for a client who is at 35 wks gestation and has c. have the client drink orange juice d. palpate the uterus for fetal movement - CORRECT ANSWER a. auscultate for a FHR Presence of a fetal heart rate is a reassuring manifestation of fetal well-being. The nurse should auscultate for the fetal heart rate using a Doppler device or an external fetal monitor. This is the priority nursing action. a. b. bp c. severity of edema d. I&O - CORRECT ANSWER a. daily wt A nurse is teaching a client who is at 30 wks gestation about warning signs of complications that she should report to her provider. What finding should the nurse include in the teaching? a. 10 fetal movements per hour b. mild constipation Vaginal bleeding can be an abnormal finding during pregnancy that might indicate a complication such as placental abruption, placenta previa, or preterm labor. A nurse is teaching a client who is at 8 wks gestation and has a uterine fibroid about potential effects of the fibroid during pregnancy. What info should the nurse include? a. you will have to undergo a c-section birth because of the fibroid
b. administer erythromycin ophthalmic ointment a. place the newborn directly on the client's chest What actions should the nurse take first? A nurse is caring for a newborn immediately following delivery. b. place the naked newborn on the mothers bare chest and cover A nurse is assessing a 4 hr old newborn who is to breastfeed and notes hands and feet that are cool and slightly blue What action should the nurse take? a. check the newborns temp using temporal thermometer the client's chest will help maintain the newborn's temperature. the greatest risk to the newborn is cold stress, which increases the need for oxygen and glucose. Placing the newborn directly on both with a blanket c. apply an o2 hood over the newborns head and neck d. give the newborn glucose water between feedings - CORRECT ANSWER b. place the naked newborn on the mothers bare chest and cover both with a blanket Exposure to a cool environment causes vasoconstriction, which results in cool extremities with a bluish discoloration. Placing the newborn skin-to-skin with his mother helps stabilize his temperature and promotes bonding. c. give the newborn vit K IM d. perform a detailed physical assessment - CORRECT ANSWER a. place the newborn directly on the client's chest A nurse is providing teaching to the parents of a newborn about home safety. What statement by the parents indicates an understanding of the teaching?
c. 8 d. 7 b. 9 d. assist the client to empty her bladder - CORRECT ANSWER c. administer bisacodyl supp A nurse is assessing a client who is 14 hr postpartum and has a 3rd degree perineal laceration. The client's temp is 37.8 C (100F), her fundus is firm and slightly deviated to the right. The client reports a gush of blood when she ambulates and no bm since delivery. What action should the nurse take? a. notify the provider about the elevated temp b. massage the client's fundus When the client's fundus is deviated to the right or left it can A nurse is assessing a newborn 1 min after birth andnotes a hr of 136/min, resp 36, well flexed extremities, responding to stimuli with a cry, blue hands and feet. What Apgar score should the nurse assign to the newborn? a. 10
- CORRECT ANSWER b. 9 d. assist the client to empty her bladder indicate that her bladder is full. The nurse should assist the client a. I will use an infant carrier when I drive to places close to the house b. I will tie my baby's pacifier around his neck with a piece of yarn c. I will place my baby on his back when it is time for him to sleep d. I will keep my babys crib close to heat vents to keep him warm
- CORRECT ANSWER c. I will place my baby on his back when it is time for him to sleep lochia. to empty her bladder to prevent uterine atony and excessive
resp rate 50 cbg 60 - CORRECT ANSWER b. jaundice of the sclera b. jaundice of the sclera acrocyanosis assessment findings should the nurse report to th A nurse is assessing a newborn 1 hr after birth. What dilute ready-to-feed formula if the newborn is gaining wt too quickly boil water for powdered formula for 1 - 2 min - CORRECT ANSWER d. boil water for powdered formula for 1-2 min b. prop the bottle with a blanket for the last feeding of the day discard unused refrigerated formula after 72 hrs bottle feeding. What instructions should the nurse include? A nurse is providing teaching to the parents of a newborn about b. good flexion creases covering the bottom of the feet gestation. What finding should the nurse expect? A nurse is caring for a newborn who is premature at 30 wks a. heel c. abundant lanugo d. dry, parchment-like skin - CORRECT ANSWER c. abundant lanugo Newborns who are premature have abundant lanugo, fine hair, especially over their back. A full-term newborn typically has minimal lanugo present only on the shoulders, pinnas, and forehead. e provider? a. If the newborn has jaundice within the first 24 hr of life, this can indicate a potential pathological process such as hemolytic disease. Pathologic jaundice can result in high levels of bilirubin that can cause damage to the neonatal brain. a.
effective. contamination. 2 min before mixing it with the formula to decrease the risk of ICU. what action should the nurse take to promote development? A nurse is caring for a newborn who is premature in the neonatal d. rapidly advance oral feedings - CORRECT ANSWER b. c. provide frequent periods of visual and auditory stimulation The parents should run tap water for 2 min and then boil it for 1 to A nurse is caring for a client who is to receive a continuous IV infusion of oxytocin following a vaginal birth. What assessment findings should the nurse monitor to evaluate the effectiveness of the med? a. pulse rate b. bp c. fundal consistency d. output - CORRECT ANSWER c. fundal consistency Oxytocin is a smooth muscle relaxant that causes contraction of the uterus. The nurse should palpate the uterine fundus to determine consistency or tone to determine if the medication is a. discourage the use of pacifiers b. position the naked newborn on the parents bare chest position the naked newborn on the parents bare chest A nurse is caring for a postpartum client 8hrs after delivery. What factors place the client at risk for uterine atony? select all a. oxytocin infusion b. prolonged labor c. mag sulfate infusion d. small for gestational age newborn
b. lanugo abundant on the back symmetric rib cage gestation. What finding should the nurse expect? A nurse is assessing a newborn who was born at 39 wks the mother when she inquires about the finding? this will resolve within 3 - 6 wks without treatment this will resolve on its own within 3 - 4 days this is expected at birth so you don't need to worry about it the provider might drain this area with a syringe - CORRECT ANSWER a. this will resolve within 3-6 wks without treatment the suture line. What pieces of info should the nurse provide to eggshaped, edematous, bluish discoloration that does not cross A nurse is assessing a 2 day old newborn and notes an A nurse is assessing a client who is postpartum following a vacuum-assisted birth. For what finding should the nurse monitor to identify a cervical laceration? To elicit the tonic neck reflex, the nurse should quickly and gently turn the newborn's head to one side when he is sleeping or falling asleep. The newborn's arm and leg should extend outward to the a. c. dry, wrinkled skin d. vernix over the entire body - CORRECT ANSWER a. symmetric rib cage A newborn who is born at 39 weeks of gestation is full-term and should have normal, smooth skin with good turgor and the presence of subcutaneous fat pockets. A postmature newborn, greater than 42 weeks of gestation, will have dry, cracked skin with a wrinkled appearance. and leg flex. This reflex persists for about 3 to 4 months. same side that the nurse turned his head while the opposite arm
wt wkly d. monitor client's I&O - CORRECT ANSWER c. monitor clients c. monitor clients wt wkly b. initiate high-fiber diet for client laceration. The nurse should monitor for bright red bleeding as a slow trickle, oozing or outright bleeding,and a firm fundus to identify a cervical a. a gush of rubra lochia when the nurse massages the uterus b. continuous lochia flow and flaccid uterus c. slow trickle of bright vaginal bleeding and a firm fundus d. report of increasing pain and pressure in the perineal area - CORRECT ANSWER c. slow trickle of bright vaginal bleeding and a firm fundus A nurse is planning care for a client who is postpartum and has cardiac disease. For what script should the nurse seek clarification? a. initiate bedrest with HOB elevated The nurse should weigh the client daily to monitor for fluid overload. A nurse is providing teaching to a client who is postpartum and does not plan to breastfeed her newborn. What instructions should the nurse include in the teaching? a. stand under hot shower with your breasts exposed b. place ice packs on your breasts c. limit fluid intake to 1 L per day d. wear a loose-fitting, comfortable bra - CORRECT ANSWER b. place ice packs on your breasts
