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,RN ATI MATERNAL NEWBORN PROCTORED EXAM
1. A nurse is caring for a client undergoing an oxytocin-stimulated
contraction test. The nurse notes three contractions in 10 min with
late decelerations occurring with two of the contractions. Which of
the following findings should the nurse report to the provider
a. Reactive
b. Nonreactive
c. Positive- Indicates an adverse reaction by the fetus and should
be reported to the provider
d. Negative
2. A nurse is providing family planning education to a client who has decided
to use a diaphragm. Which of the following should the nurse include in
the plan of care?
a. You should replace the diaphragm every 3 years
b. You should leave the diaphragm in place for at least 6 hours after intercourse
c. You should use an oil based product as a lubricant when inserting the diaphragm
d. You should insert he diaphragm when your bladder is full
3. A nurse is providing discharge teaching to a client who is postpartum
about resuming sexual activity. Which of the following instructions
should the nurse include in the teaching?
a. You should use a water soluble gel for lubrication- This will prevent discomfort
b. You can resume sexual activity in 10 days
c. Your physical reaction to sexual stimulation ill not be altered
d. You will not ovulate for 3 months after delivery
4. A nurse is admitting a client who is in labor. The client admits to recent
cocaine use. For which of the following complications should the nurse
assess?
a. Abruptio placenta- Cocaines increases the risk for
vasoconstriction and possible abruption placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia
5. A nurse is providing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following statements by the client indicates an
understanding of the teaching?
, a. I should eat to taste instead of trying to balance my meals- Eat to taste to avoid
nausea
b. I will avoid having a snack at bedtime
c. I will have 8 oz of hot tea with each meal
d. I should pair my sweets with a starch instead of eating them alone
6. A nurse is caring for a client who is in active labor and reports back pain.
The nurse performs a vaginal exam and determines the client is 8cm
dilated, 100% effaced, and -2 station. The fetus is in the occiput posterior
position. Which of the following is an appropriate intervention?
a. Perform effleurage during contractions
, b. Place the client in lithotomy position
c. Assist the client to the hands and knees position- Helps relieve
back pain and help the fetus rotate
d. Apply a fetal scalp electrode
7. A nurse is assessing a client during a weekly prenatal visit that is at 38
weeks of gestation. Which of the following client findings should the nurse
report to the provider?
a. Blood pressure 136/88
b. Report of insomnia
c. Weight gain of 2.2 kg- Above the expected reference range
and could indicate complications
d. Report of Braxton-Hicks contractions
8. A nurse is caring for a client who is pregnant and has epilepsy. The nurse
observes the client having a seizure. After turning the client’s head to
one side, which of the following actions should the nurse take next?
a. Monitor the fetal heart rate
b. Assess uterine activity
c. Administer oxygen via a non-breather mask
d. Start a bolus of IV fluids
9. A nurse is providing discharge instructions to a client who had a vaginal
delivery and is breastfeeding her newborn. Which of the following
statements indicates an understanding of the teaching?
a. I will need to eat an additional 330 calories a day while I’m breastfeeding-
b. I will change my perineal pad at least twice a day
c. I will massage my uterus daily for 7 days
d. I will breastfeed my baby every 2 hours
10. A nurse is caring for a client who is at 38 weeks of gestation. Which of
the following actions should the nurse take prior to applying an
external transducer for fetal monitoring?
a. Assessment of dilation and effacement
b. Leopold maneuvers- helps the nurse assess the position of the fetus
to best determine the optimal placement for the fetal monitoring
transducer.
c. Sterile speculum exam
d. Nitrazine test
11. A client who is pregnant presents to a prenatal clinic for her first visit. She
tells the nurse that her last normal menstrual period began Oct 13. Using
Nagele’s rule, the nurse should determine the client’s estimated date of