ATI Maternal Newborn Proctored Exam 2020.
ATI Maternal Newborn Proctored Exam
1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach
her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to lochia serosa
(pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the physician.
Incorrect: Saturation of the perineal pad is considered abnormal and may indicate postpartum
hemorrhage.
Correct: Lochia normally lasts for about 21 days, and changes from a bright red, to pinkish brown, to
creamy white.
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up from the bed
Lochia should last for about 3 weeks, changing color every few days
2. A nurse monitors fetal well-being by means of an external monitor. At the peak of the
contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late
decelerations are suspected and the nurse notifies the physician. Which is the rationale for this
action?
Incorrect: A nuchal cord (cord around the neck) is associated with variable decelerations, not late
decelerations.
Incorrect: Variable decelerations (not late decelerations) are associated with cord compression.
Incorrect: Late decelerations are a result of hypoxia. They are not reflective of the strength of maternal
contractions.
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, ATI Maternal Newborn Proctored Exam 2020.
Correct: Late decelerations are associated with uteroplacental insufficiency and are a sign of fetal
hypoxia. Repeated late decelerations indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of the fetal head
Maternal contractions are not adequate enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
2 A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive
phototherapy. Which of the following interventions should the nurse include?
Place the newborn 45 cm (18 in) from the light source
3 an assistive personnel tells the nurse that several client measurements were obtained with
morning vital signs. Which of the following clients should the nurse plan to assess?
Head injury HR 60
5 A community health nurse recognizes that the teen pregnancy rate in the community has
increased. Which of the following program-planning strategies should the nurse implement
first?
Arrange a meeting with teenage mothers who are high school students in the community
6 After making morning rounds, the charge nurse on a surgical unit delegates the following
task to the assistive personnel, which of the following task does the nurse direct the AP to
complete first?
Place an NPO sign on the door of a client scheduled surgery
A nurse is educating a client on how to perform Kegel exercise therapy for
urinary incontinence. Which of the following points should be included in
teaching? Select all that apply.
Select one or more:
a. While sitting on the toilet, strain down to help identify pelvic muscles.
This study source was downloaded by 100000832558064 from CourseHero.com on 02-27-2022 09:33:33 GMT -06:00
https://www.coursehero.com/file/66258763/ATI-Maternal-Newborn-Proctored-Exam-2020docx/
ATI Maternal Newborn Proctored Exam
1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach
her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to lochia serosa
(pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the physician.
Incorrect: Saturation of the perineal pad is considered abnormal and may indicate postpartum
hemorrhage.
Correct: Lochia normally lasts for about 21 days, and changes from a bright red, to pinkish brown, to
creamy white.
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up from the bed
Lochia should last for about 3 weeks, changing color every few days
2. A nurse monitors fetal well-being by means of an external monitor. At the peak of the
contractions, the fetal heart rate has repeatedly dropped 30 beats/min below the baseline. Late
decelerations are suspected and the nurse notifies the physician. Which is the rationale for this
action?
Incorrect: A nuchal cord (cord around the neck) is associated with variable decelerations, not late
decelerations.
Incorrect: Variable decelerations (not late decelerations) are associated with cord compression.
Incorrect: Late decelerations are a result of hypoxia. They are not reflective of the strength of maternal
contractions.
This study source was downloaded by 100000832558064 from CourseHero.com on 02-27-2022 09:33:33 GMT -06:00
https://www.coursehero.com/file/66258763/ATI-Maternal-Newborn-Proctored-Exam-2020docx/
, ATI Maternal Newborn Proctored Exam 2020.
Correct: Late decelerations are associated with uteroplacental insufficiency and are a sign of fetal
hypoxia. Repeated late decelerations indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of the fetal head
Maternal contractions are not adequate enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
2 A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive
phototherapy. Which of the following interventions should the nurse include?
Place the newborn 45 cm (18 in) from the light source
3 an assistive personnel tells the nurse that several client measurements were obtained with
morning vital signs. Which of the following clients should the nurse plan to assess?
Head injury HR 60
5 A community health nurse recognizes that the teen pregnancy rate in the community has
increased. Which of the following program-planning strategies should the nurse implement
first?
Arrange a meeting with teenage mothers who are high school students in the community
6 After making morning rounds, the charge nurse on a surgical unit delegates the following
task to the assistive personnel, which of the following task does the nurse direct the AP to
complete first?
Place an NPO sign on the door of a client scheduled surgery
A nurse is educating a client on how to perform Kegel exercise therapy for
urinary incontinence. Which of the following points should be included in
teaching? Select all that apply.
Select one or more:
a. While sitting on the toilet, strain down to help identify pelvic muscles.
This study source was downloaded by 100000832558064 from CourseHero.com on 02-27-2022 09:33:33 GMT -06:00
https://www.coursehero.com/file/66258763/ATI-Maternal-Newborn-Proctored-Exam-2020docx/
