ATI MATERNAL NEWBORN
ATI MATERNAL NEWBORNPROCTORED EXAM 2022
PROCTORED EXAM
1. Two days after delivery, a postpartum client prepares for discharge. What
should the nurse teach her about lochia flow?
Correct: Lochia normally lasts for about 21 days, and changes from a
bright red, to pinkish brown, to creamy white.
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?
.
Correct: Late decelerations are associated with uteroplacental insufficiency
and are a sign of fetal hypoxia. Repeated late decelerations indicate fetal
distress.
3. Which preoperative nursing interventions should be included for a client who
is scheduled to have an emergency cesarean birth?
Correct: Because this is an emergency, surgery must be performed quickly.
Anxiety of the client and the family will be high. Inserting an indwelling
catheter helps to keep the bladder empty and free from injury when the
incision is made.
4. Which nursing instruction should be given to the breastfeeding mother
regarding care of the breasts after discharge?
Incorrect: Engorgement occurs on about the third or fourth postpartum
day and is a result of the breast milk formation. The primary way to relieve
engorgement is by pumping or longer nursing. Giving a bottle of formula
will compound the problem because the baby will not be hungry and will
not empty the breasts well.
Correct: In order to stimulate adequate milk production, the breasts should
be pumped if the infant is not sucking or eating well, or if the breasts are
not fully emptied.
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, 5. A client in preterm labor is admitted to the hospital. Which classification of
drugs should the nurse anticipate administering?
Correct: Tocolytics are used to stop labor. One of the most commonly used
tocolytic drugs is ritodrine (Yutopar).
6. Which of the following are probable signs, strongly indicating pregnancy?
Incorrect: The presence of fetal heart sounds is a positive sign of pregnancy;
quickening is a presumptive Sign of pregnancy.
Incorrect: These are presumptive signs. They may indicate pregnancy or they
may be caused by other conditions, such as disease processes.
Correct: These are probable signs that strongly indicate pregnancy.
Hegar’s sign is a softening of the lower uterine segment, and Chadwick's
sign is the bluish or purplish color of the cervix as a result of the increased
blood supply and increased estrogen. Ballottement occurs when the cervix
is tapped by an examiner's finger and the fetus floats upward in the
amniotic fluid and then falls downward.
7. Two hours after delivery the nurse assesses the client and documents that the
fundus is soft, boggy, above the level of the umbilicus, and displaced to the
right side. The nurse encourages the client to void. Which is the rationale for
this nursing action?
Correct: Bladder distention can lead to postpartum hemorrhage. A full
bladder displaces the uterus causing it not to contract properly. Emptying
the bladder allows the uterus to contract more firmly.
.
8. Which site is preferred for giving an IM injection to a newborn?
Incorrect: Ventrogluteal muscles are located in the hip area. It is not the
preferred site for injections in the newborn because of lack of muscle mass.
This study source was downloaded by 100000842568006 from CourseHero.com on 05-09-2022 14:25:51 GMT -05:00
https://www.coursehero.com/file/83149904/ATI-Maternal-NewBorn-Proctored-Examdocx/
ATI MATERNAL NEWBORNPROCTORED EXAM 2022
PROCTORED EXAM
1. Two days after delivery, a postpartum client prepares for discharge. What
should the nurse teach her about lochia flow?
Correct: Lochia normally lasts for about 21 days, and changes from a
bright red, to pinkish brown, to creamy white.
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?
.
Correct: Late decelerations are associated with uteroplacental insufficiency
and are a sign of fetal hypoxia. Repeated late decelerations indicate fetal
distress.
3. Which preoperative nursing interventions should be included for a client who
is scheduled to have an emergency cesarean birth?
Correct: Because this is an emergency, surgery must be performed quickly.
Anxiety of the client and the family will be high. Inserting an indwelling
catheter helps to keep the bladder empty and free from injury when the
incision is made.
4. Which nursing instruction should be given to the breastfeeding mother
regarding care of the breasts after discharge?
Incorrect: Engorgement occurs on about the third or fourth postpartum
day and is a result of the breast milk formation. The primary way to relieve
engorgement is by pumping or longer nursing. Giving a bottle of formula
will compound the problem because the baby will not be hungry and will
not empty the breasts well.
Correct: In order to stimulate adequate milk production, the breasts should
be pumped if the infant is not sucking or eating well, or if the breasts are
not fully emptied.
This study source was downloaded by 100000842568006 from CourseHero.com on 05-09-2022 14:25:51 GMT -05:00
https://www.coursehero.com/file/83149904/ATI-Maternal-NewBorn-Proctored-Examdocx/
, 5. A client in preterm labor is admitted to the hospital. Which classification of
drugs should the nurse anticipate administering?
Correct: Tocolytics are used to stop labor. One of the most commonly used
tocolytic drugs is ritodrine (Yutopar).
6. Which of the following are probable signs, strongly indicating pregnancy?
Incorrect: The presence of fetal heart sounds is a positive sign of pregnancy;
quickening is a presumptive Sign of pregnancy.
Incorrect: These are presumptive signs. They may indicate pregnancy or they
may be caused by other conditions, such as disease processes.
Correct: These are probable signs that strongly indicate pregnancy.
Hegar’s sign is a softening of the lower uterine segment, and Chadwick's
sign is the bluish or purplish color of the cervix as a result of the increased
blood supply and increased estrogen. Ballottement occurs when the cervix
is tapped by an examiner's finger and the fetus floats upward in the
amniotic fluid and then falls downward.
7. Two hours after delivery the nurse assesses the client and documents that the
fundus is soft, boggy, above the level of the umbilicus, and displaced to the
right side. The nurse encourages the client to void. Which is the rationale for
this nursing action?
Correct: Bladder distention can lead to postpartum hemorrhage. A full
bladder displaces the uterus causing it not to contract properly. Emptying
the bladder allows the uterus to contract more firmly.
.
8. Which site is preferred for giving an IM injection to a newborn?
Incorrect: Ventrogluteal muscles are located in the hip area. It is not the
preferred site for injections in the newborn because of lack of muscle mass.
This study source was downloaded by 100000842568006 from CourseHero.com on 05-09-2022 14:25:51 GMT -05:00
https://www.coursehero.com/file/83149904/ATI-Maternal-NewBorn-Proctored-Examdocx/
