ATI MATERNAL NEWBORN PROCTORED EXAM 2019,
WITH COMPLETE SOLUTION UPDATED 2023 100%
A nurse is caring for a client who is 2 weeks postpartum following a cesarean
birth. Which of the
following clinical findings should the nurse identify as an indication of
postpartum infection?
Unilateral breast pain
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which
of the following findings should the nurse report to the provider?
Urine protein of 3+
A nurse is providing teaching about the expected effects of magnesium sulfate to
a client who is at 28 weeks gestation and has preeclampsia. Which of the
following responses by the nurses is appropriate?
"This medication prevents seizures"
A nurse is teaching a prenatal class regarding false labor. Which of the following
information should the nurse include?
Your contractions will become temporarily regular
A nurse manager is revising a maternal unit policy to ensure proper identification
of newborns. Which of the following should the nurse include in the policy?
Obtain an imprint of the infants feet prior to taking him into the nursery
A nurse is caring for a client who delivered by cesarean birth 6 hrs. ago. The
nurse notes a steady trickle of vaginal bleeding that does not stop with fundal
massage. Which of the following actions should the nurse take?
Administer 500 mL lactated ringer's IV bolus
A nurse is providing discharge instructions to a client who is postpartum and has
engorged breasts. Which of the following nonpharmacological comfort measures
should the nurse include in the teaching?
Apply cabbage leaves
A nurse is calculating the estimated date of birth using Nagele's rule for a client
who is pregnant and whose last menstrual cycle started June 21. Which of the
following is the estimated date of delivery in the next year?
March 28
A nurse is caring for a client immediately following the delivery of a stillborn
fetus. Which of the following actions should the nurse take?
Prepare the client for what to expect the fetus to look like.
A nurse is observing an adolescent client who is offering her newborn a bottle
while he is lying in the bassinet. When the nurse offers to pick the newborn up
and place him in the client's arms, the mother states, "No, the baby is too tired to
be held." Which of the following actions should the nurse take?
Demonstrate how to hold the newborn and allow the client to practice
A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
, Platelet count 60,000/mm
HELLP Syndrome
A nurse in a clinic is preparing to measure the fundal height of a client who is
pregnant. Which of the following actions should the nurse take?
Measure from the upper border of the symphysis pubis to the upper border of the
fundus
A nurse is caring for a client who is at 20 weeks of gestation and reports
constipation. Which of the following recommendations should the nurse make to
help relieve this common discomfort of pregnancy?
Drink 2 to 3 L of water each day
A nurse is assessing the fetal heart rate for a client who is at 38 weeks of
gestation. When using an ultrasound device, the nurse hears blood rushing
through the umbilical vessels in synchronization with the fetal heartbeat. Which
of the following terms should the nurse use to document this finding?
Funic souffle
A nurse manager in a newborn nursery is reviewing infection control procedures
with a group of newly hired nurses. Which of the following instructions should
the nurse manager include in the teaching?
Place newborn bassinets at least 3 feet apart
A nurse is caring for a client who is receiving magnesium sulfate by continuous
IV infusion. The nurse notes a respiratory rate of 8/min and absent DTR's. Which
of the following medications should the nurse administer?
Calcium gluconate
A nurse is caring for a client who is 8 hrs. postpartum following vaginal delivery
and is unable to void. Which of the following interventions should the nurse use
to promote voiding?
Insert an indwelling urinary catheter
A nurse manager on the labor and delivery unit is teaching a group of newly
licensed nurses about maternal cytomegalovirus. Which of the following
information should the nurse manager include in the teaching?
Transmission can occur via the saliva and urine of the newborn
A nurse in a prenatal clinic is caring for a client who has hyperemesis
gravidarum. Which of the following is the initial laboratory test used to evaluate
this condition?
Urine ketones
A nurse in a prenatal clinic is reviewing the lab results for a client who is at 12
weeks of gestation. Which of the following actions should the nurse take
(EXHIBIT QUESTION)
Administer ceftriaxone IM
A nurse is teaching a client about the basal body temperature method of
contraception. Which of the following statements should the nurse include in the
teaching?
"You should take your temperature before getting up for the day."
A nurse is providing education to a client who is to receive misoprostol for
induction of labor. Which of the following instructions should the nurse include in
the teaching?
WITH COMPLETE SOLUTION UPDATED 2023 100%
A nurse is caring for a client who is 2 weeks postpartum following a cesarean
birth. Which of the
following clinical findings should the nurse identify as an indication of
postpartum infection?
Unilateral breast pain
A nurse is assessing a client who has preeclampsia during a prenatal visit. Which
of the following findings should the nurse report to the provider?
Urine protein of 3+
A nurse is providing teaching about the expected effects of magnesium sulfate to
a client who is at 28 weeks gestation and has preeclampsia. Which of the
following responses by the nurses is appropriate?
"This medication prevents seizures"
A nurse is teaching a prenatal class regarding false labor. Which of the following
information should the nurse include?
Your contractions will become temporarily regular
A nurse manager is revising a maternal unit policy to ensure proper identification
of newborns. Which of the following should the nurse include in the policy?
Obtain an imprint of the infants feet prior to taking him into the nursery
A nurse is caring for a client who delivered by cesarean birth 6 hrs. ago. The
nurse notes a steady trickle of vaginal bleeding that does not stop with fundal
massage. Which of the following actions should the nurse take?
Administer 500 mL lactated ringer's IV bolus
A nurse is providing discharge instructions to a client who is postpartum and has
engorged breasts. Which of the following nonpharmacological comfort measures
should the nurse include in the teaching?
Apply cabbage leaves
A nurse is calculating the estimated date of birth using Nagele's rule for a client
who is pregnant and whose last menstrual cycle started June 21. Which of the
following is the estimated date of delivery in the next year?
March 28
A nurse is caring for a client immediately following the delivery of a stillborn
fetus. Which of the following actions should the nurse take?
Prepare the client for what to expect the fetus to look like.
A nurse is observing an adolescent client who is offering her newborn a bottle
while he is lying in the bassinet. When the nurse offers to pick the newborn up
and place him in the client's arms, the mother states, "No, the baby is too tired to
be held." Which of the following actions should the nurse take?
Demonstrate how to hold the newborn and allow the client to practice
A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
, Platelet count 60,000/mm
HELLP Syndrome
A nurse in a clinic is preparing to measure the fundal height of a client who is
pregnant. Which of the following actions should the nurse take?
Measure from the upper border of the symphysis pubis to the upper border of the
fundus
A nurse is caring for a client who is at 20 weeks of gestation and reports
constipation. Which of the following recommendations should the nurse make to
help relieve this common discomfort of pregnancy?
Drink 2 to 3 L of water each day
A nurse is assessing the fetal heart rate for a client who is at 38 weeks of
gestation. When using an ultrasound device, the nurse hears blood rushing
through the umbilical vessels in synchronization with the fetal heartbeat. Which
of the following terms should the nurse use to document this finding?
Funic souffle
A nurse manager in a newborn nursery is reviewing infection control procedures
with a group of newly hired nurses. Which of the following instructions should
the nurse manager include in the teaching?
Place newborn bassinets at least 3 feet apart
A nurse is caring for a client who is receiving magnesium sulfate by continuous
IV infusion. The nurse notes a respiratory rate of 8/min and absent DTR's. Which
of the following medications should the nurse administer?
Calcium gluconate
A nurse is caring for a client who is 8 hrs. postpartum following vaginal delivery
and is unable to void. Which of the following interventions should the nurse use
to promote voiding?
Insert an indwelling urinary catheter
A nurse manager on the labor and delivery unit is teaching a group of newly
licensed nurses about maternal cytomegalovirus. Which of the following
information should the nurse manager include in the teaching?
Transmission can occur via the saliva and urine of the newborn
A nurse in a prenatal clinic is caring for a client who has hyperemesis
gravidarum. Which of the following is the initial laboratory test used to evaluate
this condition?
Urine ketones
A nurse in a prenatal clinic is reviewing the lab results for a client who is at 12
weeks of gestation. Which of the following actions should the nurse take
(EXHIBIT QUESTION)
Administer ceftriaxone IM
A nurse is teaching a client about the basal body temperature method of
contraception. Which of the following statements should the nurse include in the
teaching?
"You should take your temperature before getting up for the day."
A nurse is providing education to a client who is to receive misoprostol for
induction of labor. Which of the following instructions should the nurse include in
the teaching?
