ATI PN Maternal Newborn Proctored Exam 2020:
Guaranteed A+ Score; Questions & Answers
A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an
understanding of the teaching?
A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
D. "My monthly menstrual period will be shorter."
B. "Ovulation will remain the same."
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation also
known as having your tubes tied or tubal sterilization is a type of permanent birth
control. During tubal ligation, the fallopian tubes are cut, tied or blocked to permanently
prevent pregnancy. Tubal ligation prevents an egg from traveling from the ovaries
through the fallopian tubes and blocks sperm from traveling up the fallopian tubes to the
egg. The procedure doesn't affect your menstrual cycle it just prevents fertilization.
A nurse is assessing a newborn following forceps-assisted birth. Which of the
following clinical manifestations should the nurse identify as a complication of
the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia
C. Facial Palsy
Difficult delivery, with or without the use of an instrument called forceps, may lead to
facial palsy. Facial paralysis 15 minutes after forceps birth or absence of movement on
affected side is especially noticeable when infant cries.
A nurse is providing teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statements by the client indicates
understanding of the teaching?
A. "This medication could cause me to experience heart palpitations."
B. "This medication could cause me to experience blurred vision."
C. "This medication could cause me to experience ringing in my ears."
D. "This medication could cause me to experience frequent urination."
A. "This medication could cause me to experience heart palpitations."
Beta-adrenergic agents such as terbutaline (Brethine) are associated with various side
effects, including tachycardia, irregular pulse, myocardial ischemia, and pulmonary
,edema. Therefore, these medications should not be used in women with known or
suspected heart disease
A nurse is caring for a client who is in labor and requests nonpharmacological
pain management. Which of the following nursing actions promotes client
comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hrs.
C. Applying fundal pressure during contractions
Applying fundal pressure by pushing on the mother's abdomen in the direction of the
birth canal is often used to assist spontaneous vaginal birth, shorten the length of the
second stage and reduce the need for instrumental birth (forceps- or vacuum-assisted)
or caesarean section.
A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
D. Malodorous Discharge
Although trichomoniasis may be asymptomatic, women commonly experience
characteristically yellowish-to-greenish, frothy, mucopurulent, copious, malodorous
discharge. Inflammation of the vulva, vagina, or both may be present; and the woman
may complain of irritation and pruritus. Dysuria and dyspareunia are often present.
A nurse is caring for a client who is at 14 weeks of gestation. At which of the
following locations should the nurse place the doppler device when assessing
the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
Toward the end of the first trimester, before the uterus is an abdominal organ, the fetal
heart tones (FHTs) can be heard with an ultrasound fetoscope or an ultrasound
stethoscope (Fig. 8-8). To hear the FHTs, place the instrument in the midline just above
the symphysis pubis and apply firm pressure. The woman and her family should be
offered the opportunity to listen to the FHTs. The health status of the fetus is assessed
at each visit for the remainder of the pregnancy.
, 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?
A. Urine protein concentration 200 mg/24 hr.
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60,000/ mm3
D. Platelet Count 60,000/ mm3
Platelets < 100,000/mm3 (60,000/mm3) is below the expected reference range, which
can indicate DIC. The nurse should report this result to the provider. In a 24-hour
specimen proteinuria is defined as a concentration at or > 300 mg/24 hours.
A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
C. Breast Tenderness
The adverse effects of clomiphene citrate are stomach upset, bloating, abdominal/pelvic
fullness, flushing ("hot flashes"), breast tenderness, headache, or dizziness may occur.
If any of these effects last or get worse, tell your doctor or pharmacist promptly.
A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
Measure at nipple line 2-3 cm (0.8-1.2 in) less than head circumference; average 30-33
cm (11.8-13 in) ≤ 30 cm.
A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of the following interventions should the nurse include in the plan of care?
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation
D. Swaddle the newborn in a flexed position
D. Swaddle the newborn in a flexed position
Swaddling in a flexed position with hands midline against chest and legs loosely
Guaranteed A+ Score; Questions & Answers
A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an
understanding of the teaching?
A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
D. "My monthly menstrual period will be shorter."
B. "Ovulation will remain the same."
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation also
known as having your tubes tied or tubal sterilization is a type of permanent birth
control. During tubal ligation, the fallopian tubes are cut, tied or blocked to permanently
prevent pregnancy. Tubal ligation prevents an egg from traveling from the ovaries
through the fallopian tubes and blocks sperm from traveling up the fallopian tubes to the
egg. The procedure doesn't affect your menstrual cycle it just prevents fertilization.
A nurse is assessing a newborn following forceps-assisted birth. Which of the
following clinical manifestations should the nurse identify as a complication of
the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia
C. Facial Palsy
Difficult delivery, with or without the use of an instrument called forceps, may lead to
facial palsy. Facial paralysis 15 minutes after forceps birth or absence of movement on
affected side is especially noticeable when infant cries.
A nurse is providing teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statements by the client indicates
understanding of the teaching?
A. "This medication could cause me to experience heart palpitations."
B. "This medication could cause me to experience blurred vision."
C. "This medication could cause me to experience ringing in my ears."
D. "This medication could cause me to experience frequent urination."
A. "This medication could cause me to experience heart palpitations."
Beta-adrenergic agents such as terbutaline (Brethine) are associated with various side
effects, including tachycardia, irregular pulse, myocardial ischemia, and pulmonary
,edema. Therefore, these medications should not be used in women with known or
suspected heart disease
A nurse is caring for a client who is in labor and requests nonpharmacological
pain management. Which of the following nursing actions promotes client
comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hrs.
C. Applying fundal pressure during contractions
Applying fundal pressure by pushing on the mother's abdomen in the direction of the
birth canal is often used to assist spontaneous vaginal birth, shorten the length of the
second stage and reduce the need for instrumental birth (forceps- or vacuum-assisted)
or caesarean section.
A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
D. Malodorous Discharge
Although trichomoniasis may be asymptomatic, women commonly experience
characteristically yellowish-to-greenish, frothy, mucopurulent, copious, malodorous
discharge. Inflammation of the vulva, vagina, or both may be present; and the woman
may complain of irritation and pruritus. Dysuria and dyspareunia are often present.
A nurse is caring for a client who is at 14 weeks of gestation. At which of the
following locations should the nurse place the doppler device when assessing
the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
Toward the end of the first trimester, before the uterus is an abdominal organ, the fetal
heart tones (FHTs) can be heard with an ultrasound fetoscope or an ultrasound
stethoscope (Fig. 8-8). To hear the FHTs, place the instrument in the midline just above
the symphysis pubis and apply firm pressure. The woman and her family should be
offered the opportunity to listen to the FHTs. The health status of the fetus is assessed
at each visit for the remainder of the pregnancy.
, 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?
A. Urine protein concentration 200 mg/24 hr.
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60,000/ mm3
D. Platelet Count 60,000/ mm3
Platelets < 100,000/mm3 (60,000/mm3) is below the expected reference range, which
can indicate DIC. The nurse should report this result to the provider. In a 24-hour
specimen proteinuria is defined as a concentration at or > 300 mg/24 hours.
A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
C. Breast Tenderness
The adverse effects of clomiphene citrate are stomach upset, bloating, abdominal/pelvic
fullness, flushing ("hot flashes"), breast tenderness, headache, or dizziness may occur.
If any of these effects last or get worse, tell your doctor or pharmacist promptly.
A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
Measure at nipple line 2-3 cm (0.8-1.2 in) less than head circumference; average 30-33
cm (11.8-13 in) ≤ 30 cm.
A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of the following interventions should the nurse include in the plan of care?
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation
D. Swaddle the newborn in a flexed position
D. Swaddle the newborn in a flexed position
Swaddling in a flexed position with hands midline against chest and legs loosely
