ATI PN MATERNAL NEWBORN PROCTORED EXAM 2021-
2022 FORM A & B QUESTIONS AND CORRECT
ANSWERS|AGRADE
FORM A
1. A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting.
Which of the following findings should the nurse identify as an indication that the client has
hyperemesis gravidarum?
a. Ketonuria
i. Occurs due to the breakdown of fat secondary to malnutrition or starvation
2. A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal
examination. Which of the following findings should the nurse report to the provider?
a. Blurred vision
i. An indication that the client might have preeclampsia
3. A nurse is caring for a newborn who has a high-pitched cry and does not respond to consoling
efforts. Which of the following neonatal data collection tools should the nurse expect to
complete?
a. Neonatal abstinence scoring system
i. Exhibiting manifestations of opioid withdrawal and should be screened
ii. Additional manifestations of withdrawal include restlessness, tremors, increased
muscle tone, and an exaggerated Moro reflex
4. A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions
should the nurse take?
a. Place an opaque mask over the newborn’s eyes
i. To prevent damage to the retinas – remove mask for feedings
5. A nurse is assisting in the care of a newborn immediately following birth. Which of the following
images should the nurse identify as an indication that the newborn was a myelomeningocele?
a. First picture – exposed spinal cord and fluid filled sac, priority intervention is to maintain
the integrity of the sac
i. Myelomeningocele occurs when the neural tube fails to close, and the meninges
and spinal cord herniate
1. Defect most often occurs in the lumbar area and may be covered by a
thin membranous sac
6. A nurse is collecting data from a newborn who is 8 hr old. Which of the following findings should
the nurse report to the provider?
a. Apical heart rate of 90/min while crying
i. Is below the expected reference range of 110-160 bpm for a newborn; 80-100
bpm while sleeping; and up to 180 bpm while crying
7. A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her newborn.
The client reports perineal pain of 6 on a scale from 0-10. The nurse also notes mild perineal
edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the
right. Which of the following action is the nurse’s priority?
a. Help the client ambulate to the toilet
, i. Greatest risk is postpartum hemorrhage from uterine atony; help client to
urinate & completely empty the bladder, which will allow the uterus to contract
8. A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has gestational
diabetes mellitus. Which of the following information should the nurse include in the teaching?
a. Consume at least 2000 cal/day
, i. Is about 35 cal/kg/day – will ensure adequate glucose intake and prevent
hypoglycemia
9. A nurse is reinforcing teaching about risk factors for respiratory distress syndrome (RDS) in
newborns with a group of clients who are pregnant. Which of the following risk factors should
the nurse include?
a. Prematurity
i. A newborn who is premature has inadequate surfactant production, which can
lead to RDS
10. A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why
folic acid supplements are necessary. The nurse should inform the client that the purpose of the
folic acid supplement is to do which of the following?
a. Prevent certain kinds of birth defects
i. Help prevent neural tube defects
11. A nurse is reinforcing discharge teaching about methods to prevent engorgement during
lactation suppression with a client who is bottle-feeding her newborn. Which of the following
statements should the nurse identify as an indication that the client understands the
instructions?
a. “I will apply cold cabbage leaves to my breasts throughout the day.”
i. Frequent application of cold leaves to breasts can prevent engorgement
ii. Should also apply ice packs or cold compresses to breasts, take mild analgesics,
and wear a well-fitting and supportive bra
12. A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in active labor.
Which of the following findings should the nurse report to the charge nurse?
a. Prolonged deceleration of FHR
i. Can be a manifestation of an emergent condition, such as uterine rupture or
umbilical cord prolapse
ii. Charge nurse should notify provider about this change
13. A client requests information about the use of a diaphragm for birth control. Which of the
following statements should the nurse make?
a. “You will need to replace your diaphragm every 2 years.”
14. A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent
episodes of nausea and vomiting. Which of the following instructions should the nurse include?
a. Consume small meals frequently each day
i. 5-6 small meals throughout the day – should avoid an empty stomach, as this
increases nausea
15. A nurse on a postpartum unit is assisting in the care of a client who is experiencing hypovolemic
shock. Which of the following actions should the nurse take?
a. Insert an indwelling urinary catheter
i. To monitor output closely – decrease kidney perfusion caused by shock can lead
to oliguria
16. A nurse is assisting with planning care for a client who is breastfeeding and has mastitis. Which
of the following recommendations should the nurse include?
a. Instruct the client to apply warm compresses to the affected breast
2022 FORM A & B QUESTIONS AND CORRECT
ANSWERS|AGRADE
FORM A
1. A nurse is caring for a client who is at 11 weeks of gestation and reports frequent vomiting.
Which of the following findings should the nurse identify as an indication that the client has
hyperemesis gravidarum?
a. Ketonuria
i. Occurs due to the breakdown of fat secondary to malnutrition or starvation
2. A nurse is collecting data from a client who is at 36 weeks of gestation during a prenatal
examination. Which of the following findings should the nurse report to the provider?
a. Blurred vision
i. An indication that the client might have preeclampsia
3. A nurse is caring for a newborn who has a high-pitched cry and does not respond to consoling
efforts. Which of the following neonatal data collection tools should the nurse expect to
complete?
a. Neonatal abstinence scoring system
i. Exhibiting manifestations of opioid withdrawal and should be screened
ii. Additional manifestations of withdrawal include restlessness, tremors, increased
muscle tone, and an exaggerated Moro reflex
4. A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions
should the nurse take?
a. Place an opaque mask over the newborn’s eyes
i. To prevent damage to the retinas – remove mask for feedings
5. A nurse is assisting in the care of a newborn immediately following birth. Which of the following
images should the nurse identify as an indication that the newborn was a myelomeningocele?
a. First picture – exposed spinal cord and fluid filled sac, priority intervention is to maintain
the integrity of the sac
i. Myelomeningocele occurs when the neural tube fails to close, and the meninges
and spinal cord herniate
1. Defect most often occurs in the lumbar area and may be covered by a
thin membranous sac
6. A nurse is collecting data from a newborn who is 8 hr old. Which of the following findings should
the nurse report to the provider?
a. Apical heart rate of 90/min while crying
i. Is below the expected reference range of 110-160 bpm for a newborn; 80-100
bpm while sleeping; and up to 180 bpm while crying
7. A nurse is caring for a client 6 hr after a vaginal birth who is going to breastfeed her newborn.
The client reports perineal pain of 6 on a scale from 0-10. The nurse also notes mild perineal
edema and ecchymosis, with a fundus that is 2 cm above the umbilicus with deviation to the
right. Which of the following action is the nurse’s priority?
a. Help the client ambulate to the toilet
, i. Greatest risk is postpartum hemorrhage from uterine atony; help client to
urinate & completely empty the bladder, which will allow the uterus to contract
8. A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has gestational
diabetes mellitus. Which of the following information should the nurse include in the teaching?
a. Consume at least 2000 cal/day
, i. Is about 35 cal/kg/day – will ensure adequate glucose intake and prevent
hypoglycemia
9. A nurse is reinforcing teaching about risk factors for respiratory distress syndrome (RDS) in
newborns with a group of clients who are pregnant. Which of the following risk factors should
the nurse include?
a. Prematurity
i. A newborn who is premature has inadequate surfactant production, which can
lead to RDS
10. A nurse is caring for a client who is planning to become pregnant. The client asks the nurse why
folic acid supplements are necessary. The nurse should inform the client that the purpose of the
folic acid supplement is to do which of the following?
a. Prevent certain kinds of birth defects
i. Help prevent neural tube defects
11. A nurse is reinforcing discharge teaching about methods to prevent engorgement during
lactation suppression with a client who is bottle-feeding her newborn. Which of the following
statements should the nurse identify as an indication that the client understands the
instructions?
a. “I will apply cold cabbage leaves to my breasts throughout the day.”
i. Frequent application of cold leaves to breasts can prevent engorgement
ii. Should also apply ice packs or cold compresses to breasts, take mild analgesics,
and wear a well-fitting and supportive bra
12. A nurse is assisting with the care of a client who is at 40 weeks of gestation and is in active labor.
Which of the following findings should the nurse report to the charge nurse?
a. Prolonged deceleration of FHR
i. Can be a manifestation of an emergent condition, such as uterine rupture or
umbilical cord prolapse
ii. Charge nurse should notify provider about this change
13. A client requests information about the use of a diaphragm for birth control. Which of the
following statements should the nurse make?
a. “You will need to replace your diaphragm every 2 years.”
14. A nurse is reinforcing teaching with a client who is at 9 weeks of gestation and reports frequent
episodes of nausea and vomiting. Which of the following instructions should the nurse include?
a. Consume small meals frequently each day
i. 5-6 small meals throughout the day – should avoid an empty stomach, as this
increases nausea
15. A nurse on a postpartum unit is assisting in the care of a client who is experiencing hypovolemic
shock. Which of the following actions should the nurse take?
a. Insert an indwelling urinary catheter
i. To monitor output closely – decrease kidney perfusion caused by shock can lead
to oliguria
16. A nurse is assisting with planning care for a client who is breastfeeding and has mastitis. Which
of the following recommendations should the nurse include?
a. Instruct the client to apply warm compresses to the affected breast
