ATI MATERNAL NEWBORN PROCTORED EXAM
2019 2023/2024 REVISED VERSION
• A nurse is assessing a newborn following a forceps assisted birth. Which of
the following clinical manifestations should the nurse identify as a
complication of the birth method?
• Hypoglycemia
• Polycythemia
• Facial Palsy
• Bronchopulmonary dysplasia
• A nurse is providing teaching about terbutaline to a client who is
experiencing preterm labor. Which of the following statement by client
indicates an understanding of the teaching?
• “The medication could cause me to experience heart palpitation”
• “This medication could cause me to experience blurred vision”
• “This medication could cause me to experience ringing in my ears”
• “This medication could cause me to experience frequent …”
,• A nurse is caring for a client who is receiving oxytocin for induction of labor
and notes late decelerations of the fetal heart rate on the monitor Tracing.
Which of the following action should the nurse take?
• Decrease maintenance IV solution infusion rate.
• Place the client in lateral position.
• Administer misoprostol 25 mcg vaginally D
• Administer oxygen via face mask at 2 L/min
• A nurse is planning care for a client who is pregnant and has HIV. Which of
the following actions should the nurse include in the plan of care?
• Instruct the client to stop taking the antiretroviral medication at 32
weeks of gestation.
• Use a fetal scalp electrode during labor and delivery.
• Administer a pneumococcal immunization to the newborn within 4 hr.
following birth.
• Bathe the newborn before initiating skin-to-skin contact
,• 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?
• Thick, White Vaginal Discharge
• Urinary Frequency
• Vulva Lesions
• Malodorous Discharge
• A nurse is caring for a client who has hyperemesis gravidarum. Which of
the following laboratory tests should the nurse anticipate?
• Urine Ketones
• Rapid plasma regain
• Prothrombin time
• Urine culture
, • A nurse is caring for a client who is experiencing sore nipples
from breastfeeding. Which of the following actions should the
nurse take?
• Place a snug dressing on the client’s nipple when not breastfeeding.
• Ensure the newborn’s mouth is wide open before latching to the breast.
• Encourage the client to limit the newborn’s feeding to 10 min on each breast.
• Instruct the client to begin the feeding with the nipple that is most tender.
• A nurse is assessing a preterm newborn who is at 32 weeks of gestation.
Which of the following finding should the nurse expect?
• Minimal arm recoil
• Popliteal angle of less than 90
• Creases over the entire sole
• Sparse lanugo
• A nurse on a labor and delivery unit is providing teaching to a client who
plans to use hypnosis to control labor pain. Which of the following
information should the nurse include?
2019 2023/2024 REVISED VERSION
• A nurse is assessing a newborn following a forceps assisted birth. Which of
the following clinical manifestations should the nurse identify as a
complication of the birth method?
• Hypoglycemia
• Polycythemia
• Facial Palsy
• Bronchopulmonary dysplasia
• A nurse is providing teaching about terbutaline to a client who is
experiencing preterm labor. Which of the following statement by client
indicates an understanding of the teaching?
• “The medication could cause me to experience heart palpitation”
• “This medication could cause me to experience blurred vision”
• “This medication could cause me to experience ringing in my ears”
• “This medication could cause me to experience frequent …”
,• A nurse is caring for a client who is receiving oxytocin for induction of labor
and notes late decelerations of the fetal heart rate on the monitor Tracing.
Which of the following action should the nurse take?
• Decrease maintenance IV solution infusion rate.
• Place the client in lateral position.
• Administer misoprostol 25 mcg vaginally D
• Administer oxygen via face mask at 2 L/min
• A nurse is planning care for a client who is pregnant and has HIV. Which of
the following actions should the nurse include in the plan of care?
• Instruct the client to stop taking the antiretroviral medication at 32
weeks of gestation.
• Use a fetal scalp electrode during labor and delivery.
• Administer a pneumococcal immunization to the newborn within 4 hr.
following birth.
• Bathe the newborn before initiating skin-to-skin contact
,• 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?
• Thick, White Vaginal Discharge
• Urinary Frequency
• Vulva Lesions
• Malodorous Discharge
• A nurse is caring for a client who has hyperemesis gravidarum. Which of
the following laboratory tests should the nurse anticipate?
• Urine Ketones
• Rapid plasma regain
• Prothrombin time
• Urine culture
, • A nurse is caring for a client who is experiencing sore nipples
from breastfeeding. Which of the following actions should the
nurse take?
• Place a snug dressing on the client’s nipple when not breastfeeding.
• Ensure the newborn’s mouth is wide open before latching to the breast.
• Encourage the client to limit the newborn’s feeding to 10 min on each breast.
• Instruct the client to begin the feeding with the nipple that is most tender.
• A nurse is assessing a preterm newborn who is at 32 weeks of gestation.
Which of the following finding should the nurse expect?
• Minimal arm recoil
• Popliteal angle of less than 90
• Creases over the entire sole
• Sparse lanugo
• A nurse on a labor and delivery unit is providing teaching to a client who
plans to use hypnosis to control labor pain. Which of the following
information should the nurse include?
