ATI MATERNAL NEWBORN PROCTORED EXAM (A, B & C) 2019 QUESTIONS
WITH 100% CORRECT ANSWER
1. A nurse is assessing a newborn following a forceps assisted birth. Which
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of the following clinical manifestations should the nurse identify as a compli-
cation of the birth method?: Facial Palsy
2. A nurse is providing teaching about terbutaline to a client who is experienc-
ing preterm labor. Which of the following statements by the client indicates an
understanding of the teaching?: "The medication could cause me to experience
heart palpitations" (this is a serious SE of terbutaline)
3. A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following lab tests should the nurse anticipate?: Urine ketones (severe form of
morning sickness that can cause dehydration and starvation)
4. A nurse is caring for a client who is in labor and requests nonpharmacolog-
ical pain management. Which of the following nursing actions promotes client
comfort?: Assisting the client into a squatting position
5. A nurse is caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?: -
Malodorous discharge
6. A nurse is caring for a client who is 14 weeks of gestation. At which of the
following locations should the nurse place the Doppler device when assessing
the FHR?: Midline 2 to 3 cm above the symphysis pubis - at 14 weeks gestation this
is where to place the Doppler probe for FHR
7. 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/mm3 (severe because it is less than 100,000)
8. A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following AE should the nurse include?: Tinnitus (this is
a documented AE of this med)
9. A nurse is assessing a term newborn upon admission to the nursery. Which
of the following should the nurse expect?: Chest circumference of 2 cm smaller
than the head circumference (head circumference is always 2 cm more than the
chest in normal term babies)
10. 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?: Swaddle the newborn in a flexed position (increase comfort)
11. A nurse is caring for a newborn who is 6 hours old and has a bedside
glucometer reading of 65 mg/dL. The newborn's mother has type 2 DM. Which
of the following actions should the nurse take?: Reassess the blood glucose
level prior to the next feeding (45 mg/dL is considered hypoglycemic)
12. A nurse is providing teaching to a client about exercise safety during
pregnancy. Which of the following statements by the client indicates an un-
, ATI MATERNAL NEWBORN PROCTORED EXAM (A, B & C) 2019 QUESTIONS
WITH 100% CORRECT ANSWER
derstanding of the teaching? (SATA): "I will check my heart rate every 15 mins
AAAAAA
during exercise"
"I should rest by lying on my side for 10 mins following exercise"
13. A charge nurse is teaching a group of staff nurses about fetal monitoring
during labor. Which of the following findings should the charge nurse instruct
the staff members to report to the provider?: Contraction durations of 95 to 100
seconds
14. A nurse in a women's health clinic is obtaining a health history from a
client. Which of the following findings should the nurse identify as increasing
the client's risk for developing pelvic inflammatory disease (PID)?: Chlamydia
infection (STDs can cause PID)
15. A nurse is teaching a prenatal class about immunizations that newborns
receive following birth. Which of the following immunizations should the nurse
include in the teaching?: Hep B
16. A nurse is providing nutritional guidance to a client who is pregnant and
follows a vegan diet. The client asks the nurse which foods she should eat
to ensure adequate calcium intake. The nurse should instruct the client that
which of the following foods has the highest amount of calcium?: 1 cup of
cooked broccoli (47mg for 1 cup)
17. A nurse in a provider's office is assessing a client at her first antepartum
visit. The client states that the first day of her LMP was March 8th. Use
Naegele's rule to calculate the estimated delivery date.: December 15
(subtract 3 months and add 7 days)
18. A nurse is caring for a client who is in the second stage of labor. Which of
the following manifestations should the nurse expect?: The client delivers the
newborn
19. A nurse is assessing a client who is at 37 weeks of gestation. Which of
the following statements by the client requires immediate intervention by the
nurse?: "It burns when I urinate" (sign of a UTI)
20. A nurse is providing discharge teaching to a new parent about car seat
safety. Which of the following statements by the parents indicates an under-
standing of the teaching?: "I should place the car seat rear facing until my baby
is 12 months old"
OR
"I will ensure that my baby is positioned at a 45 degree angle in he car sear"
21. A nurse is developing an educational program about hemolytic diseases
in newborns for a group of newly licensed nurses. Which of the following
, ATI MATERNAL NEWBORN PROCTORED EXAM (A, B & C) 2019 QUESTIONS
WITH 100% CORRECT ANSWER
genetic information should the nurse include in the program as a cause of
AAAAAA
hemolytic disease?: The mother is Rh-negative and the father is Rh-positive (can
cause sensitization from RH+ from the father causing complications to the next
conception)
22. A nurse on an antepartum unit is reviewing the medical records for 4
clients. Which of the following clients should the nurse assess first?: A client
who has hyperemesis gravidarum and a sodium level of 110 mEq/L
23. A nurse is assessing a newborn immediately following a vaginal birth. For
which of the following findings should the nurse intervene?: Sternal retractions
(sign of respiratory distress)
24. A nurse on the postpartum unit is caring for 4 clients. For which of the
following clients should the nurse notify the provider?: A client who is receiving
magnesium sulfate and has absent deep tendon reflexes (sign of mag toxicity that
could lead to death)
25. A nurse is caring for a client who has active genital herpes simplex virus
type 2. Which of the following medications should the nurse plan to adminis-
ter?: Acyclovir (viral infection requires an antiviral med)
26. A nurse is caring for a client following an amniocentesis. The nurse should
observe the client for which of the following complications?: Hemorrhage
(bleeding is sometimes noted after the procedure)
27. A nurse is planning care for a client who is receiving oxytocin by con-
tinuous IV infusion for labor induction. Which of the following interventions
should the nurse include in the plan of care?: Titrate the infusion rate by 4
milliunits/min
28. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of
gestation. Which of the following actions should the nurse take? (Exhibit - 3
tabs of data): Administer nitric oxide inhalation therapy to the newborn
29. A nurse is caring for a client who is receiving oxytocin for induction of
labor and notes late decelerations of the FHR on the monitor tracing. Which of
the following actions should the nurse take?: Decrease maintenance IV solution
infusion rate (too many contractions are happening due to oxy)
30. 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?: Administer
a pneumococcal immunization to the newborn within 4 hrs following birth
OR
Bathe the newborn before initiating skin-to-skin contact
WITH 100% CORRECT ANSWER
1. A nurse is assessing a newborn following a forceps assisted birth. Which
AAAAAA
of the following clinical manifestations should the nurse identify as a compli-
cation of the birth method?: Facial Palsy
2. A nurse is providing teaching about terbutaline to a client who is experienc-
ing preterm labor. Which of the following statements by the client indicates an
understanding of the teaching?: "The medication could cause me to experience
heart palpitations" (this is a serious SE of terbutaline)
3. A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following lab tests should the nurse anticipate?: Urine ketones (severe form of
morning sickness that can cause dehydration and starvation)
4. A nurse is caring for a client who is in labor and requests nonpharmacolog-
ical pain management. Which of the following nursing actions promotes client
comfort?: Assisting the client into a squatting position
5. A nurse is caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?: -
Malodorous discharge
6. A nurse is caring for a client who is 14 weeks of gestation. At which of the
following locations should the nurse place the Doppler device when assessing
the FHR?: Midline 2 to 3 cm above the symphysis pubis - at 14 weeks gestation this
is where to place the Doppler probe for FHR
7. 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/mm3 (severe because it is less than 100,000)
8. A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following AE should the nurse include?: Tinnitus (this is
a documented AE of this med)
9. A nurse is assessing a term newborn upon admission to the nursery. Which
of the following should the nurse expect?: Chest circumference of 2 cm smaller
than the head circumference (head circumference is always 2 cm more than the
chest in normal term babies)
10. 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?: Swaddle the newborn in a flexed position (increase comfort)
11. A nurse is caring for a newborn who is 6 hours old and has a bedside
glucometer reading of 65 mg/dL. The newborn's mother has type 2 DM. Which
of the following actions should the nurse take?: Reassess the blood glucose
level prior to the next feeding (45 mg/dL is considered hypoglycemic)
12. A nurse is providing teaching to a client about exercise safety during
pregnancy. Which of the following statements by the client indicates an un-
, ATI MATERNAL NEWBORN PROCTORED EXAM (A, B & C) 2019 QUESTIONS
WITH 100% CORRECT ANSWER
derstanding of the teaching? (SATA): "I will check my heart rate every 15 mins
AAAAAA
during exercise"
"I should rest by lying on my side for 10 mins following exercise"
13. A charge nurse is teaching a group of staff nurses about fetal monitoring
during labor. Which of the following findings should the charge nurse instruct
the staff members to report to the provider?: Contraction durations of 95 to 100
seconds
14. A nurse in a women's health clinic is obtaining a health history from a
client. Which of the following findings should the nurse identify as increasing
the client's risk for developing pelvic inflammatory disease (PID)?: Chlamydia
infection (STDs can cause PID)
15. A nurse is teaching a prenatal class about immunizations that newborns
receive following birth. Which of the following immunizations should the nurse
include in the teaching?: Hep B
16. A nurse is providing nutritional guidance to a client who is pregnant and
follows a vegan diet. The client asks the nurse which foods she should eat
to ensure adequate calcium intake. The nurse should instruct the client that
which of the following foods has the highest amount of calcium?: 1 cup of
cooked broccoli (47mg for 1 cup)
17. A nurse in a provider's office is assessing a client at her first antepartum
visit. The client states that the first day of her LMP was March 8th. Use
Naegele's rule to calculate the estimated delivery date.: December 15
(subtract 3 months and add 7 days)
18. A nurse is caring for a client who is in the second stage of labor. Which of
the following manifestations should the nurse expect?: The client delivers the
newborn
19. A nurse is assessing a client who is at 37 weeks of gestation. Which of
the following statements by the client requires immediate intervention by the
nurse?: "It burns when I urinate" (sign of a UTI)
20. A nurse is providing discharge teaching to a new parent about car seat
safety. Which of the following statements by the parents indicates an under-
standing of the teaching?: "I should place the car seat rear facing until my baby
is 12 months old"
OR
"I will ensure that my baby is positioned at a 45 degree angle in he car sear"
21. A nurse is developing an educational program about hemolytic diseases
in newborns for a group of newly licensed nurses. Which of the following
, ATI MATERNAL NEWBORN PROCTORED EXAM (A, B & C) 2019 QUESTIONS
WITH 100% CORRECT ANSWER
genetic information should the nurse include in the program as a cause of
AAAAAA
hemolytic disease?: The mother is Rh-negative and the father is Rh-positive (can
cause sensitization from RH+ from the father causing complications to the next
conception)
22. A nurse on an antepartum unit is reviewing the medical records for 4
clients. Which of the following clients should the nurse assess first?: A client
who has hyperemesis gravidarum and a sodium level of 110 mEq/L
23. A nurse is assessing a newborn immediately following a vaginal birth. For
which of the following findings should the nurse intervene?: Sternal retractions
(sign of respiratory distress)
24. A nurse on the postpartum unit is caring for 4 clients. For which of the
following clients should the nurse notify the provider?: A client who is receiving
magnesium sulfate and has absent deep tendon reflexes (sign of mag toxicity that
could lead to death)
25. A nurse is caring for a client who has active genital herpes simplex virus
type 2. Which of the following medications should the nurse plan to adminis-
ter?: Acyclovir (viral infection requires an antiviral med)
26. A nurse is caring for a client following an amniocentesis. The nurse should
observe the client for which of the following complications?: Hemorrhage
(bleeding is sometimes noted after the procedure)
27. A nurse is planning care for a client who is receiving oxytocin by con-
tinuous IV infusion for labor induction. Which of the following interventions
should the nurse include in the plan of care?: Titrate the infusion rate by 4
milliunits/min
28. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of
gestation. Which of the following actions should the nurse take? (Exhibit - 3
tabs of data): Administer nitric oxide inhalation therapy to the newborn
29. A nurse is caring for a client who is receiving oxytocin for induction of
labor and notes late decelerations of the FHR on the monitor tracing. Which of
the following actions should the nurse take?: Decrease maintenance IV solution
infusion rate (too many contractions are happening due to oxy)
30. 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?: Administer
a pneumococcal immunization to the newborn within 4 hrs following birth
OR
Bathe the newborn before initiating skin-to-skin contact
