ATI MATERNAL NEWBORN PROCTORED EXAM 2019 QUESTIONS
WITH DETAILED ANSWERS
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a
vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding
which ofthe following prescriptions?
The nurse should not administer a rectal suppository or enema to a client who has a fourth-degree
perineal laceration. These can cause separation of the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states,
"Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many mL should the
nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use
atrailing zero.)
STEP 8: Reassess to determine whether the amount to administer makes sense. If there are 10 mcg/mL
and the prescription reads 5 mcg, it makes sense to administer 0.5 mL. The nurse should administer
hepatitis B immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching?
The nurse should instruct the client to engage in 30 min of moderate exercise every day to improve
muscle tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which
ofthe following findings should the nurse identify as a possible cause of the early decelerations?
The nurse should identify fetal head compression as a likely cause of the early decelerations on the
fetalmonitor. Early decelerations are an expected fetal pattern caused by fetal head compression due
to uterine contractions, fundal pressure, and vaginal examinations.
,A nurse is caring for a client and her partner who have experienced a fetal death. Which of the
followingactions should the nurse take?
Take photos of the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn (for example, photos,
the newborn's ID bands, the newborn's hat, and the newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the
following actions by the mother should the nurse recognize as a positive parenting behavior?
Lays the newborn across her lap and gently sways.
This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of
securityfor the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the
nurseidentify as the priority?
Epigastric pain is a clinical manifestation of preeclampsia and indicates hepatic involvement, which is
anurgent finding. Therefore, the nurse should identify this client as the priority.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following
findings is an indication for the administration of the medication? (Select all that apply.)
Flaccid uterus is correct. Oxytocin increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues even when the
uterus is contracted and firm. It will require repair by the provider.
Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
, Increased afterbirth cramping is incorrect. The use of oxytocin will increase, rather than decrease,
afterbirth cramping.
Increased maternal temperature is incorrect. The use of oxytocin will have no effect on maternal
temperature.
A nurse is teaching a new mother about newborn safety. Which of the following instructions should
thenurse include in the teaching?
Room-sharing is recommended during the first few weeks. This allows the parents to be readily
availableto the newborn and learn the newborn's cues. However, the nurse should instruct the
parents to avoid placing the newborn in their bed as it increases the risk for sudden infant death
syndrome.
A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse
that her last menstrual cycle started on November 27th. Which of the following dates is the client's
expecteddate of birth?
When using Naegele's rule to calculate the estimated date of birth for a client, the nurse should
subtract3 months from the first day of the client's last menstrual cycle and then add 7 days.
November 27th minus 3 months equals August 27th. August 27th plus 7 days equals September 3rd.
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold
maneuvers. Which of the following images indicates the first step of Leopold maneuvers?
Evidence-based practice indicates the nurse should perform this step first when performing Leopold
maneuvers. During this step, the nurse palpates the client's abdomen with her palms to determine
which fetal part is in the uterine fundus. This step also identifies the lie (transverse or longitudinal) and
presentation (cephalic or breech) of the fetus.
See an expert-written answer!
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the
nurse take prior to applying an external transducer for fetal monitoring?
WITH DETAILED ANSWERS
A nurse is reviewing the medical record of a client who is one day postpartum. The client had a
vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding
which ofthe following prescriptions?
The nurse should not administer a rectal suppository or enema to a client who has a fourth-degree
perineal laceration. These can cause separation of the suture line, bleeding, or infection.
A nurse is preparing to administer hepatitis B immune globulin to a newborn. The prescription states,
"Administer 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many mL should the
nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use
atrailing zero.)
STEP 8: Reassess to determine whether the amount to administer makes sense. If there are 10 mcg/mL
and the prescription reads 5 mcg, it makes sense to administer 0.5 mL. The nurse should administer
hepatitis B immunoglobulin 0.5 mL IM.
A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following
instructions should the nurse include in the teaching?
The nurse should instruct the client to engage in 30 min of moderate exercise every day to improve
muscle tone throughout her pregnancy.
A nurse is assessing a client who is in labor and notes early decelerations on the fetal monitor. Which
ofthe following findings should the nurse identify as a possible cause of the early decelerations?
The nurse should identify fetal head compression as a likely cause of the early decelerations on the
fetalmonitor. Early decelerations are an expected fetal pattern caused by fetal head compression due
to uterine contractions, fundal pressure, and vaginal examinations.
,A nurse is caring for a client and her partner who have experienced a fetal death. Which of the
followingactions should the nurse take?
Take photos of the newborn to give to the parents.
The nurse should create a memory box that includes mementos of the newborn (for example, photos,
the newborn's ID bands, the newborn's hat, and the newborn's blanket).
A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the
following actions by the mother should the nurse recognize as a positive parenting behavior?
Lays the newborn across her lap and gently sways.
This is a correct technique for quieting a newborn. This tactile stimulation promotes a sense of
securityfor the newborn.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the
nurseidentify as the priority?
Epigastric pain is a clinical manifestation of preeclampsia and indicates hepatic involvement, which is
anurgent finding. Therefore, the nurse should identify this client as the priority.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following
findings is an indication for the administration of the medication? (Select all that apply.)
Flaccid uterus is correct. Oxytocin increases the contractility of the uterus.
Cervical laceration is incorrect. Bleeding resulting from a cervical laceration continues even when the
uterus is contracted and firm. It will require repair by the provider.
Excess vaginal bleeding is correct. Oxytocin enhances uterine contractility, decreasing vaginal bleeding.
, Increased afterbirth cramping is incorrect. The use of oxytocin will increase, rather than decrease,
afterbirth cramping.
Increased maternal temperature is incorrect. The use of oxytocin will have no effect on maternal
temperature.
A nurse is teaching a new mother about newborn safety. Which of the following instructions should
thenurse include in the teaching?
Room-sharing is recommended during the first few weeks. This allows the parents to be readily
availableto the newborn and learn the newborn's cues. However, the nurse should instruct the
parents to avoid placing the newborn in their bed as it increases the risk for sudden infant death
syndrome.
A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse
that her last menstrual cycle started on November 27th. Which of the following dates is the client's
expecteddate of birth?
When using Naegele's rule to calculate the estimated date of birth for a client, the nurse should
subtract3 months from the first day of the client's last menstrual cycle and then add 7 days.
November 27th minus 3 months equals August 27th. August 27th plus 7 days equals September 3rd.
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform Leopold
maneuvers. Which of the following images indicates the first step of Leopold maneuvers?
Evidence-based practice indicates the nurse should perform this step first when performing Leopold
maneuvers. During this step, the nurse palpates the client's abdomen with her palms to determine
which fetal part is in the uterine fundus. This step also identifies the lie (transverse or longitudinal) and
presentation (cephalic or breech) of the fetus.
See an expert-written answer!
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the
nurse take prior to applying an external transducer for fetal monitoring?
