ATI MATERNAL NEWBORN PROCTORED EXAM 38
VERSIONS NGN 2023 MATERNAL NEWBORN ATI
PROCTORED EXAM ATI PROCTORED MATERNAL
ATI MATERNAL NEWBORN
Version-1
,Correct: Late decelerations are associated with uteroplacental insufficiency and are a sign
of fetal hypoxia. Repeated late decelerations indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of the fetal head
Maternal contractions are not adequate enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
3. Which preoperative nursing interventions should be included for a client who is scheduled to
have an emergency cesarean birth?
Incorrect: Monitoring O2 saturations and administering pain medications are postoperative
interventions.
Incorrect: Taking vital signs every 15 minutes is a postoperative intervention. Instructing the
client regarding breathing exercises is not appropriate in a crisis situation when the client's
anxiety is high, because information would probably not be retained. In an emergency, there is
time only for essential interventions.
Correct: Because this is an emergency, surgery must be performed quickly. Anxiety of the
client and the family will be high. Inserting an indwelling catheter helps to keep the
bladder empty and free from injury when the incision is made.
Incorrect: The nurse should have assessed breath sounds upon admission. Breath sounds are
important if the client is to receive general anesthesia, but the anesthesiologist will be listening to
breath sounds in surgery in that case.
Monitor oxygen saturation and administer pain medication.
Assess vital signs every 15 minutes and instruct the client about postoperative care.
Alleviate anxiety and insert an indwelling catheter.
,Perform a sterile vaginal examination and assess breath sounds.
4. Which nursing instruction should be given to the breastfeeding mother regarding care of the
breasts after discharge?
Incorrect: Engorgement occurs on about the third or fourth postpartum day and is a result
of the breast milk formation. The primary way to relieve engorgement is by pumping or
longer nursing. Giving a bottle of formula will compound the problem because the baby
will not be hungry and will not empty the breasts well.
Incorrect: Applying lotion to the nipples is not effective for keeping them soft. Excessive
amounts of lotion may harbor microorganisms.
Correct: In order to stimulate adequate milk production, the breasts should be pumped if
the infant is not sucking or eating well, or if the breasts are not fully emptied.
Incorrect: Using soap on the breasts dries the nipples and can cause cracking.
The baby should be given a bottle of formula if engorgement occurs.
The nipples should be covered with lotion when the baby is not nursing.
The breasts should be pumped if the baby is not sucking adequately.
The breasts should be washed with soap and water once per day.
5. A client in preterm labor is admitted to the hospital. Which classification of drugs should the
nurse anticipate administering?
Correct: Tocolytics are used to stop labor. One of the most commonly used tocolytic drugs
is ritodrine (Yutopar).
Incorrect: Anticonvulsants are used for clients with pregnancy-induced hypertension who are
likely to seize.
, Incorrect: The glucocorticoids (e.g., betamethasone and dexamethasone) are used for
accelerating fetal lung maturation and production of surfactant. They are commonly used if the
membranes are ruptured or labor cannot be stopped.
Incorrect: Anti-infective are used if there is infection. Preterm labor may or may not involve
ruptured membranes with its accompanying risk of infection.
Tocolytics
Anticonvulsants
Glucocorticoids
Anti-infective
6. Which of the following are probable signs, strongly indicating pregnancy?
Incorrect: The presence of fetal heart sounds is a positive sign of pregnancy; quickening is a
presumptive Sign of pregnancy.
Incorrect: These are presumptive signs. They may indicate pregnancy or they may be caused by
other conditions, such as disease processes.
Correct: These are probable signs that strongly indicate pregnancy. Hegar’s sign is a
softening of the lower uterine segment, and Chadwick's sign is the bluish or purplish color
of the cervix as a result of the increased blood supply and increased estrogen. Ballottement
occurs when the cervix is tapped by an examiner's finger and the fetus floats upward in the
amniotic fluid and then falls downward.
Incorrect: These are presumptive signs that might indicate pregnancy, but they might be caused
by other conditions, such as disease processes.
Presence of fetal heart sounds and quickening
Missed menstrual periods, nausea, and vomiting
VERSIONS NGN 2023 MATERNAL NEWBORN ATI
PROCTORED EXAM ATI PROCTORED MATERNAL
ATI MATERNAL NEWBORN
Version-1
,Correct: Late decelerations are associated with uteroplacental insufficiency and are a sign
of fetal hypoxia. Repeated late decelerations indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of the fetal head
Maternal contractions are not adequate enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
3. Which preoperative nursing interventions should be included for a client who is scheduled to
have an emergency cesarean birth?
Incorrect: Monitoring O2 saturations and administering pain medications are postoperative
interventions.
Incorrect: Taking vital signs every 15 minutes is a postoperative intervention. Instructing the
client regarding breathing exercises is not appropriate in a crisis situation when the client's
anxiety is high, because information would probably not be retained. In an emergency, there is
time only for essential interventions.
Correct: Because this is an emergency, surgery must be performed quickly. Anxiety of the
client and the family will be high. Inserting an indwelling catheter helps to keep the
bladder empty and free from injury when the incision is made.
Incorrect: The nurse should have assessed breath sounds upon admission. Breath sounds are
important if the client is to receive general anesthesia, but the anesthesiologist will be listening to
breath sounds in surgery in that case.
Monitor oxygen saturation and administer pain medication.
Assess vital signs every 15 minutes and instruct the client about postoperative care.
Alleviate anxiety and insert an indwelling catheter.
,Perform a sterile vaginal examination and assess breath sounds.
4. Which nursing instruction should be given to the breastfeeding mother regarding care of the
breasts after discharge?
Incorrect: Engorgement occurs on about the third or fourth postpartum day and is a result
of the breast milk formation. The primary way to relieve engorgement is by pumping or
longer nursing. Giving a bottle of formula will compound the problem because the baby
will not be hungry and will not empty the breasts well.
Incorrect: Applying lotion to the nipples is not effective for keeping them soft. Excessive
amounts of lotion may harbor microorganisms.
Correct: In order to stimulate adequate milk production, the breasts should be pumped if
the infant is not sucking or eating well, or if the breasts are not fully emptied.
Incorrect: Using soap on the breasts dries the nipples and can cause cracking.
The baby should be given a bottle of formula if engorgement occurs.
The nipples should be covered with lotion when the baby is not nursing.
The breasts should be pumped if the baby is not sucking adequately.
The breasts should be washed with soap and water once per day.
5. A client in preterm labor is admitted to the hospital. Which classification of drugs should the
nurse anticipate administering?
Correct: Tocolytics are used to stop labor. One of the most commonly used tocolytic drugs
is ritodrine (Yutopar).
Incorrect: Anticonvulsants are used for clients with pregnancy-induced hypertension who are
likely to seize.
, Incorrect: The glucocorticoids (e.g., betamethasone and dexamethasone) are used for
accelerating fetal lung maturation and production of surfactant. They are commonly used if the
membranes are ruptured or labor cannot be stopped.
Incorrect: Anti-infective are used if there is infection. Preterm labor may or may not involve
ruptured membranes with its accompanying risk of infection.
Tocolytics
Anticonvulsants
Glucocorticoids
Anti-infective
6. Which of the following are probable signs, strongly indicating pregnancy?
Incorrect: The presence of fetal heart sounds is a positive sign of pregnancy; quickening is a
presumptive Sign of pregnancy.
Incorrect: These are presumptive signs. They may indicate pregnancy or they may be caused by
other conditions, such as disease processes.
Correct: These are probable signs that strongly indicate pregnancy. Hegar’s sign is a
softening of the lower uterine segment, and Chadwick's sign is the bluish or purplish color
of the cervix as a result of the increased blood supply and increased estrogen. Ballottement
occurs when the cervix is tapped by an examiner's finger and the fetus floats upward in the
amniotic fluid and then falls downward.
Incorrect: These are presumptive signs that might indicate pregnancy, but they might be caused
by other conditions, such as disease processes.
Presence of fetal heart sounds and quickening
Missed menstrual periods, nausea, and vomiting
