ATI MATERNAL NEWBORN PROCTORED EXAM 2023
1. A nurse is assessing a client who has gestational diabetes and is
experiencinghyperglycemia. Which of the following findings should the
nurse expect?
a. Reports increased urinary output
b. Diaphoresis
c. Reports blurred vision
d. Shallow respirations
2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which
of the following actions should the nurse take?
a. Administer penicillin G 2.4 million units IM to the client
b. Instruct the client to schedule an annual pelvic examination
c. Tell the client she will start medication for HIV immediately after delivery
d. Report the client’s condition to the local health department
3. A nurse is providing teaching for a client who has a new prescription for combined
oral contraceptives. Which of the following findings should the nurse include as an
adverseeffect of this medication?
a. Depression
b. Polyuria
c. Hypotension
d. Urticaria
4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a
newprescription for misoprostol. Which of the following instructions should the
nurse include in the teaching?
a. “I can administer oxytocin 4 hours after the insertion of the medication”
b. “You will need a full bladder prior to the insertion of the medication” - no need
toempty bladder first
c. “Remain in a side-lying position for 15 minutes after the medication is inserted”
d. “An antacid will be given 20 minutes prior to the insertion of the medication”
5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of
the following actions should the nurse take?
a. Administer antiviral medication
b. Schedule an ultrasound examination
, c. Administer Haemophilus influenza type b vaccine
d. Schedule an indirect Coombs’ test
6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick.
Whichof the following techniques should the nurse use to help minimize the pain of
the procedure for the newborn?
a. Apply a cool back for 10 minutes to the heel prior to the puncture
b. Request a prescription for IM analgesic
c. Use a manual lace blade to pierce the skin
d. Place the newborn skin to skin on the mother’s chest
7. A nurse is performing a vaginal examination on a client who is in labor and observes
theumbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take?
a. Insert two gloved fingers into the vagina and apply upward pressure to
thepresenting part
b. Wrap the visible cord tightly with sterile, dry gauze
c. Apply oxygen to the client at 2 L/min via nasal cannula
d. Place the client in the lithotomy position and apply fundal pressure
8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption? Which of the following laboratory tests should the nurse expect
theprovider to prescribe?
a. Kleihauer-Betke test
b. Progesterone serum level
c. Lecithin/sphingomyelin (L/S) ration
d. Maternal Alpha-fetoprotein (AFP)
9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use.
Forwhich of the following complications should the nurse assess?
a. Abruptio placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia
10. A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect?
a. 2+ deep tendon reflex
b. Proteinuria of 200mg in a 24-hr specimen
1. A nurse is assessing a client who has gestational diabetes and is
experiencinghyperglycemia. Which of the following findings should the
nurse expect?
a. Reports increased urinary output
b. Diaphoresis
c. Reports blurred vision
d. Shallow respirations
2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which
of the following actions should the nurse take?
a. Administer penicillin G 2.4 million units IM to the client
b. Instruct the client to schedule an annual pelvic examination
c. Tell the client she will start medication for HIV immediately after delivery
d. Report the client’s condition to the local health department
3. A nurse is providing teaching for a client who has a new prescription for combined
oral contraceptives. Which of the following findings should the nurse include as an
adverseeffect of this medication?
a. Depression
b. Polyuria
c. Hypotension
d. Urticaria
4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a
newprescription for misoprostol. Which of the following instructions should the
nurse include in the teaching?
a. “I can administer oxytocin 4 hours after the insertion of the medication”
b. “You will need a full bladder prior to the insertion of the medication” - no need
toempty bladder first
c. “Remain in a side-lying position for 15 minutes after the medication is inserted”
d. “An antacid will be given 20 minutes prior to the insertion of the medication”
5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of
the following actions should the nurse take?
a. Administer antiviral medication
b. Schedule an ultrasound examination
, c. Administer Haemophilus influenza type b vaccine
d. Schedule an indirect Coombs’ test
6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick.
Whichof the following techniques should the nurse use to help minimize the pain of
the procedure for the newborn?
a. Apply a cool back for 10 minutes to the heel prior to the puncture
b. Request a prescription for IM analgesic
c. Use a manual lace blade to pierce the skin
d. Place the newborn skin to skin on the mother’s chest
7. A nurse is performing a vaginal examination on a client who is in labor and observes
theumbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take?
a. Insert two gloved fingers into the vagina and apply upward pressure to
thepresenting part
b. Wrap the visible cord tightly with sterile, dry gauze
c. Apply oxygen to the client at 2 L/min via nasal cannula
d. Place the client in the lithotomy position and apply fundal pressure
8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected
placental abruption? Which of the following laboratory tests should the nurse expect
theprovider to prescribe?
a. Kleihauer-Betke test
b. Progesterone serum level
c. Lecithin/sphingomyelin (L/S) ration
d. Maternal Alpha-fetoprotein (AFP)
9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use.
Forwhich of the following complications should the nurse assess?
a. Abruptio placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia
10. A nurse is assessing a client who has severe preeclampsia. Which of the following
manifestations should the nurse expect?
a. 2+ deep tendon reflex
b. Proteinuria of 200mg in a 24-hr specimen
