ATI PN MATERNITY PROCTORED 2024 EXAM (BRAND
NEW!!) TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. The nurse is counseling a couple who has sought information about
conceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct?
o A. Two weeks before menstruation.
o B. Immediately after menstruation.
o C. Immediately before menstruation.
o D. Three weeks before menstruation.
Answer
Correct Answer: A. Two weeks before menstruation
Ovulation occurs 14 days before the first day of the menstrual period (A).
Although ovulation can occur in the middle of the cycle or 2 weeks after
menstruation, this is only true for a woman who has a perfect 28-day cycle.
For many women, the length of the menstrual cycle varies.
• Option B: After the follicle releases its egg, it changes into the
corpus luteum. This structure releases hormones, mainly
progesterone and some estrogen. The rise in hormones keeps
the uterine lining thick and ready for a fertilized egg to
implant. If the woman does get pregnant, her body will
produce human chorionic gonadotropin (hCG). This is the
hormone pregnancy tests detect. It helps maintain the corpus
luteum and keeps the uterine lining thick. If the woman
doesn’t get pregnant, the corpus luteum will shrink away and
be resorbed. This leads to decreased levels of estrogen and
progesterone, which causes the onset of the period. The
uterine lining will shed during this period.
• Option C: The menstrual phase is the first stage of the
menstrual cycle. It’s also when the woman gets her period.
This phase starts when an egg from the previous cycle isn’t
fertilized. Because pregnancy hasn’t taken place, levels of the
hormones estrogen and progesterone drop. The thickened
, lining of the uterus, which would support a pregnancy, is no
longer needed, so it sheds through the vagina. During this
period, there is a release of a combination of blood, mucus,
and tissue from the uterus.
• Option D: During each menstrual cycle, an egg develops and
is released from the ovaries. The lining of the uterus builds up.
If a pregnancy doesn’t happen, the uterine lining sheds during
a menstrual period. Then the cycle starts again.
2. 2. Question
1 point(s)
The nurse instructs a laboring client to use accelerated blow breathing. The
client begins to complain of tingling fingers and dizziness. Which action
should the nurse take?
o A. Administer oxygen by face mask.
o B. Notify the health care provider of the client's symptoms.
o C. Have the client breathe into her cupped hands.
o D. Check the client's blood pressure and fetal heart rate.
Answer
Correct Answer: C. Have the client breathe into her cupped hands.
Tingling fingers and dizziness are signs of hyperventilation (blowing off too
much carbon dioxide). Hyperventilation is treated by retaining carbon
dioxide. This can be facilitated by breathing into a paper bag or cupped
hands.
• Option A: Giving oxygen is inappropriate because the carbon
dioxide level is low, not the oxygen level.
• Option B: Before notifying the healthcare provider, the nurse
may first intervene by having the client breathe into her
cupped hands. If the client’s situation does not improve, the
nurse may notify the physician.
• Option D: The client’s blood pressure and fetal heart rate are
not related to the low levels of carbon dioxide in her body. It is
due to blowing off too much carbon dioxide while using blow
breathing exercises.
,3. 3. Question
1 point(s)
When assessing a client at 12 weeks of gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
o A. At 16 weeks of gestation.
o B. At 20 weeks of gestation.
o C. At 24 weeks of gestation.
o D. At 30 weeks of gestation.
Answer
Correct Answer: D. At 30 weeks of gestation.
Learning is facilitated by an interested pupil. The couple is most interested
in childbirth toward the end of the pregnancy when they are beginning to
anticipate the onset of labor and the birth of their child. At 30 weeks, is
closest to the time when parents would be ready for such classes.
• Option A: This would not be the best time during pregnancy
for the couple to attend childbirth education classes. At these
times they will have other teaching needs. Early pregnancy
classes often include topics such as nutrition, physiologic
changes, coping with normal discomforts of pregnancy, fetal
development, maternal and fetal risk factors, and evolving
roles of the mother and her significant others.
• Option B: At 20 weeks gestation, the couple may have an
ultrasound to check the fetus’ gender. This is also the time
when the scan may show the beating of the fetus’ heart, the
curve of his spine, or his arms and legs kicking.
• Option C: During the 24th week of gestation, the couple may
think about where they should have the baby; learn about the
signs of preterm labor; and how they could introduce the new
baby to his siblings.
4. 4. Question
1 point(s)
One hour following a normal vaginal delivery, a newborn infant boy’s
axillary temperature is 96° F, his lower lip is shaking and, when the nurse
, assesses for a Moro reflex, the boy’s hands shake. Which intervention
should the nurse implement first?
o A. Stimulate the infant to cry.
o B. Wrap the infant in warm blankets.
o C. Feed the infant formula.
o D. Obtain a serum glucose level.
Answer
Correct Answer: D. Obtain a serum glucose level.
This infant is demonstrating signs of hypoglycemia, possibly secondary to a
low body temperature. The nurse should first determine the serum glucose
level.
• Option A: Stimulating the infant to cry is an intervention for a
lethargic infant.
• Option B: This intervention should be done based on the
temperature, but first the glucose level should be obtained.
• Option C: Feeding the infant with formula helps raise the
blood sugar, but first, the nurse should determine the glucose
level.
5. 5. Question
1 point(s)
Which statement made by the client indicates that the mother understands
the limitations of breastfeeding her newborn?
o A. "Breastfeeding my infant consistently every 3 to 4 hours stops
ovulation and my period."
o B. "Breastfeeding my baby immediately after drinking alcohol is
safer than waiting for the alcohol to clear my breast milk."
o C. "I can start smoking cigarettes while breastfeeding because it will
not affect my breast milk."
o D. "When I take a warm shower after I breastfeed, it relieves the pain
from being engorged between breastfeedings."
Answer
NEW!!) TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. The nurse is counseling a couple who has sought information about
conceiving. The couple asks the nurse to explain when ovulation usually
occurs. Which statement by the nurse is correct?
o A. Two weeks before menstruation.
o B. Immediately after menstruation.
o C. Immediately before menstruation.
o D. Three weeks before menstruation.
Answer
Correct Answer: A. Two weeks before menstruation
Ovulation occurs 14 days before the first day of the menstrual period (A).
Although ovulation can occur in the middle of the cycle or 2 weeks after
menstruation, this is only true for a woman who has a perfect 28-day cycle.
For many women, the length of the menstrual cycle varies.
• Option B: After the follicle releases its egg, it changes into the
corpus luteum. This structure releases hormones, mainly
progesterone and some estrogen. The rise in hormones keeps
the uterine lining thick and ready for a fertilized egg to
implant. If the woman does get pregnant, her body will
produce human chorionic gonadotropin (hCG). This is the
hormone pregnancy tests detect. It helps maintain the corpus
luteum and keeps the uterine lining thick. If the woman
doesn’t get pregnant, the corpus luteum will shrink away and
be resorbed. This leads to decreased levels of estrogen and
progesterone, which causes the onset of the period. The
uterine lining will shed during this period.
• Option C: The menstrual phase is the first stage of the
menstrual cycle. It’s also when the woman gets her period.
This phase starts when an egg from the previous cycle isn’t
fertilized. Because pregnancy hasn’t taken place, levels of the
hormones estrogen and progesterone drop. The thickened
, lining of the uterus, which would support a pregnancy, is no
longer needed, so it sheds through the vagina. During this
period, there is a release of a combination of blood, mucus,
and tissue from the uterus.
• Option D: During each menstrual cycle, an egg develops and
is released from the ovaries. The lining of the uterus builds up.
If a pregnancy doesn’t happen, the uterine lining sheds during
a menstrual period. Then the cycle starts again.
2. 2. Question
1 point(s)
The nurse instructs a laboring client to use accelerated blow breathing. The
client begins to complain of tingling fingers and dizziness. Which action
should the nurse take?
o A. Administer oxygen by face mask.
o B. Notify the health care provider of the client's symptoms.
o C. Have the client breathe into her cupped hands.
o D. Check the client's blood pressure and fetal heart rate.
Answer
Correct Answer: C. Have the client breathe into her cupped hands.
Tingling fingers and dizziness are signs of hyperventilation (blowing off too
much carbon dioxide). Hyperventilation is treated by retaining carbon
dioxide. This can be facilitated by breathing into a paper bag or cupped
hands.
• Option A: Giving oxygen is inappropriate because the carbon
dioxide level is low, not the oxygen level.
• Option B: Before notifying the healthcare provider, the nurse
may first intervene by having the client breathe into her
cupped hands. If the client’s situation does not improve, the
nurse may notify the physician.
• Option D: The client’s blood pressure and fetal heart rate are
not related to the low levels of carbon dioxide in her body. It is
due to blowing off too much carbon dioxide while using blow
breathing exercises.
,3. 3. Question
1 point(s)
When assessing a client at 12 weeks of gestation, the nurse recommends
that she and her husband consider attending childbirth preparation classes.
When is the best time for the couple to attend these classes?
o A. At 16 weeks of gestation.
o B. At 20 weeks of gestation.
o C. At 24 weeks of gestation.
o D. At 30 weeks of gestation.
Answer
Correct Answer: D. At 30 weeks of gestation.
Learning is facilitated by an interested pupil. The couple is most interested
in childbirth toward the end of the pregnancy when they are beginning to
anticipate the onset of labor and the birth of their child. At 30 weeks, is
closest to the time when parents would be ready for such classes.
• Option A: This would not be the best time during pregnancy
for the couple to attend childbirth education classes. At these
times they will have other teaching needs. Early pregnancy
classes often include topics such as nutrition, physiologic
changes, coping with normal discomforts of pregnancy, fetal
development, maternal and fetal risk factors, and evolving
roles of the mother and her significant others.
• Option B: At 20 weeks gestation, the couple may have an
ultrasound to check the fetus’ gender. This is also the time
when the scan may show the beating of the fetus’ heart, the
curve of his spine, or his arms and legs kicking.
• Option C: During the 24th week of gestation, the couple may
think about where they should have the baby; learn about the
signs of preterm labor; and how they could introduce the new
baby to his siblings.
4. 4. Question
1 point(s)
One hour following a normal vaginal delivery, a newborn infant boy’s
axillary temperature is 96° F, his lower lip is shaking and, when the nurse
, assesses for a Moro reflex, the boy’s hands shake. Which intervention
should the nurse implement first?
o A. Stimulate the infant to cry.
o B. Wrap the infant in warm blankets.
o C. Feed the infant formula.
o D. Obtain a serum glucose level.
Answer
Correct Answer: D. Obtain a serum glucose level.
This infant is demonstrating signs of hypoglycemia, possibly secondary to a
low body temperature. The nurse should first determine the serum glucose
level.
• Option A: Stimulating the infant to cry is an intervention for a
lethargic infant.
• Option B: This intervention should be done based on the
temperature, but first the glucose level should be obtained.
• Option C: Feeding the infant with formula helps raise the
blood sugar, but first, the nurse should determine the glucose
level.
5. 5. Question
1 point(s)
Which statement made by the client indicates that the mother understands
the limitations of breastfeeding her newborn?
o A. "Breastfeeding my infant consistently every 3 to 4 hours stops
ovulation and my period."
o B. "Breastfeeding my baby immediately after drinking alcohol is
safer than waiting for the alcohol to clear my breast milk."
o C. "I can start smoking cigarettes while breastfeeding because it will
not affect my breast milk."
o D. "When I take a warm shower after I breastfeed, it relieves the pain
from being engorged between breastfeedings."
Answer
