ATI PN MATERNAL NEWBORN PROCTORED 2024
ACTUAL EXAM COMPLETE EXAM 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who is at 16 weeks of gestation and is at
risk for developing hyperemesis gravidarum. Which of the following
conditions places the client at an increased risk for developing this
condition? - ANSWER- diabetes mellitus
A nurse is caring for a postpartum client who has an episiotomy. Which
of the following actions should the nurse take? - ANSWER- apply an
anesthetic spray to the client's perineal area as needed for pain
A nurse is collecting data from a client who has hyperemesis
gravidarum. Which of the following findings indicates that the client is
at risk for dehydration? - ANSWER- ketonuria
A nurse is reinforcing discharge teaching about car seat safety with the
guardian of a newborn. which of the following statement by the guardian
demonstrates in understanding of the teaching?
"I will place my baby at a 45-degree angle in the car seat."
"I will position the harness retainer clip across my baby's stomach."
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"I will keep my baby's car seat rear-facing until she weighs 20 pounds
and is 1 year old."
"I will place padding under my baby's back until she reaches 10
pounds." - ANSWER- I will place my baby at a 45-degree angle in the
car seat
Rationale: The newborn should be placed in the car seat at a 45°
angle to prevent slumping and airway obstruction. The newborn
will be unable to hold their head erect. Therefore, the newborn's
head should be supported at all times.
A nurse on a postpartum unit is reinforcing teaching with an assistive
personnel (AP) about preventing newborn abduction. Which of the
following information should the nurse include? - ANSWER- the AP
should have their photo identification badge displayed
A nurse is assisting with the care of a client who is in the active stage of
labor. For which of the following findings should the nurse notify the
provider? - ANSWER- prolapsed umbilical cord
A nurse in an antepartum clinic is collecting data from a client who is at
28 weeks of gestation. Which of the following findings should the nurse
identify as an indication of a potential complications? - ANSWER-
dysuria
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A nurse is assisting with the care of a client who is in active labor and
notes late decelerations in the fetal heart rate. Which of the following
actions should the nurse take first? - ANSWER- place the client in a
side-lying position
A nurse is planning to administer phytonadione IM to a newborn shortly
after birth. The nurse should identify that this medication is administered
to prevent which of the following complications? - ANSWER-
hemorrhage disease
A nurse is contributing to the plan of care for a client who is in labor and
tested positive for group B streptococcus B-hemolytic. which of the
following interventions should the nurse include in the plan of care? -
ANSWER- administer ampicillin via intermittent IV bolus
A nurse is reviewing the laboratory results of a client who is at weeks of
gestation. Which of the following results should the nurse report to the
provider? - ANSWER- Hct 31%
A nurse is collecting data from a newborn who has Down syndrome.
Which of the following should the nurse expect in a term newborn who
has Down syndrome? - ANSWER- hypotonic muscle tone
a nurse is collecting data from a client who is pregnant and reports that
the first day of their last menstrual period was Jan 27. According to
Nagele's rule, the nurse should calculate the client's estimated date of
delivery as which of the following? - ANSWER- Nov 3
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A nurse is contributing to the plan of care for a full term newborn whose
mother has type 1 diabetes mellitus. Which of the following is the
priority action for the nurse to include in the plan of care?
Obtain the glucose level of the newborn.
Administer vitamin K and erythromycin.
Give the newborn a sponge bath.
Complete the metabolic screening test. - ANSWER- obtain the glucose
level of the newborn
Rationale: The newborn is at risk for developing hypoglycemia. If
brain cells become completely depleted of glucose, brain damage can
occur. Therefore, this is the priority action the nurse should include
in the plan of care.
A nurse is reinforcing teaching about daily fetal movement count with a
client who is at 34 weeks of gestation. Which of the following
statements by the client indicates an understanding of the teaching?
"I should have further testing if my baby moves 10 times in 1 hour."
"I should expect my baby's movements to decrease as I get close to my
due date."
"I will lay flat on my back while counting my baby's movements."