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ATI RN MATERNITY PROCTORED NEWEST 2024
ACTUAL EXAM TEST BANK COMPLETE 400
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is caring for a postpartum client 8hrs after delivery. What
factors place the client at risk for uterine atony? select all
a. oxytocin infusion
b. prolonged labor
c. mag sulfate infusion
d. small for gestational age newborn
e. distended bladder - ANSWER- b. prolonged labor
Rationale; Prolonged labor can stretch out the musculature of the
uterus and cause fatigue, which prevents the uterus from
contracting.
c. mag sulfate infusion
Magnesium sulfate is a smooth muscle relaxant and can prevent
adequate contraction of the uterus.
e. distended bladder
After birth, clients can experience a decreased urge to void due to
birth-induced trauma, increased bladder capacity, and anesthetics,
which can result in a distended bladder. The distended bladder
displaces the uterus and can prevent adequate contraction of the
uterus.
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A nurse is assessing a newborn for congenital hip dysplasia. What
finding should the nurse expect?
a. temp of one leg differing from that of the other
b. symmetrical gluteal folds
c. limited abduction of one hip
d. legs that are shorter than the arms - ANSWER- c. limited abduction of
one hip
Rationale; A newborn who has congenital hip dysplasia can have
limited abduction because the head of the femur might have slipped
out of the acetabulum.
asymmetrical gluteal folds
A nurse is testing the reflexes of a newborn to assess neurologic
maturity. What reflexes is the nurse assessing when she quickly and
gently turns the newborn's head to one side?
a. moro
b. babinski
c. rooting
d. tonic neck - ANSWER- d. tonic neck
Rationale; To elicit the tonic neck reflex, the nurse should quickly
and gently turn the newborn's head to one side when he is sleeping
or falling asleep. The newborn's arm and leg should extend outward
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to the same side that the nurse turned his head while the opposite
arm and leg flex. This reflex persists for about 3 to 4 months.
A nurse is assessing a newborn who was born at 39 wks gestation. What
finding should the nurse expect?
a. symmetric rib cage
b. lanugo abundant on the back
c. dry, wrinkled skin
d. vernix over the entire body - ANSWER- a. symmetric rib cage
Rationale; A newborn who is born at 39 weeks of gestation is full-
term and should have normal, smooth skin with good turgor and the
presence of subcutaneous fat pockets. A postmature newborn,
greater than 42 weeks of gestation, will have dry, cracked skin with
a wrinkled appearance.
A nurse is assessing a 2 day old newborn and notes an egg-shaped,
edematous, bluish discoloration that does not cross the suture line. What
pieces of info should the nurse provide to the mother when she inquires
about the finding?
a. this will resolve within 3-6 wks without treatment
b. this will resolve on its own within 3-4 days
c. this is expected at birth so you don't need to worry about it
d. the provider might drain this area with a syringe - ANSWER- a. this
will resolve within 3-6 wks without treatment
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A nurse is assessing a client who is postpartum following a vacuum-
assisted birth. For what finding should the nurse monitor to identify a
cervical laceration?
a. a gush of rubra lochia when the nurse massages the uterus
b. continuous lochia flow and flaccid uterus
c. slow trickle of bright vaginal bleeding and a firm fundus
d. report of increasing pain and pressure in the perineal area -
ANSWER- c. slow trickle of bright vaginal bleeding and a firm fundus
Rationale; The nurse should monitor for bright red bleeding as a
slow trickle, oozing or outright bleeding,and a firm fundus to
identify a cervical laceration.
A nurse is planning care for a client who is postpartum and has cardiac
disease. For what script should the nurse seek clarification?
a. initiate bedrest with HOB elevated
b. initiate high-fiber diet for client
c. monitor clients wt wkly
d. monitor client's I&O - ANSWER- c. monitor clients wt wkly
Rationale; The nurse should weigh the client daily to monitor for
fluid overload.
A nurse is providing teaching to a client who is postpartum and does not
plan to breastfeed her newborn. What instructions should the nurse
include in the teaching?
ATI RN MATERNITY PROCTORED NEWEST 2024
ACTUAL EXAM TEST BANK COMPLETE 400
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse is caring for a postpartum client 8hrs after delivery. What
factors place the client at risk for uterine atony? select all
a. oxytocin infusion
b. prolonged labor
c. mag sulfate infusion
d. small for gestational age newborn
e. distended bladder - ANSWER- b. prolonged labor
Rationale; Prolonged labor can stretch out the musculature of the
uterus and cause fatigue, which prevents the uterus from
contracting.
c. mag sulfate infusion
Magnesium sulfate is a smooth muscle relaxant and can prevent
adequate contraction of the uterus.
e. distended bladder
After birth, clients can experience a decreased urge to void due to
birth-induced trauma, increased bladder capacity, and anesthetics,
which can result in a distended bladder. The distended bladder
displaces the uterus and can prevent adequate contraction of the
uterus.
,2|Page
A nurse is assessing a newborn for congenital hip dysplasia. What
finding should the nurse expect?
a. temp of one leg differing from that of the other
b. symmetrical gluteal folds
c. limited abduction of one hip
d. legs that are shorter than the arms - ANSWER- c. limited abduction of
one hip
Rationale; A newborn who has congenital hip dysplasia can have
limited abduction because the head of the femur might have slipped
out of the acetabulum.
asymmetrical gluteal folds
A nurse is testing the reflexes of a newborn to assess neurologic
maturity. What reflexes is the nurse assessing when she quickly and
gently turns the newborn's head to one side?
a. moro
b. babinski
c. rooting
d. tonic neck - ANSWER- d. tonic neck
Rationale; To elicit the tonic neck reflex, the nurse should quickly
and gently turn the newborn's head to one side when he is sleeping
or falling asleep. The newborn's arm and leg should extend outward
,3|Page
to the same side that the nurse turned his head while the opposite
arm and leg flex. This reflex persists for about 3 to 4 months.
A nurse is assessing a newborn who was born at 39 wks gestation. What
finding should the nurse expect?
a. symmetric rib cage
b. lanugo abundant on the back
c. dry, wrinkled skin
d. vernix over the entire body - ANSWER- a. symmetric rib cage
Rationale; A newborn who is born at 39 weeks of gestation is full-
term and should have normal, smooth skin with good turgor and the
presence of subcutaneous fat pockets. A postmature newborn,
greater than 42 weeks of gestation, will have dry, cracked skin with
a wrinkled appearance.
A nurse is assessing a 2 day old newborn and notes an egg-shaped,
edematous, bluish discoloration that does not cross the suture line. What
pieces of info should the nurse provide to the mother when she inquires
about the finding?
a. this will resolve within 3-6 wks without treatment
b. this will resolve on its own within 3-4 days
c. this is expected at birth so you don't need to worry about it
d. the provider might drain this area with a syringe - ANSWER- a. this
will resolve within 3-6 wks without treatment
, 4|Page
A nurse is assessing a client who is postpartum following a vacuum-
assisted birth. For what finding should the nurse monitor to identify a
cervical laceration?
a. a gush of rubra lochia when the nurse massages the uterus
b. continuous lochia flow and flaccid uterus
c. slow trickle of bright vaginal bleeding and a firm fundus
d. report of increasing pain and pressure in the perineal area -
ANSWER- c. slow trickle of bright vaginal bleeding and a firm fundus
Rationale; The nurse should monitor for bright red bleeding as a
slow trickle, oozing or outright bleeding,and a firm fundus to
identify a cervical laceration.
A nurse is planning care for a client who is postpartum and has cardiac
disease. For what script should the nurse seek clarification?
a. initiate bedrest with HOB elevated
b. initiate high-fiber diet for client
c. monitor clients wt wkly
d. monitor client's I&O - ANSWER- c. monitor clients wt wkly
Rationale; The nurse should weigh the client daily to monitor for
fluid overload.
A nurse is providing teaching to a client who is postpartum and does not
plan to breastfeed her newborn. What instructions should the nurse
include in the teaching?
