2023 2024 ATI MATERNAL
NEWBORN PROCTORED EXAM
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
Insert two gloved fingers into the vagina and apply
upward pressure to
thepresenting
part
actions should the nurse take?
a.
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
c. Polyuria
d. Blurred vision
1. Two days after delivery, a postpartum client prepares for discharge.
What should the nurse teach her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red)
on days 1−3, to lochia serosa (pinkish brown) on days 4−9, to lochia alba
(creamy white) days 10−21.
Incorrect: Numerous clots are abnormal and should be reported to the
physician.
, Incorrect: Saturation of the perineal pad is considered abnormal and may
indicate postpartum hemorrhage.
Correct: Lochia normally lasts for about 21 days, and changes from a
bright red, topinkish brown, to creamy white.
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up from
the bed
Lochia should last for about 3 weeks, changing color every few days
2. A nurse monitors fetal well−being by means of an external monitor. At
the peak of the contractions, the fetal heart rate has repeatedly dropped 30
beats/min below the baseline. Late decelerations are suspected and the
nurse notifies the physician. Which is the rationale for this action?
Incorrect: A nuchal cord (cord around the neck) is associated with variable
decelerations, not late decelerations.
Incorrect: Variable decelerations (not late decelerations) are associated with
cord compression.
Incorrect: Late decelerations are a result of hypoxia. They are not reflective
of the strength of maternal contractions.
Correct: Late decelerations are associated with uteroplacental
insufficiency and are a signof 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
NEWBORN PROCTORED EXAM
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
Insert two gloved fingers into the vagina and apply
upward pressure to
thepresenting
part
actions should the nurse take?
a.
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
c. Polyuria
d. Blurred vision
1. Two days after delivery, a postpartum client prepares for discharge.
What should the nurse teach her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red)
on days 1−3, to lochia serosa (pinkish brown) on days 4−9, to lochia alba
(creamy white) days 10−21.
Incorrect: Numerous clots are abnormal and should be reported to the
physician.
, Incorrect: Saturation of the perineal pad is considered abnormal and may
indicate postpartum hemorrhage.
Correct: Lochia normally lasts for about 21 days, and changes from a
bright red, topinkish brown, to creamy white.
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up from
the bed
Lochia should last for about 3 weeks, changing color every few days
2. A nurse monitors fetal well−being by means of an external monitor. At
the peak of the contractions, the fetal heart rate has repeatedly dropped 30
beats/min below the baseline. Late decelerations are suspected and the
nurse notifies the physician. Which is the rationale for this action?
Incorrect: A nuchal cord (cord around the neck) is associated with variable
decelerations, not late decelerations.
Incorrect: Variable decelerations (not late decelerations) are associated with
cord compression.
Incorrect: Late decelerations are a result of hypoxia. They are not reflective
of the strength of maternal contractions.
Correct: Late decelerations are associated with uteroplacental
insufficiency and are a signof 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
