ATI PN MATERNAL NEWBORN
PROCTORED EXAM
Question 1:
A nurse is caring for a client who is at 34 weeks of gestation and experiencing
preterm labor. Which of the following medications should the nurse plan to
administer to accelerate fetal lung maturity?
A) Betamethasone
B) Nifedipine
C) Terbutaline
D) Indomethacin
Answer: A) Betamethasone
Question 2:
A nurse is assessing a newborn who is 2 hours old. Which of the following findings
should the nurse report to the provider?
A) Respiratory rate of 50/min
B) Heart rate of 140/min
C) Axillary temperature of 36.2°C (97.2°F)
D) Nasal flaring
Answer: D) Nasal flaring
Question 3:
A nurse is teaching a client who is postpartum about newborn care. Which of the
following instructions should the nurse include?
A) "Bathe your baby daily using warm water and mild soap."
B) "Place your baby on their stomach to sleep to prevent aspiration."
,C) "Clean the umbilical cord stump with alcohol until it falls off."
D) "Cover your baby with a blanket when feeding to keep them warm."
Answer: C) "Clean the umbilical cord stump with alcohol until it falls off."
Question 4:
A nurse is providing discharge teaching to a client who is postpartum and
breastfeeding. Which of the following statements indicates an understanding of the
teaching?
A) "I will drink at least 3 liters of water each day."
B) "I should limit my intake of calcium-rich foods."
C) "I will stop breastfeeding if I experience breast tenderness."
D) "I should avoid breastfeeding on demand."
Answer: A) "I will drink at least 3 liters of water each day."
Question 5:
A nurse is caring for a newborn who has jaundice. Which of the following
interventions should the nurse implement?
A) Discontinue breastfeeding and switch to formula
B) Keep the newborn's room warm and dim
C) Initiate phototherapy
D) Offer glucose water between feedings
Answer: C) Initiate phototherapy
Question 6:
A nurse is caring for a client who is at 36 weeks of gestation and reports having no
fetal movement for 24 hours. Which of the following actions should the nurse take?
,A) Reassure the client that this is normal at 36 weeks
B) Auscultate for a fetal heart rate
C) Schedule the client for a nonstress test
D) Instruct the client to perform kick counts for another hour
Answer: B) Auscultate for a fetal heart rate
Question 7:
A nurse is caring for a newborn who is small for gestational age (SGA). Which of the
following findings should the nurse expect?
A) Hyperglycemia
B) Bulging fontanelles
C) Wasted appearance of extremities
D) Increased subcutaneous fat
Answer: C) Wasted appearance of extremities
Question 8:
A nurse is providing care to a client in labor. The fetal heart rate is 90/min, and the
nurse notes late decelerations on the fetal monitor. Which of the following is the
priority action?
A) Increase the rate of the IV fluid infusion
B) Apply oxygen at 10 L/min via a nonrebreather mask
C) Reposition the client to her side
D) Notify the provider
Answer: C) Reposition the client to her side
Question 9:
, A nurse is caring for a client who is 1 day postpartum. The client asks about changes
in her lochia. Which of the following information should the nurse include in her
teaching?
A) "Lochia should change from red to pink by the third day postpartum."
B) "Lochia should be odorless."
C) "Lochia will remain bright red for 7 days."
D) "Lochia will increase in amount each day for the first week."
Answer: B) "Lochia should be odorless."
Question 10:
A nurse is planning to administer erythromycin ophthalmic ointment to a newborn.
Which of the following actions should the nurse take?
A) Apply the ointment from the outer canthus to the inner canthus of each eye
B) Administer the ointment within 1 hour after birth
C) Wipe off excess ointment immediately after administration
D) Place the ointment directly on the cornea
Answer: B) Administer the ointment within 1 hour after birth
Question 11:
A nurse is caring for a client who is in active labor. The client reports feeling a sudden
gush of fluid from her vagina. The nurse notes variable decelerations on the fetal
heart monitor. Which of the following actions should the nurse take?
A) Perform a sterile vaginal exam
B) Prepare the client for an emergency cesarean section
C) Administer oxygen via face mask
D) Reposition the client to a side-lying position
PROCTORED EXAM
Question 1:
A nurse is caring for a client who is at 34 weeks of gestation and experiencing
preterm labor. Which of the following medications should the nurse plan to
administer to accelerate fetal lung maturity?
A) Betamethasone
B) Nifedipine
C) Terbutaline
D) Indomethacin
Answer: A) Betamethasone
Question 2:
A nurse is assessing a newborn who is 2 hours old. Which of the following findings
should the nurse report to the provider?
A) Respiratory rate of 50/min
B) Heart rate of 140/min
C) Axillary temperature of 36.2°C (97.2°F)
D) Nasal flaring
Answer: D) Nasal flaring
Question 3:
A nurse is teaching a client who is postpartum about newborn care. Which of the
following instructions should the nurse include?
A) "Bathe your baby daily using warm water and mild soap."
B) "Place your baby on their stomach to sleep to prevent aspiration."
,C) "Clean the umbilical cord stump with alcohol until it falls off."
D) "Cover your baby with a blanket when feeding to keep them warm."
Answer: C) "Clean the umbilical cord stump with alcohol until it falls off."
Question 4:
A nurse is providing discharge teaching to a client who is postpartum and
breastfeeding. Which of the following statements indicates an understanding of the
teaching?
A) "I will drink at least 3 liters of water each day."
B) "I should limit my intake of calcium-rich foods."
C) "I will stop breastfeeding if I experience breast tenderness."
D) "I should avoid breastfeeding on demand."
Answer: A) "I will drink at least 3 liters of water each day."
Question 5:
A nurse is caring for a newborn who has jaundice. Which of the following
interventions should the nurse implement?
A) Discontinue breastfeeding and switch to formula
B) Keep the newborn's room warm and dim
C) Initiate phototherapy
D) Offer glucose water between feedings
Answer: C) Initiate phototherapy
Question 6:
A nurse is caring for a client who is at 36 weeks of gestation and reports having no
fetal movement for 24 hours. Which of the following actions should the nurse take?
,A) Reassure the client that this is normal at 36 weeks
B) Auscultate for a fetal heart rate
C) Schedule the client for a nonstress test
D) Instruct the client to perform kick counts for another hour
Answer: B) Auscultate for a fetal heart rate
Question 7:
A nurse is caring for a newborn who is small for gestational age (SGA). Which of the
following findings should the nurse expect?
A) Hyperglycemia
B) Bulging fontanelles
C) Wasted appearance of extremities
D) Increased subcutaneous fat
Answer: C) Wasted appearance of extremities
Question 8:
A nurse is providing care to a client in labor. The fetal heart rate is 90/min, and the
nurse notes late decelerations on the fetal monitor. Which of the following is the
priority action?
A) Increase the rate of the IV fluid infusion
B) Apply oxygen at 10 L/min via a nonrebreather mask
C) Reposition the client to her side
D) Notify the provider
Answer: C) Reposition the client to her side
Question 9:
, A nurse is caring for a client who is 1 day postpartum. The client asks about changes
in her lochia. Which of the following information should the nurse include in her
teaching?
A) "Lochia should change from red to pink by the third day postpartum."
B) "Lochia should be odorless."
C) "Lochia will remain bright red for 7 days."
D) "Lochia will increase in amount each day for the first week."
Answer: B) "Lochia should be odorless."
Question 10:
A nurse is planning to administer erythromycin ophthalmic ointment to a newborn.
Which of the following actions should the nurse take?
A) Apply the ointment from the outer canthus to the inner canthus of each eye
B) Administer the ointment within 1 hour after birth
C) Wipe off excess ointment immediately after administration
D) Place the ointment directly on the cornea
Answer: B) Administer the ointment within 1 hour after birth
Question 11:
A nurse is caring for a client who is in active labor. The client reports feeling a sudden
gush of fluid from her vagina. The nurse notes variable decelerations on the fetal
heart monitor. Which of the following actions should the nurse take?
A) Perform a sterile vaginal exam
B) Prepare the client for an emergency cesarean section
C) Administer oxygen via face mask
D) Reposition the client to a side-lying position
