ATI RN Maternal Newborn Proctored Exam(10
Versions)(NEW-2024/205, All Correct Answers)
A nurse is caring for four enter-partum clients. Which of the following clients should the
nurse assess first?
a. A client who is at 7 weeks of gestation and reports urinary frequency
b. a client who is at 32 weeks of gestation and reports seeing floating spots
c. a client who is 38 weeks of gestation and reports leg cramps
d. a client who is at 20 weeks of gestation and reports periodic numbness in her fingers
- b. a client who is at 32 weeks of gestation and reports seeing floating spots
A nurse is planning care for a client who is pregnant and has HIV. Which of the
following actions Should the nurse include in the plan of care?
a. Use a fetal scalp electrode during labor and delivery
b. Bathe the newborn before initiating skin to skin contact
c. instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation
d. administer pneumococcal immunization to the newborn within 4 hours following birth
- d. administer pneumococcal immunization to the newborn within 4 hours following
birth
A nurse is teaching a client who has a new prescription for combined oral
contraceptives about potential adverse effects of the medication. For which of the
following findings should the nurse instruct the client to notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness - A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness
of breath. Shortness of breath and chest pain can indicate a pulmonary embolus or
myocardial infarction. Also, the nurse should instruct the client to notify the provider of
,other adverse effects that can indicate potential complications, including abdominal
pain, sudden or persistent headaches, blurred vision, and severe leg pain.
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation.
Which of the following findings should the nurse report to the provider as a potential
complication?
A. Increased fetal movement
B. Leakage of fluid from the vagina
C. Upper abdominal discomfort
D. Urinary frequency - B. Leakage of fluid from the vagina
Leakage of fluid from the vagina could indicate premature leakage of amniotic fluid and
should be reported to the provider.
A nurse is calculating a client's expected date of birth using Nagele's rule. The client
tells the nurse that her last menstrual cycle started on November 27th. Which of the
following dates is the client's expected date of birth? - September 3rd
When using Nägele's rule to calculate the estimated date of birth for a client, the nurse
should subtract 3 months from the first day of the client's last menstrual cycle and then
add 7 days. November 27th minus 3 months equals August 27th. August 27th plus 7
days equals September 3rd.
A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test. For which of the following diagnostic tests should the nurse
prepare the client?
A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP)
D. Chorionic villus sampling (CVS) - C. Biophysical profile (BPP)
client who is 16 weeks of gestation asks the nurse how to prepare her father to a
younger sibling. Statements should the nurse make?
a. You should hold your newborn in your arms when you introduce him to your toddler
b. you should move your toddler out of her crib 2 weeks prior to your due date c.
c. you should give your toddler a gift from the baby when she visit you in the facility
d. You should place your toddler in timeout if she exhibits regressive Behavior after the
baby is born - c. you should give your toddler a gift from the baby when she visit you in
the facility
,nurse is observing an adolescent client who is offering her newborn a bottle while he is
laying in the bassinet. When the nurse offers to pick the newborn up and place them in
the client's arms, the mother States " No, the baby is too tired to be held". Which of the
following actions should the nurse take?
a. Insist that the mother pick up the newborn to feed him
b. demonstrate how to hold a newborn and allow the client to practice
c. persuade the client to breastfeed the newborn to promote bonding
d. offer to take the newborn to the nursery to finish his feeding - b. demonstrate how to
hold a newborn and allow the client to practice
A nurse is assessing a client who is in preterm labor and has a new prescription or
terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse
Withhold the medication and Report to the provider?
a. fasting blood glucose 75 mg / DL
b. blood pressure 88/58 mmhg
c. urinary output 40 ml /hr
d. FHR 120/min - b. blood pressure 88/58 mmhg
4. A nurse is providing teaching to the parents of a newborn about the plastibell
circumcision technique. Which of the following? - p170-171 - postprocedure bottom of
170 and goes into top of 171.
a. the plastibell will be removed 4 hours after the procedure
b. notify the provider is the end of your penis appears dark red
c. make sure the newborn's diaper is snug
d. yellow exudate will form at the surgical site in 24 hours - d. yellow exudate will form at
the surgical site in 24 hours
A nurse is planning care immediately following birth for a newborn who has
Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the
nurse include in the plan of care?
a. Administer broad-spectrum antibiotics
b. cleanse the site with Povidone iodine
, c. monitor the rectal temperature every 4 hours
d. prepare for surgical closure after 72 hours - a. Administer broad-spectrum antibiotics
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter
reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of
the following actions should the nurse take?
a. Administer 50 mL of dextrose solution IV
b. obtain a blood sample of serum glucose level
c. reassess the blood glucose level prior to the next feeding
d. Feed the newborn immediately - c. reassess the blood glucose level prior to the next
feeding
The nurse should prepare the client for a BPP to further assess fetal well-being. A
positive contraction stress test indicates there is potential uteroplacental insufficiency. A
BPP uses a real time ultrasound to visualize physical and physiological characteristics
of the fetus and observe for fetal biophysical responses to stimuli.
A nurse is teaching a new parent about newborn safety. Which of the following
instructions should the nurse include in the teaching?
A. "You can share your room with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime." - A. "You can share your
room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks. This allows the
parent to be readily available to the newborn and learn the newborn's cues. However,
the nurse should instruct the parent to avoid placing the newborn in their bed as it
increases the risk for sudden infant death syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput
posterior position. The client is dilated to 8 cm and reports back pain. Which of the
following actions should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback. - A. Apply sacral counterpressure.
Versions)(NEW-2024/205, All Correct Answers)
A nurse is caring for four enter-partum clients. Which of the following clients should the
nurse assess first?
a. A client who is at 7 weeks of gestation and reports urinary frequency
b. a client who is at 32 weeks of gestation and reports seeing floating spots
c. a client who is 38 weeks of gestation and reports leg cramps
d. a client who is at 20 weeks of gestation and reports periodic numbness in her fingers
- b. a client who is at 32 weeks of gestation and reports seeing floating spots
A nurse is planning care for a client who is pregnant and has HIV. Which of the
following actions Should the nurse include in the plan of care?
a. Use a fetal scalp electrode during labor and delivery
b. Bathe the newborn before initiating skin to skin contact
c. instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation
d. administer pneumococcal immunization to the newborn within 4 hours following birth
- d. administer pneumococcal immunization to the newborn within 4 hours following
birth
A nurse is teaching a client who has a new prescription for combined oral
contraceptives about potential adverse effects of the medication. For which of the
following findings should the nurse instruct the client to notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness - A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness
of breath. Shortness of breath and chest pain can indicate a pulmonary embolus or
myocardial infarction. Also, the nurse should instruct the client to notify the provider of
,other adverse effects that can indicate potential complications, including abdominal
pain, sudden or persistent headaches, blurred vision, and severe leg pain.
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation.
Which of the following findings should the nurse report to the provider as a potential
complication?
A. Increased fetal movement
B. Leakage of fluid from the vagina
C. Upper abdominal discomfort
D. Urinary frequency - B. Leakage of fluid from the vagina
Leakage of fluid from the vagina could indicate premature leakage of amniotic fluid and
should be reported to the provider.
A nurse is calculating a client's expected date of birth using Nagele's rule. The client
tells the nurse that her last menstrual cycle started on November 27th. Which of the
following dates is the client's expected date of birth? - September 3rd
When using Nägele's rule to calculate the estimated date of birth for a client, the nurse
should subtract 3 months from the first day of the client's last menstrual cycle and then
add 7 days. November 27th minus 3 months equals August 27th. August 27th plus 7
days equals September 3rd.
A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test. For which of the following diagnostic tests should the nurse
prepare the client?
A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP)
D. Chorionic villus sampling (CVS) - C. Biophysical profile (BPP)
client who is 16 weeks of gestation asks the nurse how to prepare her father to a
younger sibling. Statements should the nurse make?
a. You should hold your newborn in your arms when you introduce him to your toddler
b. you should move your toddler out of her crib 2 weeks prior to your due date c.
c. you should give your toddler a gift from the baby when she visit you in the facility
d. You should place your toddler in timeout if she exhibits regressive Behavior after the
baby is born - c. you should give your toddler a gift from the baby when she visit you in
the facility
,nurse is observing an adolescent client who is offering her newborn a bottle while he is
laying in the bassinet. When the nurse offers to pick the newborn up and place them in
the client's arms, the mother States " No, the baby is too tired to be held". Which of the
following actions should the nurse take?
a. Insist that the mother pick up the newborn to feed him
b. demonstrate how to hold a newborn and allow the client to practice
c. persuade the client to breastfeed the newborn to promote bonding
d. offer to take the newborn to the nursery to finish his feeding - b. demonstrate how to
hold a newborn and allow the client to practice
A nurse is assessing a client who is in preterm labor and has a new prescription or
terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse
Withhold the medication and Report to the provider?
a. fasting blood glucose 75 mg / DL
b. blood pressure 88/58 mmhg
c. urinary output 40 ml /hr
d. FHR 120/min - b. blood pressure 88/58 mmhg
4. A nurse is providing teaching to the parents of a newborn about the plastibell
circumcision technique. Which of the following? - p170-171 - postprocedure bottom of
170 and goes into top of 171.
a. the plastibell will be removed 4 hours after the procedure
b. notify the provider is the end of your penis appears dark red
c. make sure the newborn's diaper is snug
d. yellow exudate will form at the surgical site in 24 hours - d. yellow exudate will form at
the surgical site in 24 hours
A nurse is planning care immediately following birth for a newborn who has
Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the
nurse include in the plan of care?
a. Administer broad-spectrum antibiotics
b. cleanse the site with Povidone iodine
, c. monitor the rectal temperature every 4 hours
d. prepare for surgical closure after 72 hours - a. Administer broad-spectrum antibiotics
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter
reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of
the following actions should the nurse take?
a. Administer 50 mL of dextrose solution IV
b. obtain a blood sample of serum glucose level
c. reassess the blood glucose level prior to the next feeding
d. Feed the newborn immediately - c. reassess the blood glucose level prior to the next
feeding
The nurse should prepare the client for a BPP to further assess fetal well-being. A
positive contraction stress test indicates there is potential uteroplacental insufficiency. A
BPP uses a real time ultrasound to visualize physical and physiological characteristics
of the fetus and observe for fetal biophysical responses to stimuli.
A nurse is teaching a new parent about newborn safety. Which of the following
instructions should the nurse include in the teaching?
A. "You can share your room with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime." - A. "You can share your
room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks. This allows the
parent to be readily available to the newborn and learn the newborn's cues. However,
the nurse should instruct the parent to avoid placing the newborn in their bed as it
increases the risk for sudden infant death syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput
posterior position. The client is dilated to 8 cm and reports back pain. Which of the
following actions should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback. - A. Apply sacral counterpressure.
