ATI MATERNAL NEWBORN PROCTORED
EXAM LATEST 2024 VERSION REAL
EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES GRADED
A+.
client who has gestational diabetes and a fasting blood glucose level of
120 mg/dL
B. A client who is at 34 weeks of gestation and reports epigastric pain
C. A client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL
D. A client who is at 39 weeks of gestation and reports urinary
frequency and dysuria
Answer: A client who is at 34 weeks of gestation and reports epigastric
pain
A. A client who has gestational diabetes and a fasting blood glucose
level of 120 mg/dL
A fasting blood glucose of 120 mg/dL is above the expected reference
range for a client who has gestational diabetes, which is a nonurgent
finding. Therefore, another client is the nurse's priority.
B. A client who is at 34 weeks of gestation and reports epigastric pain
When using the urgent vs nonurgent approach to client care, the nurse
should assess the client who reports epigastric pain. Epigastric pain is a
manifestation of preeclampsia and indicates hepatic involvement,
which is an urgent finding. There
,A nurse is providing dietary teaching to a client who has hyperemesis
gravidarum. Which of the following statements by the client indicated
an understanding of the teaching? - ANS-A. "I will eat foods that taste
good instead of balancing my meals."
B. "I will avoid having a snack before I go to bed each night."
C. "I will have a cup of hot tea with each meal."
D. "I will eliminate products that contain dairy from my diet."
Answer: "I will eat foods that taste good instead of balancing my meals.
A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbillirubinemia. Which of the following actions
should the nurse include in the plan? - ANS-Remove all clothing form
the newborn except the diaper
A nurse is caring for a client who is at 15 weeks gestation, is Rh-
negative, and has just had an amniocentesis. Which of the following
interventions is the nurse's priority following the procedure? - ANS-
Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks
of gestation. Which of the following findings should the nurse report to
the provider? - ANS-Reports of decreased fetal movement
A nurse is admitting a client to the labor and delivery unit when the
client states, "My water just broke". Which of the following
interventions is the nurse's priority? - ANS-Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the
client for which of the following diagnostic test? - ANS-Biophysicial
profile
,A nurse is preparing to administer magnesium sulfate 2g/hr IV to a
client who is in preterm labor. Available is 20 g magnesium sulfate in
500 mL of dextrose 5% in water (D5W). The nurse should set the IV
infusion pump to administer how many mL/hr? - ANS-50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should
the nurse report to the provider? - ANS-BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia? - ANS-Respiratory
distress
A nurse in a provider's office is reviewing the medical record of a client
who is in the first trimester of pregnancy. Which of the following should
the nurse identify as a risk factor for the development of preeclampsia -
ANS-Pregestational Diabetes Mellitus
A nurse in an antepartum clinic is providing care for a client who is at 26
weeks of gestation. Upon reviewing the client's medical record, which
of the following findings should the nurse report to the provider? -
ANS-Fundal Height Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider? - ANS-Substernal
Retractions
A nurse is caring for a client who is at 26 weeks of gestation and has
epilepsy. The nurse enters the room and observes the client having a
seizure. After turning the client head to the side, which of the following
actions should the nurse take immediately after the seizure? - ANS-
Administer oxygen via a nonrebreather mask
,A nurse is providing teaching about nonpharmological pain
management to a client who is breastfeeding and has engorgement.
The nurse should recommend the application of which of the following
items? - ANS-Cold cabbage leaves
A nurse is assessing a client who is 1 day postpartum and has a vaginal
hematoma. Which of the following manifestations should the nurse
expect? - ANS-Vaginal pressure
A nurse is assessing a newborn who was born at 26 weeks of gestation
using the New Ballard Score. Which of the following findings should the
nurse expect? - ANS-Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about
the facility policy for newborn safety. Which of the following client
statements indicates an understanding of the teaching? - ANS-the
person who comes to take my baby's pictures will be wearing a photo
identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of
the following findings should the nurse report to the provider? - ANS-
Report of visual disturbances
A nurse is providing teaching to a client about the physiological changes
that occur during pregnancy. The client is at 10 weeks of gestation and
has a BMI within the expected reference range. Which of the following
client statements indicates an understanding of the teaching? - ANS-"I
will likely need to use alternative positions for sexual intercourse".
A nurse is caring for a client who is anemic at 32 weeks of gestation and
is in preterm labor. The provider prescribed bethamethasone 12 mg IM.
Which of the following outcomes should the nurse expect? - ANS-A
reduction in respiratory distress in the newborn
,A nurse is caring for a client who is experiencing preeclampsia and has a
new prescription for IV magnesium sulfate. Which of the following
medications should the nurse anticipate administering if the client
develops magnesium toxicity? - ANS-Calcium Gluconate
A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse
should notify the provider of which of the following adverse effects? -
ANS-Respiratory rate 10/min
A nurse is caring for a client who is to receive oxytocin to augment her
labor. Which of the following findings contraindicates the infusion of
the oxytocin infusion and should be reported to the provider? - ANS-
Late Decelerations
A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a non-stress test. Which of the following instructions
should the nurse include? - ANS-"You should press the handheld button
when you feel your baby move."
A nurse is assessing a newborn who was delivered vaginally and
experienced a tight nuchal cord. Which of the following findings should
the nurse expect? - ANS-Petechiae over the head
A nurse is transporting a newborn back to the parent's room following a
procedure. Which of the following actions should the nurse take? -
ANS-Verify that the parent's identification band matches the newborn's
identification band
A nurse is creating a plan of care who is postpartum and adheres to
traditional Hispanic cultural beliefs. Which of the following cultural
, practices should the nurse include in the plan of care? - ANS-Protects
the client's head and feet from cold air
A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopoid maneuvers. Which of the following
images indicates the first step of Leopoid maneuvers? - ANS-Picture of
nurse palpating top of belly; where bottom is
A nurse is developing a plan of care for a client who has preeclampsia
and is receiving magnesium sulfate via a continuous IV infusion. Which
of the following interventions should the nurse include in the plan? -
ANS-Monitor the FHR continously
A nurse is assessing a client who is at 38 weeks of gestation during a
weekly prenatal visit. Which of the following findings should the nurse
report to the provider? - ANS-Weight gain of 2.2 kg (4.8 lb)
A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for an amniocentesis. For which of the following reasons
should the nurse prepare the client for an ultrasound? - ANS-To locate
the pocket of fluid
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? - ANS-A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
Answer: Shortness of breath
A. Shortness of breath
EXAM LATEST 2024 VERSION REAL
EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES GRADED
A+.
client who has gestational diabetes and a fasting blood glucose level of
120 mg/dL
B. A client who is at 34 weeks of gestation and reports epigastric pain
C. A client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL
D. A client who is at 39 weeks of gestation and reports urinary
frequency and dysuria
Answer: A client who is at 34 weeks of gestation and reports epigastric
pain
A. A client who has gestational diabetes and a fasting blood glucose
level of 120 mg/dL
A fasting blood glucose of 120 mg/dL is above the expected reference
range for a client who has gestational diabetes, which is a nonurgent
finding. Therefore, another client is the nurse's priority.
B. A client who is at 34 weeks of gestation and reports epigastric pain
When using the urgent vs nonurgent approach to client care, the nurse
should assess the client who reports epigastric pain. Epigastric pain is a
manifestation of preeclampsia and indicates hepatic involvement,
which is an urgent finding. There
,A nurse is providing dietary teaching to a client who has hyperemesis
gravidarum. Which of the following statements by the client indicated
an understanding of the teaching? - ANS-A. "I will eat foods that taste
good instead of balancing my meals."
B. "I will avoid having a snack before I go to bed each night."
C. "I will have a cup of hot tea with each meal."
D. "I will eliminate products that contain dairy from my diet."
Answer: "I will eat foods that taste good instead of balancing my meals.
A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbillirubinemia. Which of the following actions
should the nurse include in the plan? - ANS-Remove all clothing form
the newborn except the diaper
A nurse is caring for a client who is at 15 weeks gestation, is Rh-
negative, and has just had an amniocentesis. Which of the following
interventions is the nurse's priority following the procedure? - ANS-
Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks
of gestation. Which of the following findings should the nurse report to
the provider? - ANS-Reports of decreased fetal movement
A nurse is admitting a client to the labor and delivery unit when the
client states, "My water just broke". Which of the following
interventions is the nurse's priority? - ANS-Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should plan to prepare the
client for which of the following diagnostic test? - ANS-Biophysicial
profile
,A nurse is preparing to administer magnesium sulfate 2g/hr IV to a
client who is in preterm labor. Available is 20 g magnesium sulfate in
500 mL of dextrose 5% in water (D5W). The nurse should set the IV
infusion pump to administer how many mL/hr? - ANS-50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is
receiving IV fluid replacement. Which of the following findings should
the nurse report to the provider? - ANS-BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the following
manifestations is an indication of hypoglycemia? - ANS-Respiratory
distress
A nurse in a provider's office is reviewing the medical record of a client
who is in the first trimester of pregnancy. Which of the following should
the nurse identify as a risk factor for the development of preeclampsia -
ANS-Pregestational Diabetes Mellitus
A nurse in an antepartum clinic is providing care for a client who is at 26
weeks of gestation. Upon reviewing the client's medical record, which
of the following findings should the nurse report to the provider? -
ANS-Fundal Height Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the following
findings should the nurse report to the provider? - ANS-Substernal
Retractions
A nurse is caring for a client who is at 26 weeks of gestation and has
epilepsy. The nurse enters the room and observes the client having a
seizure. After turning the client head to the side, which of the following
actions should the nurse take immediately after the seizure? - ANS-
Administer oxygen via a nonrebreather mask
,A nurse is providing teaching about nonpharmological pain
management to a client who is breastfeeding and has engorgement.
The nurse should recommend the application of which of the following
items? - ANS-Cold cabbage leaves
A nurse is assessing a client who is 1 day postpartum and has a vaginal
hematoma. Which of the following manifestations should the nurse
expect? - ANS-Vaginal pressure
A nurse is assessing a newborn who was born at 26 weeks of gestation
using the New Ballard Score. Which of the following findings should the
nurse expect? - ANS-Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about
the facility policy for newborn safety. Which of the following client
statements indicates an understanding of the teaching? - ANS-the
person who comes to take my baby's pictures will be wearing a photo
identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of
the following findings should the nurse report to the provider? - ANS-
Report of visual disturbances
A nurse is providing teaching to a client about the physiological changes
that occur during pregnancy. The client is at 10 weeks of gestation and
has a BMI within the expected reference range. Which of the following
client statements indicates an understanding of the teaching? - ANS-"I
will likely need to use alternative positions for sexual intercourse".
A nurse is caring for a client who is anemic at 32 weeks of gestation and
is in preterm labor. The provider prescribed bethamethasone 12 mg IM.
Which of the following outcomes should the nurse expect? - ANS-A
reduction in respiratory distress in the newborn
,A nurse is caring for a client who is experiencing preeclampsia and has a
new prescription for IV magnesium sulfate. Which of the following
medications should the nurse anticipate administering if the client
develops magnesium toxicity? - ANS-Calcium Gluconate
A nurse is caring for a client who is at 30 weeks of gestation and has a
prescription for magnesium sulfate IV to treat preterm labor. The nurse
should notify the provider of which of the following adverse effects? -
ANS-Respiratory rate 10/min
A nurse is caring for a client who is to receive oxytocin to augment her
labor. Which of the following findings contraindicates the infusion of
the oxytocin infusion and should be reported to the provider? - ANS-
Late Decelerations
A nurse is teaching a client who is at 37 weeks of gestation and has a
prescription for a non-stress test. Which of the following instructions
should the nurse include? - ANS-"You should press the handheld button
when you feel your baby move."
A nurse is assessing a newborn who was delivered vaginally and
experienced a tight nuchal cord. Which of the following findings should
the nurse expect? - ANS-Petechiae over the head
A nurse is transporting a newborn back to the parent's room following a
procedure. Which of the following actions should the nurse take? -
ANS-Verify that the parent's identification band matches the newborn's
identification band
A nurse is creating a plan of care who is postpartum and adheres to
traditional Hispanic cultural beliefs. Which of the following cultural
, practices should the nurse include in the plan of care? - ANS-Protects
the client's head and feet from cold air
A charge nurse on a labor and delivery unit is teaching a newly licensed
nurse how to perform Leopoid maneuvers. Which of the following
images indicates the first step of Leopoid maneuvers? - ANS-Picture of
nurse palpating top of belly; where bottom is
A nurse is developing a plan of care for a client who has preeclampsia
and is receiving magnesium sulfate via a continuous IV infusion. Which
of the following interventions should the nurse include in the plan? -
ANS-Monitor the FHR continously
A nurse is assessing a client who is at 38 weeks of gestation during a
weekly prenatal visit. Which of the following findings should the nurse
report to the provider? - ANS-Weight gain of 2.2 kg (4.8 lb)
A nurse is caring for a client who is at 36 weeks of gestation and has a
prescription for an amniocentesis. For which of the following reasons
should the nurse prepare the client for an ultrasound? - ANS-To locate
the pocket of fluid
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? - ANS-A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
Answer: Shortness of breath
A. Shortness of breath
