T
lOMoAR T T cPSD| 27712550
ATI RN MATERNAL NEWBORN EXAM 2020
T T T T T
ACTUAL EXAM QUESTIONS CORRECT AND
T T T T T
DETAILED ANSWERS 2023-2024 UPDATE
T T T T
ALREADY A GRADE.
T T T
1. Two Tdays Tafter Tdelivery, Ta Tpostpartum Tclient Tprepares Tfor Tdischarge. TWhat Tshould Tthe
Tnurse Tteach Ther Tabout Tlochia Tflow?
Incorrect: TLochia Tdoes Tchange Tcolor Tbut Tgoes Tfrom Tlochia Trubra T(bright Tred) Ton Tdays T1-3, Tto
Tlochia Tserosa T(pinkish Tbrown) Ton Tdays T4-9, Tto Tlochia Talba T(creamy Twhite) Tdays T10-21.
Incorrect: TNumerous Tclots Tare Tabnormal Tand Tshould Tbe Treported Tto Tthe Tphysician.
Incorrect: TSaturation Tof Tthe Tperineal Tpad Tis Tconsidered Tabnormal Tand Tmay Tindicate Tpostpartum
Themorrhage.
Correct: TLochia Tnormally Tlasts Tfor Tabout T21 Tdays, Tand Tchanges Tfrom Ta Tbright Tred, Tto
Tpinkish Tbrown, Tto Tcreamy Twhite.
The Tcolor Tof Tthe Tlochia Tchanges Tfrom Ta Tbright Tred Tto Twhite Tafter Tfour Tdays
T Numerous Tlarge Tclots Tare Tnormal Tfor Tthe Tnext Tthree Tto Tfour Tdays
Saturation Tof Tthe Tperineal Tpad Twith Tblood Tis Texpected Twhen Tgetting Tup Tfrom Tthe Tbed
T Lochia Tshould Tlast Tfor Tabout T3 Tweeks, Tchanging Tcolor Tevery Tfew Tdays
2. A Tnurse Tmonitors Tfetal Twell-being Tby Tmeans Tof Tan Texternal Tmonitor. TAt Tthe Tpeak Tof Tthe
Tcontractions, Tthe Tfetal Theart Trate Thas Trepeatedly Tdropped T30 Tbeats/min Tbelow Tthe Tbaseline.
T Late Tdecelerations Tare Tsuspected Tand Tthe Tnurse Tnotifies Tthe Tphysician. TWhich Tis Tthe
Trationale Tfor Tthis Taction?
Incorrect: TA Tnuchal Tcord T(cord Taround Tthe Tneck) Tis Tassociated Twith Tvariable Tdecelerations, Tnot
Tlate Tdecelerations.
Incorrect: TVariable Tdecelerations T(not Tlate Tdecelerations) Tare Tassociated Twith Tcord Tcompression.
Incorrect: TLate Tdecelerations Tare Ta Tresult Tof Thypoxia. TThey Tare Tnot Treflective Tof Tthe Tstrength Tof
Tmaternal Tcontractions.
, T
Correct: TLate Tdecelerations Tare Tassociated Twith Tuteroplacental Tinsufficiency Tand Tare Ta
Tsign Tof Tfetal Thypoxia. TRepeated Tlate Tdecelerations Tindicate Tfetal Tdistress.
The Tumbilical Tcord Tis Twrapped Ttightly Taround Tthe Tfetus' Tneck
The Tfetal Tcord Tis Tbeing Tcompressed Tdue Tto Trapid Tdescent Tof Tthe Tfetal Thead
, T
Maternal Tcontractions Tare Tnot Tadequate Tenough Tto Tdeliver Tthe
fetus TThe Tfetus Tis Tnot Treceiving Tadequate Toxygen Tand Tis Tin
T
T distress
3. Which Tpreoperative Tnursing Tinterventions Tshould Tbe Tincluded Tfor Ta Tclient Twho Tis Tscheduled
Tto Thave Tan Temergency Tcesarean Tbirth?
Incorrect: TMonitoring TO2 Tsaturations Tand Tadministering Tpain Tmedications Tare Tpostoperative
Tinterventions.
Incorrect: TTaking Tvital Tsigns Tevery T15 Tminutes Tis Ta Tpostoperative Tintervention. TInstructing Tthe
Tclient Tregarding Tbreathing Texercises Tis Tnot Tappropriate Tin Ta Tcrisis Tsituation Twhen Tthe Tclient's
Tanxiety Tis Thigh, Tbecause Tinformation Twould Tprobably Tnot Tbe Tretained. T In Tan Temergency, Tthere Tis
Ttime Tonly Tfor Tessential Tinterventions.
Correct: TBecause Tthis Tis Tan Temergency, Tsurgery Tmust Tbe Tperformed Tquickly. TAnxiety Tof
Tthe Tclient Tand Tthe Tfamily Twill Tbe Thigh. TInserting Tan Tindwelling Tcatheter Thelps Tto Tkeep
Tthe Tbladder Tempty Tand Tfree Tfrom Tinjury Twhen Tthe Tincision Tis Tmade.
Incorrect: TThe Tnurse Tshould Thave Tassessed Tbreath Tsounds Tupon Tadmission. TBreath Tsounds Tare
Timportant Tif Tthe Tclient Tis Tto Treceive Tgeneral Tanesthesia, Tbut Tthe Tanesthesiologist Twill Tbe
Tlistening Tto Tbreath Tsounds Tin Tsurgery Tin Tthat Tcase.
Monitor Toxygen Tsaturation Tand Tadminister Tpain Tmedication.
Assess Tvital Tsigns Tevery T15 Tminutes Tand Tinstruct Tthe Tclient Tabout Tpostoperative Tcare.
T Alleviate Tanxiety Tand Tinsert Tan Tindwelling Tcatheter.
Perform Ta Tsterile Tvaginal Texamination Tand Tassess Tbreath Tsounds.
4. Which Tnursing Tinstruction Tshould Tbe Tgiven Tto Tthe Tbreastfeeding Tmother Tregarding Tcare Tof
Tthe Tbreasts Tafter Tdischarge?
Incorrect: TEngorgement Toccurs Ton Tabout Tthe Tthird Tor Tfourth Tpostpartum Tday Tand Tis Ta
Tresult Tof Tthe Tbreast Tmilk Tformation. TThe Tprimary Tway Tto Trelieve Tengorgement Tis Tby
Tpumping Tor Tlonger Tnursing. TGiving Ta Tbottle Tof Tformula Twill Tcompound Tthe Tproblem
Tbecause Tthe Tbaby Twill Tnot Tbe Thungry Tand Twill Tnot Tempty Tthe Tbreasts Twell.
Incorrect: TApplying Tlotion Tto Tthe Tnipples Tis Tnot Teffective Tfor Tkeeping Tthem Tsoft. TExcessive
Tamounts Tof Tlotion Tmay T harbor Tmicroorganisms.
, T
Correct: TIn Torder Tto Tstimulate Tadequate Tmilk Tproduction, Tthe Tbreasts Tshould Tbe Tpumped
Tif Tthe Tinfant Tis Tnot Tsucking Tor Teating Twell, Tor Tif Tthe Tbreasts Tare Tnot Tfully Temptied.
Incorrect: TUsing Tsoap Ton Tthe Tbreasts Tdries Tthe Tnipples Tand Tcan Tcause Tcracking.
T The Tbaby Tshould Tbe Tgiven Ta Tbottle Tof Tformula Tif Tengorgement Toccurs.
The Tnipples Tshould Tbe Tcovered Twith Tlotion Twhen Tthe Tbaby Tis Tnot
nursing. TThe Tbreasts Tshould Tbe Tpumped Tif Tthe Tbaby Tis Tnot Tsucking
T
T adequately.
The Tbreasts Tshould Tbe Twashed Twith Tsoap Tand Twater Tonce Tper Tday.
5. A Tclient Tin Tpreterm Tlabor Tis Tadmitted Tto Tthe Thospital. TWhich Tclassification Tof Tdrugs Tshould
Tthe Tnurse Tanticipate Tadministering?
Correct: TTocolytics Tare Tused Tto Tstop Tlabor. TOne Tof Tthe Tmost Tcommonly Tused Ttocolytic
Tdrugs Tis Tritodrine T(Yutopar).
Incorrect: TAnticonvulsants Tare Tused Tfor Tclients Twith Tpregnancy-induced Thypertension Twho Tare
Tlikely Tto Tseize.
Incorrect: TThe Tglucocorticoids T(e.g., Tbetamethasone Tand Tdexamethasone) Tare Tused Tfor
Taccelerating Tfetal Tlung Tmaturation Tand Tproduction Tof Tsurfactant. TThey Tare Tcommonly Tused Tif
Tthe Tmembranes Tare Truptured Tor Tlabor Tcannot Tbe Tstopped.
Incorrect: TAnti-infective Tare Tused Tif Tthere Tis Tinfection. TPreterm Tlabor Tmay Tor Tmay Tnot Tinvolve
Truptured Tmembranes Twith Tits Taccompanying Trisk Tof Tinfection.
Tocolytics
T Anticonvulsant
s
T Glucocorticoid
s TAnti-infective
6. Which Tof Tthe Tfollowing Tare Tprobable Tsigns, Tstrongly Tindicating Tpregnancy?
Incorrect: TThe Tpresence Tof Tfetal Theart Tsounds Tis Ta Tpositive Tsign Tof Tpregnancy; Tquickening Tis Ta
Tpresumptive TSign Tof Tpregnancy.
Incorrect: TThese Tare Tpresumptive Tsigns. TThey Tmay Tindicate Tpregnancy Tor Tthey Tmay Tbe Tcaused
Tby Tother Tconditions, Tsuch Tas Tdisease Tprocesses.
lOMoAR T T cPSD| 27712550
ATI RN MATERNAL NEWBORN EXAM 2020
T T T T T
ACTUAL EXAM QUESTIONS CORRECT AND
T T T T T
DETAILED ANSWERS 2023-2024 UPDATE
T T T T
ALREADY A GRADE.
T T T
1. Two Tdays Tafter Tdelivery, Ta Tpostpartum Tclient Tprepares Tfor Tdischarge. TWhat Tshould Tthe
Tnurse Tteach Ther Tabout Tlochia Tflow?
Incorrect: TLochia Tdoes Tchange Tcolor Tbut Tgoes Tfrom Tlochia Trubra T(bright Tred) Ton Tdays T1-3, Tto
Tlochia Tserosa T(pinkish Tbrown) Ton Tdays T4-9, Tto Tlochia Talba T(creamy Twhite) Tdays T10-21.
Incorrect: TNumerous Tclots Tare Tabnormal Tand Tshould Tbe Treported Tto Tthe Tphysician.
Incorrect: TSaturation Tof Tthe Tperineal Tpad Tis Tconsidered Tabnormal Tand Tmay Tindicate Tpostpartum
Themorrhage.
Correct: TLochia Tnormally Tlasts Tfor Tabout T21 Tdays, Tand Tchanges Tfrom Ta Tbright Tred, Tto
Tpinkish Tbrown, Tto Tcreamy Twhite.
The Tcolor Tof Tthe Tlochia Tchanges Tfrom Ta Tbright Tred Tto Twhite Tafter Tfour Tdays
T Numerous Tlarge Tclots Tare Tnormal Tfor Tthe Tnext Tthree Tto Tfour Tdays
Saturation Tof Tthe Tperineal Tpad Twith Tblood Tis Texpected Twhen Tgetting Tup Tfrom Tthe Tbed
T Lochia Tshould Tlast Tfor Tabout T3 Tweeks, Tchanging Tcolor Tevery Tfew Tdays
2. A Tnurse Tmonitors Tfetal Twell-being Tby Tmeans Tof Tan Texternal Tmonitor. TAt Tthe Tpeak Tof Tthe
Tcontractions, Tthe Tfetal Theart Trate Thas Trepeatedly Tdropped T30 Tbeats/min Tbelow Tthe Tbaseline.
T Late Tdecelerations Tare Tsuspected Tand Tthe Tnurse Tnotifies Tthe Tphysician. TWhich Tis Tthe
Trationale Tfor Tthis Taction?
Incorrect: TA Tnuchal Tcord T(cord Taround Tthe Tneck) Tis Tassociated Twith Tvariable Tdecelerations, Tnot
Tlate Tdecelerations.
Incorrect: TVariable Tdecelerations T(not Tlate Tdecelerations) Tare Tassociated Twith Tcord Tcompression.
Incorrect: TLate Tdecelerations Tare Ta Tresult Tof Thypoxia. TThey Tare Tnot Treflective Tof Tthe Tstrength Tof
Tmaternal Tcontractions.
, T
Correct: TLate Tdecelerations Tare Tassociated Twith Tuteroplacental Tinsufficiency Tand Tare Ta
Tsign Tof Tfetal Thypoxia. TRepeated Tlate Tdecelerations Tindicate Tfetal Tdistress.
The Tumbilical Tcord Tis Twrapped Ttightly Taround Tthe Tfetus' Tneck
The Tfetal Tcord Tis Tbeing Tcompressed Tdue Tto Trapid Tdescent Tof Tthe Tfetal Thead
, T
Maternal Tcontractions Tare Tnot Tadequate Tenough Tto Tdeliver Tthe
fetus TThe Tfetus Tis Tnot Treceiving Tadequate Toxygen Tand Tis Tin
T
T distress
3. Which Tpreoperative Tnursing Tinterventions Tshould Tbe Tincluded Tfor Ta Tclient Twho Tis Tscheduled
Tto Thave Tan Temergency Tcesarean Tbirth?
Incorrect: TMonitoring TO2 Tsaturations Tand Tadministering Tpain Tmedications Tare Tpostoperative
Tinterventions.
Incorrect: TTaking Tvital Tsigns Tevery T15 Tminutes Tis Ta Tpostoperative Tintervention. TInstructing Tthe
Tclient Tregarding Tbreathing Texercises Tis Tnot Tappropriate Tin Ta Tcrisis Tsituation Twhen Tthe Tclient's
Tanxiety Tis Thigh, Tbecause Tinformation Twould Tprobably Tnot Tbe Tretained. T In Tan Temergency, Tthere Tis
Ttime Tonly Tfor Tessential Tinterventions.
Correct: TBecause Tthis Tis Tan Temergency, Tsurgery Tmust Tbe Tperformed Tquickly. TAnxiety Tof
Tthe Tclient Tand Tthe Tfamily Twill Tbe Thigh. TInserting Tan Tindwelling Tcatheter Thelps Tto Tkeep
Tthe Tbladder Tempty Tand Tfree Tfrom Tinjury Twhen Tthe Tincision Tis Tmade.
Incorrect: TThe Tnurse Tshould Thave Tassessed Tbreath Tsounds Tupon Tadmission. TBreath Tsounds Tare
Timportant Tif Tthe Tclient Tis Tto Treceive Tgeneral Tanesthesia, Tbut Tthe Tanesthesiologist Twill Tbe
Tlistening Tto Tbreath Tsounds Tin Tsurgery Tin Tthat Tcase.
Monitor Toxygen Tsaturation Tand Tadminister Tpain Tmedication.
Assess Tvital Tsigns Tevery T15 Tminutes Tand Tinstruct Tthe Tclient Tabout Tpostoperative Tcare.
T Alleviate Tanxiety Tand Tinsert Tan Tindwelling Tcatheter.
Perform Ta Tsterile Tvaginal Texamination Tand Tassess Tbreath Tsounds.
4. Which Tnursing Tinstruction Tshould Tbe Tgiven Tto Tthe Tbreastfeeding Tmother Tregarding Tcare Tof
Tthe Tbreasts Tafter Tdischarge?
Incorrect: TEngorgement Toccurs Ton Tabout Tthe Tthird Tor Tfourth Tpostpartum Tday Tand Tis Ta
Tresult Tof Tthe Tbreast Tmilk Tformation. TThe Tprimary Tway Tto Trelieve Tengorgement Tis Tby
Tpumping Tor Tlonger Tnursing. TGiving Ta Tbottle Tof Tformula Twill Tcompound Tthe Tproblem
Tbecause Tthe Tbaby Twill Tnot Tbe Thungry Tand Twill Tnot Tempty Tthe Tbreasts Twell.
Incorrect: TApplying Tlotion Tto Tthe Tnipples Tis Tnot Teffective Tfor Tkeeping Tthem Tsoft. TExcessive
Tamounts Tof Tlotion Tmay T harbor Tmicroorganisms.
, T
Correct: TIn Torder Tto Tstimulate Tadequate Tmilk Tproduction, Tthe Tbreasts Tshould Tbe Tpumped
Tif Tthe Tinfant Tis Tnot Tsucking Tor Teating Twell, Tor Tif Tthe Tbreasts Tare Tnot Tfully Temptied.
Incorrect: TUsing Tsoap Ton Tthe Tbreasts Tdries Tthe Tnipples Tand Tcan Tcause Tcracking.
T The Tbaby Tshould Tbe Tgiven Ta Tbottle Tof Tformula Tif Tengorgement Toccurs.
The Tnipples Tshould Tbe Tcovered Twith Tlotion Twhen Tthe Tbaby Tis Tnot
nursing. TThe Tbreasts Tshould Tbe Tpumped Tif Tthe Tbaby Tis Tnot Tsucking
T
T adequately.
The Tbreasts Tshould Tbe Twashed Twith Tsoap Tand Twater Tonce Tper Tday.
5. A Tclient Tin Tpreterm Tlabor Tis Tadmitted Tto Tthe Thospital. TWhich Tclassification Tof Tdrugs Tshould
Tthe Tnurse Tanticipate Tadministering?
Correct: TTocolytics Tare Tused Tto Tstop Tlabor. TOne Tof Tthe Tmost Tcommonly Tused Ttocolytic
Tdrugs Tis Tritodrine T(Yutopar).
Incorrect: TAnticonvulsants Tare Tused Tfor Tclients Twith Tpregnancy-induced Thypertension Twho Tare
Tlikely Tto Tseize.
Incorrect: TThe Tglucocorticoids T(e.g., Tbetamethasone Tand Tdexamethasone) Tare Tused Tfor
Taccelerating Tfetal Tlung Tmaturation Tand Tproduction Tof Tsurfactant. TThey Tare Tcommonly Tused Tif
Tthe Tmembranes Tare Truptured Tor Tlabor Tcannot Tbe Tstopped.
Incorrect: TAnti-infective Tare Tused Tif Tthere Tis Tinfection. TPreterm Tlabor Tmay Tor Tmay Tnot Tinvolve
Truptured Tmembranes Twith Tits Taccompanying Trisk Tof Tinfection.
Tocolytics
T Anticonvulsant
s
T Glucocorticoid
s TAnti-infective
6. Which Tof Tthe Tfollowing Tare Tprobable Tsigns, Tstrongly Tindicating Tpregnancy?
Incorrect: TThe Tpresence Tof Tfetal Theart Tsounds Tis Ta Tpositive Tsign Tof Tpregnancy; Tquickening Tis Ta
Tpresumptive TSign Tof Tpregnancy.
Incorrect: TThese Tare Tpresumptive Tsigns. TThey Tmay Tindicate Tpregnancy Tor Tthey Tmay Tbe Tcaused
Tby Tother Tconditions, Tsuch Tas Tdisease Tprocesses.
