ATI PN MATERNITY PROCTORED EXAM
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ATI PN MATERNITY PROCTORED EXAM
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VERSION 1
1. A nurse is care for a client who has oligohydramnios. Which of the following fetal
anomalies should the nurse expect?
- Renal agenesis
2. A nurse in a prenatal clinic is performing telephone triage for several clients. Which of
the following client reports should the nurse identify as an expected physiological
adaptation to pregnancy?
- Breast tenderness
3. A nurse is discussing the expected changes related to pregnancy with a client who is at 8
weeks gestation. Which of the following findings should the client to report to the
provider during the first trimester?
- Persistent vomiting
4. A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and
reports dizzieness when lying on her back. Into which of the following positions should
the nurse assist the client?
- Lateral
5. A nurse is caring for a newborn immediately following birth. Which of the following
actions should the nurse take first?
- Dry the newborn
6. Nurse is caring for a client who had a cesarean birth 36 hours ago and is experiencing
pain due to gas. Which of the following strategies should the nurse recommend?
- Rock in a rocking chair
7. A nurse is assessing a client who is 2 days postpartum. In which of the following
locations should the nurse expect to locate the client’s fundus?
- 3 cm below the umbilicus
,8. A nurse is providing teaching for a postpartum client who is breastfeeding. Which of the
following pieces of information should the nurse include in the teaching?
- “Your milk supply will noticeably increase in volume around the 3 rd/4th day after delivery
9. A nurse is teaching the guardian of a newborn about caring for the newborn’s umbilical
cord. For which of the following reasons should the nurse instruct the guardian to avoid
using antimicrobial agents on the cord?
- They can cause delayed cord separation
10. A nurse is providing education for a pregnant client about symptoms that should be
reported immediately to the provider. Which of the following client responses indicates
a understanding of the teaching?
- If I notice that my eyes are puffy, I should call my provider
11. A nurse is providing teaching about the rubella immunization to a client who is 24 hours
postpartum. Which of the following client statemnts indicates an understanding of the
teaching?
- I should be careful to avoid becoming pregnant within next month
12. A nurse is caring for a client who is in labor. The client questions the application of an
internal fetal scalp monitor. Which of the following responses should the nurse provide?
- We need to observe your baby more closely
13. A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33
weeks of gestation. For which of the following results should the nurse notify the
provider?
- Platelet count 135,000
14. A nurse at a family planning clinic preparing to teach a class about how to use a
diaphragm. Which of the following pieces of information should the nurse plan to
include in the teaching?
- Use spermicidal jelly whenever you use your diaphragm
15. A nurse in a newborn nursery has received reports on 4 newborns. Which of the
following newborns should the nurse identify a requiring intervention?
- A newborn whose axillary temp is 36.1 degrees Celsius (96.9 degrees F)
, 16. A nurse is admitting a client who is in labor and experiencing moderate bright red
vaginal bleeding. Which of the following actions should the nurse take?
- Obtain blood samples for baseline lab values
17. A nurse is caring for a newborn who has irregular respirations of 52/min with several
periods of apnea lasting approximately 5 sec. the newborn is pink with acrocyanosis.
Which of the following actions should the nurse take?
- Continue to monitor the newborn routinely
18. A nurse is assessing a client who is 3 days post-partum. When examining the client’s
uterus, which of the following techniques should the nurse use?
- Measure the height of the fundus in fingerbreadths in relation to the umbilicus
19. A nurse is planning care for a newborn who has hyperbilirubinemia and a new
prescription for phototherapy. Which of the following interventions should the nurse
include in the plan?
- Reposition the newborn every 3 hours
20. A nurse is assessing a postpartum client who reports strong contractions whenever she
breastfeeds her newborn. The nurse should respond with which of the following
statement?
- The same hormone that is released in response to the baby’s sucking and causes milk to
flow also making the uterus contract.
21. A nurse is administering a rubella immunization to a client who is 2 days postpartum.
Which of the following client statements indicates a need for further instructions?
- I can conceive anytime I want after 10 days
22. A provider tells a client at 12 weeks gestation who practices Hinduism that she needs
more protein in her diet and suggests eating more meat. After the provider leaves the
examination room, the client tells the nurse that eating animal products will cause her
to miscarry. Which of the following responses should the nurse make?
- Lets discuss other foods that are high in protein that you could substitute for meat
23. A nurse is caring for a preterm infant in the nicu. Which of the following actions by the
nurse will promote the infant’s optimal development?
- Reducing ambient noise and lighting
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