2023 ATI RN MATERNAL NEWBORN PROCTORED EXAM

2023 ATI RN MATERNAL NEWBORN PROCTORED EXAM 1. A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse notes three contractions in 10 min with late decelerations occurring with two of the contractions. Which of the following findings should the nurse report to the provider a. Reactive b. Nonreactive c. Positive- Indicates an adverse reaction by the fetus and should be reported to the provider d. Negative 2. A nurse is providing family planning education to a client who has decided to use a diaphragm. Which of the following should the nurse include in the plan of care? a. You should replace the diaphragm every 3 years b. You should leave the diaphragm in place for at least 6 hours after intercourse c. You should use an oil based product as a lubricant when inserting the diaphragm d. You should insert he diaphragm when your bladder is full 3. A nurse is providing discharge teaching to a client who is postpartum about resuming sexual activity. Which of the following instructions should the nurse include in the teaching? a. You should use a water soluble gel for lubrication- This will prevent discomfort b. You can resume sexual activity in 10 days c. Your physical reaction to sexual stimulation ill not be altered d. You will not ovulate for 3 months after delivery 4. A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which of the following complications should the nurse assess? a. Abruptio placenta- Cocaines increases the risk for vasoconstriction and possible abruption placenta b. Placenta previa c. Preeclampsia d. Maternal bradycardia 5. A nurse is providing dietary teaching with a client who has hyperemesis gravidarum. Which of the following statements by the client indicates an understanding of the teaching? a. I should eat to taste instead of trying to balance my meals- Eat to taste to avoid nausea b. I will avoid having a snack at bedtime c. I will have 8 oz of hot tea with each meal d. I should pair my sweets with a starch instead of eating them alone 6. A nurse is caring for a client who is in active labor and reports back pain. The nurse performs a vaginal exam and determines the client is 8cm dilated, 100% effaced, and -2 station. The fetus is in the occiput posterior position. Which of the following is an appropriate intervention? a. Perform effleurage during contractions b. Place the client in lithotomy position c. Assist the client to the hands and knees position- Helps relieve back pain and help the fetus rotate d. Apply a fetal scalp electrode