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ATI MATERNAL NEWBORN PROCTORED EXAM WITH RATIONALES Version 1-10
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ATI MATERNAL NEWBORN PROCTORED EXAM WITH RATIONALES Version 1-10
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ATI MATERNAL NEWBORN PROCTORED Includes10 Versions / 10 Sets Exam
Maternal Newborn Updated 2023
(Pages 372)
2019 VERSION 1 [70 QUE+ANS]
2020 [17 QUESTIONS+ANSWERS WITH 4 MULTIPLE CHOICES]
2021 VERSION 2 [70 QUE+ANS] WITH 4 MULTIPLE CHOICES
2022 ATI Proctored Exam Maternal Newborn With rationales [70 Que+Ans] V1
2022 Version 2
2022 ATI Proctored Exam Maternal Newborn with Rationales Version 3
ATI Maternal Newborn Proctored Exam
(Includes 10 Versions / 10 Sets Exam)
ATI_MATERNAL_NEWBORN_PROCTORED_2019 [70 Que+Ans]
Version 1
1. A charge nurse is teaching a group of staff nurses about fetal monitoring
during labor. Which of the following findings should the charge nurse instruct the
staff nurses to report to the provider?
C. Absent early deceleration of fetal heart rate
2. A nurse is assisting the provider to administer a dinoprostone insertlabor
for a client. Which of the following actions should the nurse take?
A. Place the client insemi-lower position for 1hr after administration
3. A nurse is planning to teach a group of clients who are pregnant about
breastfeeding after returning to work. Which of the following information should the
nurse include inthe teaching?
B. "Breast milk can be stored ina deep freezer for 12 months."
4. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of
gestation. Which of the following actions should the nurse take?
D. Inset an orogastric decompression tube with low wall suction
,5. A nurse is providing teaching about terbutaline to a client who is
experiencing preterm labor. Which of the following statements by the client
indicates an understanding of the teaching?
D. "This medication could cause me to experience heart palpitations."
6. A nurse is caring for a newborn who is 6 hr old and has a bedside
glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes
mellitus. Which of the following actions should the nurse take?
B. Reassess the blood glucose level prior to the next feeding
7. A nurse is teaching a prenatal class regarding false labor. Which of the
following information should the nurse include?
D. "Your contractions will become temporarily regular."
8. A nurse is assessing a client who is at 37 weeks of gestation. Which of the
following statements by the client requires immediate intervention by the nurse?
D. "It burns when I urinate."
9. A nurse is providing teaching about expected changes during pregnancyto a
client who is at 24 weeks of gestation. Which of the following information should
the nurse include?
D. "You should expect your uterus to double insize."
10. A nurse is assessing a preterm newborn who is at 32 weeks ofgestation.
Which of the following findings should the nurse expect?
D. Sparse lanugo
11. A nurse is reviewing the electronic medical record of a postpartum client. The
nurse should identify that which of the following factors places the client at risk for
an infection?
D. Meconium-stained fluid
12. A nurse ina provider's office is assessing a client at her first antepartum
visit. The client states that the first day of her last menstrual period was March
8. Use the Nagele's rule to calculate the estimated date of delivery. (use the MMDD
format with four numerals and no spaces or punctuation.)
1215
13. A nurse is planning care for a full-term newborn who is receiving phototherapy.
Which of the following actions should the nurse include inthe plan of care?
B. Avoid using lotion or ointment on the newborn's skin
14. A nurse is caring for a client who is experiencing preterm labor and has a
prescription for 4 doses of dexamethasone 6 mg IM every 12-hr. Available is
dexamethasone 10 mg/mL. How many mL of dexamethasone should the nurse
administer per dose? (Round the answer to the nearest tenth. Use a leading zero if
it applies. Do not use as trailing zero.)
0.6
15. A nurse is caring for a client who is inlabor and requestnonpharmacological
pain management. Which of the following nursing actions promotes client
comfort?
,C. Assisting the client into a squatting position
16. A nurse is performing an initial assessment of a newborn who wasdelivered
with a nuchal cord. Which of the following clinical findings should the nurse
expect?
A. Facial petechiae
17. A nurse is caring for a client who is receiving prenatal care and is at her 24-
week appointment. Which of the following laboratory tests should the nurse plan to
conduct?
B. Blood type and Rh
18. A nurse is assessing a newborn upon admission to the nursery. Which of the
following findings should the nurse expect?
C. Chest circumference 2 cm (0.8in) smaller than the head circumference
19. A nurse is reviewing laboratory results for a client who is pregnant.The
nurse should expect which of the following laboratory values to increase?
B. Fasting blood glucose
20. A nurse is teaching about clomiphene citrate to a client who isexperiencing
infertility. Which of the following adverse effects should the nurse include?
D. Breast tenderness
21. A nurse ina provider's office is caring for a 20-year-old client who is at 12
weeks of gestation and request an amniocentesis to determine the sex of the
fetus. Which of the following responses should the nurse make?
B. "We can schedule the procedure for later today if you'd like."
22. A nurse inwomen's health clinic is obtaining a health history from a client.
Which of the following findings should the identify as increasing the client'srisk for
developing pelvic inflammatory disease (PID)?
B. Chlamydial infection
23. A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Which of the following findings should the nurse expect?
A. Uterine tenderness
24. A nurse is assessing a newborn who was born postterm. Which of
thefollowing findings should the nurse expect?
B. Nails extending over tips of fingers
25. A nurse is caring for a client following an amniocentesis. The nurse should
observe the client for which of the following complications?
A. Hemorrhage
26. A nurse is assessing a newborn following a forceps-assisted birth. Which of
the following clinical manifestations should the nurse identify as a complication of
this birth method?
C. Facial palsy
, 28. A nurse on the labor and delivery unit is assessing four clients. Which ofthe
following clients is a candidate for an indication of labor with misoprostol?
B. A client who has gestational diabetes mellitus
29. A nurse is providing discharge teaching to a client following tubal ligation.
Which of the following statements by the client indicates an understanding of
the teaching?
B. "Ovulation will remain the same."
30. A nurse is assessing a newborn immediately following a vaginal birth. For
which of the following findings should the nurse intervene?
A. Sternal retractions
31. A nurse manager on thelabor and delivery unit is teaching a group ofnewly
licensed nurses about maternal cytomegalovirus. Which of the following
information should thenurse manager include intheteaching?
A. "Transmission can occur via thesaliva and urine of thenewborn."
32. A nurse is assessing a newborn following a forceps assisted birth. Which of
thefollowing clinical manifestations should thenurse identify as a complication of
thebirth method?
C. Facial Palsy
33. A nurse is caring for a client who has hyperemesis gravidarum. Which of
thefollowing laboratory tests should thenurse anticipate?
Urine Ketones
34. A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of thefollowing findings should the nurse
expect?A. Thick, White Vaginal Discharge
35. A nurse is caring for a client who is 14 weeks of gestation. At which the
following locations should the nurse place the Doppler device whenassessing
thefetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above thesymphysis pubis
36. .A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of thefollowing findings should thenurse report to theprovider?
Platelet Count 60.000/ mm3
37. A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of thefollowing interventions should thenurse include intheplan of care.
D. Swaddle thenewborn ina flexed position
38. A nurse is caring for a newborn who is 6 hr old and has a bedside
glucometer reading of 65 mg/ dL. thenewborn's mother has type 2diabetes
mellitus. Which of thefollowing actions should thenurse take?
D. Reassess theblood glucose level prior to thenextfeeding
39. A nurse is providing nutritional guidance to a client who is pregnant and
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