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MATERNAL NEWBORN ATI PROCTORED EXAM – QUESTIONS AND VERIFIED SOLUTIONS
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MATERNAL NEWBORN ATI PROCTORED EXAM – QUESTIONS AND VERIFIED SOLUTIONS
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MATERNAL NEWBORN ATI PROCTORED EXAM –QUESTIONS AND VERIFIED SOLUTIONS
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
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