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RN ATI MATERNAL NEWBORN PROCTORED EXAM (36 EXAM SETS), ATI RN EXAMS 2024, LATEST MULTIPLE VERSIONS
RN ATI MATERNAL NEWBORN PROCTORED EXAM (36 EXAM SETS), ATI RN EXAMS 2024, LATEST MULTIPLE VERSIONS
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RN ATI MATERNAL NEWBORN PROCTORED EXAM (36EXAM SETS), ATI RN EXAMS 2024, LATEST MULTIPLE
VERSIONS
RN ATI MATERNAL NEWBORN PROCTORED EXAM
A client who is pregnant presents to a prenatal clinic for her first visit. She
tells the nurse that her last normal menstrual period began Oct 13. Using
Nagele’s rule, the nurse should determine the client’s estimated date of
delivery as which of the following?
a. July 6
b. July 13
c. July 20- Add a year, subtract 3 months, add 7 days
d. July 27
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
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
, 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
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
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
A nurse is preparing to collect a blood specimen from a newborn via a
heel stick. Which of the following techniques should the nurse use to help
minimize the pain of the procedure for the newborn?
, a. Warm the heel prior to the puncture
b. Request a prescription for IM analgesic
c. Use a manual lance blade to pierce the skin
d. Swaddle the newborn after the heel puncture- Effective technique
to diminish the pain experience for the newborn.
A nurse is conducting an initial prenatal visit for a client who is at 6 weeks
gestation. Which of the following laboratory tests should be performed?
a. 24 hour urine for protein
b. Group B streptococcus culture
c. 3-hr glucose tolerance
d. Rubella titer- Obtained at the initial prenatal visit to determine immunity to
rubella
A nurse is caring for a newborn who was transferred to the nursery 30 min
after delivery. Which of the following actions should the nurse take first?
a. Confirm the newborn’s Apgar score
b. Verify the newborn’s identification- Mandatory to continue ongoing
identification of the newborn whenever the newborn is removed
from the mother’s direct presence and care.
c. Administer vitamin K IM to the newborn
d. Determine the obstetrical risk factors
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
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
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
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
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
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
A nurse is assessing a client during a weekly prenatal visit that is at 38
weeks of gestation. Which of the following client findings should the nurse
report to the provider?
a. Blood pressure 136/88
b. Report of insomnia
c. Weight gain of 2.2 kg- Above the expected reference range
and could indicate complications
d. Report of Braxton-Hicks contractions
A nurse is caring for a client who is pregnant and has epilepsy. The nurse
observes the client having a seizure. After turning the client’s head to
, one side, which of the following actions should the nurse take next?
a. Monitor the fetal heart rate
b. Assess uterine activity
c. Administer oxygen via a non-breather mask
d. Start a bolus of IV fluids
A nurse is providing discharge instructions to a client who had a vaginal
delivery and is breastfeeding her newborn. Which of the following
statements indicates an understanding of the teaching?
a. I will need to eat an additional 330 calories a day while I’m breastfeeding-
b. I will change my perineal pad at least twice a day
c. I will massage my uterus daily for 7 days
d. I will breastfeed my baby every 2 hours
A nurse is caring for a client who is at 38 weeks of gestation. Which of
the following actions should the nurse take prior to applying an external
transducer for fetal monitoring?
a. Assessment of dilation and effacement
b. Leopold maneuvers- helps the nurse assess the position of the fetus
to best determine the optimal placement for the fetal monitoring
transducer.
c. Sterile speculum exam
d. Nitrazine test
A nurse is assessing a young adult client in a women’s health clinic who
asks for a contraceptive. The client reports to the nurse a familial history of
osteoporosis. Which of the following contraceptive methods is
contraindicated for this client?
, a. Combined estrogen-progestin oral contraceptives
b. An intrauterine device
A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM).
Which of the following statements by the client indicated an
understanding of the teaching?
a. I will receive this medication if my baby is Rh-negative
b. I will receive this medication at time of delivery
c. I will need a second dose of this medication when my baby is 6 weeks old
d. I will need this medication if I have an amniocentesis-
Recommended because of the potential of fetal RBCs entering the
maternal circulation
A nurse is caring for a client who is to receive oxytocin (Pitocin) to
augment her labor. Which of the following contraindicates the initiation of
the oxytocin infusion and requires notification of the provider?
a. Late decelerations- Oxytocin is contraindicated based on late
decelerations noted on fetal assessment findings because they
indicate uteroplacental insufficiency. b. Baseline variability
c. Cessation of uterine dilation
d. Prolonged active phase of labor
A nurse on the newborn unit is planning discharge for four clients. Which
of the following will require care beyond that of a standard follow-up visit
with the provider after delivery?
a. A newborn being sent home after 22 hr after birth- Screening tests
, must be repeated if they were performed before he newborn was
24 hr. old.
b. A newborn at 38 weeks of gestational age
c. A newborn who is bottle feeding
d. Twin newborns with Apgar scores of 8 and 9
A nurse is assessing a newborn who has a weak cry and is grimacing. The
nurse notes the newborn has a heart rate of 102/min, blueish
extremities, and a flaccid muscle tone. Which of the following reflects the
appropriate APGAR score?
a. 4
b. 5
, c. 6
d. 7
A nurse is caring for a client who has a history of rheumatic disease, but no
physical symptoms prior to pregnancy. The client begins to experience
dyspnea, orthopnea, and pulmonary edema. Which of the following
biological alterations explains this change?
a. Increased maternal weight
b. Increased blood volume- Increase in blood volume during
pregnancy increase the workload of the heart, which causes the
symptoms
c. Change in hematocrit levels
d. Change in heart size
A nurse is providing teaching about nonpharmacological pain
management for a postpartum client who is breastfeed and has
engorgement. Which of the following methods should the nurse
recommend?
a. Cold cabbage leaves- Application of this is an effective
nonpharmacological method to relieve pain associated with
engorgement
b. Modified lanolin cream
c. A breast binder
d. Breast shells
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
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
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
A nurse is preparing to collect a blood specimen from a newborn via a
heel stick. Which of the following techniques should the nurse use to help
minimize the pain of the procedure for the newborn?
a. Warm the heel prior to the puncture
b. Request a prescription for IM analgesic
c. Use a manual lance blade to pierce the skin
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