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ATI Maternal Proctored Exam: Questions/Solutions
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ATI Maternal Proctored Exam: Questions/SolutionsA nurse is providing care to a client who is in labor. A fetal heart tracing shows
early decelerations. Which of the following actions should the nurse take?
Right Ans - Continue to monitor the fetal heart tracing.
A nurse is assessing a client who is 14 hours postpartum and has a third-
degree her new laceration. The clients temperature is 37.8°C (100°F), and her
fundus is firm and slightly deviated to the right. The client reports a gush of
blood when she ambulate's and no bowel movement since delivery. Which of
the following actions should the nurse take? Right Ans - Assist the client to
empty her bladders
A nurse on the antepartum unit is caring for a client who is at 28 weeks
gestation and reports dizziness when lying on her back. Into which of the
following positions should the nurse assess the client? Right Ans - Lateral
A nurse is providing teaching for a client at seven weeks of gestation who is
experiencing nausea and vomiting. Which of the following client statements
indicates to the nurse and understanding of the teaching? Right Ans - I
should have a small snack before bedtime
A nurse is assessing a client who is at 36 weeks of gestation which of the
following manifestations should the nurse recognize as a potential prenatal
complication and report to the provider? Right Ans - Double vision
A nurse is assessing a client who is at 34 weeks gestation and has a cardiac
disorder the nurse should notify the provider about which of the following
assessment findings? Right Ans - The client reports a frequent cough
A nurse is caring for a client who is in labor the client speaks a different
language than the nurse and he's been missing. Which of the following actions
should the nurse take while waiting for an interpreter? Right Ans - Change
the clients position
A nurse is providing teaching for a client who is pregnant and has type one
diabetes mellitus. Which of the following statements should the nurse include
in the teaching? Right Ans - You should expect to decrease your insulin
dosage immediately after you deliver your baby
,A nurse is caring for a client in labor and observes a pattern of early
decelerations on the fetal monitor. Which of the following actions should the
nurse take? Right Ans - Document the findings and continue to monitor
A nurse is preparing to administer naloxone to a newborn. Which of the
following conditions can require administration of this medication? Right
Ans - IV narcotics administered to the mother during labor
A nurse is caring for a client labor who has an epidural for pain relief. Which
of the following is a complication of the epidural block? Right Ans -
Hypotension
A nurse at a prenatal clinic is teaching a client how to perform a kick count.
Which of the following statements should the nurse include in the teaching?
Right Ans - Before bedtime is a good time to start counting the kicks
A nurse is teaching a group of clients who are pregnant about vitamin K for
newborns. Vitamin K helps prevent which of the following conditions in a
newborn? Right Ans - Intracranial hemorrhage
A nurse is caring for a newborn who has neonatal abstinence syndrome which
of the following Clinical findings should the nurse expect? Right Ans -
Exaggerated reflexes
A nurse is creating a plan of care for a client who is in the active stage of labor
and expresses a desire to use nonpharmacological methods of pain relief.
Which of the following intervention should the nurse include? Right Ans -
Assist the client into a warm shower
A nurse is providing teaching to a client who has come to the family planning
clinic requesting an intrauterine device IUD. Which of the following pieces of
information should the nurse provide to the client? Right Ans - Your risk
for ectopic pregnancy increases with an IUD
A nurse is teaching a client who is pregnant and has pre-gestational diabetes
about dietary changes. Which of the following statements should the nurse
include in the teaching? Right Ans - Carbohydrates should make up 55% of
your diet
,A provider does a client at 12 weeks gestation who practices Hinduism that
she needs more protein in her diet and suggest 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? Right Ans - Let's discuss other foods that are also
high in protein that you can substitute for meat
A nurse is caring for a client who is in labor. A vaginal examination reveals the
following findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on this
information, which of the following fetal position should the nurse document
in the medical record? Right Ans - Vertex
A nurse is teaching a client about squatting exercises during pregnancy. Which
of the following statements should the nurse include? Right Ans - These
exercises should be done for 15 minutes each day to strengthen the peroneal
muscles
A nurse is providing care to a client who is 12 hours postpartum and is
receiving oxytocin IV. The client asked the nurse, why is there so little
bleeding? Which of the following responses should the nurse make? Right
Ans - The bleeding is minimal until I discontinue your IV medication
A nurse is planning care for a Client who is post partum and has cardiac
disease. For which of the following prescriptions should the nurse seek
clarification? Right Ans - Monitor the clients weights weekly
A nurse is caring for a client who is at 35 weeks of gestation and he scheduled
to undergo an amniocentesis. Which of the following statements should the
nurse make? Right Ans - You will feel so much discomfort during this
procedure
A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which
of the following findings should the nurse report to the provider? Right Ans
- 3+ deep tendon reflexes
A nurse is providing teaching about exercise for a client who is pregnant
which of the following pieces of information should the nurse include?
, Right Ans - Vigorous exercise it should be limited and should not be
performed in hot humid weather
A nurse is caring for several clients. Which of the following clients should the
nurse identify as a candidate for oral contraceptives a Right Ans - A client
who is breast-feeding a seven month old infant
A nurse is caring for a newborn who was born to a client with a narcotic use
disorder. Which of the following nursing actions is contraindicated in the care
of this newborn Right Ans - Frequent simulation
A nurse is discussing epidural anesthesia with a client who is receiving
oxytocin to induce labor which of the following statements should the nurse
make? Right Ans - An epidural given to early can prolong labor
A nurse is caring for a client who is in labor. The client questions application
of an internal fetal scalp monitor. Which of the following responses should the
nurse provide? Right Ans - We need to observe your baby more closely
A nurse is providing teaching about newborn bath to a client who is two days
postpartum which of the following pieces of information should the nurse
include? Right Ans - Watch the newborns face with plain warm water
A nurse is teaching a postpartum client how to swaddle her newborn. Which
of the following assessments by the parent demonstrates an understanding of
the teaching? Right Ans - I should stop swaddling my baby once she is able
to roll over by herself
A nurse is receiving a report for a client who is in labor and is experiencing
contractions that are four minutes apart. Which of the following patterns to
the nurse expect on the fetal monitor tracing? Right Ans - Contractions that
last for 60 seconds each with a three minute rest between the contractions
A nurse is reviewing the laboratory for it for a client with suspected HELLP
Syndrome. Which of the following findings should the nurse report to the
provider as an indication of this Disorder? Right Ans - Elevated liver
enzymes
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