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ATI PROCTORED EXAM - MATERNAL NEWBORN|94 QUESTIONS WITH ANSWERS
ATI PROCTORED EXAM - MATERNAL NEWBORN|94 QUESTIONS WITH ANSWERS
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ATI PROCTORED EXAM - MATERNALNEWBORN|94 QUESTIONS WITH ANSWERS
A nurse is planning care for a newborn who is receiving phototherapy for an
elevated bilirubin level. Which of the following actions should the nurse take?
- -D. Use a photometer to monitor the lamp's energy
The nurse should monitor the lamp's energy throughout the therapy to
ensure the newborn is receiving the appropriate amount to be effective.
-A nurse is assessing a client at 34 weeks gestation who has a mild placental
abruption. Which of the following findings should the nurse expect? - -Dark
red vaginal bleeding
The nurse should expect this client with a mild placental abruption to have
minimal dark red vaginal bleeding.
-A nurse is assessing a newborn and notes an axillary temperature of 96.9°F
(36°C). Which of the following actions should the nurse perform? - -Correct
Answer:
B.
Assess the newborn's blood glucose level
Infants who become cold attempt to generate heat through increased
muscular and metabolic activity. This process increases glucose consumption
and puts the newborn at risk of hypoglycemia.
Incorrect Answers:
A. The nurse should not obtain a rectal temperature from a newborn due to
the risk of rectal perforation. Instead, the nurse should obtain an axillary
temperature.
C. Bathing a newborn will increase heat loss. The infant should not be bathed
until the temperature has stabilized within the normal range.
D. Placing the infant in front of a heater vent can incur heat loss through
convection. Additionally, there is a potential fire risk from the bassinet linens
and the vent.
-A nurse is caring for a client who is in preterm labor and is receiving
magnesium sulfate. The client begins to show indications of magnesium
sulfate toxicity. Which of the following medications should the nurse prepare
to administer? - -Correct Answer:
C. Calcium gluconate
,The nurse should discontinue the magnesium sulfate infusion immediately
and prepare to administer calcium gluconate IV to reverse the effects of
magnesium sulfate and to prevent cardiac and respiratory arrest.
Incorrect Answers:
A. Protamine sulfate helps reverse the effects of heparin, not magnesium
sulfate.
B. Naloxone is an opioid reversal agent. It does not reverse the effects of
magnesium sulfate.
D. Flumazenil reverses the effects of benzodiazepines such as lorazepam and
alprazolam, not magnesium sulfate.
-A nurse is providing postpartum discharge teaching to a client who is non-
lactating about breast discomfort relief measures. Which of the following
pieces of information should the nurse include? - -Correct Answer:
"Place fresh cabbage leaves on your breasts."
After 3 days postpartum, the client's breasts can become swollen and
distended because of congestion of the vascular structures of the breasts.
Fresh cabbage leaves can be applied to engorged breasts to help relieve
breast discomfort.
The coolness of the leaves and the phytoestrogens exert a therapeutic
effect on engorged breasts.
Leaves should be replaced when they become wilted.
Incorrect Answers:
A. The client should be instructed to wear a tight-fitting bra or breast binders
to alleviate engorgement and swelling.
C. Application of warmth to the breasts should be avoided because heat can
stimulate milk production. An ice pack should be used to relieve engorged
breasts.
D. Milk should not be expressed from the breasts. This intervention would
increase milk production rather than decrease it.
-A nurse is educating a client who is at 10 weeks gestation and reports
frequent nausea and vomiting. Which of the following statements should the
nurse include in the teaching? - -Correct Answer:
D.
"You should eat dry foods that are high in carbohydrates when you wake up."
,The nurse should instruct the client to eat foods that are high in
carbohydrates such as dry toast or crackers upon waking or when nausea
occurs.
Incorrect Answers:
A. The nurse should instruct the client to eat foods served at cool
temperatures to decrease nausea and vomiting.
B. The nurse should instruct the client to avoid brushing her teeth
immediately after eating to decrease vomiting.
C. The nurse should instruct the client to eat salty and tart foods during
periods of nausea.
-A nurse is providing postpartum discharge teaching for a client who is
breastfeeding. The client states, "I've heard that I can't use any birth control
until I stop breastfeeding." Which of the following responses should the nurse
make? - -Correct Answer:
D.
"A progestin-only pill or injection is available for use while you are
breastfeeding."
Progestin-only injections, implants, and birth control pills are acceptable
options for clients who are breastfeeding, although some experts
recommend waiting until 6 weeks postpartum to initiate the medication.
Incorrect Answers:
A. Breastfeeding can inhibit ovulation or prolong menstruation; however, it is
not a reliable and effective means of birth control. The client may experience
an unplanned pregnancy if she waits until her periods resume before
considering birth control options.
B. Estrogen-containing birth control pills, implants, patches, and vaginal
rings are not recommended for clients who are breastfeeding due to the risk
of inhibiting breast milk production and supply.
C. Condoms and other non-hormonal birth control methods are appropriate
for clients who are breastfeeding; however, there are other methods that are
also appropriate.
-A nurse is assessing a client who is receiving morphine via a patient-
controlled analgesia (PCA) pump following a cesarean birth. Which of the
following findings should the nurse report to the provider? - -Correct Answer:
D.
Urine output 20 mL/hr
, Opioid analgesics such as morphine can cause urinary retention. The client
should have a urinary output of at least 30 mL/hr. The nurse should report
this finding to the provider.
Incorrect Answers:
A. Opioid analgesics can cause respiratory depression. However, this
respiratory rate is within the expected reference range.
B. This temperature is within the expected reference range.
C. Dizziness is a common adverse effect of receiving opioid analgesics. The
nurse should instruct the client to sit on the side of the bed before getting
up, assist the client with ambulation, and implement general safety
measures. However, it is not necessary to report this finding to the provider.
-A nurse in a clinic is providing teaching to a client who is at 37 weeks of
gestation and is scheduled for an external cephalic version. Which of the
following statements should the nurse make? - -Correct Answer:
B."You will receive a medication to relax your uterus prior to the procedure."
A client who is scheduled to undergo an external cephalic version often
receives a tocolytic prior to the procedure to allow the uterus to relax. A
relaxed uterus allows an easier version by the provider.
Incorrect Answers:
A. This action is appropriate for internal version. With external version, the
provider attempts to turn the fetus around externally and not internally.
C. External version is a high-risk procedure that is performed in a hospital
setting in the event of an emergency.
D. During the external version, the fetal heart-rate pattern is monitored
continuously because the fetus is at risk of bradycardia and variable
decelerations. The nurse also monitors the fetal heart rate for at least 60
minutes following the procedure.
-A postpartum nurse is caring for a client who reports excessive sweating
during the first night after delivery. Which of the following statements should
the nurse make? - -Correct Answer:
D.
"This is a source of your fluid loss after delivery."
Postpartum diuresis is the loss of the remaining pregnancy-induced increase
in blood volume. The loss of excess tissue fluid begins within 12 hours after
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