ATI PN MATERNAL NEWBORN Proctored Exam 2020
VERIFIED COMPLETE VERSION QUESTION AND ANSWERS A
GRADE LATEST UPDATE MAY 2023.
1. A nurse provided discharge teaching to new parents on how to care for their newborn
following circumcision. Which of the following statements by the parents indicates the
need for further clarification?
Select one:
a. "The circumcision will heal completely within a couple of weeks."
b. "I should not remove the yellow exudate on the end of the penis."
c. "I can give him a tub bath in two days."
d. "I will clean his penis with each diaper change." - ANSWERS-Answer: C. The
newborn should not be immersed in water until the circumcision has healed and the
umbilical cord has detached. The circumcision should heal within two weeks.
2. A nurse is discussing the use of condoms with a female client. Which of the following
statements by client represents a need for further teaching?
Select one:
a. "My partner should leave an empty space at the tip."
b. "I can use spermicidal gels or creams to increase effectiveness."
c. "My partner will put the condom on while his penis is erect."
d. "I will remove the condom 30 minutes after intercourse." - ANSWERS-Answer: D. To
avoid any semen spillage onto the vulva or the vaginal area, the condom must be
removed the same time as the penis. To do that the condom rim should be held in place
while the penis is withdrawn from the vagina.
3. A client reports awaking from sleep by contractions that are occurring every five
minutes and lasting 30-40 seconds. Which of the following questions should the nurse
ask to assess for true labor versus false labor?
Select one:
a. "Have you noticed any bloody show or fluid coming from your vagina?"
b. "Have you felt fetal movement over the last 24 hours?"
c. "What happens to your contractions when you move about?"
d. "When did your contractions begin?" - ANSWERS-Answer: A. Vaginal discharge of
blood or fluid may indicate cervical dilation, and potentially rupture of membranes. False
labor is characterized by painless, irregular, and intermittent contractions that decrease
in frequency, duration, and intensity with walking or position changes. Contractions are
, felt in the lower back or above the umbilicus and often stop with comfort measures (like
oral hydration). There is usually no vaginal discharge with false labor.
4. The client who is scheduled for a nonstress test (NST) asks the nurse to explain the
purpose of the test. Which of the following is the correct response?
Select one:
a. The purpose of the NST is to determine fetal breathing.
b. The purpose of the NST is to assess the fetal CNS.
c. The purpose of the NST is to determine fetal lie.
d. The purpose of the NST helps to determine gestational age. - ANSWERS-Answer: B.
This is the primary purpose of a NST. The test monitors the response of the FHR to
fetal movement. This allows the nurse to assess the FHR in relationship to the fetal
movement
5. A client in the early postpartum period is talkative and enjoys recounting the details of
her labor and birth. The nurse recognizes that the behaviors must likely indicate which
of the following?
Select one:
a. The taking-hold phase of maternal psychosocial adaptation.
b. Postpartum role transition.
c. The taking-in phase of maternal postpartum adjustment.
d. Positive mother-infant bonding. - ANSWERS-Answer: C. The taking-in phase begins
immediately following birth and lasts a few hours to a couple of days. It is characterized
by the mother being excited and talkative, reliving her birthing experience, and focusing
on her own needs and the overall health of her newborn.
6. A nurse is positioning a client on the operating room table in preparation for a
cesarean birth. Which of the following is the correct position?
Select one:
a. Modified Trendelenburg position with a foam wedge under the legs.
b. Lithotomy position with a foam wedge behind the shoulders.
c. Supine position with foam wedge positioned under one hip.
d. Left lateral position with a foam wedge between the legs. - ANSWERS-Answer: C.
The supine position is appropriate for abdominal surgery (cesarean birth), and a wedge
under one hip laterally tilts the client and reduces uterine weight on the vena cava and
descending aorta. This helps maintain optimal perfusion of oxygenated blood to the
fetus during the procedure.
7. A nurse is caring for a neonate who exhibits abstinence syndrome and demonstrates
clinical manifestations of the condition. Which assessment finding is associate with this
condition?
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