ATI OB Maternal Newborn Proctored Final Exam Questions and Answers 2023

1. A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make? a. "we can schedule the procedure for later today if you'd like." b. "your provider will schedule a chorionic villus sampling to determine the sex of your baby." c. "you cannot have an amniocentesis until you are at least 35 years of age." d. "this procedure determines if your baby has genetic or congenital disorders." 2. A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care? a. Increase the newborn's visual stimulation. b. Discourage parental interaction until after a social service evaluation. c. Weigh the newborn every other day. d. Swaddle the newborn in a flexed position. 3. A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse report to the provider? a. Urinary output 20 mL/hr b. Blood pressure 148/94 mm Hg c. 2+ deep tendon reflexes d. Respiratory rate 14/min 4. A charge nurse is teaching a group of staff nurse about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff nurses to report to the provider? a. Fetal heart rate is 140/min b. Absent early deceleration of fetal heart rate c. Contraction durations of 95 to 100 seconds d. Contraction frequency of 2 to 3 min apart 5. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? a. Pulse 58/min b. Blood pressure 142/92 mm Hg c. Respiratory rate 14/min d. Urine output 100 mL in 3 hr 6. A nurse is caring for a newborn who is 24 hr old. Which of the following laboratory findings should the nurse report to the provider? a. WBC count 32,000/mm3 b. Bilirubin 2 mh/dL c. Platelets 200,000/mm3lOMoAR cPSD| d. Hgb 20 g/dL 7. A nurse is caring for a client who has active genital herpes simplex virus type 2. Which of the following medications should the nurse plan to administer? a. Gentamicin b. Penicillin c. Acyclovir d. Metronidazole 8. A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider? a. A client who has a urinary output of 300mL in 8 hr b. A client who is receiving magnesium sulfate and has absent deep tendon reflexes c. A client who reports abdominal cramping during breastfeeding d. A client who reports lochia rubra requiring changing perineal pads every 3 hr. 9. A nurse is caring for a client who has maternal hypotension following the placement of an epidural. Which of the following actions should the nurse take? a. Apply oxygen via nonrebreather face mask at 2 L/min b. Give terbutaline subcutaneously c. Position the client in a knee-chest position d. Administer a bolus infusion of lactated Ringer's. 10. A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks gestation. Which of the following actions should the nurse take? (Click in the "Exhibit" button a. Administer ceftriaxone IM. 11. A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate? a. "This medication improves tissue perfusion." b. "This medication increases cardiac output." c. "This medication stabilizes the fetal heart rate." d. "This medication prevents seizures." 12. A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse include in the policy? a. Check the newborn's identification using the crib card. b. Replace the infant's identification band after his name has been recorded. c. Require visitors to wear an identification band. d. Obtain an imprint of the infant's feet prior to taking him to the nursery.lOMoAR cPSD|