ATI Maternal Newborn Proctored Exam Questions and Answ ers 2 024 A 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? -Answer -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? -Answer -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? -Answer -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? -Answer -I should have a small snack before be dtime 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? -Answer -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? -
Answer -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? -Answer -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? -
Answer -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? -Answer -
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? -Answer -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? -Answer -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? -Answer -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? -Answer -
Intracranial hemorrhage A nurse is caring for a newborn who has neonatal abstinence syndrome which of the following Clinical findings should the nurse expect? -Answer -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? -Answer -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? -Answer -Your risk for ectopic pregnancy increas es 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? -Answer -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? -Answer -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? -
Answer -Vertex A nurse is teaching a client about squatting exercises during pregnancy. Which of the following statements should the nurse include? -Answer -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? -Answer -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? -Answer -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? -
Answer -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? -Answer -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? -Answer -Vigorous exercise it should be limited and should not be performed in hot humid weather
Answer -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? -Answer -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? -
Answer -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? -Answer -
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? -Answer -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? -Answer -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? -Answer -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? -Answer -
Intracranial hemorrhage A nurse is caring for a newborn who has neonatal abstinence syndrome which of the following Clinical findings should the nurse expect? -Answer -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? -Answer -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? -Answer -Your risk for ectopic pregnancy increas es 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? -Answer -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? -Answer -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? -
Answer -Vertex A nurse is teaching a client about squatting exercises during pregnancy. Which of the following statements should the nurse include? -Answer -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? -Answer -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? -Answer -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? -
Answer -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? -Answer -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? -Answer -Vigorous exercise it should be limited and should not be performed in hot humid weather
