2024 MATERNAL NEWBORN ATI
PROCTORED EXAM WITH CORRECT
ANSWERS
A nurse is developing a plan of care for a newborn who is to
undergo phototherapy for hyperbillirubinemia. Which of the
following actions should the nurse include in the plan? - CORRECT
ANSWERS- Remove all clothing form the newborn except the
diaper
A nurse is admitting a client to the labor and delivery unit when
the client states, "My water just broke". Which of the following
interventions is the nurse's priority? - CORRECT ANSWERS- Begin
FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and
has a positive contraction stress test. The nurse should plan to
prepare the client for which of the following diagnostic test? -
CORRECT ANSWERS- Biophysicial profile
A nurse is caring for a client who is at 15 weeks gestation, is Rh-
negative, and has just had an amniocentesis. Which of the
following interventions is the nurse's priority following the
procedure? - CORRECT ANSWERS- Monitor the FHR
,A nurse in an antepartum clinic is assessing a client who is at 32
weeks of gestation. Which of the following findings should the
nurse report to the provider? - CORRECT ANSWERS- Reports of
decreased fetal movement
A nurse is assessing a newborn who is 12 hr old. Which of the
following manifestations requires intervention by the nurse? -
CORRECT ANSWERS- A. Acrocyanosis of the extremities
B. Murmur at the left sternal border
C. Substernal chest retractions while sleeping
D. Positive Babinski reflex
Answer: Substernal chest retractions while sleeping
A. Acrocyanosis of the extremities
Acrocyanosis of the extremities is an expected manifestation in
newborns. Acrocyanosis is a bluish discoloration of the newborn's
hands and feet.
B. Murmur at the left sternal border
An audible murmur heard at the left sternal border is an expected
manifestation in newborns.
C. Substernal chest retractions while sleeping
,Substernal chest retractions can indicate respiratory distress
syndrome in the newborn. This manifestation requires further
assessment and intervention by the nurse.
D. Positive Babinski reflex
A positive Babinski reflex is an expected manifestation in
newborns. This reflex is elicited when a newborn's sole is stroked
with a finger upward along the lateral aspect of the sole and then
across the ball of the foot and, in response, the t
A nurse is preparing to administer magnesium sulfate 2g/hr IV to
a client who is in preterm labor. Available is 20 g magnesium
sulfate in 500 mL of dextrose 5% in water (D5W). The nurse
should set the IV infusion pump to administer how many mL/hr? -
CORRECT ANSWERS- 50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum
and is receiving IV fluid replacement. Which of the following
findings should the nurse report to the provider? - CORRECT
ANSWERS- BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the
following manifestations is an indication of hypoglycemia? -
CORRECT ANSWERS- Respiratory distress
A nurse in a provider's office is reviewing the medical record of a
client who is in the first trimester of pregnancy. Which of the
following should the nurse identify as a risk factor for the
, development of preeclampsia - CORRECT ANSWERS-
Pregestational Diabetes Mellitus
A nurse in an antepartum clinic is providing care for a client who
is at 26 weeks of gestation. Upon reviewing the client's medical
record, which of the following findings should the nurse report to
the provider? - CORRECT ANSWERS- Fundal Height Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the
following findings should the nurse report to the provider? -
CORRECT ANSWERS- Substernal Retractions
A nurse is caring for a client who is at 26 weeks of gestation and
has epilepsy. The nurse enters the room and observes the client
having a seizure. After turning the client head to the side, which
of the following actions should the nurse take immediately after
the seizure? - CORRECT ANSWERS- Administer oxygen via a
nonrebreather mask
A nurse is providing teaching about nonpharmological pain
management to a client who is breastfeeding and has
engorgement. The nurse should recommend the application of
which of the following items? - CORRECT ANSWERS- Cold
cabbage leaves
A nurse is assessing a client who is 1 day postpartum and has a
vaginal hematoma. Which of the following manifestations should
the nurse expect? - CORRECT ANSWERS- Vaginal pressure
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