Leadership ATI Proctored
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for conference?
A. A client who is at 28 weeks gestation and has a negative Coombs titer
B. A client who is 39 weeks of gestation and has a negative...
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RN Maternal Newborn Quiz 2019 B with NGN, ATI Maternal
newborn 2019, ATI RN Maternity Practice 2019 A , Maternal
Newborn ATI 2019 Practice B, Maternal newborn ati
proctored exam 2019, ATI RN Maternal Newborn Online
Practice 2019 - 2023 with NGN, ATI
A nurse is teaching about the quadruple marker screen to a client who is pregnant. Which of the
following information should the nurse include in the teaching?
A) "The sample is collected during an amniocentesis."
B) "The test is a screening tool for chromosomal syndromes."
C) "The test uses ultrasound to measure the fetus."
D) "This screening is done before 12 weeks of gestation."
Answer = B
A nurse is caring for a client who is having labor augmented with oxytocin. The fetal monitor tracing
reveals early decelerations. Which of the following actions should the nurse take?
A) Continue to monitor the client.
B) Discontinue the oxytocin.
C) Assist the client to a Trendelenburg position.
D) Administer oxygen 2 L/min via nasal cannula.
Answer = A
A nurse is reviewing the laboratory results of a newborn who is 22 hr old. Which of the following
findings should the nurse report to the provider?
A) Platelet count 165,000/mm3
B) Hemoglobin 12 g/dL
C) Bilirubin 5 mg/dL
D) Blood glucose 50 mg/dL
Answer = B
A nurse is assessing a client who has gestational diabetes. Which of the following manifestations are
findings of hyperglycemia?
A) Acetone breath odor
B) Decreased urinary output
C) Tinnitus
D) Diarrhea
Answer = A
A nurse is discussing an oral glucose test with a client who is at 22 weeks of gestation. Which of the
following statements should the nurse make?
A) "You should plan to have the test when you are 32 weeks pregnant."
B) "You should be on a low-carbohydrate diet for 3 days before testing."
C) "You should not eat or drink anything after midnight the night prior to the test."
D) "You should avoid smoking 2 hours prior to the test."
Answer = C
A nurse is reviewing the laboratory findings of a client who is at 37 weeks of gestation and has
hypertension. Which of the following results should the nurse notify the provider?
A) BUN 19 mg/dL
B) Hematocrit 37%
,C) Creatinine 0.9 mg/dl
D) Platelet 50,000/mm3
Answer = D
A nurse is reviewing the results of a biophysical profile for a client who is at 37 weeks gestation. The
nurse notes the results are 3 out of 10. Which of the following actions should the nurse plan to take?
A) prepare for the birth of the fetus
b) assess the client's deep tendon reflexes
c) initiate fundal massage
d) administer a tocolytic medication
Answer = A
A nurse is providing care for a client who has HIV and her newborn. Which of the following actions
should the nurse take first when providing care for the newborn immediately following birth?
A) Bathe the newborn.
B) Place the newborn skin-to-skin.
C) Administer a hepatitis B vaccine.
D) Perform a newborn screening.
Answer = A
A nurse is caring for a client who has HIV and is in labor. Which of the following actions should the
nurse take?
A) Apply a fetal scalp electrode to monitor the fetal heart rate.
B) Obtain maternal white blood cell counts every 2 hr during labor.
C) Administer zidovudine IV during the intrapartum period.
D) Assist the provider with rupturing the client's membranes.
Answer = C
A nurse is caring for a client who is at 32 weeks of gestation and is receiving magnesium therapy IV as
a tocolytic. The client's respiratory rate is 10/min, deep tendon reflexes are absent, and urinary
output is 20 mL/hr. Which of the following actions should the nurse plan to take?
A) Implement seizure precautions.
B) Administer calcium gluconate.
C) Check the client's blood glucose level.
D) Initiate a 24-hr urine collection.
Answer = B
A nurse is caring for a newborn who has a blood glucose level of 28 mg/dL. Which of the following
actions should the nurse take?
A) Assess the newborn's blood glucose level 2 hr after feeding.
B) Administer a lactated Ringer's IV bolus.
C) Assist with breastfeeding.
D) Administer oral glucose water.
Answer = C
A nurse is caring for a newborn who is receiving phototherapy for hyperbilirubinemia. Which of the
following actions should the nurse take?
A) Swaddle the newborn snuggly prior to placing them under the phototherapy lights
B) Supplement newborn feedings with glucose water every 2 hr
C) Obtain blood for a universal newborn screening every 8 hr
D) Remove the eye mask on the newborn prior to every feeding
,Answer = D
A nurse is providing postoperative care to a client following a cesarean birth. Which of the following
actions should the nurse take?
A) Remove the indwelling urinary catheter on the third postpartum day
B) Allow the client to use a straw for drinking beverages
C) Encourage the client to remain in bed while hospitalized
D) Instruct the client to splint their incision with a pillow when coughing
Answer = D
A nurse is caring for a client who has mild hyeremesis gravidarum. Which of the following actions
should the nurse take?
A) Administer pyridoxine
B) Encourage intake of high fat foods
C) Administer morphine
D) Encourage an intake of low protein foods
Answer = A
A nurse is assessing a newborn following a forceps assisted birth. Which of the following clinical
manifestations should the nurse identify as a complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopumonary dysplasia
C. Facial Palsy
A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which
of the following statement by the client indicates an understanding of the teaching?
A. "The medication could cause me to experience heart palptation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears"
D. "This medication could cause me to experience frequent ..."
A. "The medication could cause me to experience heart palptation"
A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory
tests should the nurse anticipate?
a. Urine Ketones
b. Rapid plasma regain
c. Prothrombin time
d. Urine culture
a. Urine Ketones
A nurse is caring for a client who is in labor and requests nonpharmacological pain management.
Which of the following nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr
A. Assisting the client into squatting position
, A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the
following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
D. Malodorous Discharge
A nurse is caring for a client who is 14 weeks of gestation. At which the following locations should
the nurse place the Doppler device when assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Proces
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the
following findings should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60.000/ mm3
D. Platelet Count 60.000/ mm3
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the
following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
C. Breast Tenderness
A nurse is assessing a newborn upon admission to the nursery. Which of the following should the
nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
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. Weigh the newborn every other day
C. Discourage parental interaction until after a social evaluation
D. Swaddle the newborn in a flexed position
D. Swaddle the newborn in a flexed position
A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL.
The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse
take?
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