ATI MATERNAL NEWBORN PROCTORED
2019: Questions & verified Answers
A nurse is caring for a client who is 2 weeks postpartum following a cesarean
birth. Which of the
following clinical findings should the nurse identify as an indication of
postpartum infection? ✔️Ans - Unilateral breast pain
A nurse is assessing a client who has preeclampsia during a prenatal visit.
Which of the following findings should the nurse report to the provider?
✔️Ans - Urine protein of 3+
A nurse is providing teaching about the expected effects of magnesium sulfate
to a client who is at 28 weeks gestation and has preeclampsia. Which of the
following responses by the nurses is appropriate? ✔️Ans - "This
medication prevents seizures"
A nurse is teaching a prenatal class regarding false labor. Which of the
following information should the nurse include? ✔️Ans - Your
contractions will become temporarily regular
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? ✔️Ans - Obtain an imprint of the infants feet prior to taking
him into the nursery
A nurse is caring for a client who delivered by cesarean birth 6 hrs. ago. The
nurse notes a steady trickle of vaginal bleeding that does not stop with fundal
massage. Which of the following actions should the nurse take? ✔️Ans -
Administer 500 mL lactated ringer's IV bolus
A nurse is providing discharge instructions to a client who is postpartum and
has engorged breasts. Which of the following nonpharmacological comfort
measures should the nurse include in the teaching? ✔️Ans - Apply
cabbage leaves
, A nurse is calculating the estimated date of birth using Nagele's rule for a
client who is pregnant and whose last menstrual cycle started June 21. Which
of the following is the estimated date of delivery in the next year? ✔️Ans
- March 28
A nurse is caring for a client immediately following the delivery of a stillborn
fetus. Which of the following actions should the nurse take? ✔️Ans -
Prepare the client for what to expect the fetus to look like.
A nurse is observing an adolescent client who is offering her newborn a bottle
while he is lying in the bassinet. When the nurse offers to pick the newborn up
and place him in the client's arms, the mother states, "No, the baby is too tired
to be held." Which of the following actions should the nurse take? ✔️Ans
- Demonstrate how to hold the newborn and allow the client to practice
A nurse is caring for a client who is in labor. Which of the following findings
should prompt the nurse to reassess the client. ✔️Ans -
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? ✔️Ans - Platelet count 60,000/mm
HELLP Syndrome
A nurse in a clinic is preparing to measure the fundal height of a client who is
pregnant. Which of the following actions should the nurse take? ✔️Ans -
Measure from the upper border of the symphysis pubis to the upper border of
the fundus
A nurse is caring for a client who is at 20 weeks of gestation and reports
constipation. Which of the following recommendations should the nurse make
to help relieve this common discomfort of pregnancy? ✔️Ans - Drink 2
to 3 L of water each day
A nurse is assessing the fetal heart rate for a client who is at 38 weeks of
gestation. When using an ultrasound device, the nurse hears blood rushing
through the umbilical vessels in synchronization with the fetal heartbeat.
Which of the following terms should the nurse use to document this finding?
✔️Ans - Funic souffle
2019: Questions & verified Answers
A nurse is caring for a client who is 2 weeks postpartum following a cesarean
birth. Which of the
following clinical findings should the nurse identify as an indication of
postpartum infection? ✔️Ans - Unilateral breast pain
A nurse is assessing a client who has preeclampsia during a prenatal visit.
Which of the following findings should the nurse report to the provider?
✔️Ans - Urine protein of 3+
A nurse is providing teaching about the expected effects of magnesium sulfate
to a client who is at 28 weeks gestation and has preeclampsia. Which of the
following responses by the nurses is appropriate? ✔️Ans - "This
medication prevents seizures"
A nurse is teaching a prenatal class regarding false labor. Which of the
following information should the nurse include? ✔️Ans - Your
contractions will become temporarily regular
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? ✔️Ans - Obtain an imprint of the infants feet prior to taking
him into the nursery
A nurse is caring for a client who delivered by cesarean birth 6 hrs. ago. The
nurse notes a steady trickle of vaginal bleeding that does not stop with fundal
massage. Which of the following actions should the nurse take? ✔️Ans -
Administer 500 mL lactated ringer's IV bolus
A nurse is providing discharge instructions to a client who is postpartum and
has engorged breasts. Which of the following nonpharmacological comfort
measures should the nurse include in the teaching? ✔️Ans - Apply
cabbage leaves
, A nurse is calculating the estimated date of birth using Nagele's rule for a
client who is pregnant and whose last menstrual cycle started June 21. Which
of the following is the estimated date of delivery in the next year? ✔️Ans
- March 28
A nurse is caring for a client immediately following the delivery of a stillborn
fetus. Which of the following actions should the nurse take? ✔️Ans -
Prepare the client for what to expect the fetus to look like.
A nurse is observing an adolescent client who is offering her newborn a bottle
while he is lying in the bassinet. When the nurse offers to pick the newborn up
and place him in the client's arms, the mother states, "No, the baby is too tired
to be held." Which of the following actions should the nurse take? ✔️Ans
- Demonstrate how to hold the newborn and allow the client to practice
A nurse is caring for a client who is in labor. Which of the following findings
should prompt the nurse to reassess the client. ✔️Ans -
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? ✔️Ans - Platelet count 60,000/mm
HELLP Syndrome
A nurse in a clinic is preparing to measure the fundal height of a client who is
pregnant. Which of the following actions should the nurse take? ✔️Ans -
Measure from the upper border of the symphysis pubis to the upper border of
the fundus
A nurse is caring for a client who is at 20 weeks of gestation and reports
constipation. Which of the following recommendations should the nurse make
to help relieve this common discomfort of pregnancy? ✔️Ans - Drink 2
to 3 L of water each day
A nurse is assessing the fetal heart rate for a client who is at 38 weeks of
gestation. When using an ultrasound device, the nurse hears blood rushing
through the umbilical vessels in synchronization with the fetal heartbeat.
Which of the following terms should the nurse use to document this finding?
✔️Ans - Funic souffle
