ATI MATERNAL PROCTORED 2023 EXAM QUESTIONS AND ANSWERS LATEST VERSION

ATI MATERNAL PROCTORED 2023 EXAM QUESTIONS AND ANSWERS LATEST VERSION Level 3 88.3% A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching? A. Ovulation will remain the same B. Hormone replacement will be needed following the procedure C. My monthly cycle will be shorter D. Ovulation remains the same A nurse is assessing a newborn who is born via forceps assisted birth. which of the following findings should the nurse identify as injury caused by forceps? A. Facial asymmetry B. Depressed anterior fontanel C. Uneven gluteal skin folds D. Epicanthal folds 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. Bronchopulmonary dysplasia A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statement by client indicates an understanding of the teaching? “The medication could cause me to experience heart palpitation” “This medication could cause me to experience blurred vision” “This medication could cause me to experience ringing in my ears” “This medication could cause me to experience frequent …” A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? Urine Ketones Rapid plasma regains Prothrombin time Urine culture 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 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 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 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 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 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? A. Obtain a blood sample for a serum glucose level B. Feed the newborn immediately C. Administer 50 mL of dextrose solution IV D. Reassess the blood glucose level prior to the next feeding A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider? A. Contraction durations of 95 to 100 seconds B. Contraction frequency of 2 to 3 min apart C. Absent early deceleration of fetal heart rate D. Fetal heart rate is 140/min A nurse in a woman’s health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory disease (PID)? A. Recurrent Cystitis B. Frequent Alcohol Use C. Use of Oral Contraceptives D. Chlamydia Infection A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? A. ½ cup cubed avocado B. 1 large banana C. 1 medium potato D. 1 cup cooked broccoli A nurse in a provider’s office is assessing a client at her first antepartum visit. The client states that the first day of her last menstrual period was March 8. Use Negele’s rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.) December 15 A nurse is caring for a client who is in the second stage of labor. Which of the following manifestations should the nurse expect? A. The client expels the placenta B. The client experiences gradual dilation of the cervix C. The client begins have regular contractions. D. The client delivers the newborn 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. Give terbutaline Subq B. Position the client in a knee chest position C. Apply oxygen via nonrebreather D. Administer a bolus of lactated ringer A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching? A. “I should position my baby’s car seat at a 45-degree angle in the car.” B. “I should place the car seat rear facing until my baby is 12 months old.” C. “I should place the harness snugly in a slot above my baby’s shoulders.” D. “I should position the retainer clip at the top of my baby’s abdomen.” A nurse is developing an educational program about hemolytic diseases in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease? A. The mother is Rh positive, and the father is Rh negative B. The mother is Rh negative, and the father is Rh positive C. The mother and the father are both Rh positive D. The mother and the father are both Rh negative A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first? A. A client who has diabetes mellitus and an HbA1c of 5.8% B. A client who has preeclampsia and a creatinine level of 1.1 mg/ dL C. A client who has hyperemesis gravidarum and a sodium level of 110 mEq/L D. A client who has placenta previa and a hematocrit of 36% E. “I have been seeing spot this morning” A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene? a. Molding b. Vernix Caseosa c. Acrocyanosis d. Sternal retractions A nurse on the postpartum unit is caring for four clients. For which of the following clients should the nurse notify the provider? A client who has a urinary output of 300 ml in 8 hr A client who reports abdominal cramping during breastfeeding A client who is receiving magnesium sulfate and has absent deep tendon reflexes A client who reports lochia rubra requiring changing perineal pads every three hours 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? Metronidazole Penicillin Acyclovir Gentamicin A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? Hyperemesis Proteinuria Hypoxia Hemorrhage A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor Tracing. Which of the following action should the nurse take? Decrease maintenance IV solution infusion rate. Place the client in lateral position. Administer misoprostol 25 mcg vaginally Administer oxygen via face mask at 2 L/min A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care? Instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation. Use a fetal scalp electrode during labor and delivery. Administer a pneumococcal immunization to the newborn within 4 hr following birth. Bathe the newborn before initiating skin-to-skin contact 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? Blood pressure 142/92 mm Hg Urine output 100 mL in hr Pulse 58/min Respiratory rate 14/min A nurse is reviewing laboratory results for client who is pregnant. The Nurse should expect which of the following laboratory values to increase? RBC count Bilirubin Fasting blood glucose Bun A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? A. A client who has an ultrasound that confirms a molar pregnancy B. A client who has a crown-rump length of 7 weeks gestation C. A client who has a positive urine pregnancy test 1 week after missed menses D. A client who has felt quickening for the first time A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care? A. Dress the newborn in lightweight clothing. B. Avoid using lotion or ointment on the newborn skin. C. Keep the newborn supine throughout treatment D. Measure the newborn’s temperature every 8hr A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (SATA). Amnionitis, Leakage of amniotic fluid, Preterm labor A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures? A. Assisting a mother with breastfeeding B. Performing a newborn’s initial bath C. Administering the measles, mumps, rubella vaccine D. Performing umbilical cord care 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 A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy. This of the following statements by the client indicates an understanding of the teaching. A. “I will count baby’s lacks every other day. B. “I will alternate the arm use to check my blood pressure C. I will check my urine for protein daily D. I will consume 50 grams of protein daily A nurse is caring for four newborns. Which of the following newborns should the nurse assess first? A. newborn who has nasal flaring B. newborn who has subconjunctival hemorrhage of the left eye C. A newborn who has overlapping suture lines D. A newborn who has not rust-stained urine A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection. A. Meconium – start fluid B. placenta previa C. Midline episiotomy A nurse is reviewing the laboratory results for a newborn 12 hours old. Which of the following is an expected findings. A. Glucose 40mg/dl B. WBC 6000 C. Hemoglobin 12 D. Platelets 80000 A nurse is caring for a client who has received an epidural during labor. Which of the following actions should the nurse take? A. Position a wedge under the clients left hip B. Place the client in the lithotomy position C. Assist the client to a knee chest position D. Elevate the head of the client’s bed to 90% A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan? Increase the infusion rate every 30 to 60 min. Maintain the client in a supine position. Titrate the infusion rate by 4 milliunits/min. Limit IV intake to 4 L per 24 hr. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6 mg IM 12 hr. Available in dexamethasone 10 mg/mL. How many mL of dexamethasone should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use trailing zero.) 0.6 mL. A nurse is caring for a client who is 8 hr. post-cesarean birth. Which of the following actions should the nurse take? Instruct the client to call for assistance with their first ambulation Administer PO pain medication to the client Provide the client with clear, carbonated beverages Position the client on the right side to expel gas A nurse on a labor and delivery unit is receiving infection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures? A. Assisting a mother with breastfeeding B. Performing a newborn’s initial bath C. Administering the measles, mumps, rubella vaccine D. Performing umbilical cord care A nurse is caring for four newborns. Which of the following newborns should the nurse assess first? A. newborn who has nasal flaring B. newborn who has subconjunctival hemorrhage of the left eye C. A newborn who has overlapping suture lines D. A newborn who has not rust-stained urine A nurse is assisting with an amniotomy on a client who is in labor. Which of the following situations should the nurse take? A. Place the client in the left lateral position B. Ensure that the fetal head is engaged C. Give the provider clean gloves during the procedure D. Check the clients temperature every 4 hours after the procedure A nurse is planning care for a client who is scheduled for a cesarian birth. Which of the following interventions should the nurse include in the plan of care? Instruct the client not to eat after midnight the night before Perform a surgical time out Shave the client’s abdomen at the preoperative visit Secure the clients hair to their scalp with metal hair pins 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. Hgb 20 g/dL B. Bilirubin 2mg/dL C. Platelets 200 .000/mm3 D. WBC count 32.000/mm3 A nurse is caring for newborn who is 1 hr old and has a respiratory rate of 50/min, a heart rate of 130/min, and an auxiliary temperature of 36.1*C (97F). Which of the following actions should the nurse take? A. Give the newborn a warm bath. B. Apply a cap to the newborn head. C. Reposition the newborn. D. Obtain an oxygen saturation level nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? A. Apply a thin layer of lotion to the newborn skin every 8 hrs. B. Give the newborn 1oz of glucose water every 4 hrs C. Ensure the newborn eyes are closed beneath the shield. D. Dress the newborn in a thin layer of clothing during therapy A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statement should the nurse make? A. “You can bathe and dress your baby if you’d like to.” B. “If you don’t hold the baby, it will make letting go much harder.” C. “You should name the baby so she can have an identity.” D. “I’m sure you will be able to have another baby when you’re ready.” A nurse is caring for a client who has a complete uterine rupture. Which of the following findings should the nurse expect? A. Early fetal heart rate decelerations B. Hypotension C. Painless, dark red vaginal bleeding D. bounding peripheral pulses A nurse is assessing a newborn who was born Post term. Which of the following findings should the nurse expect? A. Nails extending over tips of fingers B. Large deposits of subcutaneous fat C. Pale, translucent skin D. Thin covering of fine hair on shoulders and back A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching? A. “Thawed breast milk can be refrigerated for up to 72 hours.” B. “Breast milk can be stored in a deep freezer for 12 months.” C. Breast milk can be stored at room temperature for up to 12 hours.” D. “Thawed breast milk that is unused can be refrozen.” A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune globulin to prevent Rh- is immunization? A. An Rh-negative mother who has an Rh- positive infant B. An Rh –positive mother who has an Rh- negative infant C. An Rh-positive mother who has an Rh- positive infant D. An Rh- negative mother who has an Rh- negative infant A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take? A. Provide a stimulating environment B. Monitor blood glucose level every hr. C. Initiate seizure precautions. D. Place the infants on his back with legs extended. A nurse is teaching a client who is at 41 weeks of gestation about a non-stress test. Which of the following information should the nurse include in the teaching? A. “This test will confirm fetal lung maturity “. B. “This test will determine adequacy of placental perfusion”. C. “This test will detect fetal infection”. D. “This test will predict maternal readiness for labor”. A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol? A. A client who has active genital herpes B. A client who has gestational diabetes mellitus C. A client who has a previous uterine incision D. A client who has placenta previa A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? A. “your contraction will become more intense when walking” B. “you will have dilation and effacement of the cervix” C. You will have bloody show” D. “Your contraction will become temporally regular” A nurse is caring for a client who is experiencing sore nipples from breastfeeding. Which of the following actions should the nurse take? A. Place a snug dressing on the client’s nipple when not breastfeeding. B. Ensure the newborn’s mouth is wide open before latching to the breast. C. Encourage the client to limit the newborn’s feeding to 10 min on each breast. D. Instruct the client to begin the feeding with the nipple that is most tender. A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following finding should the nurse expect? A. Minimal arm recoil B. Popliteal angle of less than 90 C. Creases over the entire sole D. Sparse lanugo