ATI PROCTORED EXAM
- MATERNAL
NEWBORN STUDY
GUIDE QUESTIONS
WITH CORRECT &
INCORRECT ANSWERS
(ALL MARKED AND
ELABOLATED FOR EASE
OF UNDERSTANDING
,A nurse is planning care for a newborn who is receiving phototherapy for an
elevated bilirubin level. Which of the following actions should the nurse take? –
Correct Answer D. Use a photometer to monitor the lamp's energy
The nurse should monitor the lamp's energy throughout the therapy to ensure the
newborn is receiving the appropriate amount to be effective.
A nurse is assessing a client at 34 weeks gestation who has a mild placental
abruption. Which of the following findings should the nurse expect? - Correct
Answer Dark red vaginal bleeding
The nurse should expect this client with a mild placental abruption to have
minimal dark red vaginal bleeding.
A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C).
Which of the following actions should the nurse perform? - Correct Answer:
B.
Assess the newborn's blood glucose level
Infants who become cold attempt to generate heat through increased muscular
and metabolic activity. This process increases glucose consumption and puts the
newborn at risk of hypoglycemia.
In Correct Answers:
A. The nurse should not obtain a rectal temperature from a newborn due to the
risk of rectal perforation. Instead, the nurse should obtain an axillary temperature.
,C. Bathing a newborn will increase heat loss. The infant should not be bathed until
the temperature has stabilized within the normal range.
D. Placing the infant in front of a heater vent can incur heat loss through
convection. Additionally, there is a potential fire risk from the bassinet linens and
the vent.
A nurse is caring for a client who is in preterm labor and is receiving magnesium
sulfate. The client begins to show indications of magnesium sulfate toxicity. Which
of the following medications should the nurse prepare to administer? - Correct
Answer:
C. Calcium gluconate
The nurse should discontinue the magnesium sulfate infusion immediately and
prepare to administer calcium gluconate IV to reverse the effects of magnesium
sulfate and to prevent cardiac and respiratory arrest.
In Correct Answers:
A. Protamine sulfate helps reverse the effects of heparin, not magnesium sulfate.
B. Naloxone is an opioid reversal agent. It does not reverse the effects of
magnesium sulfate.
D. Flumazenil reverses the effects of benzodiazepines such as lorazepam and
alprazolam, not magnesium sulfate.
, A nurse is providing postpartum discharge teaching to a client who is non-
lactating about breast discomfort relief measures. Which of the following pieces
of information should the nurse include? - Correct Answer:
"Place fresh cabbage leaves on your breasts."
After 3 days postpartum, the client's breasts can become swollen and distended
because of congestion of the vascular structures of the breasts.
Fresh cabbage leaves can be applied to engorged breasts to help relieve breast
discomfort.
The coolness of the leaves and the phytoestrogens exert a therapeutic effect on
engorged breasts.
Leaves should be replaced when they become wilted.
In Correct Answers:
A. The client should be instructed to wear a tight-fitting bra or breast binders to
alleviate engorgement and swelling.
C. Application of warmth to the breasts should be avoided because heat can
stimulate milk production. An ice pack should be used to relieve engorged breasts.
D. Milk should not be expressed from the breasts. This intervention would
increase milk production rather than decrease it.
- MATERNAL
NEWBORN STUDY
GUIDE QUESTIONS
WITH CORRECT &
INCORRECT ANSWERS
(ALL MARKED AND
ELABOLATED FOR EASE
OF UNDERSTANDING
,A nurse is planning care for a newborn who is receiving phototherapy for an
elevated bilirubin level. Which of the following actions should the nurse take? –
Correct Answer D. Use a photometer to monitor the lamp's energy
The nurse should monitor the lamp's energy throughout the therapy to ensure the
newborn is receiving the appropriate amount to be effective.
A nurse is assessing a client at 34 weeks gestation who has a mild placental
abruption. Which of the following findings should the nurse expect? - Correct
Answer Dark red vaginal bleeding
The nurse should expect this client with a mild placental abruption to have
minimal dark red vaginal bleeding.
A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C).
Which of the following actions should the nurse perform? - Correct Answer:
B.
Assess the newborn's blood glucose level
Infants who become cold attempt to generate heat through increased muscular
and metabolic activity. This process increases glucose consumption and puts the
newborn at risk of hypoglycemia.
In Correct Answers:
A. The nurse should not obtain a rectal temperature from a newborn due to the
risk of rectal perforation. Instead, the nurse should obtain an axillary temperature.
,C. Bathing a newborn will increase heat loss. The infant should not be bathed until
the temperature has stabilized within the normal range.
D. Placing the infant in front of a heater vent can incur heat loss through
convection. Additionally, there is a potential fire risk from the bassinet linens and
the vent.
A nurse is caring for a client who is in preterm labor and is receiving magnesium
sulfate. The client begins to show indications of magnesium sulfate toxicity. Which
of the following medications should the nurse prepare to administer? - Correct
Answer:
C. Calcium gluconate
The nurse should discontinue the magnesium sulfate infusion immediately and
prepare to administer calcium gluconate IV to reverse the effects of magnesium
sulfate and to prevent cardiac and respiratory arrest.
In Correct Answers:
A. Protamine sulfate helps reverse the effects of heparin, not magnesium sulfate.
B. Naloxone is an opioid reversal agent. It does not reverse the effects of
magnesium sulfate.
D. Flumazenil reverses the effects of benzodiazepines such as lorazepam and
alprazolam, not magnesium sulfate.
, A nurse is providing postpartum discharge teaching to a client who is non-
lactating about breast discomfort relief measures. Which of the following pieces
of information should the nurse include? - Correct Answer:
"Place fresh cabbage leaves on your breasts."
After 3 days postpartum, the client's breasts can become swollen and distended
because of congestion of the vascular structures of the breasts.
Fresh cabbage leaves can be applied to engorged breasts to help relieve breast
discomfort.
The coolness of the leaves and the phytoestrogens exert a therapeutic effect on
engorged breasts.
Leaves should be replaced when they become wilted.
In Correct Answers:
A. The client should be instructed to wear a tight-fitting bra or breast binders to
alleviate engorgement and swelling.
C. Application of warmth to the breasts should be avoided because heat can
stimulate milk production. An ice pack should be used to relieve engorged breasts.
D. Milk should not be expressed from the breasts. This intervention would
increase milk production rather than decrease it.
