ATI RN MATERNITY PROCTORED EXAM

ATI RN MATERNITY PROCTORED EXAM VERSION 1 1. A nurse is caring for an infant who begins displaying manifestations of neonatal abstinence syndrome ( NAS). Which of the following actions should the nurse take? - Avoid eye contact during feedings 2. A nurse is teaching a client about squatting excercises during pregn ancy. Which of the following statements should the nurse include? - These exercises should be done for 15 minutes each day to strengthen the perineal muscle 3. A nurse is caring for a clinet at 39 weeks gestation who is in the active phase of labor. The nurse observes late decelerations in the fatal heart rate. Which of the following findings should the nurse identify as the cause of late decelerations? - Uteroplacental insufficiency 4. A nurse is caring for a client in the third trimester of pregnancy who report s difficulty sleeping. Which of the following instructions should the nurse provide? - Use additional pillows to support extremities and abdomen 5. A nurse is teaching a female client about nutrition during pregnancy. Which of the following instructions shoul d the nurse include in the teaching? - Do not eat swordfish, shark, or king mackerel while you are pregnant 6. A nurse is speaking with an expectant father who says that he feels resentful of the added attention others are giving to his wife since the pregnan cy was announced several weeks ago. Which of the following responses should the nurse make? - These feelings are common for expectant fathers in early pregnancy 7. A nurse is teaching a client who is postpartum about keeping the newborn safe. Which of the following statements should the nurse identify as an indication that the client understands the instructions? - I will purchase a firm mattress for the crib 8. A nurse is teaching a parent how to care for his newborn’s circumcision site. Which of the followin g client statements indicates an understanding of the teaching? - I should apply the diaper loosely until the circumcision site is healed 9. A nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of the f ollowing instructions should the nurse include in the teaching? - Encourage nonnutritive sucking for pain relief 10. A nurse is teaching a client during the clients first prenatal visit. Which of the following instructions should the nurse include? - A doppler device can detect your baby’s heart rate at 12 weeks. 11. A nurse is preparing to perform leopold manuevaers on a client who is in labor. Which of the following actions should the nurse plan to take? - Stand at the clients right side if the nurse is right han ded 12. A nurse is assessing a 2 day old newborn and notes an egg shaped, edematous. Bluish discoloration that does not cross the suture line. Which of the following pieces of information should the nurse provide to the mother when she asks about this findin g? - This will resolve in 3 to 6 weeks without treatment 13. A nurse is teaching a client who is postpartum and breastfeeding. Which of the following statements should the nurse include? - A reduction in sexual interest could indicate postpartum depression 14. A nurse is reviewing the laboratory findings for 4 clients. Which of the following infections should be reported to the public health department? - Gonorrhea 15. A nurse is assessing an 18 hour old newborn. Which of the following findings should be reported to the provider? - Yellow tinged skin 16. A nurse is assessing a newborn and notes an axillary temperature of 96.9 degrees F (36 degree C). which of the following actions should the nurse perform? - Assess the newborn’s blood glucose level 17. A nurse is caring for a client who is in active labor and whose birth plan requests only nonpharmacological pain relief strategies. Which of the following strategies should the nurse offer as a form of cutaneous stimulations? - Counter pressure 18. A nurse is monitori ng a newborn who is receiving phototherapy. The nurse should identify which of the following findings as requiring intervention? - Weight loss 12% of birth weight 19. A nurse is assessing the respiratory status of a newborn who was born 2 hours ago. Which of t he following findings should the nurse identify as a manifestation of respiratory distress? - Expiratory grunting 20. A nurse in a providers office is caring for a client who is in the first trimester of pregnancy. Which of the following psychological tasks should the nurse expect the client to accomplish during this trimester? - Accepting the pregnancy 21. The parents of a child with phenylketonuria ask the nurse if their second unborn child could have the same condition. The nurse should bas e the response on which of the following inheritance patterns responsible for PKU? - Autosomal recessive 22. A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of the following findings should the nurse report to the pro vider? - Frequent Headaches 23. A nurse is caring for a client who experienced a fetal loss. When initiating communication with this client. Which of the following statements should the nurse make? - I’m here for you if you would like to talk 24. A nurse is assess ing a client who is at 35 weeks gestation and has mild gestational hypertension. Which of the following findings should the nurse identify as the priority? - 480 mL urine output in 24 hours 1. A nurse is caring for a client at 34 weeks gestation who presents w ith vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta? - Uterine tone 2. A nurse is caring for a client who has a BMI of 22.6 and expresses concern about weight gain during pregnancy. Which of the following responses should the nurse make? - Gaining weight will promote a healthy pregnancy 3. A nurse is determining an Apgar score for a newborn who was born 1 minute ago. For which of the following findings should the n urse assign a score of 1? - Weak cry 4. A nurse is caring for a client who is 12 hour postpartum. Which of the following interventions should the nurse implement? - Administer ferrous sulfate orally 5. A nurse in the labor and delivery suite is planning care for a group of 4 clients. Which of the following clients should the nurse see first? - A client who is in active labor and has late decelerations on the fetal heart monitor strip 6. A nurse is caring for a client at 37 weeks gestation who is undergoing a nonstress test. The fetal heart rate is 130/min without acceleration for the past 10 min. which of the following actions should the nurse take? - Use vibroacoustic stimulation on the clients abdomen for 3 sec 7. A nurse is caring for a client who has a prescr iption for naloxone. Which of the following is the intended action of the medication in relation to the central nervous system? - Block the effects of narcotics on the CNS