ATI PN MATERNAL NEWBORN
PROCTORED EXAM 2023 A+ L
A nurse is teaching a client who has a new prescription for combined
oral contraceptives about potential adverse effects of the medication.
For which of thefollowing findings should the nurse instruct the client to
notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which
of the following findings should the nurse report to the provider as a potential
complication?
A. Increased fetal movement
B. Leakage of fluid from the vagina
C. Upper abdominal discomfort
D. Urinary frequency
A nurse is calculating a client's expected date of birth using Nagele's rule. The client
tells the nurse that her last menstrual cycle started on November 27th. Which of the
following dates is the client's expected date of birth?
September 3rd
(subtract 3 months from first day of client’s last menstrual cycle and then add 7 days)
A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test. For which of the following diagnostic tests should the nurse
prepare the client?
A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP)
D. Chorionic villus sampling (CVS)
A nurse is teaching a new parent about newborn safety. Which of the following
instructions should the nurse include in the teaching?
A. "You can share your room with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
,C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime."
A nurse is caring for a client who is in labor and whose fetus is in the right occiput
posterior position. The client is dilated to 8 cm and reports back pain. Which of the
following actions should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
A nurse is caring for a newborn who is undergoing phototherapy to treat
hyperbilirubinemia. Which of the following actions should the nurse take?
A. Cover the newborn's eyes while under the phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy light.
C. Apply a light moisturizing lotion to the newborn's skin.
D. Turn and reposition the newborn every 4 hr while undergoing phototherapy.
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take next?
A. Place a rolled towel beneath one of the client's hips.
B. Apply internal upward pressure to the presenting part using two gloved
fingers.
C. Administer oxygen to the client via a nonrebreather mask at 10 L/min.
D. Increase the IV infusion rate.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (SATA)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature
A nurse is teaching a postpartum client about steps the nurses will take to promote the
security and safety of the client's newborn. Which of the following statements should the
nurse make?
A. "The nurse will carry your newborn to the nursery for procedures."
, B. "We will document the relationship of visitors in your medical record."
C. "Your baby will stay in the nursery while you are asleep."
D. "Staff members who take care of your baby will be wearing a photo
identification badge."
A nurse is assessing the newborn of a client who took selective serotonin reuptake
inhibitor (SSRI) during pregnancy. Which of the following manifestations should the
nurse identify as an indication of withdrawal from an SSRI?
A. Large for gestational age
B. Hyperglycemia
C. Bradypnea
D. Vomiting
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has
determined the fetal position as left occipital anterior. To which of the following areas of
the client's abdomen should the nurse apply the ultrasound transducer to assess the
point of maximum intensity of the fetal heart?
A. Left upper quadrant
B. Right upper quadrant
C. Left lower quadrant
D. Right lower quadrant
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's
secretions. Which of the following instructions should the nurse include?
A. Insert the syringe tip before compressing the bulb.
B. Suction each of the nares before suctioning the mouth.
C. Insert the tip of the syringe into the center of the newborn's mouth.
D. Stop suctioning when the newborn's cry sounds clear.
A nurse is reviewing the medical record of a client who is postpartum and has
preeclampsia. Which of the following laboratory results should the nurse report to the
provider?
A. Hct 39%
B. Serum albumin 4.5 g/dL
C. WBC 9,000/mm3
D. Platelets 50,000/mm3
PROCTORED EXAM 2023 A+ L
A nurse is teaching a client who has a new prescription for combined
oral contraceptives about potential adverse effects of the medication.
For which of thefollowing findings should the nurse instruct the client to
notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which
of the following findings should the nurse report to the provider as a potential
complication?
A. Increased fetal movement
B. Leakage of fluid from the vagina
C. Upper abdominal discomfort
D. Urinary frequency
A nurse is calculating a client's expected date of birth using Nagele's rule. The client
tells the nurse that her last menstrual cycle started on November 27th. Which of the
following dates is the client's expected date of birth?
September 3rd
(subtract 3 months from first day of client’s last menstrual cycle and then add 7 days)
A nurse is caring for a client who is at 41 weeks of gestation and has a positive
contraction stress test. For which of the following diagnostic tests should the nurse
prepare the client?
A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP)
D. Chorionic villus sampling (CVS)
A nurse is teaching a new parent about newborn safety. Which of the following
instructions should the nurse include in the teaching?
A. "You can share your room with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
,C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime."
A nurse is caring for a client who is in labor and whose fetus is in the right occiput
posterior position. The client is dilated to 8 cm and reports back pain. Which of the
following actions should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
A nurse is caring for a newborn who is undergoing phototherapy to treat
hyperbilirubinemia. Which of the following actions should the nurse take?
A. Cover the newborn's eyes while under the phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy light.
C. Apply a light moisturizing lotion to the newborn's skin.
D. Turn and reposition the newborn every 4 hr while undergoing phototherapy.
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the
following actions should the nurse take next?
A. Place a rolled towel beneath one of the client's hips.
B. Apply internal upward pressure to the presenting part using two gloved
fingers.
C. Administer oxygen to the client via a nonrebreather mask at 10 L/min.
D. Increase the IV infusion rate.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the
following findings is an indication for the administration of the medication? (SATA)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature
A nurse is teaching a postpartum client about steps the nurses will take to promote the
security and safety of the client's newborn. Which of the following statements should the
nurse make?
A. "The nurse will carry your newborn to the nursery for procedures."
, B. "We will document the relationship of visitors in your medical record."
C. "Your baby will stay in the nursery while you are asleep."
D. "Staff members who take care of your baby will be wearing a photo
identification badge."
A nurse is assessing the newborn of a client who took selective serotonin reuptake
inhibitor (SSRI) during pregnancy. Which of the following manifestations should the
nurse identify as an indication of withdrawal from an SSRI?
A. Large for gestational age
B. Hyperglycemia
C. Bradypnea
D. Vomiting
A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has
determined the fetal position as left occipital anterior. To which of the following areas of
the client's abdomen should the nurse apply the ultrasound transducer to assess the
point of maximum intensity of the fetal heart?
A. Left upper quadrant
B. Right upper quadrant
C. Left lower quadrant
D. Right lower quadrant
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's
secretions. Which of the following instructions should the nurse include?
A. Insert the syringe tip before compressing the bulb.
B. Suction each of the nares before suctioning the mouth.
C. Insert the tip of the syringe into the center of the newborn's mouth.
D. Stop suctioning when the newborn's cry sounds clear.
A nurse is reviewing the medical record of a client who is postpartum and has
preeclampsia. Which of the following laboratory results should the nurse report to the
provider?
A. Hct 39%
B. Serum albumin 4.5 g/dL
C. WBC 9,000/mm3
D. Platelets 50,000/mm3
