Maternal Newborn (Ati Proctored) Exam
Questions And 100% Accurate Answers.
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbillirubinemia. Which of the following actions should the nurse include in the plan? - Answer
Remove all clothing form the newborn except the diaper
A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just had an
amniocentesis. Which of the following interventions is the nurse's priority following the procedure? -
Answer Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the
following findings should the nurse report to the provider? - Answer Reports of decreased fetal
movement
A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke".
Which of the following interventions is the nurse's priority? - Answer Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test.
The nurse should plan to prepare the client for which of the following diagnostic test? - Answer
Biophysicial profile
A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor.
Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the
IV infusion pump to administer how many mL/hr? - Answer 50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement.
Which of the following findings should the nurse report to the provider? - Answer BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of
hypoglycemia? - Answer Respiratory distress
,A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of
pregnancy. Which of the following should the nurse identify as a risk factor for the development of
preeclampsia - Answer Pregestational Diabetes Mellitus
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon
reviewing the client's medical record, which of the following findings should the nurse report to the
provider? - Answer Fundal Height Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report
to the provider? - Answer Substernal Retractions
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room
and observes the client having a seizure. After turning the client head to the side, which of the following
actions should the nurse take immediately after the seizure? - Answer Administer oxygen via a
nonrebreather mask
A nurse is providing teaching about nonpharmological pain management to a client who is breastfeeding
and has engorgement. The nurse should recommend the application of which of the following items? -
Answer Cold cabbage leaves
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the
following manifestations should the nurse expect? - Answer Vaginal pressure
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score.
Which of the following findings should the nurse expect? - Answer Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about the facility policy for newborn
safety. Which of the following client statements indicates an understanding of the teaching? - Answer
the person who comes to take my baby's pictures will be wearing a photo identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the
nurse report to the provider? - Answer Report of visual disturbances
, A nurse is providing teaching to a client about the physiological changes that occur during pregnancy.
The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the
following client statements indicates an understanding of the teaching? - Answer "I will likely need to
use alternative positions for sexual intercourse".
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider
prescribed bethamethasone 12 mg IM. Which of the following outcomes should the nurse expect? -
Answer A reduction in respiratory distress in the newborn
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV
magnesium sulfate. Which of the following medications should the nurse anticipate administering if the
client develops magnesium toxicity? - Answer Calcium Gluconate
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate
IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?
- Answer Respiratory rate 10/min
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following
findings contraindicates the infusion of the oxytocin infusion and should be reported to the provider? -
Answer Late Decelerations
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a non-stress test.
Which of the following instructions should the nurse include? - Answer "You should press the handheld
button when you feel your baby move."
A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which
of the following findings should the nurse expect? - Answer Petechiae over the head
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the
following actions should the nurse take? - Answer Verify that the parent's identification band matches
the newborn's identification band
A nurse is creating a plan of care who is postpartum and adheres to traditional Hispanic cultural beliefs.
Which of the following cultural practices should the nurse include in the plan of care? - Answer
Protects the client's head and feet from cold air
Questions And 100% Accurate Answers.
A nurse is developing a plan of care for a newborn who is to undergo phototherapy for
hyperbillirubinemia. Which of the following actions should the nurse include in the plan? - Answer
Remove all clothing form the newborn except the diaper
A nurse is caring for a client who is at 15 weeks gestation, is Rh-negative, and has just had an
amniocentesis. Which of the following interventions is the nurse's priority following the procedure? -
Answer Monitor the FHR
A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the
following findings should the nurse report to the provider? - Answer Reports of decreased fetal
movement
A nurse is admitting a client to the labor and delivery unit when the client states, "My water just broke".
Which of the following interventions is the nurse's priority? - Answer Begin FHR monitoring
A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test.
The nurse should plan to prepare the client for which of the following diagnostic test? - Answer
Biophysicial profile
A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is in preterm labor.
Available is 20 g magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the
IV infusion pump to administer how many mL/hr? - Answer 50 ml/hr
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement.
Which of the following findings should the nurse report to the provider? - Answer BUN 25 mg/dL
A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of
hypoglycemia? - Answer Respiratory distress
,A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of
pregnancy. Which of the following should the nurse identify as a risk factor for the development of
preeclampsia - Answer Pregestational Diabetes Mellitus
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks of gestation. Upon
reviewing the client's medical record, which of the following findings should the nurse report to the
provider? - Answer Fundal Height Measurement
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report
to the provider? - Answer Substernal Retractions
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The nurse enters the room
and observes the client having a seizure. After turning the client head to the side, which of the following
actions should the nurse take immediately after the seizure? - Answer Administer oxygen via a
nonrebreather mask
A nurse is providing teaching about nonpharmological pain management to a client who is breastfeeding
and has engorgement. The nurse should recommend the application of which of the following items? -
Answer Cold cabbage leaves
A nurse is assessing a client who is 1 day postpartum and has a vaginal hematoma. Which of the
following manifestations should the nurse expect? - Answer Vaginal pressure
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score.
Which of the following findings should the nurse expect? - Answer Minimal arm recoil
A nurse is providing teaching for a client who have birth 2 hr ago about the facility policy for newborn
safety. Which of the following client statements indicates an understanding of the teaching? - Answer
the person who comes to take my baby's pictures will be wearing a photo identification badge
A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the
nurse report to the provider? - Answer Report of visual disturbances
, A nurse is providing teaching to a client about the physiological changes that occur during pregnancy.
The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the
following client statements indicates an understanding of the teaching? - Answer "I will likely need to
use alternative positions for sexual intercourse".
A nurse is caring for a client who is anemic at 32 weeks of gestation and is in preterm labor. The provider
prescribed bethamethasone 12 mg IM. Which of the following outcomes should the nurse expect? -
Answer A reduction in respiratory distress in the newborn
A nurse is caring for a client who is experiencing preeclampsia and has a new prescription for IV
magnesium sulfate. Which of the following medications should the nurse anticipate administering if the
client develops magnesium toxicity? - Answer Calcium Gluconate
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription for magnesium sulfate
IV to treat preterm labor. The nurse should notify the provider of which of the following adverse effects?
- Answer Respiratory rate 10/min
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the following
findings contraindicates the infusion of the oxytocin infusion and should be reported to the provider? -
Answer Late Decelerations
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a non-stress test.
Which of the following instructions should the nurse include? - Answer "You should press the handheld
button when you feel your baby move."
A nurse is assessing a newborn who was delivered vaginally and experienced a tight nuchal cord. Which
of the following findings should the nurse expect? - Answer Petechiae over the head
A nurse is transporting a newborn back to the parent's room following a procedure. Which of the
following actions should the nurse take? - Answer Verify that the parent's identification band matches
the newborn's identification band
A nurse is creating a plan of care who is postpartum and adheres to traditional Hispanic cultural beliefs.
Which of the following cultural practices should the nurse include in the plan of care? - Answer
Protects the client's head and feet from cold air
