Maternal newborn ati proctored exam
2023-2024 Questions and Correct
Answers Already Graded A+
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to
perform Leopoid maneuvers. Which of the following images indicates the first step of
Leopoid maneuvers? - Picture of nurse palpating top of belly; where bottom is
A nurse in a family planning clinic is caring for a client who requests an oral
contraceptive. Which of the following findings in the client's hx should the nurse
recognize as a contraindication to oral contraceptives? (SATA) - Cholecystitis is correct.
A history of gallbladder disease is a contraindication for the use of oral contraceptives.
Hypertension is correct.
Hypertension is a contraindication for the use of oral contraceptives.
Human papillomavirus is incorrect.
The presence of human papillomavirus is not a contraindication for the use of oral
contraceptives.
Migraine headaches is correct. A history of migraine headaches is a contraindication for
the use of oral contraceptives.
Anxiety disorder is incorrect. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.
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 - Pregestational Diabetes Mellitus
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? - Reports of
decreased fetal movement
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? - Fundal Height Measurement
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The
client states that she is, "happy one minute and crying the next." The nurse should
interperate the client's statement as an indication of which of the following? - A.
Emotional lability
,B. Focusing phase
C. Cognitive restructuring
D. Couvade syndrome
Answer: Emotional lability
A. Emotional lability
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many clients experience rapid and unpredictable changes in mood
during pregnancy. Intense hormonal changes may be responsible for mood changes
that occur during pregnancy. Tears and anger alternate with feelings of joy or
cheerfulness for little or no reason.
B. Focusing phase
The focusing phase is the third phase of the father's emotional response to the
pregnancy. It is characterized by his active involvement in the pregnancy and his
relationship with the child.
C. Cognitive restructuring
Cognitive restructuring is accepting the idea of pregnancy and assimilating it into the
woman's life. The degree of acceptance is shown in the mother's emotional responses.
D. Couvade syndrome
Couvade syndrome is pregnancy-like manifestations experienced by t
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? - Begin
FHR monitoring
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? - Vaginal pressure
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal
visit. Which of the following findings should the nurse report to the provider? - A.
Swelling of the face
B. Varicose veins in the calves
C. Nonpitting 1+ ankle edema
D. Hyperpigmentation of the cheeks
Answer: Swelling of the face
A. Swelling of the face
Swelling of the face, sacral area, and fingers can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid
moves out of the intravascular compartment into the tissues, causing edema.
, B. Varicose veins in the calves
Varicose veins are an expected finding in the second trimester. The increase in
hormones during pregnancy causes the relaxation of the smooth muscle of the vascular
system, leading to vessel dilation and vasocongestion. Additionally, the weight of the
enlarging uterus on the pelvic veins decreases the return of blood from the lower
extremities.
C. Nonpitting 1+ ankle edema
Nonpitting edema of the lower extremities is an expected finding in the third trimester.
Warm weather, sitting or standing for prolonged periods of time, and tight c
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? - Report of visual disturbances
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal
visit. Which of the following findings should the nurse report to the provider? - Weight
gain of 2.2 kg (4.8 lb)
A nurse is assessing a late preterm newborn. Which of the following manifestations is
an indication of hypoglycemia? - Respiratory distress
A nurse is assessing a newborn following a circumcision. Which of the following findings
should the nurse identify as an indication that the newborn is experiencing pain? - A.
Decreased heart rate
B. Chin quivering
C. Pinpoint pupils
D. Slowed respirations
Answer: Chin quivering
A. Decreased heart rate
The heart rate will increase when a newborn is experiencing pain.
B. Chin quivering
Behavioral responses to a newborn's pain include facial expressions such as chin
quivering, grimacing, and furrowing of the brow.
C. Pinpoint pupils
When experiencing pain, a newborn's pupils typically dilate.
D. Slowed respirations
When experiencing pain, a newborn's respirations are typically rapid and shallow.
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations
requires intervention by the nurse? - A. Acrocyanosis of the extremities
B. Murmur at the left sternal border
2023-2024 Questions and Correct
Answers Already Graded A+
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to
perform Leopoid maneuvers. Which of the following images indicates the first step of
Leopoid maneuvers? - Picture of nurse palpating top of belly; where bottom is
A nurse in a family planning clinic is caring for a client who requests an oral
contraceptive. Which of the following findings in the client's hx should the nurse
recognize as a contraindication to oral contraceptives? (SATA) - Cholecystitis is correct.
A history of gallbladder disease is a contraindication for the use of oral contraceptives.
Hypertension is correct.
Hypertension is a contraindication for the use of oral contraceptives.
Human papillomavirus is incorrect.
The presence of human papillomavirus is not a contraindication for the use of oral
contraceptives.
Migraine headaches is correct. A history of migraine headaches is a contraindication for
the use of oral contraceptives.
Anxiety disorder is incorrect. The presence of an anxiety disorder is not a
contraindication for the use of oral contraceptives.
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 - Pregestational Diabetes Mellitus
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? - Reports of
decreased fetal movement
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? - Fundal Height Measurement
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The
client states that she is, "happy one minute and crying the next." The nurse should
interperate the client's statement as an indication of which of the following? - A.
Emotional lability
,B. Focusing phase
C. Cognitive restructuring
D. Couvade syndrome
Answer: Emotional lability
A. Emotional lability
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many clients experience rapid and unpredictable changes in mood
during pregnancy. Intense hormonal changes may be responsible for mood changes
that occur during pregnancy. Tears and anger alternate with feelings of joy or
cheerfulness for little or no reason.
B. Focusing phase
The focusing phase is the third phase of the father's emotional response to the
pregnancy. It is characterized by his active involvement in the pregnancy and his
relationship with the child.
C. Cognitive restructuring
Cognitive restructuring is accepting the idea of pregnancy and assimilating it into the
woman's life. The degree of acceptance is shown in the mother's emotional responses.
D. Couvade syndrome
Couvade syndrome is pregnancy-like manifestations experienced by t
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? - Begin
FHR monitoring
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? - Vaginal pressure
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal
visit. Which of the following findings should the nurse report to the provider? - A.
Swelling of the face
B. Varicose veins in the calves
C. Nonpitting 1+ ankle edema
D. Hyperpigmentation of the cheeks
Answer: Swelling of the face
A. Swelling of the face
Swelling of the face, sacral area, and fingers can indicate gestational hypertension or
preeclampsia. Reduction in renal perfusion leads to sodium and water retention. Fluid
moves out of the intravascular compartment into the tissues, causing edema.
, B. Varicose veins in the calves
Varicose veins are an expected finding in the second trimester. The increase in
hormones during pregnancy causes the relaxation of the smooth muscle of the vascular
system, leading to vessel dilation and vasocongestion. Additionally, the weight of the
enlarging uterus on the pelvic veins decreases the return of blood from the lower
extremities.
C. Nonpitting 1+ ankle edema
Nonpitting edema of the lower extremities is an expected finding in the third trimester.
Warm weather, sitting or standing for prolonged periods of time, and tight c
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? - Report of visual disturbances
A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal
visit. Which of the following findings should the nurse report to the provider? - Weight
gain of 2.2 kg (4.8 lb)
A nurse is assessing a late preterm newborn. Which of the following manifestations is
an indication of hypoglycemia? - Respiratory distress
A nurse is assessing a newborn following a circumcision. Which of the following findings
should the nurse identify as an indication that the newborn is experiencing pain? - A.
Decreased heart rate
B. Chin quivering
C. Pinpoint pupils
D. Slowed respirations
Answer: Chin quivering
A. Decreased heart rate
The heart rate will increase when a newborn is experiencing pain.
B. Chin quivering
Behavioral responses to a newborn's pain include facial expressions such as chin
quivering, grimacing, and furrowing of the brow.
C. Pinpoint pupils
When experiencing pain, a newborn's pupils typically dilate.
D. Slowed respirations
When experiencing pain, a newborn's respirations are typically rapid and shallow.
A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations
requires intervention by the nurse? - A. Acrocyanosis of the extremities
B. Murmur at the left sternal border
