Maternity/OB ATI RN Maternal Newborn
Proctored Exam 2024-2025 Graded A+
,Which assessment finding would the nurse observe in a patient with a postpartum
vaginal laceration?
1. Small clots in the vaginal bleeding
2. Dark red vaginal bleeding
3. Pale brown vaginal bleeding
4. A continuous trickle of bright red vaginal bleeding - ANS✔✔--A continuous trickle
of bright red vaginal bleeding.
--An unexpected finding that indicates there are lacerations in the vagina, uterus, or
cervix.
**Vaginal blood containing small clots is normal postpartum.
**Vaginal bleeding that is dark in color postpartum is called: lochia rubra (and is
expected). --> Pale brown vaginal bleeding indicates lochia rubra subsiding.
P. 152
During labor, a patient starts pushing before the complete dilation of the cervix. For
which conditions is the patient at risk as a result of this behavior? Select all that apply.
1. Perineal laceration
2. Fetal distress
3. Fetal hypoxia
4. Speeding of labor
5. Maternal exhaustion - ANS✔✔--3 & 5
-Fetal hypoxia
-Maternal exhaustion
P. 149
Which cultural practice would the nurse observe in a Khmer patient during the
immediate postpartum period?
1. Discarding of the colostrum
2. Placing keys under the pillow
3. Eating meat
4. Wearing red clothing - ANS✔✔--Discarding the colostrum
P. 123
Which type of contractions would the nurse document in a patient whose fundus is not
easily indented with the fingertips and is similar in feel to the forehead?
1. Mild
, 2. Firm
3. Moderate
4. Decrement phase - ANS✔✔--Firm
P. 127
On electronic fetal monitoring, the fetal heart rate decelerates by 15 beats per minute
below baseline, lasting for 1 minute. There are also altering V-shaped and W-shaped
curves on the monitor. Which condition do these findings indicate?
1. Fetal hypoxia
2. Cord prolapse
3. Fetal tachysystole
4. Fetal respiratory acidosis - ANS✔✔--Fetal respiratory acidosis
--Variable decelerations is a condition where the fetal heart rate decreases by up to 15
beats/min below baseline. Lasting 15 seconds to 2 minutes, and ends with U-, V-, or W-
shaped curves on the monitor. --> This occurs due to compression of the umbilical cord
around the fetal neck and results in Fetal respiratory acidosis.
P. 142
Which condition would the nurse document when there is a deep blue color change in a
nitrazine paper test on a pregnant woman?
1. Placenta previa
2. Active phase of labor
3. Urinary incontinence
4. Rupture of membranes - ANS✔✔--Rupture of membranes.
--A blue-green or deep blue color of the nitrazine paper indicates that the fluid is alkaline
and mostly amniotic fluid.
**A yellow-green color of the strip indicates the fluid is acidic (likely urine).
P. 144
A patient in labor has had a rupture of the amniotic sac and also has an elevation in
body temperature. The nurse is concerned about infection. Which assessment finding
regarding the amniotic fluid would confirm this?
1. Green-colored fluid
2. Yellow-colored fluid
3. Sweet smelling fluid
4. Clear fluid with flecks - ANS✔✔--Yellow-colored fluid
Proctored Exam 2024-2025 Graded A+
,Which assessment finding would the nurse observe in a patient with a postpartum
vaginal laceration?
1. Small clots in the vaginal bleeding
2. Dark red vaginal bleeding
3. Pale brown vaginal bleeding
4. A continuous trickle of bright red vaginal bleeding - ANS✔✔--A continuous trickle
of bright red vaginal bleeding.
--An unexpected finding that indicates there are lacerations in the vagina, uterus, or
cervix.
**Vaginal blood containing small clots is normal postpartum.
**Vaginal bleeding that is dark in color postpartum is called: lochia rubra (and is
expected). --> Pale brown vaginal bleeding indicates lochia rubra subsiding.
P. 152
During labor, a patient starts pushing before the complete dilation of the cervix. For
which conditions is the patient at risk as a result of this behavior? Select all that apply.
1. Perineal laceration
2. Fetal distress
3. Fetal hypoxia
4. Speeding of labor
5. Maternal exhaustion - ANS✔✔--3 & 5
-Fetal hypoxia
-Maternal exhaustion
P. 149
Which cultural practice would the nurse observe in a Khmer patient during the
immediate postpartum period?
1. Discarding of the colostrum
2. Placing keys under the pillow
3. Eating meat
4. Wearing red clothing - ANS✔✔--Discarding the colostrum
P. 123
Which type of contractions would the nurse document in a patient whose fundus is not
easily indented with the fingertips and is similar in feel to the forehead?
1. Mild
, 2. Firm
3. Moderate
4. Decrement phase - ANS✔✔--Firm
P. 127
On electronic fetal monitoring, the fetal heart rate decelerates by 15 beats per minute
below baseline, lasting for 1 minute. There are also altering V-shaped and W-shaped
curves on the monitor. Which condition do these findings indicate?
1. Fetal hypoxia
2. Cord prolapse
3. Fetal tachysystole
4. Fetal respiratory acidosis - ANS✔✔--Fetal respiratory acidosis
--Variable decelerations is a condition where the fetal heart rate decreases by up to 15
beats/min below baseline. Lasting 15 seconds to 2 minutes, and ends with U-, V-, or W-
shaped curves on the monitor. --> This occurs due to compression of the umbilical cord
around the fetal neck and results in Fetal respiratory acidosis.
P. 142
Which condition would the nurse document when there is a deep blue color change in a
nitrazine paper test on a pregnant woman?
1. Placenta previa
2. Active phase of labor
3. Urinary incontinence
4. Rupture of membranes - ANS✔✔--Rupture of membranes.
--A blue-green or deep blue color of the nitrazine paper indicates that the fluid is alkaline
and mostly amniotic fluid.
**A yellow-green color of the strip indicates the fluid is acidic (likely urine).
P. 144
A patient in labor has had a rupture of the amniotic sac and also has an elevation in
body temperature. The nurse is concerned about infection. Which assessment finding
regarding the amniotic fluid would confirm this?
1. Green-colored fluid
2. Yellow-colored fluid
3. Sweet smelling fluid
4. Clear fluid with flecks - ANS✔✔--Yellow-colored fluid
