NGN ATI RN MATERNAL NEWBORN ATI PROCTORED EXAM (LATEST
UPDATE ) QUESTIONS AND 100%CORRECT DETAILED
ANSWERS|| GRADED A+
A nurse is caring for a client who is in labor and experiences abruptio placenta.
Which of the following findings should the nurse expect?
A. Hypertension.
B. Uterine tenderness.
C. Fetal tachycardia.
D. Leukorrhea. -ANSWER: Uterine tenderness
Uterine tenderness is a common symptom of abruptio placentae
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during
childhood.
Which of the following vaccines should the nurse plan to administer?
A. Human papillomavirus.
B. Rubella.
C. Tetanus.
D. Varicella. -ANSWER: Tetanus
Tetanus vaccine is safe and recommended during pregnancy
A nurse is assessing a newborn who was born via a forceps-assisted birth.
Which of the following findings should the nurse identify as an injury caused by the forceps?
,A. Depressed anterior fontanel.
B. Uneven gluteal skinfolds.
C. Epicanthal folds.
D. Facial asymmetry. -ANSWER: Facial asymmetry
Facial asymmetry can occur due to pressure from the forceps on the facial nerves during delivery.
A nurse is caring for a client who is taking an oral contraceptive.
The nurse should instruct the client to report which of the following findings to the provider immediately?
A. Breast tenderness.
B. Persistent headaches.
C. Vaginal itching.
D. Painful intercourse. -ANSWER: Persistent headaches
Persistent headaches can be a sign of a serious side effect such as a stroke or blood clot and should be
reported immediately.
A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
A. Blood pressure 88/40 mm Hg.
B. Urinary output 40 mL/hr.
C. Moderate rubra lochia.
D. Heart rate 90/min. -ANSWER: Blood pressure 88/40 mm Hg
A blood pressure of 88/40 mm Hg is lower than the normal range (90/60 to 120/80 mm Hg) and could
indicate hemorrhage.
,A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to
reassess the client?
A. Intense contractions lasting 45 to 60 seconds.
B. An urge to have a bowel movement during contractions.
C. A sense of excitement and warm, flushed skin.
D. Progressive sacral discomfort during contractions. -ANSWER: An urge to have a bowel movement
during contractions.
An urge to have a bowel movement during contractions could indicate that the baby's head is descending
into the birth canal, which may require immediate attention.
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Which of the following information should the nurse include?
A. "Yellow exudate will form at the surgical site in 24 hours.".
B. "Notify the provider if the end of your baby's penis appears dark red.".
C. "The Plastibell will be removed 4 hours after the procedure.".
D. "Make sure the newborn's diaper is snug.". -ANSWER: "Yellow exudate will form at the surgical
site in 24 hours."
The nurse should include that "yellow exudate will form at the surgical site in 24 hours" as part of the
teaching to the parents. This is because the yellow exudate is a normal sign of healing and should not be
confused with infection.
A nurse is caring for a client who is postpartum and has a perineal laceration. Which of the following
findings places the client at risk for delayed wound healing?
A. The client is changing the perineal pad once daily.
B. The client is using witch hazel pads on the perineum.
C. The client cleans the perineum with a squeeze bottle after urinating.
, D. The client's perineal suture line is well-approximated. -ANSWER: The client is changing the
perineal pad once daily
Changing the perineal pad once daily could lead to infection, which would delay wound healing.
A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization.
Which of the following client statements indicates understanding of the teaching?
A. "I should avoid breastfeeding for 2 weeks following the immunization.".
B. "I will receive a series of three immunizations and each one will be a month apart.".
C. "I will report joint pain that develops after the immunization to my provider immediately.".
D. "I should avoid becoming pregnant for at least 1 month following the immunization.". -ANSWER:
"I should avoid becoming pregnant for at least 1 month following the immunization."
Women are advised to avoid pregnancy for at least 1 month following rubella immunization due to the
theoretical risk to the fetus, so this statement is correct.
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum
bilirubin. Which of the following actions should the nurse take?
A. Select a 21-gauge needle to perform the procedure.
B. Apply an alcohol pad to the site after the procedure.
C. Place a cool cloth at the site for 15 min before the procedure.
D. Puncture the lateral side of the heel for the procedure. -ANSWER: Puncture the lateral side of the
heel for the procedure.
The lateral side of the heel is the correct site for a heel stick to avoid injury to the bone.
A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse
expect?
A. Uterine hypertonicity.
UPDATE ) QUESTIONS AND 100%CORRECT DETAILED
ANSWERS|| GRADED A+
A nurse is caring for a client who is in labor and experiences abruptio placenta.
Which of the following findings should the nurse expect?
A. Hypertension.
B. Uterine tenderness.
C. Fetal tachycardia.
D. Leukorrhea. -ANSWER: Uterine tenderness
Uterine tenderness is a common symptom of abruptio placentae
A nurse is caring for a client who is at 28 weeks of gestation and received no immunizations during
childhood.
Which of the following vaccines should the nurse plan to administer?
A. Human papillomavirus.
B. Rubella.
C. Tetanus.
D. Varicella. -ANSWER: Tetanus
Tetanus vaccine is safe and recommended during pregnancy
A nurse is assessing a newborn who was born via a forceps-assisted birth.
Which of the following findings should the nurse identify as an injury caused by the forceps?
,A. Depressed anterior fontanel.
B. Uneven gluteal skinfolds.
C. Epicanthal folds.
D. Facial asymmetry. -ANSWER: Facial asymmetry
Facial asymmetry can occur due to pressure from the forceps on the facial nerves during delivery.
A nurse is caring for a client who is taking an oral contraceptive.
The nurse should instruct the client to report which of the following findings to the provider immediately?
A. Breast tenderness.
B. Persistent headaches.
C. Vaginal itching.
D. Painful intercourse. -ANSWER: Persistent headaches
Persistent headaches can be a sign of a serious side effect such as a stroke or blood clot and should be
reported immediately.
A nurse is caring for a client who is postpartum and just delivered a newborn who weighs 4.5 kg (10 lb).
Which of the following manifestations should the nurse recognize as a potential sign of hemorrhage?
A. Blood pressure 88/40 mm Hg.
B. Urinary output 40 mL/hr.
C. Moderate rubra lochia.
D. Heart rate 90/min. -ANSWER: Blood pressure 88/40 mm Hg
A blood pressure of 88/40 mm Hg is lower than the normal range (90/60 to 120/80 mm Hg) and could
indicate hemorrhage.
,A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to
reassess the client?
A. Intense contractions lasting 45 to 60 seconds.
B. An urge to have a bowel movement during contractions.
C. A sense of excitement and warm, flushed skin.
D. Progressive sacral discomfort during contractions. -ANSWER: An urge to have a bowel movement
during contractions.
An urge to have a bowel movement during contractions could indicate that the baby's head is descending
into the birth canal, which may require immediate attention.
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Which of the following information should the nurse include?
A. "Yellow exudate will form at the surgical site in 24 hours.".
B. "Notify the provider if the end of your baby's penis appears dark red.".
C. "The Plastibell will be removed 4 hours after the procedure.".
D. "Make sure the newborn's diaper is snug.". -ANSWER: "Yellow exudate will form at the surgical
site in 24 hours."
The nurse should include that "yellow exudate will form at the surgical site in 24 hours" as part of the
teaching to the parents. This is because the yellow exudate is a normal sign of healing and should not be
confused with infection.
A nurse is caring for a client who is postpartum and has a perineal laceration. Which of the following
findings places the client at risk for delayed wound healing?
A. The client is changing the perineal pad once daily.
B. The client is using witch hazel pads on the perineum.
C. The client cleans the perineum with a squeeze bottle after urinating.
, D. The client's perineal suture line is well-approximated. -ANSWER: The client is changing the
perineal pad once daily
Changing the perineal pad once daily could lead to infection, which would delay wound healing.
A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization.
Which of the following client statements indicates understanding of the teaching?
A. "I should avoid breastfeeding for 2 weeks following the immunization.".
B. "I will receive a series of three immunizations and each one will be a month apart.".
C. "I will report joint pain that develops after the immunization to my provider immediately.".
D. "I should avoid becoming pregnant for at least 1 month following the immunization.". -ANSWER:
"I should avoid becoming pregnant for at least 1 month following the immunization."
Women are advised to avoid pregnancy for at least 1 month following rubella immunization due to the
theoretical risk to the fetus, so this statement is correct.
A nurse is preparing to perform a heel stick on a newborn who has a prescription for a total serum
bilirubin. Which of the following actions should the nurse take?
A. Select a 21-gauge needle to perform the procedure.
B. Apply an alcohol pad to the site after the procedure.
C. Place a cool cloth at the site for 15 min before the procedure.
D. Puncture the lateral side of the heel for the procedure. -ANSWER: Puncture the lateral side of the
heel for the procedure.
The lateral side of the heel is the correct site for a heel stick to avoid injury to the bone.
A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse
expect?
A. Uterine hypertonicity.
