ATI MATERNAL NEWBORN PROCTORED
EXAM A1 2019.(70 QUESTIONS WITH
100% CORRECT ANSWERS
1) A nurse is assessing the results of a non-stress test for an antepartal client at 35 weeks of gestation.
Which of the following findings should indicate to the nruse the need for further diagnostic testing?
a. An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in
response to fetal movement within a 40-min testing period
b. Irregular contractions of 10 to 20 seconds in duration that are not felt by the client
c. No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in
duration within a 10-min testing period
d. Three fetal movements perceived by the client in a 20-min testing period
2) A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue
the oxytocin if which of the following occurs?
a. Six contractions in 10 min
b. Nonrepetitive early decelerations
c. Moderate variability of the fetal heart rate
d. Contractions last 60 seconds
3) A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for
which of the following findings as an adverse effect?
a. Decreased ability to bear down
b. Uterine hyper-stimulation
c. Fetal bradycardia
d. Maternal hypertension
4) A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should
the nurse report to the provider?
a. Bulging fontanels
b. Subconjunctival hemorrhage
c. Milia
d. Caput succedaneum
5) A nurse is caring for a client who is 1 day postpartum following the birth of her first baby. The
client’s partner states, “I’ve been having nightmares that we are homeless and the baby is starving.”
Which of the following is an appropriate response by the nurse?
a. This is just the beginning of the worrying you will do as a parent
b. I know you’re worried, but everything is going to be okay
, c. What do you think it will be like to be responsible for a baby?
d. Why would you worry about being homeless when you have a good job?
6) A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4
days ago. The nurse should instruct the client to contact the provider for which of the following findings?
a. The newborn’s cord stump is still attached after 1 week
b. The newborn has fewer than four wet diapers in 24 hr
c. The newborn has loose stools
d. The newborn sleeps 16 hr a day
, 7) A nurse is caring for a newborn. Which of the following assessment findings should indicate to the
nurse that suctioning of the nasopharynx is needed?
a. The newborn is beginning to cough
b. The newborn’s respiratory rate is irregular
c. The newborn’s pulse oximetry is 91%
d. The newborn’s respiratory rate is 32/min
8) A nurse is performing a physical examination of a term newborn upon admission to the nursery. In
which order should the nurse perform the following assessments? (Move the steps into the box on the
right, placing them in the selected order of performance. Use all the steps.) – PUT THEM IN ORDER
Observe the newborn’s respirations
Auscultate the newborn’s heart rate
Auscultate the newborn’s abdomen
Test the newborn’s reflexes
9) A nurse in a prenatal clinic is discussing quickening with a client who is in the first trimester of her
first pregnancy. Which of the following statements by the client indicates understanding of the teaching?
a. I will plan to have a blood test when quickening occurs
b. I will feel movement at about 16 to 20 weeks
c. I will begin scheduling appointments every 2 weeks
d. I will take two ibuprofen capsules for the discomfort
10) A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following
clinical findings should the nurse report to the provider?
a. Rust-stained urine
b. Transient circumoral cyanosis
c. Subconjunctival hemorrhage
d. Single palmar creases
11) A nurse is assessing a client who is in her second trimester for common physiological changes during
pregnancy. The nurse notes a blotchy discoloration on the client’s forehead, nose, and cheeks. Which of
the following changes should the nurse document?
a. Striae gravidarum
b. Epulis
c. Chloasma
d. Linea nigra
12) A nurse is conducting a class for a group of clients about birth control. Which of the following
information should the nurse include in the teaching?
a. You should have an annual examination to assess your diaphragm
b. You should use spermicide 3 hours prior to sexual intercourse
c. Your fertility will return 6 months after your provider removes your IUD
d. You will not need to use birth control for 1 month after receiving emergency contraception
EXAM A1 2019.(70 QUESTIONS WITH
100% CORRECT ANSWERS
1) A nurse is assessing the results of a non-stress test for an antepartal client at 35 weeks of gestation.
Which of the following findings should indicate to the nruse the need for further diagnostic testing?
a. An increase in fetal heart rate to 150/min above the baseline of 140/min lasting 10 seconds in
response to fetal movement within a 40-min testing period
b. Irregular contractions of 10 to 20 seconds in duration that are not felt by the client
c. No late decelerations in the fetal heart rate noted with three uterine contractions of 60 seconds in
duration within a 10-min testing period
d. Three fetal movements perceived by the client in a 20-min testing period
2) A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue
the oxytocin if which of the following occurs?
a. Six contractions in 10 min
b. Nonrepetitive early decelerations
c. Moderate variability of the fetal heart rate
d. Contractions last 60 seconds
3) A nurse is caring for a client who has had a pudendal nerve block. The nurse should monitor for
which of the following findings as an adverse effect?
a. Decreased ability to bear down
b. Uterine hyper-stimulation
c. Fetal bradycardia
d. Maternal hypertension
4) A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should
the nurse report to the provider?
a. Bulging fontanels
b. Subconjunctival hemorrhage
c. Milia
d. Caput succedaneum
5) A nurse is caring for a client who is 1 day postpartum following the birth of her first baby. The
client’s partner states, “I’ve been having nightmares that we are homeless and the baby is starving.”
Which of the following is an appropriate response by the nurse?
a. This is just the beginning of the worrying you will do as a parent
b. I know you’re worried, but everything is going to be okay
, c. What do you think it will be like to be responsible for a baby?
d. Why would you worry about being homeless when you have a good job?
6) A nurse is providing discharge instructions to a client who delivered a newborn via cesarean birth 4
days ago. The nurse should instruct the client to contact the provider for which of the following findings?
a. The newborn’s cord stump is still attached after 1 week
b. The newborn has fewer than four wet diapers in 24 hr
c. The newborn has loose stools
d. The newborn sleeps 16 hr a day
, 7) A nurse is caring for a newborn. Which of the following assessment findings should indicate to the
nurse that suctioning of the nasopharynx is needed?
a. The newborn is beginning to cough
b. The newborn’s respiratory rate is irregular
c. The newborn’s pulse oximetry is 91%
d. The newborn’s respiratory rate is 32/min
8) A nurse is performing a physical examination of a term newborn upon admission to the nursery. In
which order should the nurse perform the following assessments? (Move the steps into the box on the
right, placing them in the selected order of performance. Use all the steps.) – PUT THEM IN ORDER
Observe the newborn’s respirations
Auscultate the newborn’s heart rate
Auscultate the newborn’s abdomen
Test the newborn’s reflexes
9) A nurse in a prenatal clinic is discussing quickening with a client who is in the first trimester of her
first pregnancy. Which of the following statements by the client indicates understanding of the teaching?
a. I will plan to have a blood test when quickening occurs
b. I will feel movement at about 16 to 20 weeks
c. I will begin scheduling appointments every 2 weeks
d. I will take two ibuprofen capsules for the discomfort
10) A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following
clinical findings should the nurse report to the provider?
a. Rust-stained urine
b. Transient circumoral cyanosis
c. Subconjunctival hemorrhage
d. Single palmar creases
11) A nurse is assessing a client who is in her second trimester for common physiological changes during
pregnancy. The nurse notes a blotchy discoloration on the client’s forehead, nose, and cheeks. Which of
the following changes should the nurse document?
a. Striae gravidarum
b. Epulis
c. Chloasma
d. Linea nigra
12) A nurse is conducting a class for a group of clients about birth control. Which of the following
information should the nurse include in the teaching?
a. You should have an annual examination to assess your diaphragm
b. You should use spermicide 3 hours prior to sexual intercourse
c. Your fertility will return 6 months after your provider removes your IUD
d. You will not need to use birth control for 1 month after receiving emergency contraception
