ATIMaternalNewbornProctoredExam
i i i i
(Detail Solutions and Resource for the
i i i i i
test) i
1. Two idays iafter idelivery, ia ipostpartum iclient iprepares ifor idischarge. iWhat ishould ithe inurse iteach
iher iabout ilochia iflow?
Incorrect: iLochia idoes ichange icolor ibut igoes ifrom ilochia irubra i(bright ired) ion idays i1-3, ito ilochia
iserosa i(pinkish ibrown) ion idays i4-9, ito ilochia ialba i(creamy iwhite) idays i10-21.
Incorrect: iNumerous iclots iare iabnormal iand ishould ibe ireported ito ithe iphysician.
Incorrect: iSaturation iof ithe iperineal ipad iis iconsidered iabnormal iand imay iindicate ipostpartum
ihemorrhage.
The icolor iof ithe ilochia ichanges ifrom ia ibright ired ito iwhite iafter ifour idays
iNumerous ilarge iclots iare inormal ifor ithe inext ithree ito ifour idays
Saturation iof ithe iperineal ipad iwith iblood iis iexpected iwhen igetting iup ifrom ithe ibediLochia
ishould ilast ifor iabout i3 iweeks, ichanging icolor ievery ifew idays
2. A inurse imonitors ifetal iwell-being iby imeans iof ian iexternal imonitor. iAt ithe ipeak iof ithe
icontractions, ithe ifetal iheart irate ihas irepeatedly idropped i30 ibeats/min ibelow ithe ibaseline. iLate
idecelerations iare isuspected iand ithe inurse inotifies ithe iphysician. iWhich iis ithe irationale ifor ithis
iaction?
Incorrect: iA inuchal icord i(cord iaround ithe ineck) iis iassociated iwith ivariable idecelerations, inot ilate
idecelerations.
Incorrect: iVariable idecelerations i(not ilate idecelerations) iare iassociated iwith icord icompression.
Incorrect: iLate idecelerations iare ia iresult iof ihypoxia. iThey iare inot ireflective iof ithe istrength iofimaternal
icontractions.
The iumbilical icord iis iwrapped itightly iaround ithe ifetus' ineck
The ifetal icord iis ibeing icompressed idue ito irapid idescent iof ithe ifetal iheadiMaternal
icontractions iare inot iadequate ienough ito ideliver ithe ifetus
The ifetus iis inot ireceiving iadequate ioxygen iand iis iin idistress
, 3. Which ipreoperative inursing iinterventions ishould ibe iincluded ifor ia iclient iwho iis ischeduled ito ihave
ian iemergency icesarean ibirth?
Incorrect: iMonitoring iO2 isaturations iand iadministering ipain imedications iare ipostoperative
iinterventions.
Incorrect: iTaking ivital isigns ievery i15 iminutes iis ia ipostoperative iintervention. iInstructing ithe iclient
iregarding ibreathing iexercises iis inot iappropriate iin ia icrisis isituation iwhen ithe iclient's ianxiety iis ihigh,
ibecause iinformation iwould iprobably inot ibe iretained. iIn ian iemergency, ithere iis itime ionly ifor
iessential iinterventions.
Incorrect: iThe inurse ishould ihave iassessed ibreath isounds iupon iadmission. iBreath isounds iare
iimportant iif ithe iclient iis ito ireceive igeneral ianesthesia, ibut ithe ianesthesiologist iwill ibe ilistening ito
ibreath isounds iin isurgery iin ithat icase.
Monitor ioxygen isaturation iand iadminister ipain imedication.
Assess ivital isigns ievery i15 iminutes iand iinstruct ithe iclient iabout ipostoperative icare.
iAlleviate ianxiety iand iinsert ian iindwelling icatheter.
Perform ia isterile ivaginal iexamination iand iassess ibreath isounds.
4. Which inursing iinstruction ishould ibe igiven ito ithe ibreastfeeding imother iregarding icare iof ithe
ibreasts iafter idischarge?
Incorrect: iApplying ilotion ito ithe inipples iis inot ieffective ifor ikeeping ithem isoft. iExcessive iamounts iof
ilotion imay iharbor imicroorganisms.
Incorrect: iUsing isoap ion ithe ibreasts idries ithe inipples iand ican icause icracking.iThe
ibaby ishould ibe igiven ia ibottle iof iformula iif iengorgement ioccurs.
The inipples ishould ibe icovered iwith ilotion iwhen ithe ibaby iis inot inursing.iThe
ibreasts ishould ibe ipumped iif ithe ibaby iis inot isucking iadequately.
The ibreasts ishould ibe iwashed iwith isoap iand iwater ionce iper iday.
5. A iclient iin ipreterm ilabor iis iadmitted ito ithe ihospital. iWhich iclassification iof idrugs ishould ithe inurse
Incorrect: iAnti-infective iare iused iif ithere iis iinfection. iPreterm ilabor imay ior imay inot iinvolve iruptured
imembranes iwith iits iaccompanying irisk iof iinfection.
Tocolytics
i i i i
(Detail Solutions and Resource for the
i i i i i
test) i
1. Two idays iafter idelivery, ia ipostpartum iclient iprepares ifor idischarge. iWhat ishould ithe inurse iteach
iher iabout ilochia iflow?
Incorrect: iLochia idoes ichange icolor ibut igoes ifrom ilochia irubra i(bright ired) ion idays i1-3, ito ilochia
iserosa i(pinkish ibrown) ion idays i4-9, ito ilochia ialba i(creamy iwhite) idays i10-21.
Incorrect: iNumerous iclots iare iabnormal iand ishould ibe ireported ito ithe iphysician.
Incorrect: iSaturation iof ithe iperineal ipad iis iconsidered iabnormal iand imay iindicate ipostpartum
ihemorrhage.
The icolor iof ithe ilochia ichanges ifrom ia ibright ired ito iwhite iafter ifour idays
iNumerous ilarge iclots iare inormal ifor ithe inext ithree ito ifour idays
Saturation iof ithe iperineal ipad iwith iblood iis iexpected iwhen igetting iup ifrom ithe ibediLochia
ishould ilast ifor iabout i3 iweeks, ichanging icolor ievery ifew idays
2. A inurse imonitors ifetal iwell-being iby imeans iof ian iexternal imonitor. iAt ithe ipeak iof ithe
icontractions, ithe ifetal iheart irate ihas irepeatedly idropped i30 ibeats/min ibelow ithe ibaseline. iLate
idecelerations iare isuspected iand ithe inurse inotifies ithe iphysician. iWhich iis ithe irationale ifor ithis
iaction?
Incorrect: iA inuchal icord i(cord iaround ithe ineck) iis iassociated iwith ivariable idecelerations, inot ilate
idecelerations.
Incorrect: iVariable idecelerations i(not ilate idecelerations) iare iassociated iwith icord icompression.
Incorrect: iLate idecelerations iare ia iresult iof ihypoxia. iThey iare inot ireflective iof ithe istrength iofimaternal
icontractions.
The iumbilical icord iis iwrapped itightly iaround ithe ifetus' ineck
The ifetal icord iis ibeing icompressed idue ito irapid idescent iof ithe ifetal iheadiMaternal
icontractions iare inot iadequate ienough ito ideliver ithe ifetus
The ifetus iis inot ireceiving iadequate ioxygen iand iis iin idistress
, 3. Which ipreoperative inursing iinterventions ishould ibe iincluded ifor ia iclient iwho iis ischeduled ito ihave
ian iemergency icesarean ibirth?
Incorrect: iMonitoring iO2 isaturations iand iadministering ipain imedications iare ipostoperative
iinterventions.
Incorrect: iTaking ivital isigns ievery i15 iminutes iis ia ipostoperative iintervention. iInstructing ithe iclient
iregarding ibreathing iexercises iis inot iappropriate iin ia icrisis isituation iwhen ithe iclient's ianxiety iis ihigh,
ibecause iinformation iwould iprobably inot ibe iretained. iIn ian iemergency, ithere iis itime ionly ifor
iessential iinterventions.
Incorrect: iThe inurse ishould ihave iassessed ibreath isounds iupon iadmission. iBreath isounds iare
iimportant iif ithe iclient iis ito ireceive igeneral ianesthesia, ibut ithe ianesthesiologist iwill ibe ilistening ito
ibreath isounds iin isurgery iin ithat icase.
Monitor ioxygen isaturation iand iadminister ipain imedication.
Assess ivital isigns ievery i15 iminutes iand iinstruct ithe iclient iabout ipostoperative icare.
iAlleviate ianxiety iand iinsert ian iindwelling icatheter.
Perform ia isterile ivaginal iexamination iand iassess ibreath isounds.
4. Which inursing iinstruction ishould ibe igiven ito ithe ibreastfeeding imother iregarding icare iof ithe
ibreasts iafter idischarge?
Incorrect: iApplying ilotion ito ithe inipples iis inot ieffective ifor ikeeping ithem isoft. iExcessive iamounts iof
ilotion imay iharbor imicroorganisms.
Incorrect: iUsing isoap ion ithe ibreasts idries ithe inipples iand ican icause icracking.iThe
ibaby ishould ibe igiven ia ibottle iof iformula iif iengorgement ioccurs.
The inipples ishould ibe icovered iwith ilotion iwhen ithe ibaby iis inot inursing.iThe
ibreasts ishould ibe ipumped iif ithe ibaby iis inot isucking iadequately.
The ibreasts ishould ibe iwashed iwith isoap iand iwater ionce iper iday.
5. A iclient iin ipreterm ilabor iis iadmitted ito ithe ihospital. iWhich iclassification iof idrugs ishould ithe inurse
Incorrect: iAnti-infective iare iused iif ithere iis iinfection. iPreterm ilabor imay ior imay inot iinvolve iruptured
imembranes iwith iits iaccompanying irisk iof iinfection.
Tocolytics
