ATI PROCTORED EXAM - MATERNAL
NEWBORN, Questions with accurate
answers, update 2022/2023
A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level.
Which of the following actions should the nurse take? - ✔✔D. Use a photometer to monitor the lamp's
energy
A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the
following findings should the nurse expect? - ✔✔Dark red vaginal bleeding
A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of the
following actions should the nurse perform? - ✔✔Assess the newborn's blood glucose level
A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The client
begins to show indications of magnesium sulfate toxicity. Which of the following medications should the
nurse prepare to administer? - ✔✔C. Calcium gluconate
A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast
discomfort relief measures. Which of the following pieces of information should the nurse include? -
✔✔"Place fresh cabbage leaves on your breasts."
A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and vomiting.
Which of the following statements should the nurse include in the teaching? - ✔✔"You should eat dry
foods that are high in carbohydrates when you wake up."
A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client states,
"I've heard that I can't use any birth control until I stop breastfeeding." Which of the following responses
should the nurse make? - ✔✔"A progestin-only pill or injection is available for use while you are
breastfeeding."
,A nurse is assessing a client who is receiving morphine via a patient-controlled analgesia (PCA) pump
following a cesarean birth. Which of the following findings should the nurse report to the provider? -
✔✔Urine output 20 mL/hr
A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is scheduled for an
external cephalic version. Which of the following statements should the nurse make? - ✔✔B."You will
receive a medication to relax your uterus prior to the procedure.
A postpartum nurse is caring for a client who reports excessive sweating during the first night after
delivery. Which of the following statements should the nurse make? - ✔✔"This is a source of your fluid
loss after delivery."
The parents of a child with phenylketonuria (PKU) ask the nurse if their second unborn child could have
the same condition. The nurse should base the response on which of the following inheritance patterns
responsible for PKU? - ✔✔Autosomal recessive
A nurse is teaching a client about physiological changes that can occur with menopause. Which of the
following changes should the nurse include? - ✔✔C. Stress incontinence
A nurse is providing education about newborn skin care for a group of new parents. Which of the
following instructions should the nurse include? - ✔✔B.Sponge bathe the newborn every other day
A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree
perineal laceration. Which of the following interventions should the nurse take? - ✔✔Apply cold ice
packs to the client's perineaium
A nurse is providing teaching to the parents of a newborn about home safety. Which of the following
statements by the parents indicates an understanding of the teaching? - ✔✔"I will place my baby on his
back when putting him to sleep."
A nurse is caring for a newborn who is premature at 30 weeks gestation. Which of the following findings
should the nurse expect? - ✔✔Abundant lanugo
,A nurse is caring for a client who is in labor and received meperidine for pain 1 hr prior to entering the
second stage of labor. Which of the following actions should the nurse take? - ✔✔Assess the newborn
for respiratory depression
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should
the nurse expect? - ✔✔Urinary retention
A nurse is reviewing the medical record of a client at 39 weeks gestation who has polyhydramnios.
Which of the following findings should the nurse expect? - ✔✔Fetal gastrointestinal anomaly
A nurse in a clinic is providing education to a client at 32 weeks of gestation who has pruritus
gravidarum. Which of the following pieces of information should the nurse provide? - ✔✔"You should
slightly increase your exposure to sunlight."
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the
following findings is a risk factor for an ectopic pregnancy? - ✔✔Pelvic inflammatory disease (PID)
A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole. Which of the
following findings should the nurse expect?
Show Explanation - ✔✔Dark brown vaginal discharge
A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of the following
findings should the nurse report to the provider?
Show Explanation - ✔✔Frequent headaches
A nurse is caring for a client who has oligohydramnios. Which of the following fetal anomalies should the
nurse expect? - ✔✔Renal agenesis
A nurse is assessing a client on the first postpartum day. Findings include the following: fundus firm and
one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots,
temperature 37.3°C (99.2°F), and pulse rate 52/min. Which of the following actions should the nurse
take?
Show Explanation - ✔✔Ask the client when she last voided
, A nurse is monitoring a client who is receiving spinal anesthesia. The nurse should identify which of the
following findings as a complication of the infusion?
Show Explanation - ✔✔Maternal hypotension
A nurse is caring for a client at 35 weeks gestation who has severe pre-eclampsia. Which of the following
assessments provides the most accurate information regarding the client's fluid and electrolyte status?
Show Explanation - ✔✔Daily weight
A nurse is caring for a client who is 2 hr postpartum. The nurse notes the client's perineal pad has a large
amount of lochia rubra with several clots. Which of the following actions should the nurse perform first?
Show Explanation - ✔✔Massage the fundus
A nurse is caring for a client who is postpartum and reports that her episiotomy incision is pulling and
stinging. Which of the following actions should the nurse take?
Show Explanation - ✔✔Provide a sitz bath with warm water for the client
A nurse is caring for a client who is in labor and is reporting intense pain during contractions. The client
has no previous knowledge of nonpharmacological comfort measures. Which of the following nursing
interventions should the nurse implement? - ✔✔Correct Answer:
D.
Slow-paced breathing
Slow-paced breathing is an easy technique for the client to learn quickly and practice immediately. It
provides distraction, which can help reduce the perception of pain. The pattern is In-2-3-4/Out-2-3-4/In-
2-3-4/Out-2-3-4. Repeating this cycle slows the client's breathing to about half of its usual rate, which
can help relax the client and improve oxygenation.
Incorrect Answers:
A. Self-hypnosis can help relieve labor pain, but clients might not be able to perform it if they haven't
already learned from specially trained practitioners.
NEWBORN, Questions with accurate
answers, update 2022/2023
A nurse is planning care for a newborn who is receiving phototherapy for an elevated bilirubin level.
Which of the following actions should the nurse take? - ✔✔D. Use a photometer to monitor the lamp's
energy
A nurse is assessing a client at 34 weeks gestation who has a mild placental abruption. Which of the
following findings should the nurse expect? - ✔✔Dark red vaginal bleeding
A nurse is assessing a newborn and notes an axillary temperature of 96.9°F (36°C). Which of the
following actions should the nurse perform? - ✔✔Assess the newborn's blood glucose level
A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate. The client
begins to show indications of magnesium sulfate toxicity. Which of the following medications should the
nurse prepare to administer? - ✔✔C. Calcium gluconate
A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast
discomfort relief measures. Which of the following pieces of information should the nurse include? -
✔✔"Place fresh cabbage leaves on your breasts."
A nurse is educating a client who is at 10 weeks gestation and reports frequent nausea and vomiting.
Which of the following statements should the nurse include in the teaching? - ✔✔"You should eat dry
foods that are high in carbohydrates when you wake up."
A nurse is providing postpartum discharge teaching for a client who is breastfeeding. The client states,
"I've heard that I can't use any birth control until I stop breastfeeding." Which of the following responses
should the nurse make? - ✔✔"A progestin-only pill or injection is available for use while you are
breastfeeding."
,A nurse is assessing a client who is receiving morphine via a patient-controlled analgesia (PCA) pump
following a cesarean birth. Which of the following findings should the nurse report to the provider? -
✔✔Urine output 20 mL/hr
A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is scheduled for an
external cephalic version. Which of the following statements should the nurse make? - ✔✔B."You will
receive a medication to relax your uterus prior to the procedure.
A postpartum nurse is caring for a client who reports excessive sweating during the first night after
delivery. Which of the following statements should the nurse make? - ✔✔"This is a source of your fluid
loss after delivery."
The parents of a child with phenylketonuria (PKU) ask the nurse if their second unborn child could have
the same condition. The nurse should base the response on which of the following inheritance patterns
responsible for PKU? - ✔✔Autosomal recessive
A nurse is teaching a client about physiological changes that can occur with menopause. Which of the
following changes should the nurse include? - ✔✔C. Stress incontinence
A nurse is providing education about newborn skin care for a group of new parents. Which of the
following instructions should the nurse include? - ✔✔B.Sponge bathe the newborn every other day
A postpartum nurse is caring for a client who is 4 hours postpartum and has a painful third-degree
perineal laceration. Which of the following interventions should the nurse take? - ✔✔Apply cold ice
packs to the client's perineaium
A nurse is providing teaching to the parents of a newborn about home safety. Which of the following
statements by the parents indicates an understanding of the teaching? - ✔✔"I will place my baby on his
back when putting him to sleep."
A nurse is caring for a newborn who is premature at 30 weeks gestation. Which of the following findings
should the nurse expect? - ✔✔Abundant lanugo
,A nurse is caring for a client who is in labor and received meperidine for pain 1 hr prior to entering the
second stage of labor. Which of the following actions should the nurse take? - ✔✔Assess the newborn
for respiratory depression
A nurse is assessing a client who is in the fourth stage of labor. Which of the following findings should
the nurse expect? - ✔✔Urinary retention
A nurse is reviewing the medical record of a client at 39 weeks gestation who has polyhydramnios.
Which of the following findings should the nurse expect? - ✔✔Fetal gastrointestinal anomaly
A nurse in a clinic is providing education to a client at 32 weeks of gestation who has pruritus
gravidarum. Which of the following pieces of information should the nurse provide? - ✔✔"You should
slightly increase your exposure to sunlight."
A nurse is caring for a client who has clinical manifestations of an ectopic pregnancy. Which of the
following findings is a risk factor for an ectopic pregnancy? - ✔✔Pelvic inflammatory disease (PID)
A nurse is assessing a client who is at 12 weeks gestation and has a hydatidiform mole. Which of the
following findings should the nurse expect?
Show Explanation - ✔✔Dark brown vaginal discharge
A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of the following
findings should the nurse report to the provider?
Show Explanation - ✔✔Frequent headaches
A nurse is caring for a client who has oligohydramnios. Which of the following fetal anomalies should the
nurse expect? - ✔✔Renal agenesis
A nurse is assessing a client on the first postpartum day. Findings include the following: fundus firm and
one fingerbreadth above and to the right of the umbilicus, moderate lochia rubra with small clots,
temperature 37.3°C (99.2°F), and pulse rate 52/min. Which of the following actions should the nurse
take?
Show Explanation - ✔✔Ask the client when she last voided
, A nurse is monitoring a client who is receiving spinal anesthesia. The nurse should identify which of the
following findings as a complication of the infusion?
Show Explanation - ✔✔Maternal hypotension
A nurse is caring for a client at 35 weeks gestation who has severe pre-eclampsia. Which of the following
assessments provides the most accurate information regarding the client's fluid and electrolyte status?
Show Explanation - ✔✔Daily weight
A nurse is caring for a client who is 2 hr postpartum. The nurse notes the client's perineal pad has a large
amount of lochia rubra with several clots. Which of the following actions should the nurse perform first?
Show Explanation - ✔✔Massage the fundus
A nurse is caring for a client who is postpartum and reports that her episiotomy incision is pulling and
stinging. Which of the following actions should the nurse take?
Show Explanation - ✔✔Provide a sitz bath with warm water for the client
A nurse is caring for a client who is in labor and is reporting intense pain during contractions. The client
has no previous knowledge of nonpharmacological comfort measures. Which of the following nursing
interventions should the nurse implement? - ✔✔Correct Answer:
D.
Slow-paced breathing
Slow-paced breathing is an easy technique for the client to learn quickly and practice immediately. It
provides distraction, which can help reduce the perception of pain. The pattern is In-2-3-4/Out-2-3-4/In-
2-3-4/Out-2-3-4. Repeating this cycle slows the client's breathing to about half of its usual rate, which
can help relax the client and improve oxygenation.
Incorrect Answers:
A. Self-hypnosis can help relieve labor pain, but clients might not be able to perform it if they haven't
already learned from specially trained practitioners.
