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ATI RN Maternal Newborn Proctored Exam | Maternal Newborn Nursing Study Guide & Practice Questions

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Prepare for the ATI RN Maternal Newborn assessment with a focused study resource covering essential maternal and newborn nursing concepts. This resource is designed to support nursing students reviewing pregnancy, labor and delivery, postpartum care, newborn assessment, complications, patient education, and evidence-based nursing interventions. Topics may include antepartum assessment, prenatal care, fetal monitoring, stages of labor, pain management, postpartum assessment, maternal complications, newborn transition, newborn physical assessment, breastfeeding, newborn safety, and priority nursing interventions. Use this material as a study and review aid to strengthen your understanding of Maternal Newborn Nursing concepts and prepare more effectively for nursing assessments and examinations.

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PROCTORED
ATI RN
2024-2025
MATERNALACTUAL
NEWBORN
EXAM TEST
PROCTORED
BANK_MATERNAL
2024-2025 ACTUAL
NEWBORNEXAM
ATI TEST
PROCTORED
BANK_MATERNAL
EXAM 75
1 of
REAL
NEWBORN
(yhttps://online2pdf.com/remove-pdf-header-footer)
EXAM QUESTIONS
ATI PROCTOREDAND ANSWERS.pdfhttps://online2p
EXAM 75 REAL EXAM QUES

reports increased urinary output.

a nurse is assessing a client who has Increased urinary output, nausea and vomiting, reports of thirst, abdominal pain,
gestational diabetes Mellitus and is constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other
experiencing hyperglycemia. which of the manifestations include weak rapid pulse, fruity breath odor, urine positive for sugar and
following findings should the nurse expect? acetone, and a blood glucose level greater than 200 mg/dL.



Report the client's condition to the local health department.

a nurse is caring for a client who is 22 weeks The nurse should report the condition to the local health department. HIV is one of the
of gestation and is HIV positive. which of the conditions on the list of Nationally Notifiable Infectious Conditions that is required to be
following actions should the nurse take? reported.



depression

a nurse is providing teaching for a client who The nurse should instruct the client that depression is a common adverse effect of
has a new prescription for combined oral combined oral contraceptives. Other common adverse effects of the medication include
contraceptives. which of the following amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast
findings should the nurse include as an tenderness.
adverse effect of this medication?


"I can administer oxytocin 4 hours after the insertion of the medication."
a nurse is providing teaching to a client who
is at 40 weeks of gestation and has a new The nurse can administer oxytocin no sooner than 4 hr after the last dose of
prescription for misoprostol. Which of the misoprostol. Oxytocin can be administered following misoprostol for clients who have
following instructions should the nurse cervical ripening and have not begun labor.
include in the teaching?


schedule an ultrasound examination

a nurse is caring for a prenatal client who The nurse should schedule serial ultrasound examinations to monitor the fetus during
has parvovirus b19(fifth disease) which of the pregnancy to detect the possible development of fetal hydrops. Also, the virus can
the following actions should the nurse take? cause miscarriage, intrauterine growth restriction, fetal anemia, or stillbirth.



place the newborn skin to skin on the mother's chest.
a nurse is preparing to collect a blood
specimen from a newborn via a heel stick. Placing the newborn skin to skin on the mother's chest is an effective technique to
which of the following techniques should the significantly decrease the newborn's pain level and anxiety. The nurse should
nurse use to help minimize the pain of the implement this technique before, during, and after the procedure.
procedure for the newborn?


Insert two gloved fingers into the vagina and apply upward pressure to the presenting
part.
a nurse is performing a vag examination on
a client who is in labor and observes the The nurse should quickly apply gloves and insert two fingers into the vagina toward the
umbilical cord protruding from the vagina. cervix, exerting upward pressure onto the presenting part to relieve umbilical cord
after calling for assistance, which of the compression and increase oxygenation to the fetus.
following actions should the nurse take?


kleihauer-betke test

a nurse is caring for a client who is at 24 The nurse should expect the provider to prescribe a Kleihauer-Betke test for a client
weeks of gestation and has a suspected who has suspected placental abruption to determine if fetal blood is in maternal
placental abruption. which of the following circulation. This test is useful to determine if Rho-(D) immune globulin therapy should
lab tests should the nurse expect the be administered to a client who is Rh-negative.
provider to prescribe?


abruptio placenta
a nurse is admitting a client who is in labor.
the client admits to recent cocaine use. for cocaine use increases the risk for vasoconstriction and possible abruptio placenta.
which of the following complications should
the nurse assess?

blurred vision

The nurse should identify that a client who has severe preeclampsia can have
a nurse is assessing a client who has severe arteriolar vasospasms and decreased blood flow to the retina which can lead to visual
preeclampsia. which of the following disturbances, such as blurred vision, double vision, or dark spots in the visual field.
manifestations should the nurse expect.




Obtain a gift from the newborn to present to the sibling.
a nurse is providing education about family
bonding to parents who recently adopted a Presenting a gift from the newborn to the sibling is a strategy to facilitate a school-age
newborn. the nurse should make which of sibling's acceptance of a new family member. This ensures that the sibling does not
the following suggestions to aid the family's feel left out and that they understand their role in the family.
7 yr old child in accepting the new family
member?




ATI RN MATERNAL NEWBORN PROCTOREDPage
2024-2025
1 of 5https://online2pdf.com/remove-pdf-header-footer
ACTUAL EXAM TEST BANK_MATERNAL NEWBORN 1https://online2pdf.com/remove-pdf-header-footer
ATI PROCTORED EXAM 75 REAL EXAM QUES

,PROCTORED
ATI RN
2024-2025
MATERNALACTUAL
NEWBORN
EXAM TEST
PROCTORED
BANK_MATERNAL
2024-2025 ACTUAL
NEWBORNEXAM
ATI TEST
PROCTORED
BANK_MATERNAL
EXAM 75
2 of
REAL
NEWBORN
(yhttps://online2pdf.com/remove-pdf-header-footer)
EXAM QUESTIONS
ATI PROCTOREDAND ANSWERS.pdfhttps://online2p
EXAM 75 REAL EXAM QUES

naloxone

a nurse is assessing a client who is Morphine is a common opioid analgesic used for postoperative pain management that
receiving morphine via iv bolus for pain can cause central nervous system depression and can cause respiratory depression.
following a C section. the nurse notes a resp The nurse should administer naloxone, an opioid antagonist, to reverse the opioid-
rate of 8 per min. which of the following induced respiratory depression in the client.
medications should the nurse administer?


"I should take 600 micrograms of folic acid each day."
a nurse is teaching a client who is at 10
weeks of gestation about nutrition during A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid
pregnancy. which of the following statements assists with preventing neural tube birth defects.
by the client indicates an understanding of
the teaching.


jaundice.

a nurse is assessing a newborn 12hr after Jaundice occurring within the first 24 hr of birth is associated with ABO incompatibility,
birth. which of the following manifestations hemolysis, or Rh-isoimmunization. The nurse should report this manifestation to the
should the nurse report to the provider? provider.



Lays the newborn across her lap and gently sways
a nurse is observing a new parent caring for
her crying newborn who is bottle feeding. This is a correct technique for quieting a newborn. This tactile stimulation promotes a
which of the following actions by the parent sense of security for the newborn.
should the nurse recognize as a positive
parenting behavior?


Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
a nurse is teaching a newly licensed nurse the specimen."
about collecting a specimen for the universal
newborn screening. which of the following The nurse should ensure that the newborn has been receiving regular feedings for at
statements should the nurse include in the least 24 hr prior to testing.
teaching?


massage the client's fundus.

a nurse is caring for a client who has uterine Uterine atony and postpartum hemorrhage indicate that this client is at the greatest risk
atony and is experiencing postpartum for hypovolemic shock. This can compromise the perfusion to the client's vital organs,
hemorrhage. which of the following actions which can lead to death. Therefore, the nurse's priority is to massage the client's
is the nurse's priority? fundus to minimize blood loss.



Two umbilical arteries visible is correct. The nurse should observe two arteries and one
vein in the umbilical cord. The presence of only one artery can indicate a renal
anomaly

.Positive Babinski reflex is correct. Newborns should exhibit a positive Babinski sign
following birth. The nurse should stroke the newborn's foot upward from the heel to the
toes. The toes should hyperextend, and dorsal flexion of the big toe should occur. The
a nurse is performing a physical assessment absence of this finding requires neurological evaluation. The Babinski reflex is no
of a newborn upon admission to the nursery. longer present after 1 year of age.
which of the following manifestations should
the nurse expect? Acrocyanosis is correct. Acrocyanosis is an expected finding for at least the first 24 hr
following birth. Poor peripheral perfusion leads to bluish discoloration in the newborn's
hands and feet.




The nurse should demonstrate how to bathe a newborn by using a head to toe, clean
to dirty, approach. Therefore, the nurse should first wipe the newborn's eyes from the
inner canthus outward using plain water. The nurse should then wash the newborn's
A nurse is demonstrating to a pt. how to neck by lifting the newborn's chin. Next, the nurse should cleanse the skin around the
bathe her newborn. In which order should umbilical cord stump followed by washing the newborn's legs and feet. The last step of
the nurse perform the following actions? the bath should be to clean the newborn's diaper area.



hypertension
a nurse is assessing a client who received
carboprost for postpartum hemorrhage. The nurse should recognize that carboprost is a vasoconstrictor that can cause
which of the following findings is an adverse hypertension.
effect of this medication?

have the client change position
a nurse is caring for a client who is at 35
weeks of gestation and is undergoing a Having the client change position is an appropriate intervention for a variable
nonstress test that reveals a variable deceleration to relieve umbilical cord compression.
deceleration in the FHR. which of the
following actions should the nurse take?


perform leopold maneuvers
a nurse is caring for a client who is at 38
weeks of gestation. which of the following The nurse should perform Leopold maneuvers to assess the position of the fetus to
actions should the nurse take prior to best determine the optimal placement for the external fetal monitoring transducer.
applying an external transducer for fetal
monitoring?




ATI RN MATERNAL NEWBORN PROCTOREDPage
2024-2025
2 of 5https://online2pdf.com/remove-pdf-header-footer
ACTUAL EXAM TEST BANK_MATERNAL NEWBORN 2https://online2pdf.com/remove-pdf-header-footer
ATI PROCTORED EXAM 75 REAL EXAM QUES

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