ATI MATERNAL PROCTORED EXAM (QUESTIONS AND ANSWERS)

A nurse is caring for a client who is 2 weeks postpartum following a cesarean birth. Which of the following clinical findings should the nurse identify as an indication of postpartum infection? - CORRECT ANSWER Unilateral breast pain A nurse is assessing a client who has preeclampsia during a prenatal visit. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER Urine protein of 3+ A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks gestation and has preeclampsia. Which of the following responses by the nurses is appropriate? - CORRECT ANSWER "This medication prevents seizures" A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include? - CORRECT ANSWER Your contractions will become temporarily regular A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse include in the policy? - CORRECT ANSWER Obtain an imprint of the infants feet prior to taking him into the nursery A nurse is caring for a client who delivered by cesarean birth 6 hrs. ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage. Which of the following actions should the nurse take? - CORRECT ANSWER Administer 500 mL lactated ringer's IV bolus A nurse is providing discharge instructions to a client who is postpartum and has engorged breasts. Which of the following nonpharmacological comfort measures should the nurse include in the teaching? - CORRECT ANSWER Apply cabbage leaves A nurse is calculating the estimated date of birth using Nagele's rule for a client who is pregnant and whose last menstrual cycle started June 21. Which of the following is the estimated date of delivery in the next year? - CORRECT ANSWER March 28 A nurse is caring for a client immediately following the delivery of a stillborn fetus. Which of the following actions should the nurse take? - CORRECT ANSWER Prepare the client for what to expect the fetus to look like. A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client's arms, the mother states, "No, the baby is too tired to be held." Which of the following actions should the nurse take? - CORRECT ANSWER Demonstrate how to hold the newborn and allow the client to practice A nurse is caring for a client who is in labor. Which of the following findings should prompt the nurse to reassess the client. - CORRECT ANSWER A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider? - CORRECT ANSWER Platelet count 60,000/mm HELLP Syndrome A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant. Which of the following actions should the nurse take? - CORRECT ANSWER Measure from the upper border of the symphysis pubis to the upper border of the fundus A nurse is caring for a client who is at 20 weeks of gestation and reports constipation. Which of the following recommendations should the nurse make to help relieve this common discomfort of pregnancy? - CORRECT ANSWER Drink 2 to 3 L of water each day A nurse is assessing the fetal heart rate for a client who is at 38 weeks of gestation. When using an ultrasound device, the nurse hears blood rushing through the umbilical vessels in synchronization with the fetal heartbeat. Which of the following terms should the nurse use to document this finding? - CORRECT ANSWER Funic souffle A nurse manager in a newborn nursery is reviewing infection control procedures with a group of newly hired nurses. Which of the following instructions should the nurse manager include in the teaching? - CORRECT ANSWER Place newborn bassinets at least 3 feet apart A nurse is caring for a client who is receiving magnesium sulfate by continuous IV infusion. The nurse notes a respiratory rate of 8/min and absent DTR's. Which of the following medications should the nurse administer? - CORRECT ANSWER Calcium gluconate A nurse is caring for a client who is 8 hrs. postpartum following vaginal delivery and is unable to void. Which of the following interventions should the nurse use to promote voiding? - CORRECT ANSWER Insert an indwelling urinary catheter A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching? - CORRECT ANSWER Transmission can occur via the saliva and urine of the newborn A nurse in a prenatal clinic is caring for a client who has hyperemesis gravidarum. Which of the following is the initial laboratory test used to evaluate this condition? - CORRECT ANSWER Urine ketones A nurse in a prenatal clinic is reviewing the lab results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take (EXHIBIT QUESTION) - CORRECT ANSWER Administer ceftriaxone IM A nurse is teaching a client about the basal body temperature method of contraception. Which of the following statements should the nurse include in the teaching? - CORRECT ANSWER "You should take your temperature before getting up for the day."