ATI MATERNAL NEWBORN PROCTORED EXAM -
RETAKE GUIDE 2019
1. Which of the following assessment findings in an infant should indicate to a nurse
that suctioning of the nasopharynx is needed?
The infant is beginning to cough
2. A nurse is providing teaching to a postpartum client who has type 1 diabetes and is
breastfeeding her newborn. Which of the following instructions should the nurse give
to the client?
Maintain scheduled mealtimes for yourself
3. A nurse is assessing the reflexes of a term newborn.After placing the newborn in a
supine position, which of the following would the nurse use to elicit the Moro reflex
Make a loud noise above the new-born
4. A nurse is planning care for a newborn who is scheduled to start phototherapy using
a lamp. Which of the following actions should the nurse include in the plan?
Ensure the newborns eyes are closed beneath the shield
5. A nurse on an antepartum unit is reviewing the medical records for four clients.
Which of the following clients should the nurse asses first?
A client who has hyperemesis gravidarum and a sodium level of 110
6. A nurse is performing a nonstress test on a client who is at 35 weeks of gestation
and has diabetes. The test reveals no accelerations of the fetal heart rate for 20
minutes. Which of the following actions should the nurse take?
Perform vibroacoustic stimulation
7. A nurse is preparing to administer gentamycin 2 mg/kg Im to a client who has
pelvic inflammatory
disease and weighs 132 lb. Available is gentamycin injection 40 mg/ml. How many ml
should the nurse administer?
3 mL
8. A nurse is caring for a client who is 1-day post-partum and breastfeeding her
newborn. The client reports Assess the newborns latch while breastfeeding sore
nipples. Which of the following actions should the nurse take?
Assess the newborns latch while breastfeeding
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, 9. A nurse is admitting a client who is in active labor and has had two prior cesarean
births. The nurse should identify that the client is at an increased risk for which of
the following complications?
Abruptio placen-tae
10. A nurse is caring for a 2-day old newborn who was born at 35 weeks gestation.
Which of the following actions should the nurse take?
Measure the abdominal circumference at the level of the newborn's umbilicus every
12 hours
11. A nurse in a clinic is caring for a client who is in her second trimester of
pregnancy. The client expresses concerns about preparing her 2-year-old for a new
sibling.
Require scheduled interactions between the toddler and the baby
12. 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?
Place newborn bassinets at least 3 feet apart
13. A nurse is caring for a client who is in active labor and reports sudden, severe
lower abdominal pain. The observes a drop in the client's blood pressure and notes
cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which
of the following complications should the nurse expect?
Uterine rupture
14. A nurse is reviewing the medical record for a client who is receiving treatment for
gestational diabetes.Which of the following medications should the nurse expect to
administer?
Glyburide
15. Identify the sequence the nurse should follow when performing suction w/ a bulb
syringe. (Use all the steps)
1) assess the newborn for reflex bradycardia
2) compress the bulb syringe
3) place bulb in mouth
4) use the bulb syringe to suction nose
16. A nurse is assessing a client who has preeclampsia during a prenatal visit. Which
SavvyNurse@2023
RETAKE GUIDE 2019
1. Which of the following assessment findings in an infant should indicate to a nurse
that suctioning of the nasopharynx is needed?
The infant is beginning to cough
2. A nurse is providing teaching to a postpartum client who has type 1 diabetes and is
breastfeeding her newborn. Which of the following instructions should the nurse give
to the client?
Maintain scheduled mealtimes for yourself
3. A nurse is assessing the reflexes of a term newborn.After placing the newborn in a
supine position, which of the following would the nurse use to elicit the Moro reflex
Make a loud noise above the new-born
4. A nurse is planning care for a newborn who is scheduled to start phototherapy using
a lamp. Which of the following actions should the nurse include in the plan?
Ensure the newborns eyes are closed beneath the shield
5. A nurse on an antepartum unit is reviewing the medical records for four clients.
Which of the following clients should the nurse asses first?
A client who has hyperemesis gravidarum and a sodium level of 110
6. A nurse is performing a nonstress test on a client who is at 35 weeks of gestation
and has diabetes. The test reveals no accelerations of the fetal heart rate for 20
minutes. Which of the following actions should the nurse take?
Perform vibroacoustic stimulation
7. A nurse is preparing to administer gentamycin 2 mg/kg Im to a client who has
pelvic inflammatory
disease and weighs 132 lb. Available is gentamycin injection 40 mg/ml. How many ml
should the nurse administer?
3 mL
8. A nurse is caring for a client who is 1-day post-partum and breastfeeding her
newborn. The client reports Assess the newborns latch while breastfeeding sore
nipples. Which of the following actions should the nurse take?
Assess the newborns latch while breastfeeding
SavvyNurse@2023
, 9. A nurse is admitting a client who is in active labor and has had two prior cesarean
births. The nurse should identify that the client is at an increased risk for which of
the following complications?
Abruptio placen-tae
10. A nurse is caring for a 2-day old newborn who was born at 35 weeks gestation.
Which of the following actions should the nurse take?
Measure the abdominal circumference at the level of the newborn's umbilicus every
12 hours
11. A nurse in a clinic is caring for a client who is in her second trimester of
pregnancy. The client expresses concerns about preparing her 2-year-old for a new
sibling.
Require scheduled interactions between the toddler and the baby
12. 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?
Place newborn bassinets at least 3 feet apart
13. A nurse is caring for a client who is in active labor and reports sudden, severe
lower abdominal pain. The observes a drop in the client's blood pressure and notes
cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which
of the following complications should the nurse expect?
Uterine rupture
14. A nurse is reviewing the medical record for a client who is receiving treatment for
gestational diabetes.Which of the following medications should the nurse expect to
administer?
Glyburide
15. Identify the sequence the nurse should follow when performing suction w/ a bulb
syringe. (Use all the steps)
1) assess the newborn for reflex bradycardia
2) compress the bulb syringe
3) place bulb in mouth
4) use the bulb syringe to suction nose
16. A nurse is assessing a client who has preeclampsia during a prenatal visit. Which
SavvyNurse@2023
