2024 ATI RN MATERNAL NEWBORN PROCTORED 2023
FINAL VERSION EXAM WITH GUARANTEED
DISTINCTION ANSWERS FROM EXPERT
DOWNLOAD TO SCORE A+
➢ Which of the following is a potential complication of oligohydramnios? A. Preterm labor
B. Fetal growth restriction C. Polyhydramnios D. All of the above Answer: B. Fetal growth restriction
Intrapartum:
➢ Which stage of labor is characterized by the period between the end of the third stage and
the mother's recovery from delivery? A. First stage B. Second stage C. Third stage D. Fourth stage
Answer: D. Fourth stage
➢ What is the recommended method of pain relief during labor for a woman with a high-
risk pregnancy? A. Epidural anesthesia B. Spinal anesthesia C. Intravenous opioids D. All of the
above Answer: A. Epidural anesthesia
➢ Which of the following is a potential complication of a vacuum-assisted delivery? A.
Fetal distress B. Maternal hemorrhage C. Intra-abdominal injury D. All of the above Answer: C.
Intra-abdominal injury
Postpartum:
➢ Which of the following is a potential complication of a retained placenta? A.
Preeclampsia B. Postpartum hemorrhage C. Gestational diabetes D. All of the above Answer: B.
Postpartum hemorrhage
➢ A nurse is caring for a client who is in active labor and has had nocervical change in
the last 4 hours. Which of the following statements should the nurse make?
Your provider will insert an intrauterine pressure catheter to monitorthe strength of your
contractions.
Insertion of an intrauterine pressure catheter is necessary todetermine
uterine contraction intensity, which will identify whether or not the
, contractions are adequate for the progression of labor.
➢ A nurse on a postpartum unit is caring for a client who is experiencing
hypovolemic shock. After notifying the provider,which of the following actions
should the nurse take next?
Massage the client’s fundus.
The greatest risk to the client is hemorrhage. Therefore, thenext action
the nurse should take is to massage the client’s fundus to expel clots and
promote contractions.
➢ A nurse is reviewing the medical record of a client who is one day postpartum.
The client had a vaginal birth with a fourth- degree perineal laceration. The nurse
should contact the provider regarding which of the following prescriptions?
Bisacodyl rectal suppository daily as needed for constipation
The nurse should not administer a rectal suppository or enema to a
client who has a fourth-degree perineal laceration. These can cause
separation of the suture line,bleeding, or infection.
,➢ A nurse is caring for a client who is at 26 weeks gestation and has
epilepsy. The nurse enters the room and observes the client havinga
seizure. After turning the client’s head to one side, which of the following
actions should the nurse take immediately after the seizure?
Administer oxygen via a nonrebreather mask.
When using the airway, breathing, and circulation approachto
client care, the nurse should place the priority on
administering oxygen to the client via a nonrebreather mask
to ensure adequate oxygenation to mother and fetus.
➢ A nurse in a prenatal clinic is caring for a client who reports that her
menstrual period is 2 weeks late. The client appears anxious and asks the
nurse if she is pregnant. Which of the following responses should the nurse
make?
”You can miss your period for several other reasons. Describe yourtypical
menstrual cycle”.
Amenorrhea is a presumptive sign of pregnancy, not a positive sign.
Therefore, the nurse should explore the client’smenstrual cycle to
determine other necessary interventions.
➢ A nurse is providing discharge teaching to a client who is postpartum
and was taking insulin for gestational diabetes mellitus. Which of the
following instructions should the nurseinclude in the teaching?
”You should get a 2-hour oral glucose tolerance test in 6-12 weeks.”
The nurse should instruct the client to get 2-hour oral glucose
tolerance test 6-12 weeks postpartum and every 3 years to
screen for type 2 diabetes. The nurse should instruct the client
that blood glucose levels return to the expected reference range
after childbirth. Therefore, the client does not need to monitor
her blood glucose levels or continue the insulin at home.
, ➢ What is the recommended method of pain relief for a woman who has a
perineal laceration after delivery? A. Nonsteroidal anti-inflammatory drugs (NSAIDs)
B. Acetaminophen C. Sitz baths D. All of the above Answer: D. All of the above
➢ Which of the following is a potential complication of neonatal
hyperbilirubinemia? A. Hypoglycemia B. Kernicterus C. Respiratory distress
syndrome D. All of the above Answer: B. Kernicterus
Newborn Care:
➢ What is the recommended method of administering the first dose of hepatitis B
vaccine to a newborn? A. Intramuscular injection B. Oral administration C. Topical
application D. Subcut
➢ Which of the following is a potential complication of neonatal respiratory
distress syndrome? A. Hypoglycemia B. Pneumonia C. Patent ductus arteriosus
D. All of the above Answer: D. All of the above
FINAL VERSION EXAM WITH GUARANTEED
DISTINCTION ANSWERS FROM EXPERT
DOWNLOAD TO SCORE A+
➢ Which of the following is a potential complication of oligohydramnios? A. Preterm labor
B. Fetal growth restriction C. Polyhydramnios D. All of the above Answer: B. Fetal growth restriction
Intrapartum:
➢ Which stage of labor is characterized by the period between the end of the third stage and
the mother's recovery from delivery? A. First stage B. Second stage C. Third stage D. Fourth stage
Answer: D. Fourth stage
➢ What is the recommended method of pain relief during labor for a woman with a high-
risk pregnancy? A. Epidural anesthesia B. Spinal anesthesia C. Intravenous opioids D. All of the
above Answer: A. Epidural anesthesia
➢ Which of the following is a potential complication of a vacuum-assisted delivery? A.
Fetal distress B. Maternal hemorrhage C. Intra-abdominal injury D. All of the above Answer: C.
Intra-abdominal injury
Postpartum:
➢ Which of the following is a potential complication of a retained placenta? A.
Preeclampsia B. Postpartum hemorrhage C. Gestational diabetes D. All of the above Answer: B.
Postpartum hemorrhage
➢ A nurse is caring for a client who is in active labor and has had nocervical change in
the last 4 hours. Which of the following statements should the nurse make?
Your provider will insert an intrauterine pressure catheter to monitorthe strength of your
contractions.
Insertion of an intrauterine pressure catheter is necessary todetermine
uterine contraction intensity, which will identify whether or not the
, contractions are adequate for the progression of labor.
➢ A nurse on a postpartum unit is caring for a client who is experiencing
hypovolemic shock. After notifying the provider,which of the following actions
should the nurse take next?
Massage the client’s fundus.
The greatest risk to the client is hemorrhage. Therefore, thenext action
the nurse should take is to massage the client’s fundus to expel clots and
promote contractions.
➢ A nurse is reviewing the medical record of a client who is one day postpartum.
The client had a vaginal birth with a fourth- degree perineal laceration. The nurse
should contact the provider regarding which of the following prescriptions?
Bisacodyl rectal suppository daily as needed for constipation
The nurse should not administer a rectal suppository or enema to a
client who has a fourth-degree perineal laceration. These can cause
separation of the suture line,bleeding, or infection.
,➢ A nurse is caring for a client who is at 26 weeks gestation and has
epilepsy. The nurse enters the room and observes the client havinga
seizure. After turning the client’s head to one side, which of the following
actions should the nurse take immediately after the seizure?
Administer oxygen via a nonrebreather mask.
When using the airway, breathing, and circulation approachto
client care, the nurse should place the priority on
administering oxygen to the client via a nonrebreather mask
to ensure adequate oxygenation to mother and fetus.
➢ A nurse in a prenatal clinic is caring for a client who reports that her
menstrual period is 2 weeks late. The client appears anxious and asks the
nurse if she is pregnant. Which of the following responses should the nurse
make?
”You can miss your period for several other reasons. Describe yourtypical
menstrual cycle”.
Amenorrhea is a presumptive sign of pregnancy, not a positive sign.
Therefore, the nurse should explore the client’smenstrual cycle to
determine other necessary interventions.
➢ A nurse is providing discharge teaching to a client who is postpartum
and was taking insulin for gestational diabetes mellitus. Which of the
following instructions should the nurseinclude in the teaching?
”You should get a 2-hour oral glucose tolerance test in 6-12 weeks.”
The nurse should instruct the client to get 2-hour oral glucose
tolerance test 6-12 weeks postpartum and every 3 years to
screen for type 2 diabetes. The nurse should instruct the client
that blood glucose levels return to the expected reference range
after childbirth. Therefore, the client does not need to monitor
her blood glucose levels or continue the insulin at home.
, ➢ What is the recommended method of pain relief for a woman who has a
perineal laceration after delivery? A. Nonsteroidal anti-inflammatory drugs (NSAIDs)
B. Acetaminophen C. Sitz baths D. All of the above Answer: D. All of the above
➢ Which of the following is a potential complication of neonatal
hyperbilirubinemia? A. Hypoglycemia B. Kernicterus C. Respiratory distress
syndrome D. All of the above Answer: B. Kernicterus
Newborn Care:
➢ What is the recommended method of administering the first dose of hepatitis B
vaccine to a newborn? A. Intramuscular injection B. Oral administration C. Topical
application D. Subcut
➢ Which of the following is a potential complication of neonatal respiratory
distress syndrome? A. Hypoglycemia B. Pneumonia C. Patent ductus arteriosus
D. All of the above Answer: D. All of the above
