ATI Maternity Proctored Exam questions and answers (NGN ATI)

1. A nurse is care for a client who has oligohydramnios. Which of the following fetal anomalies should the nurse expect? - Renal agenesis 2. A nurse in a prenatal clinic is performing telephone triage for several clients. Which of the following client reports should the nurse identify as an expected physiological adaptation to pregnancy? - Breast tenderness 3. A nurse is discussing the expected changes related to pregnancy with a client who is at 8 weeks gestation. Which of the following findings should the client to report to the provider during the first trimester? - Persistent vomiting 4. A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports dizzieness when lying on her back. Into which of the following positions should the nurse assist the client? - Lateral 5. A nurse is caring for a newborn immediately following birth. Which of the following actions should the nurse take first? - Dry the newborn 6. Nurse is caring for a client who had a cesarean birth 36 hours ago and is experiencing pain due to gas. Which of the following strategies should the nurse recommend? - Rock in a rocking chair 7. A nurse is assessing a client who is 2 days postpartum. In which of the following locations should the nurse expect to locate the client’s fundus? - 3 cm below the umbilicus 8. A nurse is providing teaching for a postpartum client who is breastfeeding. Which of the following pieces of information should the nurse include in the teaching? - “Your milk supply will noticeably increase in volume around the 3rd/4th day after delivery 9. A nurse is teaching the guardian of a newborn about caring for the newborn’s umbilical cord. For which of the following reasons should the nurse instruct the guardian to avoid using antimicrobial agents on the cord? - They can cause delayed cord separation 10. A nurse is providing education for a pregnant client about symptoms that should be reported immediately to the provider. Which of the following client responses indicates a understanding of the teaching? - If I notice that my eyes are puffy, I should call my provider 11. A nurse is providing teaching about the rubella immunization to a client who is 24 hours postpartum. Which of the following client statemnts indicates an understanding of the teaching? - I should be careful to avoid becoming pregnant within next month 12. A nurse is caring for a client who is in labor. The client questions the application of an internal fetal scalp monitor. Which of the following responses should the nurse provide? - We need to observe your baby more closely 13. A nurse in a prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of gestation. For which of the following results should the nurse notify the provider? - Platelet count 135,000 14. A nurse at a family planning clinic preparing to teach a class about how to use a diaphragm. Which of the following pieces of information should the nurse plan to include in the teaching? - Use spermicidal jelly whenever you use your diaphragm 15. A nurse in a newborn nursery has received reports on 4 newborns. Which of the following newborns should the nurse identify a requiring intervention? - A newborn whose axillary temp is 36.1 degrees Celsius (96.9 degrees F) 16. A nurse is admitting a client who is in labor and experiencing moderate bright red vaginal bleeding. Which of the following actions should the nurse take? - Obtain blood samples for baseline lab values 17. A nurse is caring for a newborn who has irregular respirations of 52/min with several periods of apnea lasting approximately 5 sec. the newborn is pink with acrocyanosis. Which of the following actions should the nurse take? - Continue to monitor the newborn routinely 18. A nurse is assessing a client who is 3 days post-partum. When examining the client’s uterus, which of the following techniques should the nurse use? - Measure the height of the fundus in fingerbreadths in relation to the umbilicus 19. A nurse is planning care for a newborn who has hyperbilirubinemia and a new prescription for phototherapy. Which of the following interventions should the nurse include in the plan? - Reposition the newborn every 3 hours 20. A nurse is assessing a postpartum client who reports strong contractions whenever she breastfeeds her newborn. The nurse should respond with which of the following statement? - The same hormone that is released in response to the baby’s sucking and causes milk to flow also making the uterus contract. 21. A nurse is administering a rubella immunization to a client who is 2 days postpartum. Which of the following client statements indicates a need for further instructions? - I can conceive anytime I want after 10 days