ATI MATERNAL NEWBORN PROCTORED EXAM
3 DIFFERENT VERSION EXAM
Each with NGN Questions and Verified Rationalized Answers
TABLE OF CONTENTS
ATI Maternal Newborn Proctored Exam Version 1 ...................
ATI Maternal Newborn Proctored Exam Version 2 .................
ATI Maternal Newborn Proctored Exam Version 3 ..................
,SAMPLE V1
1. A nurse is caring for a client who is in labor and requests
nonpharmacological pain management.
Which of the following nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Assisting the client into a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 h
ANS B. Assisting the client into a supineposition
- readjusting to a more comfortable position may help reduce the sensationof
paindue to labor
2. A nurse is assessing a newborn following a forceps-assisted birth.
Whichof the following clinical
manifestations should the nurse identify as a complication of the birth
method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D.Bronchopulmonary dysplasia
ANS C. Facial Palsy - Most babies delivered by for-ceps suffer no long-
term problems, but in rare cases an injury is sustained to the facial nerve,due
to the pressure of the forceps blade onthe baby's head
,3. A nurse is providing teaching about terbutaline to a client who
isexperienc-ing preterm labor.Which
of the following statement by the client indicates an understanding
of theteaching?
A. "The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to
experienceringing in myears"
D. "This medication could cause me to experience frequent ...
ANS A."The medica-tion could cause me to experience heart palpitation."
SAMPLE V2
1.A nurse is caring for a client who is at 35 weeks of gestation and has
placenta previa. Which of the following actions should the nurse take?
Perform a vaginal exam to determine cervical dilation every 2 hr
Instruct the client to ambulate in the hallway once every 4 hr
Administer betamethasone to the client via IM injection
Initiate continuous external fetal monitoring
Ans>> d. Initiate continuous external fetal monitoring
the nurse should identify that a client who has a placenta previa and is
actively bleeding is at an increased risk for preterm labor and hemorrhage.The
nurse should initiate interventions such as bed rest, pelvic rest, and
continuous fetal heart monitoring, which assesses fetal well-being and the
,presence of contractions. The nurse should obtain IV access and monitor
laboratory values. Also, the nurse should implement interventions to prepare
for an emergency birth
A nurse is providing education about family bonding to guardians who
recently adopted a newborn. The nurse should make which of the
followingsuggestions to aid the family's 7-year-old child in accepting the
new family member?
Allow the sibling to hold the newborn during a bath
Make sure the sibling kisses the newborn each night
Obtain a gift from the newborn to present to the sibling
Switch the sibling's room with the nursery
Ans>> c. Obtain a gift from the newborn to present to the sibling Presenting
a gift from the newborn to the sibling is a strategy to facilitate a
school-age sibling's acceptance of a new family member. This ensures that
the sibling does not feel left out and that they understand their role in the
family
SAMPLE V3
1. A nurse is assessing a newborn following a forceps-assisted birth. Which
of the following clinical manifestations should the nurse identify
as a compli-cation
of the birth method?
Hypoglycemia
Polycythemia
Facial Palsy
, Bronchopulmonary dysplasia
Ans>> C. Facial Palsy
Most babies delivered by forceps su er no long-term problems, but in rare
cases an injury is sustained to the facial nerve, due to the pressure of the
forceps bladeon the baby's head.
2. A nurse is providing teaching about terbutaline to a client who
is experi-encing
preterm labor. Which of the following statement by client
indicates anunderstanding of the teaching?
" The medication could cause me to experience heart palpitation"
"This medication could cause me to experience blurred vision"
"This medication could cause me to experience ringing in my ears"
"This medication could cause me to experience frequent blurry vison"
Ans>> A." The medication could cause me to experience heart palpitation" .
3. A nurse is caring for a client who has hyperemesis gravidarum.
Which of thefollowing laboratory tests should the nurse anticipate?
A . Urine Ketones
Rapid plasma regain
Prothrombin time
Urine culture
Ans>> Urine Ketones
,
,2. A nurse is assessing a newborn following a forceps-assisted birth.
Which of thefollowing clinical
manifestations should the nurse identify as a complication of the birth
method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D.Bronchopulmonary dysplasia
ANS C. Facial Palsy - Most babies delivered by for-ceps suffer no long-term
problems,but in rare cases an
injury is sustained to the facial nerve, due to the pressure of the forceps blade on
the baby's head
3. A nurse is providing teaching about terbutaline to a client who is
experiencingpreterm labor.
Which of the following statement by the client indicates an understanding of
the teaching?
A. "The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears"
D. "This medication could cause me to experience frequent ...
ANS A."The medication could cause me to experience heart palpitation."
,4. A nurse is caring for a client who has hyperemesis gravidarum.
Which of the following laboratory tests should the nurse anticipate?
A .Urine Ketones
B. Rapid plasma regain
C. Prothrombin time
D. Urine culture
ANS A . Urine Ketones
- Hyperemesis gravidarum is a severe form of this 'morning sickness',
experience byless than 1% of pregnant women. It can cause dehydration
and starvation and the production of
compounds called ketones that can be found in the blood and urine.
5. A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis.
Which of the following findings should the nurse expect?
A. Thick,White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
ANS D. Malodorous Discharge
,6. A nurse is caring for a client who is 14 weeks of gestation. At which
the following locations should
the nurse place the Doppler device when assessing the fetal heart
rate?A .Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
ANS A . Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
- at 14 weeks AOG this is where to
place the doppler probe to note FHT
7. A nurse is assessing a client who is at 27 weeks of
gestation and haspreeclampsia. Which of the
following findings should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60,000
ANS D. Platelet Count 60,000
- platelet count of less than 100,000 correlates with how severe the condition is
, 8. A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility.
Which of the
following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
ANS A. Tinnitus - this is a documented adverse effect of this medication
9. A nurse is assessing a newborn upon admission to the nursery.
Which of the following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
ANS D.Chest circumference 2 cm (0.8 in) smaller than the head circumference -
headcircumference is
always 2cm more than the chest in normal term babies
10. A nurse is planning care for a newborn who has neonatal abstinence
syndrome.Which of the following interventions should the nurse include
in the plan of care?
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
3 DIFFERENT VERSION EXAM
Each with NGN Questions and Verified Rationalized Answers
TABLE OF CONTENTS
ATI Maternal Newborn Proctored Exam Version 1 ...................
ATI Maternal Newborn Proctored Exam Version 2 .................
ATI Maternal Newborn Proctored Exam Version 3 ..................
,SAMPLE V1
1. A nurse is caring for a client who is in labor and requests
nonpharmacological pain management.
Which of the following nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Assisting the client into a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 h
ANS B. Assisting the client into a supineposition
- readjusting to a more comfortable position may help reduce the sensationof
paindue to labor
2. A nurse is assessing a newborn following a forceps-assisted birth.
Whichof the following clinical
manifestations should the nurse identify as a complication of the birth
method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D.Bronchopulmonary dysplasia
ANS C. Facial Palsy - Most babies delivered by for-ceps suffer no long-
term problems, but in rare cases an injury is sustained to the facial nerve,due
to the pressure of the forceps blade onthe baby's head
,3. A nurse is providing teaching about terbutaline to a client who
isexperienc-ing preterm labor.Which
of the following statement by the client indicates an understanding
of theteaching?
A. "The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to
experienceringing in myears"
D. "This medication could cause me to experience frequent ...
ANS A."The medica-tion could cause me to experience heart palpitation."
SAMPLE V2
1.A nurse is caring for a client who is at 35 weeks of gestation and has
placenta previa. Which of the following actions should the nurse take?
Perform a vaginal exam to determine cervical dilation every 2 hr
Instruct the client to ambulate in the hallway once every 4 hr
Administer betamethasone to the client via IM injection
Initiate continuous external fetal monitoring
Ans>> d. Initiate continuous external fetal monitoring
the nurse should identify that a client who has a placenta previa and is
actively bleeding is at an increased risk for preterm labor and hemorrhage.The
nurse should initiate interventions such as bed rest, pelvic rest, and
continuous fetal heart monitoring, which assesses fetal well-being and the
,presence of contractions. The nurse should obtain IV access and monitor
laboratory values. Also, the nurse should implement interventions to prepare
for an emergency birth
A nurse is providing education about family bonding to guardians who
recently adopted a newborn. The nurse should make which of the
followingsuggestions to aid the family's 7-year-old child in accepting the
new family member?
Allow the sibling to hold the newborn during a bath
Make sure the sibling kisses the newborn each night
Obtain a gift from the newborn to present to the sibling
Switch the sibling's room with the nursery
Ans>> c. Obtain a gift from the newborn to present to the sibling Presenting
a gift from the newborn to the sibling is a strategy to facilitate a
school-age sibling's acceptance of a new family member. This ensures that
the sibling does not feel left out and that they understand their role in the
family
SAMPLE V3
1. A nurse is assessing a newborn following a forceps-assisted birth. Which
of the following clinical manifestations should the nurse identify
as a compli-cation
of the birth method?
Hypoglycemia
Polycythemia
Facial Palsy
, Bronchopulmonary dysplasia
Ans>> C. Facial Palsy
Most babies delivered by forceps su er no long-term problems, but in rare
cases an injury is sustained to the facial nerve, due to the pressure of the
forceps bladeon the baby's head.
2. A nurse is providing teaching about terbutaline to a client who
is experi-encing
preterm labor. Which of the following statement by client
indicates anunderstanding of the teaching?
" The medication could cause me to experience heart palpitation"
"This medication could cause me to experience blurred vision"
"This medication could cause me to experience ringing in my ears"
"This medication could cause me to experience frequent blurry vison"
Ans>> A." The medication could cause me to experience heart palpitation" .
3. A nurse is caring for a client who has hyperemesis gravidarum.
Which of thefollowing laboratory tests should the nurse anticipate?
A . Urine Ketones
Rapid plasma regain
Prothrombin time
Urine culture
Ans>> Urine Ketones
,
,2. A nurse is assessing a newborn following a forceps-assisted birth.
Which of thefollowing clinical
manifestations should the nurse identify as a complication of the birth
method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D.Bronchopulmonary dysplasia
ANS C. Facial Palsy - Most babies delivered by for-ceps suffer no long-term
problems,but in rare cases an
injury is sustained to the facial nerve, due to the pressure of the forceps blade on
the baby's head
3. A nurse is providing teaching about terbutaline to a client who is
experiencingpreterm labor.
Which of the following statement by the client indicates an understanding of
the teaching?
A. "The medication could cause me to experience heart palpitation"
B. "This medication could cause me to experience blurred vision"
C. "This medication could cause me to experience ringing in my ears"
D. "This medication could cause me to experience frequent ...
ANS A."The medication could cause me to experience heart palpitation."
,4. A nurse is caring for a client who has hyperemesis gravidarum.
Which of the following laboratory tests should the nurse anticipate?
A .Urine Ketones
B. Rapid plasma regain
C. Prothrombin time
D. Urine culture
ANS A . Urine Ketones
- Hyperemesis gravidarum is a severe form of this 'morning sickness',
experience byless than 1% of pregnant women. It can cause dehydration
and starvation and the production of
compounds called ketones that can be found in the blood and urine.
5. A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis.
Which of the following findings should the nurse expect?
A. Thick,White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
ANS D. Malodorous Discharge
,6. A nurse is caring for a client who is 14 weeks of gestation. At which
the following locations should
the nurse place the Doppler device when assessing the fetal heart
rate?A .Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
ANS A . Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
- at 14 weeks AOG this is where to
place the doppler probe to note FHT
7. A nurse is assessing a client who is at 27 weeks of
gestation and haspreeclampsia. Which of the
following findings should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60,000
ANS D. Platelet Count 60,000
- platelet count of less than 100,000 correlates with how severe the condition is
, 8. A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility.
Which of the
following adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
ANS A. Tinnitus - this is a documented adverse effect of this medication
9. A nurse is assessing a newborn upon admission to the nursery.
Which of the following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the head circumference
ANS D.Chest circumference 2 cm (0.8 in) smaller than the head circumference -
headcircumference is
always 2cm more than the chest in normal term babies
10. A nurse is planning care for a newborn who has neonatal abstinence
syndrome.Which of the following interventions should the nurse include
in the plan of care?
A. Increase the newborn's visual stimulation
B. Weigh the newborn every other day
