MATERNAL NEWBORN ATI
PROCTORED EXAM
QUESTIONS AND
COMPLETE SOLUTIONS A
GRADED
A/onurse/ois/odeveloping/oa/oplan/oof/ocare/ofor/oa/onewborn/owho/ois/oto/oundergo/ophotothera
py/ofor/ohyperbillirubinemia./oWhich/oof/othe/ofollowing/oactions/oshould/othe/onurse/oinclude/oi
n/othe/oplan?/o-/ocorrect/oAnswers/o✔✔/o-
Remove/oall/oclothing/oform/othe/onewborn/oexcept/othe/odiaper
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oat/o15/oweeks/ogestation,/ois/oRh-
negative,/oand/ohas/ojust/ohad/oan/oamniocentesis./oWhich/oof/othe/ofollowing/ointerventions/oi
s/othe/onurse's/opriority/ofollowing/othe/oprocedure?/o-/ocorrect/oAnswers/o✔✔/o-
Monitor/othe/oFHR
A/onurse/oin/oan/oantepartum/oclinic/ois/oassessing/oa/oclient/owho/ois/oat/o32/oweeks/oof/ogesta
tion./oWhich/oof/othe/ofollowing/ofindings/oshould/othe/onurse/oreport/oto/othe/oprovider?/o-
/ocorrect/oAnswers/o✔✔/o-Reports/oof/odecreased/ofetal/omovement
A/onurse/ois/oadmitting/oa/oclient/oto/othe/olabor/oand/odelivery/ounit/owhen/othe/oclient/ostates,/o
"My/owater/ojust/obroke"./oWhich/oof/othe/ofollowing/ointerventions/ois/othe/onurse's/opriority?/o-
/ocorrect/oAnswers/o✔✔/o-Begin/oFHR/omonitoring
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oat/o36/oweeks/oof/ogestation/oand/ohas/oa/opositive/o
contraction/ostress/otest./oThe/onurse/oshould/oplan/oto/oprepare/othe/oclient/ofor/owhich/oof/oth
e/ofollowing/odiagnostic/otest?/o-/ocorrect/oAnswers/o✔✔/o-Biophysicial/oprofile
A/onurse/ois/opreparing/oto/oadminister/omagnesium/osulfate/o2g/hr/oIV/oto/oa/oclient/owho/ois/oi
n/opreterm/olabor./oAvailable/ois/o20/og/omagnesium/osulfate/oin/o500/omL/oof/odextrose/o5%/oi
n/owater/o(D5W)./oThe/onurse/oshould/oset/othe/oIV/oinfusion/opump/oto/oadminister/ohow/oman
y/omL/hr?/o-/ocorrect/oAnswers/o✔✔/o-50/oml/hr
,A/onurse/ois/ocaring/ofor/oa/oclient/owho/ohas/ohyperemesis/ogravidarum/oand/ois/oreceiving/oIV
/ofluid/oreplacement./oWhich/oof/othe/ofollowing/ofindings/oshould/othe/onurse/oreport/oto/othe/op
rovider?/o-/ocorrect/oAnswers/o✔✔/o-BUN/o25/omg/dL
A/onurse/ois/oassessing/oa/olate/opreterm/onewborn./oWhich/oof/othe/ofollowing/omanifestation
s/ois/oan/oindication/oof/ohypoglycemia?/o-/ocorrect/oAnswers/o✔✔/o-Respiratory/odistress
A/onurse/oin/oa/oprovider's/ooffice/ois/oreviewing/othe/omedical/orecord/oof/oa/oclient/owho/ois/oin/
othe/ofirst/otrimester/oof/opregnancy./oWhich/oof/othe/ofollowing/oshould/othe/onurse/oidentify/oa
s/oa/orisk/ofactor/ofor/othe/odevelopment/oof/opreeclampsia/o-/ocorrect/oAnswers/o✔✔/o-
Pregestational/oDiabetes/oMellitus
A/onurse/oin/oan/oantepartum/oclinic/ois/oproviding/ocare/ofor/oa/oclient/owho/ois/oat/o26/oweeks/o
of/ogestation./oUpon/oreviewing/othe/oclient's/omedical/orecord,/owhich/oof/othe/ofollowing/ofind
ings/oshould/othe/onurse/oreport/oto/othe/oprovider?/o-/ocorrect/oAnswers/o✔✔/o-
Fundal/oHeight/oMeasurement
A/onurse/ois/oassessing/oa/onewborn/owho/ois/o16/ohr/oold./oWhich/oof/othe/ofollowing/ofindings/
oshould/othe/onurse/oreport/oto/othe/oprovider?/o-/ocorrect/oAnswers/o✔✔/o-
Substernal/oRetractions
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oat/o26/oweeks/oof/ogestation/oand/ohas/oepilepsy./o
The/onurse/oenters/othe/oroom/oand/oobserves/othe/oclient/ohaving/oa/oseizure./oAfter/oturning/
othe/oclient/ohead/oto/othe/oside,/owhich/oof/othe/ofollowing/oactions/oshould/othe/onurse/otake/oi
mmediately/oafter/othe/oseizure?/o-/ocorrect/oAnswers/o✔✔/o-
Administer/ooxygen/ovia/oa/ononrebreather/omask
A/onurse/ois/oproviding/oteaching/oabout/ononpharmological/opain/omanagement/oto/oa/oclient
/owho/ois/obreastfeeding/oand/ohas/oengorgement./oThe/onurse/oshould/orecommend/othe/oap
plication/oof/owhich/oof/othe/ofollowing/oitems?/o-/ocorrect/oAnswers/o✔✔/o-
Cold/ocabbage/oleaves
A/onurse/ois/oassessing/oa/oclient/owho/ois/o1/oday/opostpartum/oand/ohas/oa/ovaginal/ohemato
ma./oWhich/oof/othe/ofollowing/omanifestations/oshould/othe/onurse/oexpect?/o-
/ocorrect/oAnswers/o✔✔/o-Vaginal/opressure
A/onurse/ois/oassessing/oa/onewborn/owho/owas/oborn/oat/o26/oweeks/oof/ogestation/ousing/oth
e/oNew/oBallard/oScore./oWhich/oof/othe/ofollowing/ofindings/oshould/othe/onurse/oexpect?/o-
/ocorrect/oAnswers/o✔✔/o-Minimal/oarm/orecoil
A/onurse/ois/oproviding/oteaching/ofor/oa/oclient/owho/ohave/obirth/o2/ohr/oago/oabout/othe/ofacilit
y/opolicy/ofor/onewborn/osafety./oWhich/oof/othe/ofollowing/oclient/ostatements/oindicates/oan/o
understanding/oof/othe/oteaching?/o-/ocorrect/oAnswers/o✔✔/o-
the/operson/owho/ocomes/oto/otake/omy/obaby's/opictures/owill/obe/owearing/oa/ophoto/oidentific
ation/obadge
, A/onurse/ois/oassessing/oa/oclient/owho/ois/oat/o36/oweeks/oof/ogestation./oWhich/oof/othe/ofollo
wing/ofindings/oshould/othe/onurse/oreport/oto/othe/oprovider?/o-/ocorrect/oAnswers/o✔✔/o-
Report/oof/ovisual/odisturbances
A/onurse/ois/oproviding/oteaching/oto/oa/oclient/oabout/othe/ophysiological/ochanges/othat/ooccu
r/oduring/opregnancy./oThe/oclient/ois/oat/o10/oweeks/oof/ogestation/oand/ohas/oa/oBMI/owithin/ot
he/oexpected/oreference/orange./oWhich/oof/othe/ofollowing/oclient/ostatements/oindicates/oan/
ounderstanding/oof/othe/oteaching?/o-/ocorrect/oAnswers/o✔✔/o-
"I/owill/olikely/oneed/oto/ouse/oalternative/opositions/ofor/osexual/ointercourse".
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oanemic/oat/o32/oweeks/oof/ogestation/oand/ois/oin/opr
eterm/olabor./oThe/oprovider/oprescribed/obethamethasone/o12/omg/oIM./oWhich/oof/othe/ofoll
owing/ooutcomes/oshould/othe/onurse/oexpect?/o-/ocorrect/oAnswers/o✔✔/o-
A/oreduction/oin/orespiratory/odistress/oin/othe/onewborn
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oexperiencing/opreeclampsia/oand/ohas/oa/onew/opr
escription/ofor/oIV/omagnesium/osulfate./oWhich/oof/othe/ofollowing/omedications/oshould/othe/
onurse/oanticipate/oadministering/oif/othe/oclient/odevelops/omagnesium/otoxicity?/o-
/ocorrect/oAnswers/o✔✔/o-Calcium/oGluconate
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oat/o30/oweeks/oof/ogestation/oand/ohas/oa/oprescript
ion/ofor/omagnesium/osulfate/oIV/oto/otreat/opreterm/olabor./oThe/onurse/oshould/onotify/othe/opr
ovider/oof/owhich/oof/othe/ofollowing/oadverse/oeffects?/o-/ocorrect/oAnswers/o✔✔/o-
Respiratory/orate/o10/min
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oto/oreceive/ooxytocin/oto/oaugment/oher/olabor./oWh
ich/oof/othe/ofollowing/ofindings/ocontraindicates/othe/oinfusion/oof/othe/ooxytocin/oinfusion/oan
d/oshould/obe/oreported/oto/othe/oprovider?/o-/ocorrect/oAnswers/o✔✔/o-Late/oDecelerations
A/onurse/ois/oteaching/oa/oclient/owho/ois/oat/o37/oweeks/oof/ogestation/oand/ohas/oa/oprescripti
on/ofor/oa/onon-
stress/otest./oWhich/oof/othe/ofollowing/oinstructions/oshould/othe/onurse/oinclude?/o-
/ocorrect/oAnswers/o✔✔/o-
"You/oshould/opress/othe/ohandheld/obutton/owhen/oyou/ofeel/oyour/obaby/omove."
A/onurse/ois/oassessing/oa/onewborn/owho/owas/odelivered/ovaginally/oand/oexperienced/oa/oti
ght/onuchal/ocord./oWhich/oof/othe/ofollowing/ofindings/oshould/othe/onurse/oexpect?/o-
/ocorrect/oAnswers/o✔✔/o-Petechiae/oover/othe/ohead
A/onurse/ois/otransporting/oa/onewborn/oback/oto/othe/oparent's/oroom/ofollowing/oa/oprocedure
./oWhich/oof/othe/ofollowing/oactions/oshould/othe/onurse/otake?/o-/ocorrect/oAnswers/o✔✔/o-
Verify/othat/othe/oparent's/oidentification/oband/omatches/othe/onewborn's/oidentification/oban
d
PROCTORED EXAM
QUESTIONS AND
COMPLETE SOLUTIONS A
GRADED
A/onurse/ois/odeveloping/oa/oplan/oof/ocare/ofor/oa/onewborn/owho/ois/oto/oundergo/ophotothera
py/ofor/ohyperbillirubinemia./oWhich/oof/othe/ofollowing/oactions/oshould/othe/onurse/oinclude/oi
n/othe/oplan?/o-/ocorrect/oAnswers/o✔✔/o-
Remove/oall/oclothing/oform/othe/onewborn/oexcept/othe/odiaper
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oat/o15/oweeks/ogestation,/ois/oRh-
negative,/oand/ohas/ojust/ohad/oan/oamniocentesis./oWhich/oof/othe/ofollowing/ointerventions/oi
s/othe/onurse's/opriority/ofollowing/othe/oprocedure?/o-/ocorrect/oAnswers/o✔✔/o-
Monitor/othe/oFHR
A/onurse/oin/oan/oantepartum/oclinic/ois/oassessing/oa/oclient/owho/ois/oat/o32/oweeks/oof/ogesta
tion./oWhich/oof/othe/ofollowing/ofindings/oshould/othe/onurse/oreport/oto/othe/oprovider?/o-
/ocorrect/oAnswers/o✔✔/o-Reports/oof/odecreased/ofetal/omovement
A/onurse/ois/oadmitting/oa/oclient/oto/othe/olabor/oand/odelivery/ounit/owhen/othe/oclient/ostates,/o
"My/owater/ojust/obroke"./oWhich/oof/othe/ofollowing/ointerventions/ois/othe/onurse's/opriority?/o-
/ocorrect/oAnswers/o✔✔/o-Begin/oFHR/omonitoring
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oat/o36/oweeks/oof/ogestation/oand/ohas/oa/opositive/o
contraction/ostress/otest./oThe/onurse/oshould/oplan/oto/oprepare/othe/oclient/ofor/owhich/oof/oth
e/ofollowing/odiagnostic/otest?/o-/ocorrect/oAnswers/o✔✔/o-Biophysicial/oprofile
A/onurse/ois/opreparing/oto/oadminister/omagnesium/osulfate/o2g/hr/oIV/oto/oa/oclient/owho/ois/oi
n/opreterm/olabor./oAvailable/ois/o20/og/omagnesium/osulfate/oin/o500/omL/oof/odextrose/o5%/oi
n/owater/o(D5W)./oThe/onurse/oshould/oset/othe/oIV/oinfusion/opump/oto/oadminister/ohow/oman
y/omL/hr?/o-/ocorrect/oAnswers/o✔✔/o-50/oml/hr
,A/onurse/ois/ocaring/ofor/oa/oclient/owho/ohas/ohyperemesis/ogravidarum/oand/ois/oreceiving/oIV
/ofluid/oreplacement./oWhich/oof/othe/ofollowing/ofindings/oshould/othe/onurse/oreport/oto/othe/op
rovider?/o-/ocorrect/oAnswers/o✔✔/o-BUN/o25/omg/dL
A/onurse/ois/oassessing/oa/olate/opreterm/onewborn./oWhich/oof/othe/ofollowing/omanifestation
s/ois/oan/oindication/oof/ohypoglycemia?/o-/ocorrect/oAnswers/o✔✔/o-Respiratory/odistress
A/onurse/oin/oa/oprovider's/ooffice/ois/oreviewing/othe/omedical/orecord/oof/oa/oclient/owho/ois/oin/
othe/ofirst/otrimester/oof/opregnancy./oWhich/oof/othe/ofollowing/oshould/othe/onurse/oidentify/oa
s/oa/orisk/ofactor/ofor/othe/odevelopment/oof/opreeclampsia/o-/ocorrect/oAnswers/o✔✔/o-
Pregestational/oDiabetes/oMellitus
A/onurse/oin/oan/oantepartum/oclinic/ois/oproviding/ocare/ofor/oa/oclient/owho/ois/oat/o26/oweeks/o
of/ogestation./oUpon/oreviewing/othe/oclient's/omedical/orecord,/owhich/oof/othe/ofollowing/ofind
ings/oshould/othe/onurse/oreport/oto/othe/oprovider?/o-/ocorrect/oAnswers/o✔✔/o-
Fundal/oHeight/oMeasurement
A/onurse/ois/oassessing/oa/onewborn/owho/ois/o16/ohr/oold./oWhich/oof/othe/ofollowing/ofindings/
oshould/othe/onurse/oreport/oto/othe/oprovider?/o-/ocorrect/oAnswers/o✔✔/o-
Substernal/oRetractions
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oat/o26/oweeks/oof/ogestation/oand/ohas/oepilepsy./o
The/onurse/oenters/othe/oroom/oand/oobserves/othe/oclient/ohaving/oa/oseizure./oAfter/oturning/
othe/oclient/ohead/oto/othe/oside,/owhich/oof/othe/ofollowing/oactions/oshould/othe/onurse/otake/oi
mmediately/oafter/othe/oseizure?/o-/ocorrect/oAnswers/o✔✔/o-
Administer/ooxygen/ovia/oa/ononrebreather/omask
A/onurse/ois/oproviding/oteaching/oabout/ononpharmological/opain/omanagement/oto/oa/oclient
/owho/ois/obreastfeeding/oand/ohas/oengorgement./oThe/onurse/oshould/orecommend/othe/oap
plication/oof/owhich/oof/othe/ofollowing/oitems?/o-/ocorrect/oAnswers/o✔✔/o-
Cold/ocabbage/oleaves
A/onurse/ois/oassessing/oa/oclient/owho/ois/o1/oday/opostpartum/oand/ohas/oa/ovaginal/ohemato
ma./oWhich/oof/othe/ofollowing/omanifestations/oshould/othe/onurse/oexpect?/o-
/ocorrect/oAnswers/o✔✔/o-Vaginal/opressure
A/onurse/ois/oassessing/oa/onewborn/owho/owas/oborn/oat/o26/oweeks/oof/ogestation/ousing/oth
e/oNew/oBallard/oScore./oWhich/oof/othe/ofollowing/ofindings/oshould/othe/onurse/oexpect?/o-
/ocorrect/oAnswers/o✔✔/o-Minimal/oarm/orecoil
A/onurse/ois/oproviding/oteaching/ofor/oa/oclient/owho/ohave/obirth/o2/ohr/oago/oabout/othe/ofacilit
y/opolicy/ofor/onewborn/osafety./oWhich/oof/othe/ofollowing/oclient/ostatements/oindicates/oan/o
understanding/oof/othe/oteaching?/o-/ocorrect/oAnswers/o✔✔/o-
the/operson/owho/ocomes/oto/otake/omy/obaby's/opictures/owill/obe/owearing/oa/ophoto/oidentific
ation/obadge
, A/onurse/ois/oassessing/oa/oclient/owho/ois/oat/o36/oweeks/oof/ogestation./oWhich/oof/othe/ofollo
wing/ofindings/oshould/othe/onurse/oreport/oto/othe/oprovider?/o-/ocorrect/oAnswers/o✔✔/o-
Report/oof/ovisual/odisturbances
A/onurse/ois/oproviding/oteaching/oto/oa/oclient/oabout/othe/ophysiological/ochanges/othat/ooccu
r/oduring/opregnancy./oThe/oclient/ois/oat/o10/oweeks/oof/ogestation/oand/ohas/oa/oBMI/owithin/ot
he/oexpected/oreference/orange./oWhich/oof/othe/ofollowing/oclient/ostatements/oindicates/oan/
ounderstanding/oof/othe/oteaching?/o-/ocorrect/oAnswers/o✔✔/o-
"I/owill/olikely/oneed/oto/ouse/oalternative/opositions/ofor/osexual/ointercourse".
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oanemic/oat/o32/oweeks/oof/ogestation/oand/ois/oin/opr
eterm/olabor./oThe/oprovider/oprescribed/obethamethasone/o12/omg/oIM./oWhich/oof/othe/ofoll
owing/ooutcomes/oshould/othe/onurse/oexpect?/o-/ocorrect/oAnswers/o✔✔/o-
A/oreduction/oin/orespiratory/odistress/oin/othe/onewborn
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oexperiencing/opreeclampsia/oand/ohas/oa/onew/opr
escription/ofor/oIV/omagnesium/osulfate./oWhich/oof/othe/ofollowing/omedications/oshould/othe/
onurse/oanticipate/oadministering/oif/othe/oclient/odevelops/omagnesium/otoxicity?/o-
/ocorrect/oAnswers/o✔✔/o-Calcium/oGluconate
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oat/o30/oweeks/oof/ogestation/oand/ohas/oa/oprescript
ion/ofor/omagnesium/osulfate/oIV/oto/otreat/opreterm/olabor./oThe/onurse/oshould/onotify/othe/opr
ovider/oof/owhich/oof/othe/ofollowing/oadverse/oeffects?/o-/ocorrect/oAnswers/o✔✔/o-
Respiratory/orate/o10/min
A/onurse/ois/ocaring/ofor/oa/oclient/owho/ois/oto/oreceive/ooxytocin/oto/oaugment/oher/olabor./oWh
ich/oof/othe/ofollowing/ofindings/ocontraindicates/othe/oinfusion/oof/othe/ooxytocin/oinfusion/oan
d/oshould/obe/oreported/oto/othe/oprovider?/o-/ocorrect/oAnswers/o✔✔/o-Late/oDecelerations
A/onurse/ois/oteaching/oa/oclient/owho/ois/oat/o37/oweeks/oof/ogestation/oand/ohas/oa/oprescripti
on/ofor/oa/onon-
stress/otest./oWhich/oof/othe/ofollowing/oinstructions/oshould/othe/onurse/oinclude?/o-
/ocorrect/oAnswers/o✔✔/o-
"You/oshould/opress/othe/ohandheld/obutton/owhen/oyou/ofeel/oyour/obaby/omove."
A/onurse/ois/oassessing/oa/onewborn/owho/owas/odelivered/ovaginally/oand/oexperienced/oa/oti
ght/onuchal/ocord./oWhich/oof/othe/ofollowing/ofindings/oshould/othe/onurse/oexpect?/o-
/ocorrect/oAnswers/o✔✔/o-Petechiae/oover/othe/ohead
A/onurse/ois/otransporting/oa/onewborn/oback/oto/othe/oparent's/oroom/ofollowing/oa/oprocedure
./oWhich/oof/othe/ofollowing/oactions/oshould/othe/onurse/otake?/o-/ocorrect/oAnswers/o✔✔/o-
Verify/othat/othe/oparent's/oidentification/oband/omatches/othe/onewborn's/oidentification/oban
d
