ATI Maternal Newborn Proctored Exam (NGN ATI) (Detailed Exam Prep Solutions and Resources for the test in 2024/2025)

ATI Maternal Newborn Proctored Exam
J J J J




(NGN ATI) J




(Detailed Exam Prep Solutions and J J J J




J Resources for the test in 2024/2025) J J J J J




1. A nurse is teaching a client about Rho(D) immunoglobulin
J J J J J J J J


J(RhoGAM). Which of the following statements by the client J J J J J J J J


Jindicated an understanding of the teaching?J J J J J


a. I will receive this medication if my baby is Rh-negative
J J J J J J J J J


b. I will receive this medication at time of delivery
J J J J J J J J


c. I will need a second dose of this medication when my baby
J J J J J J J J J J J


is 6 weeks old J J J J


d. I will need this medication if I have an amniocentesis-
J J J J J J J J J


Recommended because of the potential of fetal
J J J J J J J


RBCs entering the maternal circulation
J J J J J


2. A nurse is caring for a client who is to receive oxytocin (Pitocin)
J J J J J J J J J J J J


Jto augment her labor. Which of the following contraindicates the
J J J J J J J J J


Jinitiation of the oxytocin infusion and requires notification of
J J J J J J J J


Jthe provider? J


a. Late decelerations- Oxytocin is contraindicated based on
J J J J J J


late decelerations noted on fetal assessment findings
J J J J J J J


because they indicate uteroplacental insufficiency.
J J J J J


b. Baseline variability J


c. Cessation of uterine dilation J J J


d. Prolonged active phase of labor J J J J


3. A nurse on the newborn unit is planning discharge for four
J J J J J J J J J J


Jclients. Which of the following will require care beyond that
J J J J J J J J J


Jof a standard follow-up visit with the provider after delivery?
J J J J J J J J J

, a. A newborn being sent home after 22 hr after birth-
J J J J J J J J J


Screening tests must be repeated if they were performed
J J J J J J J J J


before he newborn was 24 hr. old.
J J J J J J J


b. A newborn at 38 weeks of gestational age
J J J J J J J


c. A newborn who is bottle feeding
J J J J J


d. Twin newborns with Apgar scores of 8 and 9
J J J J J J J J


4. A nurse is assessing a newborn who has a weak cry and is
J J J J J J J J J J J J


Jgrimacing. The nurse notes the newborn has a heart rate of
J J J J J J J J J J


J102/min, blueish extremities, and a flaccid muscle tone. Which
J J J J J J J J


Jof the following reflects the appropriate APGAR score?
J J J J J J J


a. 4 J


b. 5 J


c. 6 J


d. 7 J


5. A nurse is caring for a client who has a history of rheumatic
J J J J J J J J J J J J


Jdisease, but no physical symptoms prior to pregnancy. The
J J J J J J J J


Jclient begins to experience dyspnea, orthopnea, and pulmonary
J J J J J J J


Jedema. Which of the following biological alterations explains
J J J J J J J


Jthis change?
J


a. Increased maternal weight J J


b. Increased blood volume- Increase in blood volume during J J J J J J J


pregnancy increase the workload of the heart, which
J J J J J J J J


causes the symptoms
J J J


c. Change in hematocrit levels J J J


d. Change in heart size J J J


6. A nurse is providing teaching about nonpharmacological pain
J J J J J J J


Jmanagement for a postpartum client who is breastfeed and has
J J J J J J J J J


Jengorgement. Which of the following methods should the nurse J J J J J J J J


Jrecommend?
a. Cold cabbage leaves- Application of this is an effective
J J J J J J J J


nonpharmacological method to relieve pain associated
J J J J J J


with engorgement
J J


b. Modified lanolin cream J J


c. A breast binder J J


d. Breast shells J

,7. A nurse is providing discharge teaching to a client who is
J J J J J J J J J J


Jpostpartum about resuming sexual activity. Which of the J J J J J J J


Jfollowing instructions should the nurse include in the teaching?
J J J J J J J J


a. You should use a water soluble gel for lubrication- This
J J J J J J J J J


will prevent discomfort
J J J


b. You can resume sexual activity in 10 days
J J J J J J J


c. Your physical reaction to sexual stimulation ill not be
J J J J J J J J


altered J


d. You will not ovulate for 3 months after delivery
J J J J J J J J


8. A nurse is admitting a client who is in labor. The client admits
J J J J J J J J J J J J


Jto recent cocaine use. For which of the following complications
J J J J J J J J J


Jshould the nurse assess?
J J J


a. Abruptio placenta- Cocaines increases the risk for J J J J J J


vasoconstriction and possible abruption placenta
J J J J J


b. Placenta previa J


c. Preeclampsia
d. Maternal bradycardia J


9. A nurse is providing dietary teaching with a client who has
J J J J J J J J J J


Jhyperemesis gravidarum. Which of the following statements by J J J J J J J


Jthe client indicates an understanding of the teaching?
J J J J J J J


a. I should eat to taste instead of trying to balance my meals-
J J J J J J J J J J J


Eat to taste to avoid nausea J J J J J


b. I will avoid having a snack at bedtime
J J J J J J J


c. I will have 8 oz of hot tea with each meal
J J J J J J J J J J


d. I should pair my sweets with a starch instead of eating
J J J J J J J J J J


them alone
J J


10. A nurse is preparing to collect a blood specimen from a
J J J J J J J J J J


Jnewborn via a heel stick. Which of the following techniques
J J J J J J J J J


Jshould the nurse use to help minimize the pain of the
J J J J J J J J J J


Jprocedure for the newborn? J J J


a. Warm the heel prior to the puncture J J J J J J


b. Request a prescription for IM analgesic J J J J J


c. Use a manual lance blade to pierce the skin
J J J J J J J J


d. Swaddle the newborn after the heel puncture- Effective J J J J J J J


technique to diminish the pain experience for the newborn.
J J J J J J J J J

, 11. A nurse is conducting an initial prenatal visit for a client
J J J J J J J J J J


Jwho is at 6 weeks gestation. Which of the following
J J J J J J J J J


Jlaboratory tests should be performed? J J J J


a. 24 hour urine for protein
J J J J


b. Group B streptococcus culture J J J


c. 3-hr glucose tolerance J J


d. Rubella titer- Obtained at the initial prenatal visit to J J J J J J J J


determine immunity to rubella
J J J J


12. A nurse is caring for a newborn who was transferred to the
J J J J J J J J J J J


Jnursery 30 min after delivery. Which of the following actions
J J J J J J J J J


Jshould the nurse take first?
J J J J


a. Confirm the newborn’s Apgar score J J J J


b. Verify the newborn’s identification- Mandatory toJ J J J J


continue ongoing identification of the newborn whenever
J J J J J J J


the newborn is removed from the mother’s direct presence
J J J J J J J J J


and care.
J J


c. Administer vitamin K IM to the newborn J J J J J J


d. Determine the obstetrical risk factors J J J J


13. A nurse is assessing a young adult client in a women’s
J J J J J J J J J J


Jhealth clinic who asks for a contraceptive. The client reports
J J J J J J J J J


Jto the nurse a familial history of osteoporosis. Which of the
J J J J J J J J J J


Jfollowing contraceptive methods is contraindicated for this
J J J J J J


Jclient?
a. Combined estrogen-progestin oral contraceptives J J J


b. An intrauterine device J J


c. Medroxyprogestrone acetate (Depo-provera)- causes a J J J J


decrease in bone mineral density and places the client at
J J J J J J J J J J


risk for the development of osteoporosis
J J J J J J


d. Norelgestromin/ethinyl estradiol (Ortho Evra) J J J


14. A nurse is admitting a client to the labor and delivery unit
J J J J J J J J J J J


Jwhen the client states, “my water just broke”, which of the
J J J J J J J J J J


Jfollowing is the priority intervention for the nurse to take?
J J J J J J J J J


a. Perform Nitrazine testing J J


b. Assess the amniotic fluid J J J


c. Check cervical dilation J J


d. Monitor the fetal heart rate- Rupture of the membranes J J J J J J J J


places the fetus at risk for umbilical cord prolapse.
J J J J J J J J J