ATI Maternal Newborn 2023 Proctored Exam
1. A nurse is assisting the provider administer a dinoprostone insert labor for
a client. Which of the following actions should the nurse take?: A. Place the
client in semi-fowler position for 1 hr after administration
2. A nurse is caring for a 2-day-old newborn who was born t 35 weeks gestation.
Which of the following actions should the nurse take?: D. Insert an
orogastric decompression tube with low wall suction
3. A nurse is proving teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statements by the client indicated an understanding
of the teaching?: D. "This medication could cause me to experience
heart palpitations"
4. A nurse in a provider's office is caring for a 20-year old client who is at 12
weeks gestation and requests an amniocentesis to determine the sex of her
fetus. Which of the following responses should the nurse make?
A."You cannot have an amniocentesis until you are at least 35 years of age.".
B."We can schedule the procedure for later today if you'd like.".
C." This procedure determines if your baby has genetic or congenital disorders.".
D,"Your provider will schedule a chorionic villus sampling to determine the
sex of your baby.".: C." This procedure determines if your baby has genetic or
congenital disorders."
5. A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Which of the following findings should the nurse expect?: A. Uterine Tenderness
6. A nurse manager on the labor and delivery unit is teaching a group of newly
1
,licensed nurses about maternal cytomegalovirus. Which of the following information
should the nurse manager include in the teaching?: A. "Transmission
can occur via the saliva and urine of the newborn"
7. A nurse is caring for a client who has hyperermesis gravidarum. Which of
the following laboratory tests should the nurse anticipate?
A. complete blood count
B. Liver enzymes
C. Bilirubin Level
D. Urine ketones: D. Urine Ketones
When using the urgent vs nonurgen approach to client care, the nurse should
determine that the priority laboratory test to check is urine ketones. Excessive
ketones in the urine indicate the body is not using carbohydrates from food as fuel
and is inadequately trying to break down fat.
8. A nurse is caring for four clients. For which of the following clients should
the nurse auscultate the fetal heart rate during the prenatal visit?: D. A client
who has felt quickening for the first time
9. A nurse is monitoring a client who has preeclampsia and is receiving
magnesium sulfate by continuous IV infusion. Which of the following findings
should the nurse report to the provider?: D. Urine output less than 20
10. A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an understanding
of the teaching?
A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
2
,D. "My monthly menstrual period will be shorter.": B. "Ovulation will remain the
same."
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation also
known as having your tubes tied or tubal sterilization is a type of permanent
birth control. During tubal ligation, the fallopian tubes are cut, tied or blocked to
permanently prevent pregnancy. Tubal ligation prevents an egg from traveling from
the ovaries through the fallopian tubes and blocks sperm from traveling up the
fallopian tubes to the egg. The procedure doesn't affect your menstrual cycle it just
prevents fertilization.
11. A nurse is assessing a newborn following forceps-assisted birth. Which of
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: C. Facial Palsy
Difficult delivery, with or without the use of an instrument called forceps, may lead to
facial palsy. Facial paralysis 15 minutes after forceps birth or absence of movement
on affected side is especially noticeable when infant cries.
12. 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. Having the client lie in a supine position
C. Applying fundal pressure during contractions
3
, D. Encouraging the client to void every 6 hrs.: A. Assisting the client into squatting
position
13. 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: D. Malodorous Discharge
Although trichomoniasis may be asymptomatic, women commonly experience characteristically
yellowish-to-greenish, frothy, mucopurulent, copious, malodorous discharge.
Inflammation of the vulva, vagina, or both may be present; and the woman
may complain of irritation and pruritus. Dysuria and dyspareunia are often present.
14. A nurse is caring for a client who is at 14 weeks of gestation. At which of 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: A. Midline 2 to 3 cm (0.8 to 1.2 in) above the
symphysis pubis
Toward the end of the first trimester, before the uterus is an abdominal organ, the
fetal heart tones (FHTs) can be heard with an ultrasound fetoscope or an ultrasound
stethoscope (Fig. 8-8). To hear the FHTs, place the instrument in the midline just
above the symphysis pubis and apply firm pressure. The woman and her family
should be offered the opportunity to listen to the FHTs. The health status of the fetus
4
1. A nurse is assisting the provider administer a dinoprostone insert labor for
a client. Which of the following actions should the nurse take?: A. Place the
client in semi-fowler position for 1 hr after administration
2. A nurse is caring for a 2-day-old newborn who was born t 35 weeks gestation.
Which of the following actions should the nurse take?: D. Insert an
orogastric decompression tube with low wall suction
3. A nurse is proving teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statements by the client indicated an understanding
of the teaching?: D. "This medication could cause me to experience
heart palpitations"
4. A nurse in a provider's office is caring for a 20-year old client who is at 12
weeks gestation and requests an amniocentesis to determine the sex of her
fetus. Which of the following responses should the nurse make?
A."You cannot have an amniocentesis until you are at least 35 years of age.".
B."We can schedule the procedure for later today if you'd like.".
C." This procedure determines if your baby has genetic or congenital disorders.".
D,"Your provider will schedule a chorionic villus sampling to determine the
sex of your baby.".: C." This procedure determines if your baby has genetic or
congenital disorders."
5. A nurse is assessing a client who is 6 hr postpartum and has endometritis.
Which of the following findings should the nurse expect?: A. Uterine Tenderness
6. A nurse manager on the labor and delivery unit is teaching a group of newly
1
,licensed nurses about maternal cytomegalovirus. Which of the following information
should the nurse manager include in the teaching?: A. "Transmission
can occur via the saliva and urine of the newborn"
7. A nurse is caring for a client who has hyperermesis gravidarum. Which of
the following laboratory tests should the nurse anticipate?
A. complete blood count
B. Liver enzymes
C. Bilirubin Level
D. Urine ketones: D. Urine Ketones
When using the urgent vs nonurgen approach to client care, the nurse should
determine that the priority laboratory test to check is urine ketones. Excessive
ketones in the urine indicate the body is not using carbohydrates from food as fuel
and is inadequately trying to break down fat.
8. A nurse is caring for four clients. For which of the following clients should
the nurse auscultate the fetal heart rate during the prenatal visit?: D. A client
who has felt quickening for the first time
9. A nurse is monitoring a client who has preeclampsia and is receiving
magnesium sulfate by continuous IV infusion. Which of the following findings
should the nurse report to the provider?: D. Urine output less than 20
10. A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an understanding
of the teaching?
A. "premenstrual tension will no longer be present."
B. "Ovulation will remain the same."
C. "Hormone replacements will be needed following this procedure."
2
,D. "My monthly menstrual period will be shorter.": B. "Ovulation will remain the
same."
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation also
known as having your tubes tied or tubal sterilization is a type of permanent
birth control. During tubal ligation, the fallopian tubes are cut, tied or blocked to
permanently prevent pregnancy. Tubal ligation prevents an egg from traveling from
the ovaries through the fallopian tubes and blocks sperm from traveling up the
fallopian tubes to the egg. The procedure doesn't affect your menstrual cycle it just
prevents fertilization.
11. A nurse is assessing a newborn following forceps-assisted birth. Which of
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: C. Facial Palsy
Difficult delivery, with or without the use of an instrument called forceps, may lead to
facial palsy. Facial paralysis 15 minutes after forceps birth or absence of movement
on affected side is especially noticeable when infant cries.
12. 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. Having the client lie in a supine position
C. Applying fundal pressure during contractions
3
, D. Encouraging the client to void every 6 hrs.: A. Assisting the client into squatting
position
13. 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: D. Malodorous Discharge
Although trichomoniasis may be asymptomatic, women commonly experience characteristically
yellowish-to-greenish, frothy, mucopurulent, copious, malodorous discharge.
Inflammation of the vulva, vagina, or both may be present; and the woman
may complain of irritation and pruritus. Dysuria and dyspareunia are often present.
14. A nurse is caring for a client who is at 14 weeks of gestation. At which of 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: A. Midline 2 to 3 cm (0.8 to 1.2 in) above the
symphysis pubis
Toward the end of the first trimester, before the uterus is an abdominal organ, the
fetal heart tones (FHTs) can be heard with an ultrasound fetoscope or an ultrasound
stethoscope (Fig. 8-8). To hear the FHTs, place the instrument in the midline just
above the symphysis pubis and apply firm pressure. The woman and her family
should be offered the opportunity to listen to the FHTs. The health status of the fetus
4
