ATI MATERNAL NEWBORN
PROCTORED EXAM 2025. 100%
correct answers.
10 Q&A with detailed and enlightening explanation.
ATI MATERNAL NEWBORN
PROCTORED EXAM 2025.
100% correct answers
1. Two days after delivery, a postpartum client prepares for discharge. What should the
nurse teachher about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to
lochiaserosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the physician.
Incorrect: Saturation of the perineal pad is considered abnormal and may indicate
postpartumhemorrhage.
Correct: Lochia normally lasts for about 21 days, and changes from a bright red,
topinkish brown, to creamy white.
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up from
the bed Lochia should last for about 3 weeks, changing color every few days
, 2. A nurse monitors fetal well-being by means of an external
monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min
below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is
the rationale for thisaction?
Incorrect: A nuchal cord (cord around the neck) is associated with variable decelerations, not
latedecelerations.
Incorrect: Variable decelerations (not late decelerations) are associated with cord compression.
Incorrect: Late decelerations are a result of hypoxia. They are not reflective of the strength
ofmaternal contractions.
Correct: Late decelerations are associated with uteroplacental insufficiency and are a
signof fetalhypoxia. Repeated late decelerations indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck the fetal cord is being compressed due to
rapid descent of the fetal head Maternal contractions are not adequate enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
3. Which preoperative nursing interventions should be included for a client who is
scheduled to have an emergency cesarean birth?
Incorrect: Monitoring O2 saturations and administering pain medications are
postoperativeinterventions.
Incorrect: Taking vital signs every 15 minutes is a postoperative intervention. Instructing
the client regarding breathing exercises is not appropriate in a crisis situation when the
client's anxiety is high, because information would probably not be retained. In an
emergency, there is time only for essential interventions.
Correct: Because this is an emergency, surgery must be performed quickly. Anxiety of
theclient andthe family will be high. Inserting an indwelling catheter helps to keep
thebladder empty and free from injury when the incision is made.
Incorrect: The nurse should have assessed breath sounds upon admission. Breath sounds are
important if the client is to receive general anesthesia, but the anesthesiologist will be
listening tobreath sounds in surgery in that case.
Monitor oxygen saturation and administer pain medication. Assess vital signs every
15 minutes and instruct the client about postoperative care. Alleviate anxiety and
insert an
PROCTORED EXAM 2025. 100%
correct answers.
10 Q&A with detailed and enlightening explanation.
ATI MATERNAL NEWBORN
PROCTORED EXAM 2025.
100% correct answers
1. Two days after delivery, a postpartum client prepares for discharge. What should the
nurse teachher about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to
lochiaserosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the physician.
Incorrect: Saturation of the perineal pad is considered abnormal and may indicate
postpartumhemorrhage.
Correct: Lochia normally lasts for about 21 days, and changes from a bright red,
topinkish brown, to creamy white.
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up from
the bed Lochia should last for about 3 weeks, changing color every few days
, 2. A nurse monitors fetal well-being by means of an external
monitor. At the peak of the contractions, the fetal heart rate has repeatedly dropped 30 beats/min
below the baseline. Late decelerations are suspected and the nurse notifies the physician. Which is
the rationale for thisaction?
Incorrect: A nuchal cord (cord around the neck) is associated with variable decelerations, not
latedecelerations.
Incorrect: Variable decelerations (not late decelerations) are associated with cord compression.
Incorrect: Late decelerations are a result of hypoxia. They are not reflective of the strength
ofmaternal contractions.
Correct: Late decelerations are associated with uteroplacental insufficiency and are a
signof fetalhypoxia. Repeated late decelerations indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck the fetal cord is being compressed due to
rapid descent of the fetal head Maternal contractions are not adequate enough to deliver the fetus
The fetus is not receiving adequate oxygen and is in distress
3. Which preoperative nursing interventions should be included for a client who is
scheduled to have an emergency cesarean birth?
Incorrect: Monitoring O2 saturations and administering pain medications are
postoperativeinterventions.
Incorrect: Taking vital signs every 15 minutes is a postoperative intervention. Instructing
the client regarding breathing exercises is not appropriate in a crisis situation when the
client's anxiety is high, because information would probably not be retained. In an
emergency, there is time only for essential interventions.
Correct: Because this is an emergency, surgery must be performed quickly. Anxiety of
theclient andthe family will be high. Inserting an indwelling catheter helps to keep
thebladder empty and free from injury when the incision is made.
Incorrect: The nurse should have assessed breath sounds upon admission. Breath sounds are
important if the client is to receive general anesthesia, but the anesthesiologist will be
listening tobreath sounds in surgery in that case.
Monitor oxygen saturation and administer pain medication. Assess vital signs every
15 minutes and instruct the client about postoperative care. Alleviate anxiety and
insert an
