RN Maternal Newborn ATI Proctored Exam
Retake Questions & Answers
1. A nurse is caring for a client who is 2 weeks postpartum following a cesare-an
birth. Which of the following clinical fndings should the nurse identify as an
indication of postpartum infection?
a. Unilateral breast pain
b. Persistent abdominal striae
c. Lochia alba
d. WBC count 12,000/mm3
Answer a. Unilateral breast pain
2. A nurse is assessing client who has preeclampsia during a prenatal visit.
Which of the following findings should the nurse report to the provider?
a. Blood glucose 110 mg/dL
b. Deep tendon reRexes of 2+
c. Urine protein of 3+
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d. Hemoglobin 13 g/dL
Answer c. Urine protein of 3+
3. A nurse is providing teaching about the expected effects of magnesium
sulfate to a client who is at 28 weeks of gestation and has preeclampsia.Whichof
the following responses by the nurse is appropriate?
a. "This medication improves tissue perfusion."
b. "This medication increases cardiac output."
c. "This medication stabilizes the fetal heart rate."
d. "This medication prevents seizures."
Answer d. "This medication prevents seizures."
4. A nurse is teaching a prenatal class regarding false labor. Which of the
following information should the nurse include?
a. "You will have dilation and effacement of the cervix."
b. "Your contractions will become temporarily regular."
c. "You will have bloody show."
d. "Your contractions will become more intense when walking."
Answer b. "Your con-tractions will become temporarily regular."
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5. A nurse manager is revising a maternal unit policy to ensure proper identi-
fication of newborns. Which of the following should the nurse include in the
policy?
a. Check the newborn's identification using the crib card.
b. Replace the infant's identification band after his name has been recorded.
c. Require visitors to wear an identification band.
d. Obtain an imprint of the infant's feet prior to taking him to the nursery.
Answer d.Obtain an imprint of the infant's feet prior to taking him to the nursery.
6. A nurse is caring for a client who delivered by cesarean birth 6 hr ago. The
nurse notes a steady trickle of vaginal bleeding that does not stop with fundal
massage. Which of the following actions should the nurse take?
a. Apply an ice pack to the incision site.
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b. Replace the surgical dressing. c. Administer 500 mL lactated Ringer's IV
bolus.
d. Evaluate urinary output.
Answer d. Evaluate urinary output.
7. . A nurse is providing discharge instructions to a client who is postpartum
and has engorged breasts. Which of the following nonpharmacological com-fort
measures should the nurse include in the teaching?
a. Wear nipple shields during the feeding.
b. Use a breast binder for 2 days. c. Use plastic-lined breast pads. d. Apply
cabbage leaves a^er feedings
Answer d. Apply cabbage leaves a^er feedings
8. A nurse is calculating estimated date of birth using Naegele's rule for a client
who is pregnant and whose last menstrual cycle started June 21.Whichof the
following is the estimated delivery in the next year? a. March 14
b. March 21
c. March 28
d. April 4
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