ATI MATERNAL NEWBORN
PROCTORED EXAM 2023 Kaplan
University
A nurse is planning care for a newborn who is receiving
phototherapy for an elevated bilirubin level. Which of the
following actions should the nurse take? - D. Use a
photometer to monitor the lamp's energy
The nurse should monitor the lamp's energy throughout
the therapy to ensure the newborn is receiving the
appropriate amount to be effective.
A nurse is assessing a client at 34 weeks gestation who has
a mild placental abruption. Which of the following findings
should the nurse expect? - Dark red vaginal bleeding
The nurse should expect this client with a mild placental
abruption to have minimal dark red vaginal bleeding.
,A nurse is assessing a newborn and notes an axillary
temperature of 96.9°F (36°C). Which of the following actions
should the nurse perform? - Correct Answer: B.
Assess the newborn's blood glucose level
Infants who become cold attempt to generate heat through
increased muscular and metabolic activity. This process
increases glucose consumption and puts the newborn at risk
of hypoglycemia.
Incorrect Answers:
A. The nurse should not obtain a rectal temperature from a
newborn due to the risk of rectal perforation. Instead, the
nurse should obtain an axillary temperature.
C. Bathing a newborn will increase heat loss. The infant
should not be bathed until the temperature has stabilized
within the normal range.
D. Placing the infant in front of a heater vent can incur heat
loss through convection. Additionally, there is a potential fire
risk from the bassinet linens and the vent.
,A nurse is caring for a client who is in preterm labor and is
receiving magnesium sulfate. The client begins to show
indications of magnesium sulfate toxicity. Which of the
following medications should the nurse prepare to
administer? - Correct Answer:
C. Calcium gluconate
The nurse should discontinue the magnesium sulfate infusion
immediately and prepare to administer calcium gluconate IV to
reverse the effects of magnesium sulfate and to prevent cardiac
and respiratory arrest.
Incorrect Answers:
A. Protamine sulfate helps reverse the effects of heparin, not
magnesium sulfate.
B. Naloxone is an opioid reversal agent. It does not reverse
the effects of magnesium sulfate.
D. Flumazenil reverses the effects of benzodiazepines such as
lorazepam and alprazolam, not magnesium sulfate.
A nurse is providing postpartum discharge teaching to a client
who is non-lactating about breast discomfort relief measures.
, Which of the following pieces of information should the nurse
include? - Correct Answer:
"Place fresh cabbage leaves on your breasts."
After 3 days postpartum, the client's breasts can become
swollen and distended because of congestion of the vascular
structures of the breasts.
Fresh cabbage leaves can be applied to engorged breasts to
help relieve breast discomfort.
The coolness of the leaves and the phytoestrogens exert a
therapeutic effect on engorged breasts.
Leaves should be replaced when they become wilted.
Incorrect Answers:
A. The client should be instructed to wear a tight- fitting bra or
breast binders to alleviate engorgement and swelling.
C. Application of warmth to the breasts should be avoided
because heat can stimulate milk production. An ice pack
should be used to relieve engorged breasts.
PROCTORED EXAM 2023 Kaplan
University
A nurse is planning care for a newborn who is receiving
phototherapy for an elevated bilirubin level. Which of the
following actions should the nurse take? - D. Use a
photometer to monitor the lamp's energy
The nurse should monitor the lamp's energy throughout
the therapy to ensure the newborn is receiving the
appropriate amount to be effective.
A nurse is assessing a client at 34 weeks gestation who has
a mild placental abruption. Which of the following findings
should the nurse expect? - Dark red vaginal bleeding
The nurse should expect this client with a mild placental
abruption to have minimal dark red vaginal bleeding.
,A nurse is assessing a newborn and notes an axillary
temperature of 96.9°F (36°C). Which of the following actions
should the nurse perform? - Correct Answer: B.
Assess the newborn's blood glucose level
Infants who become cold attempt to generate heat through
increased muscular and metabolic activity. This process
increases glucose consumption and puts the newborn at risk
of hypoglycemia.
Incorrect Answers:
A. The nurse should not obtain a rectal temperature from a
newborn due to the risk of rectal perforation. Instead, the
nurse should obtain an axillary temperature.
C. Bathing a newborn will increase heat loss. The infant
should not be bathed until the temperature has stabilized
within the normal range.
D. Placing the infant in front of a heater vent can incur heat
loss through convection. Additionally, there is a potential fire
risk from the bassinet linens and the vent.
,A nurse is caring for a client who is in preterm labor and is
receiving magnesium sulfate. The client begins to show
indications of magnesium sulfate toxicity. Which of the
following medications should the nurse prepare to
administer? - Correct Answer:
C. Calcium gluconate
The nurse should discontinue the magnesium sulfate infusion
immediately and prepare to administer calcium gluconate IV to
reverse the effects of magnesium sulfate and to prevent cardiac
and respiratory arrest.
Incorrect Answers:
A. Protamine sulfate helps reverse the effects of heparin, not
magnesium sulfate.
B. Naloxone is an opioid reversal agent. It does not reverse
the effects of magnesium sulfate.
D. Flumazenil reverses the effects of benzodiazepines such as
lorazepam and alprazolam, not magnesium sulfate.
A nurse is providing postpartum discharge teaching to a client
who is non-lactating about breast discomfort relief measures.
, Which of the following pieces of information should the nurse
include? - Correct Answer:
"Place fresh cabbage leaves on your breasts."
After 3 days postpartum, the client's breasts can become
swollen and distended because of congestion of the vascular
structures of the breasts.
Fresh cabbage leaves can be applied to engorged breasts to
help relieve breast discomfort.
The coolness of the leaves and the phytoestrogens exert a
therapeutic effect on engorged breasts.
Leaves should be replaced when they become wilted.
Incorrect Answers:
A. The client should be instructed to wear a tight- fitting bra or
breast binders to alleviate engorgement and swelling.
C. Application of warmth to the breasts should be avoided
because heat can stimulate milk production. An ice pack
should be used to relieve engorged breasts.
