2023 ATI MATERNAL NEWBORN PROCTORED EXAM TESTS A AND B WITH DETAILED SOLUTIONS

2023 ATI MATERNAL NEWBORN PROCTORED
EXAM TESTS A AND B WITH DETAILED SOLUTIONS


Newbornzdeliveredzbyzrepeatzcesareanzbirthzatz40zweekszofzgestation.

Birthzweightz3,515zgz(7zlbz12zoz)

Apgarzscoresz8zatz1zminzandz9zatz5zminz

Maternalzhistoryzofzmethadonezusezduringzpregnancy.



WhichzshouldzthezNursezreport?



Respiratoryzfindings

Temperature

Oxygenzsaturation

Centralznervouszsystemzfindings

Gastrointestinalzfindingsz-zCORRECTzANSWER-Gastrointestinalzfindings

Centralznervouszsystemzfindings



Clientzreportszazsmallzamountzofzbrightzredzbloodzinztheirzunderwearzuponzawakening.zClientzdenieszcontr
actionszorzabdominalzpain.

Externalzfetalzmonitorzapplied.



PotentialzNursingzAction

IndicatedzorzContraindicated



Assesszcervicalzdilation

Weighzperinealzpads.

Administerzmethotrexate.

Insertzazlargezborezintravenouszcatheter.z-zCORRECTzANSWER-Contraindicated

,AssesszCervicalzDilationz-zShe'szcurrentlyzbleedingzandznotzinzthezmiddlezofzlabor,zunnecessary.

AdministerzMethotrexatez-zShezisn'tzhavingzanzectopiczpregnancyz-
zthisziszusedztozresolvezectopiczpregnancieszinzthezfirstztrimester.z




Indicated

WeighzPerinealzPadsz-zWezneedztozknowzhowzmuchzbloodzshe'szlosing.

InsertzazlargezborezIVz-zThirdzTrimesterzBleedingzmayzleadztozlargerzhemorrhagez-
zhavingzIVzaccessziszcriticalzifzwezneedztozadministerzfluids.




Aznurseziszassessingztheznewbornzofzazclientzwhoztookzselectivezserotoninzreuptakezinhibitorzduringzpregn
ancy.zWhichzofzthezfollowingzmanifestationszshouldztheznursezidentifyzaszanzindicationzofzwithdrawalzfrom
zanzSSRI?z-zCORRECTzANSWER-Vomitingz-

zAlsozcouldzbezirritability,zagitation,ztremors,zorzdiarrhea.zThesezmanifestationsztypicallyzlastz2zdays.




Aznursezinzazfamilyzplanningzclinicziszcaringzforzazclientzwhozrequestzanzoral

contraceptive.zWhichzofzthezfollowingzfindingszinzthezclientszhistoryzshowztheznurse

recognizedzaszazcontraindicationztozoralzcontraceptives.zselectzallzthatzapply



Cholecystitis

Hypertension

Humanzpapillomavirus

Migrainezheadaches

Anxietyzdisorderz-zCORRECTzANSWER-Cholecystitis

Hypertension

Anxietyzdisorder



Aznurseziszcaringzforzaznewborn.MedicalzHistory



1600:ApgarzScorez9zatz1zminzandz9zatz5zminz

Birthzweightz10zlbz6zozz(4706zgm)

, Gestationalzagez40zweeksz



Difficultzvaginalzbirthzwithzshoulderzdystocia.z-zCORRECTzANSWER-Indicated:

EducatezthezparentsztozbeginzROMzexerciseszonzthezaffectedzarmzafterz1zweek.z-
zROMzhelpzrestorezfunctionality.zDelayz1zweekztozpreventzadditionalzinjuryztozbrachialzplexus.z




Assesszforzgraspzreflexzinzthezaffectedzextremity.z-zWithzErb'szPalsyz(Erb-
Duchenne)zonlyzthezupperzarmziszaffected.zWristzandzfingerzfunctionzshouldzNOTzbezaffected.z



Immobilizezthezarmzacrosszthezabdomenzbyzpinningztheznewborn'szsleeveztoztheirzshirt.z-
zThiszwillzassistzintzhezhealingzprocess.




Aznurseziszadmittingzazclientztozthezlaborzandzdeliveryzunitzwhenzthezclientzstates,z"myzwaterzjustzbroke",z
whichzofzthezfollowingziszthezpriorityzinterventionzforztheznurseztoztake?z-zCORRECTzANSWER-
BeginzFHRzMonitoringz-
zThezgreatestzriskztozthezclientzandztheirzfetuszfollowingzazrupturezofzmembranesziszanzumbilicalzcordzprola

pse.zFHRziszthezPRIORITYzaction.



Aznursezinzanzantepartumzclinicziszprovidingzcarezforzazclientzwhoziszatz26zweekszgestation.zUponzreviewing
zthezclientszmedicalzrecord,zwhatzfindingszshouldztheznursezreportztozthezprovider?




1-hrzGlucosezofz130ztoz140z(orzgreater)zindicateszazpositiveztest.



Hematocritzofz34%ziszwithinzrangez-zshouldzbezgreaterzthanz33%.



FHRz-zShouldzbezbetweenz110/minztoz160/minzforzazclientzatz26zweekszofzgestation.z-zCORRECTzANSWER-
Fundalzheightz30zcmz-zFundalzheightzshouldzbezPLUSzorzMINUSz2cmzfromzweekszofzgestation



Aznurseziszcaringzforzaznewbornzwhozisz48zhrzold.



Apgars:z7zatz1zminzandz8zatz5zminzofzage

Birthzweight:z3,515zgz(7zlbz12zoz)