ATI Maternal Newborn Proctored EXAM
GRADED A+
A nurse is providing care to a client who is in labor. A fetal heart tracing shows early decelerations.
Which of the following actions should the nurse take? - CORRECT ANSWER Continue to monitor the
fetal heart tracing.
A nurse is assessing a client who is 14 hours postpartum and has a third-degree her new laceration. The
clients temperature is 37.8°C (100°F), and her fundus is firm and slightly deviated to the right. The client
reports a gush of blood when she ambulate's and no bowel movement since delivery. Which of the
following actions should the nurse take? - CORRECT ANSWER Assist the client to empty her bladders
A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports dizziness
when lying on her back. Into which of the following positions should the nurse assess the client? -
CORRECT ANSWER Lateral
A nurse is providing teaching for a client at seven weeks of gestation who is experiencing nausea and
vomiting. Which of the following client statements indicates to the nurse and understanding of the
teaching? - CORRECT ANSWER I should have a small snack before bedtime
A nurse is assessing a client who is at 36 weeks of gestation which of the following manifestations should
the nurse recognize as a potential prenatal complication and report to the provider? - CORRECT
ANSWER Double vision
A nurse is assessing a client who is at 34 weeks gestation and has a cardiac disorder the nurse should
notify the provider about which of the following assessment findings? - CORRECT ANSWER The client
reports a frequent cough
A nurse is caring for a client who is in labor the client speaks a different language than the nurse and he's
been missing. Which of the following actions should the nurse take while waiting for an interpreter?
- CORRECT ANSWER Change the clients position
,A nurse is providing teaching for a client who is pregnant and has type one diabetes mellitus. Which of
the following statements should the nurse include in the teaching? - CORRECT ANSWER You should
expect to decrease your insulin dosage immediately after you deliver your baby
A nurse is caring for a client in labor and observes a pattern of early decelerations on the fetal monitor.
Which of the following actions should the nurse take? - CORRECT ANSWER Document the findings and
continue to monitor
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require
administration of this medication? - CORRECT ANSWER IV narcotics administered to the mother during
labor
A nurse is caring for a client labor who has an epidural for pain relief. Which of the following is a
complication of the epidural block? - CORRECT ANSWER Hypotension
A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of the following
statements should the nurse include in the teaching? - CORRECT ANSWER Before bedtime is a good
time to start counting the kicks
A nurse is teaching a group of clients who are pregnant about vitamin K for newborns. Vitamin K helps
prevent which of the following conditions in a newborn? - CORRECT ANSWER Intracranial hemorrhage
A nurse is caring for a newborn who has neonatal abstinence syndrome which of the following Clinical
findings should the nurse expect? - CORRECT ANSWER Exaggerated reflexes
A nurse is creating a plan of care for a client who is in the active stage of labor and expresses a desire to
use nonpharmacological methods of pain relief. Which of the following intervention should the nurse
include? - CORRECT ANSWER Assist the client into a warm shower
,A nurse is providing teaching to a client who has come to the family planning clinic requesting an
intrauterine device IUD. Which of the following pieces of information should the nurse provide to the
client? - CORRECT ANSWER Your risk for ectopic pregnancy increases with an IUD
A nurse is teaching a client who is pregnant and has pre-gestational diabetes about dietary changes.
Which of the following statements should the nurse include in the teaching? - CORRECT ANSWER
Carbohydrates should make up 55% of your diet
A provider does a client at 12 weeks gestation who practices Hinduism that she needs more protein in
her diet and suggest eating more meat after the provider leaves the examination room the client tells
the nurse that eating animal products will cause her to miscarry. Which of the following responses
should the nurse make? - CORRECT ANSWER Let's discuss other foods that are also high in protein that
you can substitute for meat
A nurse is caring for a client who is in labor. A vaginal examination reveals the following findings: 2 cm,
50%, +1, right occiput anterior (ROA). Based on this information, which of the following fetal position
should the nurse document in the medical record? - CORRECT ANSWER Vertex
A nurse is teaching a client about squatting exercises during pregnancy. Which of the following
statements should the nurse include? - CORRECT ANSWER These exercises should be done for 15
minutes each day to strengthen the peroneal muscles
A nurse is providing care to a client who is 12 hours postpartum and is receiving oxytocin IV. The client
asked the nurse, why is there so little bleeding? Which of the following responses should the nurse
make? - CORRECT ANSWER The bleeding is minimal until I discontinue your IV medication
A nurse is planning care for a Client who is post partum and has cardiac disease. For which of the
following prescriptions should the nurse seek clarification? - CORRECT ANSWER Monitor the clients
weights weekly
A nurse is caring for a client who is at 35 weeks of gestation and he scheduled to undergo an
amniocentesis. Which of the following statements should the nurse make? - CORRECT ANSWER You will
feel so much discomfort during this procedure
, A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the following findings
should the nurse report to the provider? - CORRECT ANSWER 3+ deep tendon reflexes
A nurse is providing teaching about exercise for a client who is pregnant which of the following pieces of
information should the nurse include? - CORRECT ANSWER Vigorous exercise it should be limited and
should not be performed in hot humid weather
A nurse is caring for several clients. Which of the following clients should the nurse identify as a
candidate for oral contraceptives a - CORRECT ANSWER A client who is breast-feeding a seven month
old infant
A nurse is caring for a newborn who was born to a client with a narcotic use disorder. Which of the
following nursing actions is contraindicated in the care of this newborn - CORRECT ANSWER Frequent
simulation
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to induce labor which of
the following statements should the nurse make? - CORRECT ANSWER An epidural given to early can
prolong labor
A nurse is caring for a client who is in labor. The client questions application of an internal fetal scalp
monitor. Which of the following responses should the nurse provide? - CORRECT ANSWER We need to
observe your baby more closely
A nurse is providing teaching about newborn bath to a client who is two days postpartum which of the
following pieces of information should the nurse include? - CORRECT ANSWER Watch the newborns
face with plain warm water
A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following
assessments by the parent demonstrates an understanding of the teaching? - CORRECT ANSWER I
should stop swaddling my baby once she is able to roll over by herself
GRADED A+
A nurse is providing care to a client who is in labor. A fetal heart tracing shows early decelerations.
Which of the following actions should the nurse take? - CORRECT ANSWER Continue to monitor the
fetal heart tracing.
A nurse is assessing a client who is 14 hours postpartum and has a third-degree her new laceration. The
clients temperature is 37.8°C (100°F), and her fundus is firm and slightly deviated to the right. The client
reports a gush of blood when she ambulate's and no bowel movement since delivery. Which of the
following actions should the nurse take? - CORRECT ANSWER Assist the client to empty her bladders
A nurse on the antepartum unit is caring for a client who is at 28 weeks gestation and reports dizziness
when lying on her back. Into which of the following positions should the nurse assess the client? -
CORRECT ANSWER Lateral
A nurse is providing teaching for a client at seven weeks of gestation who is experiencing nausea and
vomiting. Which of the following client statements indicates to the nurse and understanding of the
teaching? - CORRECT ANSWER I should have a small snack before bedtime
A nurse is assessing a client who is at 36 weeks of gestation which of the following manifestations should
the nurse recognize as a potential prenatal complication and report to the provider? - CORRECT
ANSWER Double vision
A nurse is assessing a client who is at 34 weeks gestation and has a cardiac disorder the nurse should
notify the provider about which of the following assessment findings? - CORRECT ANSWER The client
reports a frequent cough
A nurse is caring for a client who is in labor the client speaks a different language than the nurse and he's
been missing. Which of the following actions should the nurse take while waiting for an interpreter?
- CORRECT ANSWER Change the clients position
,A nurse is providing teaching for a client who is pregnant and has type one diabetes mellitus. Which of
the following statements should the nurse include in the teaching? - CORRECT ANSWER You should
expect to decrease your insulin dosage immediately after you deliver your baby
A nurse is caring for a client in labor and observes a pattern of early decelerations on the fetal monitor.
Which of the following actions should the nurse take? - CORRECT ANSWER Document the findings and
continue to monitor
A nurse is preparing to administer naloxone to a newborn. Which of the following conditions can require
administration of this medication? - CORRECT ANSWER IV narcotics administered to the mother during
labor
A nurse is caring for a client labor who has an epidural for pain relief. Which of the following is a
complication of the epidural block? - CORRECT ANSWER Hypotension
A nurse at a prenatal clinic is teaching a client how to perform a kick count. Which of the following
statements should the nurse include in the teaching? - CORRECT ANSWER Before bedtime is a good
time to start counting the kicks
A nurse is teaching a group of clients who are pregnant about vitamin K for newborns. Vitamin K helps
prevent which of the following conditions in a newborn? - CORRECT ANSWER Intracranial hemorrhage
A nurse is caring for a newborn who has neonatal abstinence syndrome which of the following Clinical
findings should the nurse expect? - CORRECT ANSWER Exaggerated reflexes
A nurse is creating a plan of care for a client who is in the active stage of labor and expresses a desire to
use nonpharmacological methods of pain relief. Which of the following intervention should the nurse
include? - CORRECT ANSWER Assist the client into a warm shower
,A nurse is providing teaching to a client who has come to the family planning clinic requesting an
intrauterine device IUD. Which of the following pieces of information should the nurse provide to the
client? - CORRECT ANSWER Your risk for ectopic pregnancy increases with an IUD
A nurse is teaching a client who is pregnant and has pre-gestational diabetes about dietary changes.
Which of the following statements should the nurse include in the teaching? - CORRECT ANSWER
Carbohydrates should make up 55% of your diet
A provider does a client at 12 weeks gestation who practices Hinduism that she needs more protein in
her diet and suggest eating more meat after the provider leaves the examination room the client tells
the nurse that eating animal products will cause her to miscarry. Which of the following responses
should the nurse make? - CORRECT ANSWER Let's discuss other foods that are also high in protein that
you can substitute for meat
A nurse is caring for a client who is in labor. A vaginal examination reveals the following findings: 2 cm,
50%, +1, right occiput anterior (ROA). Based on this information, which of the following fetal position
should the nurse document in the medical record? - CORRECT ANSWER Vertex
A nurse is teaching a client about squatting exercises during pregnancy. Which of the following
statements should the nurse include? - CORRECT ANSWER These exercises should be done for 15
minutes each day to strengthen the peroneal muscles
A nurse is providing care to a client who is 12 hours postpartum and is receiving oxytocin IV. The client
asked the nurse, why is there so little bleeding? Which of the following responses should the nurse
make? - CORRECT ANSWER The bleeding is minimal until I discontinue your IV medication
A nurse is planning care for a Client who is post partum and has cardiac disease. For which of the
following prescriptions should the nurse seek clarification? - CORRECT ANSWER Monitor the clients
weights weekly
A nurse is caring for a client who is at 35 weeks of gestation and he scheduled to undergo an
amniocentesis. Which of the following statements should the nurse make? - CORRECT ANSWER You will
feel so much discomfort during this procedure
, A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of the following findings
should the nurse report to the provider? - CORRECT ANSWER 3+ deep tendon reflexes
A nurse is providing teaching about exercise for a client who is pregnant which of the following pieces of
information should the nurse include? - CORRECT ANSWER Vigorous exercise it should be limited and
should not be performed in hot humid weather
A nurse is caring for several clients. Which of the following clients should the nurse identify as a
candidate for oral contraceptives a - CORRECT ANSWER A client who is breast-feeding a seven month
old infant
A nurse is caring for a newborn who was born to a client with a narcotic use disorder. Which of the
following nursing actions is contraindicated in the care of this newborn - CORRECT ANSWER Frequent
simulation
A nurse is discussing epidural anesthesia with a client who is receiving oxytocin to induce labor which of
the following statements should the nurse make? - CORRECT ANSWER An epidural given to early can
prolong labor
A nurse is caring for a client who is in labor. The client questions application of an internal fetal scalp
monitor. Which of the following responses should the nurse provide? - CORRECT ANSWER We need to
observe your baby more closely
A nurse is providing teaching about newborn bath to a client who is two days postpartum which of the
following pieces of information should the nurse include? - CORRECT ANSWER Watch the newborns
face with plain warm water
A nurse is teaching a postpartum client how to swaddle her newborn. Which of the following
assessments by the parent demonstrates an understanding of the teaching? - CORRECT ANSWER I
should stop swaddling my baby once she is able to roll over by herself
