ATI MATERNAL NEWBORN
PROCTORED EXAM 2023.
100% correct answers.
1. Twodays after delivery, a postpartum client prepares for discharge.
What should the nurse teach her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra
(bright red) on days 1-3, to lochia serosa (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 postpartum hemorrhage.
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 this action?
Incorrect: A nuchal cord (cord around the neck) is associated with
variable decelerations, not late decelerations.
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 of maternal contractions.
Correct: Late decelerations are associated with uteroplacental
insufficiency and are a signof fetal hypoxia. Repeated late
decelerations indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck
PROCTORED EXAM 2023.
100% correct answers.
1. Twodays after delivery, a postpartum client prepares for discharge.
What should the nurse teach her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra
(bright red) on days 1-3, to lochia serosa (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 postpartum hemorrhage.
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 this action?
Incorrect: A nuchal cord (cord around the neck) is associated with
variable decelerations, not late decelerations.
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 of maternal contractions.
Correct: Late decelerations are associated with uteroplacental
insufficiency and are a signof fetal hypoxia. Repeated late
decelerations indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck
