ATI Maternal New born Proctored Exam 2020 –

Kaplan University

ATI Maternal Newborn Proctored Exam

1. Two days 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

 1 / 2

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

The fetal cord is being compressed due to rapid descent of the fetal head

Maternal contractions are not adequate enough to deliver the fetus

The fetus is not receiving adequate oxygen and is in distress

3. Which preoperative nursing interventions should be included for a

client who is scheduled to have an emergency cesarean birth?

Incorrect: Monitoring O2 saturations and administering pain

medications are postoperative interventions.

Powered by qwivy(www.qwivy.org)

 2 / 2