ATI MATERNAL NEWBORN PROCTORED EXAM WITH RATIONALES ANSWERS 2019-2022 Version 1-3

ATI MATERNAL NEWBORN PROCTORED EXAM WITH RATIONALES ANSWERS 2019-2022 Version 1-3

ATI MATERNAL NEWBORN PROCTORED2019-2022/23 VERSION 1,2 and 3

 2019 VERSION 1 [70 Correct QUE+ANS]

 2020 [17 Correct Que+Ans WITH 4 MULTIPLE CHOICES]

 2021 VERSION 2 [70 Correct QUE+ANS] WITH 4 MULTIPLE CHOICES

 2021 VERSION 3 ATI COMPREHENSIVE PREDICTOR REVISION GUIDE

500+ Correct Questions & Answers

 2022 ATI Proctored Exam Maternal Newborn With rationales Answers

[70 Correct Que+Ans] V1 2022 Version 2

 2022/23 ATI Proctored Exam Maternal Newborn with Rationales Version 3 [69

Que+Ans]

ATI_MATERNAL_NEWBORN_PROCTORED_2019 [70 Que+Ans]

Version 1

1. A charge nurse is teaching a group of staff nurses about fetal monitoring

during labor. Which of the following findings should the charge nurse instruct the

staff nurses to report to the provider?

C. Absent early deceleration of fetal heart rate

2. A nurse is assisting the provider to administer a dinoprostoneinsertlabor

for a client.Which of the following actions should the nurse take?

A. Place the client insemi-lower position for 1hr afteradministration

3. A nurse is planning to teach a group of clients who are pregnant about

breastfeeding after returning to work.Which of the following information should the

nurse include inthe teaching?

B. "Breast milk can be stored ina deep freezer for 12months."

4. A nurse is caring for a 2-day-old newborn who was born at 35 weeksof

gestation. Which of the following actions should the nursetake?

D. Inset an orogastric decompression tube with low wallsuction

5. A nurse is providing teaching about terbutaline to a client who is

experiencing preterm labor.Which of the following statements by the client

indicates an understanding of the teaching?

D. "This medication could cause me to experience heart palpitations."

6. A nurse is caring for a newborn who is 6 hr old and has a bedside

glucometer reading of 65 mg/dL. the newborn's mother has type 2diabetes

mellitus. Which of the following actions should the nursetake?

B. Reassess the blood glucose level prior to the next feeding

7. A nurse is teaching a prenatal class regarding false labor.Which of the

following information should the nurse include?

D. "Your contractions willbecome temporarilyregular."

8. A nurse is assessing a client who is at 37 weeks of gestation. Which of the

following statements by the client requires immediate intervention by the nurse?

D. "It burns when I urinate."

9. A nurse is providing teaching about expected changes during pregnancyto a

client who is at 24 weeks of gestation. Which of the following information should

the nurse include?

D. "Youshould expect your uterus to double insize."

10. A nurse is assessing a preterm newborn who is at 32 weeks ofgestation.

Which of the following findings should the nurse expect?

D. Sparse lanugo

11. A nurse is reviewing the electronic medical record of a postpartum client. the

nurse should identify that which of the following factors places the client at risk

foran infection?

D. Meconium-stained fluid

12. A nurse ina provider's office is assessing a client at her first antepartum

visit. the client states that the first day of her last menstrual period was

March

8. Use the Nagele's rule to calculate the estimated date of delivery. (use the MMDD

format with four numerals and no spaces or punctuation.)

1215

13. A nurse is planning care for a full-term newborn who is receiving phototherapy.

Which of the following actions should the nurse include inthe plan of care?

B. Avoid using lotion or ointment on the newborn's skin

14. A nurse is caring for a client who is experiencing preterm labor and has a

prescription for 4 doses of dexamethasone 6 mg IM every 12-hr. Available is

dexamethasone 10 mg/mL. How many mL of dexamethasone should the nurse

administer per dose? (Round the answer to the nearest tenth. Use a leadingzero

ifit applies. Do not use as trailing zero.)

0.6

15. A nurse is caring for a client who is inlabor and requestnonpharmacological

pain management. Which of the following nursing actions promotes client

comfort?

C. Assisting the client into a squatting position

A. A nurse is performing an initial assessment of a newborn who wasdelivered

with a nuchal cord. Which of the following clinical findings should the

nurse expect?

B. Facial petechiae

16. A nurse is caring for a client who is receiving prenatal care and is at her 24-

week appointment. Which of the following laboratory tests should the nurse plan

toconduct?

B. Blood type and Rh

17. A nurse is assessing a newborn upon admission to the nursery. Which of

the following findings should the nurse expect?

C. Chest circumference 2 cm (0.8in) smaller than the headcircumference

18. A nurse is reviewing laboratory results for a client who ispregnant.The

nurse should expect which of the following laboratory values to increase?

B. Fasting blood glucose

19. A nurse is teaching about clomiphene citrate to a client who isexperiencing

infertility.Which of the following adverse effects should the nurse include?

D. Breast tenderness

20. A nurse ina provider's office is caring for a 20-year-old client who is at 12

weeks of gestation and request an amniocentesis to determine the sex of the

fetus. Which of the following responses should the nursemake?

B. "We can schedule the procedure for later today if you'd like."

21. A nurse inwomen's health clinic is obtaining a health history from a client.

Which of the following findings should the identify as increasing the client'srisk

fordeveloping pelvic inflammatory disease (PID)?

B. Chlamydial infection

22. A nurse is assessing a client who is 6 hr postpartum and has endometritis.

Which of the following findings should the nurse expect?

A. Uterine tenderness

23. A nurse is assessing a newborn who was born postterm. Which of

thefollowing findings should the nurse expect?

B. Nails extending over tips of fingers

24. A nurse is caring for a client following an amniocentesis. the nurse should

observe the client for which of the following complications?

A. Hemorrhage

25. A nurse is assessing a newborn following a forceps-assisted birth. Which of

the following clinical manifestations should the nurse identify as a complication of

this birth method?

C. Facial palsy

28. A nurse on the labor and delivery unit is assessing four clients. Which

ofthefollowing clients is a candidate for an indication of labor with misoprostol?

B. A client who has gestational diabetes mellitus

29. A nurse is providing discharge teaching to a client following tubal ligation.

Which of the following statements by the client indicates an understanding of

the teaching?

B. "Ovulation willremain the same."

30. A nurse is assessing a newborn immediately following a vaginal birth. For

which of the following findings should the nurse intervene?

A. Sternal retractions

31. A nurse manager on the labor and delivery unit is teaching a group ofnewly

licensed nurses about maternal cytomegalovirus. Which of the

followinginformation should the nurse manager include intheteaching?

A. "Transmission can occur via the saliva and urine of the newborn."

32. A nurse is assessing a newborn following a forceps assisted birth. Which of

thefollowing clinical manifestations should the nurse identify as a complication of

thebirth method?

C. FacialPalsy

33. A nurse is caring for a client who has hyperemesis gravidarum. Which of

thefollowing laboratory tests should the nurse anticipate?

Urine Ketones

34. A nurse caring for a client who is at 20 weeks of gestation and has

trichomoniasis. Which of the following findings should the nurse

expect?A. Thick, White Vaginal Discharge

35. A nurse is caring for a client who is 14 weeks of gestation. At which the

following locations should the nurse place the Doppler device when

assessing the fetal heart rate?

A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysispubis

36. .A nurse is assessing a client who is at 27 weeks of gestation and has

preeclampsia. Which of the following findings should the nurse report to

the provider? Platelet Count 60.000/ mm3

37. A nurse is planning care for a newborn who has neonatal abstinence syndrome.

Which of the following interventions should the nurse include intheplan of care.

D. Swaddle the newborn ina flexedposition

38. A nurse is caring for a newborn who is 6 hr old and has a bedside

glucometer reading of 65 mg/ dL. the newborn's mother has type

2diabetes mellitus. Which of the following actions should the nurse

take?D. Reassess the blood glucose level prior to the nextfeeding

39. A nurse is providing nutritional guidance to a client who is pregnant and

follows a vegan diet. the client asks the nurse which foods she should eat to

ensureadequate calcium intake. the nurse should instruct the client that

whichof the following foods has the highest amount of calcium?

D. 1 cup cooked broccoli

40. A nurse is caring for a client who is inthesecond stage of labor. Which of

thefollowing manifestations should the nurse expect?

D. The client delivers the newborn

41. A nurse is planning care for a client who is receiving oxytocin by continuous IV

infusion for labor induction. Which of the following interventions should the

nurse include intheplan?

Increase the infusion rate every 30 to 60 min.

42. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of

gestation. Which of the following actions should the nurse the nurse takes?

(Click on the "Exhibit" Button for additional information about the newborn. the

re are three tabs that contain separate categories of date.)

Measure the abdominal circumference at the level of the newborn's umbilicus every

2hr.

43. A nurse is caring for a client who is receiving oxytocin for induction of labor

and notes late decelerations of the fetal heart rate on the monitor Tracing.

Whichof the following action should the nurse take?

Place the client inlateral position.


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