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ATI PN Maternal Newborn Proctored
Exam 2024 LATEST VERSION WITH
100% VERIFIED QUESTIONS
ANDANSWERS
Real exam 2023/2024 latest update
A nurse in a health clinic is reviewing contraceptive use with a group of adolescent clients. Which of the following statements by an adolescent reflects an understanding of the teaching? A
. "A water-soluble lubricant should be used with condoms." B. "A diaphragm should be removed 2 hours after intercourse." C."Oral contraceptives can worsen a case of acne." D. "A contraceptive patch is replaced once a month." A nurse is instructing a client who is taking an oral contraceptive about danger signs to report to her provider. The nurse determines the client understands the teaching when the client states the need to report which of the following? A. Reduced menstrual flow. B. Breast tenderness. C.Shortness of breath. D. Headaches. A nurse in a clinic is teaching a client about her new prescription for medroxyprogesterone. Which of the following information should the nurse include in the teaching? (SATA) A. "Weight loss can occur." B. "You are protected against STIs." C. "You should increase your intake of calcium." D. "You should avoid taking antibiotics." E. "Irregular vaginal spotting can
occur." A nurse in an infertility clinic is providing care to a couple who has been unable to conceive for 18 months. Which of the following data should be included in the assessment? (SATA) A. Occupation.
A nurse in a prenatal clinic is caring for four clients. Which of the following clients' weight fain should the nurse report to the provider? A. 1.8kg (4 lb) weight gain and is in her first trimester.
B. 3.6kg (8 lb) weight gain and is in her first trimester. C. 6.8kg (15 lb) weight gain and is in her second trimester. D. 11.3kg (25 lb) weight gain and is in her third trimester. A nurse is caring for a client who has gonorrhea. Which of the following medications should the nurse anticipate the provider will prescribe? A. Ceftiaxone. B. Fluconazole. C. Metronidazole. D. Zidovudine. A nurse is caring for a client who is pregnant and undergoing a non stress test. The client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? A. "It is used to stimulate uterine contractions." B. "It will decrease the incidence of uterine contractions." C. "It lulls the fetus to sleep." D. "It awakens a sleeping fetus." A nurse is providing care for a client who is diagnosed with a marginal abruptio placenta. The nurse is aware that which of the following findings are risk factors for developing the condition? (SATA) A. Fetal position. B. Blunt abdominal trauma. C. Cocaine use. D. Maternal age. E. Cigarette smoking. A nurse is caring for a client who has a diagnosis of ruptured ectopic pregnancy. Which of the following findings is seen with this condition? A. No alteration in meses. B. Trans-vaginal ultrasound indicating a fetus in the uterus. C. Serum progesterone greater than the expected reference range. D. Report of severe shoulder pain. A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching? A. "Obtain an immunization against rubella early in pregnancy."
while pregnant." A nurse is administering magnesium sulfate IV to a client who has severe pre-eclampsia for seizure prophylaxis. Which of the following indicates magnesium sulfate toxicity? (SATA) A. Respirations less than 12/min. B. Urinary output less than 30 mL/hr. C. Hyperreflexic deep-tendon reflexes. D. Decreased level of consciousness. E. Flushing and sweating. A nurse is caring for a client who reports indications of preterm labor. Which of the following findings are risk factors of this condition? (SATA) A. Urinary tract infection. B.Multifetal pregnancy. C. Oliogohydramnios. D.Diabetes mellitus. E.Uterine abnormalities. A nurse is caring for a client who has a prescription for magnesium sulfate. The nurse should recognize that which of the following are contraindications for use of this medication? (SATA) A. Fetal distress. B. Preterm labor. C. Vaginal bleeding. D. Cervical dilation greater than 6 cm. E. Severe gestational hypertension. A nurse in the labor and delivery unit is caring for a client in labor and applies an external fetal monitor and to cotransducer. The FHR is around 140/min. Contractions are occurring every 8 min and 30- seconds in duration. The nurse performs a vaginal exam and finds the cervix 2 cm dilated, 50% effaced, and the fetus is at a -2 station. Which of the following stages and phases of labor is this client experiencing? A. First stage, latent phase. B. First stage, active phase. C. First stage, transition phase. D. Second stage of labor. A nurse is caring for a client who is in active labor and
becomes nauseous and vomits. The client is very irritable and feels the urge to have a bowel movement. She states, "I've had enough. I can't do this anymore. I want to go home right now."
A. Assist the client to the bathroom. B. Prepare for an impending delivery. C. Prepare to remove a fecal impaction. D. Encourage the client to take deep, cleansing breaths.
A nurse is caring for a client who is in the first stage of labor and is encouraging the client to void every 2 hr. Which of the following statements should the nurse make? A. "A full bladder increases the risk for fetal trauma." B. "A full bladder increases the risk for bladder infections." C. "A distended bladder will be traumatized by frequent pelvic exams." D. "A distended bladder reduces pelvic space needed for birth." A nurse is caring for a client who had no prenatal care, is Rh-negative, and will undergo an external version at 37 weeks of gestation. Which of the following medication should the nurse plan to administer prior to the version? A. Prostaglandin gel. B. Magnesium sulfate. C. Rho(D) immune globulin. D. Oxytocin. A nurse is caring for a client who is in lair and experiencing incomplete uterine relaxation between hypertonic contractions. The nurse should identify that this contraction pattern increases the risk for which of the following complications? A. Prolonged labor. B. Reduced fetal oxygen supply. C. Delayed cervical dilation. D. Increased maternal stress. A nurse is caring for a client who is at 42 weeks of gestation and in active labor. Which of the following findings is the fetus at risk for developing? A. Intrauterine growth restriction. B. Hyperglycemia. C. Meconium aspiration. D. Polyhydramnios. During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the uterus to be firm, mid line, and at the level of the umbilicus. Which of the following findings should the nurse interpret this data as being?
A nurse is caring for a client who is 1 hr postpartum following a vaginal birth and experiencing uncontrollable shaking. The nurse should understand that the shaking is due to which of the following factors? (SATA) A. Change in body fluids. B.Metabolic effort of labor. C. Diaphoresis. D. Decreases in body temperature. E. Decrease in prolactin levels. A nurse is caring for a client who is 1 day postpartum. The nurse is assessing for maternal adaptation and mother-infant bonding. Which of the following behaviors by the client indicates a need for the nurse to intervene? (SATA) A. Demonstrates apathy when the infant cries. B. Touches the infant and maintains close physical proximity. C. Views the infant's behavior as uncooperative during diaper changing. D. Identifies and related infant's characteristics to those of family members. E. Interprets the infant's behavior as meaningful and a way of expressing needs. A nurse is conducting a home visit for a client who is 1 week postpartum and breastfeeding. The client reports breast engorgement. Which of the following recommendations should the nurse make? A. "Apply cold compresses between feedings." B. "Take a warm shower right after feedings." C. "Apply breast milk to the nipples and allow them to air dry." D. "Use the various infant positions for feedings." A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client reports leaking urine every time she sneezes or coughs. Which of the following interventions should the nurse suggest? A. Sit-ups. B. Pelvic tilt exercise. C. Kegel exercises. D. Abdominal crunches. A nurse educator on the postpartum unit is reviewing risk
factors for postpartum hemorrhage with a group of nurses. Which of the following factors should the nurse include in the teaching? (SATA) A. Precipitous delivery. B. Obesity. C. Inversion of the uterus. D. Oligohydramnios.
B. Nystatin. C. Erythromycin. D. Ceftriaxone.
A nurse is preparing to administer a vitamin K (phytonadione) injection to a newborn. Which of the following responses should the nurse make to the newborn's mother regarding why this medication is given? A. "It assists with blood clotting." B. "It promotes maturation of the bowel." C. "It is a preventative vaccine." D. "It provides immunity." A nurse is reviewing breastfeeding positions with the mother of a newborn. Which of the following positions should the nurse discuss? A. Over-the-shoulder. B. Supine. C. Chin-supported. D. Cradle. A nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which of the following statements made by a parent indicates an understanding of the teaching? A. "His circumcision will heal within a couple of days." B. "I should remove the yellow mucus that will form." C. "I will clean his penis with each diaper change." D. "I will give him a tub bath within a couple of days." A nurse is caring for a client who is at 42 weeks gestation and in labor. The client asks the nurse what should she expect because her baby is post mature. Which of the following statements should the nurse make? A. "Your baby will have excess body fat." B. "Your baby will have flat areola without breast buds." C. "Your baby's heels will easily move to his ears." D. "Your baby's skin will have a leathery appearance." A nurse is caring for a newborn who is preterm and has respiratory distress syndrome. Which of the following should the nurse monitor to evaluate the newborn's conditions following administration of synthetic surfactant? A. Oxygen saturation. B. Body temperature. C. Serum bilirubin.
nurse make? A. Retained bile in the liver results in delayed digestion. B. Increased estrogen production causes increased secretion of hydrochloric acid. C. Pressure from the growing uterus displaces the stomach. D. Increased progesterone production causes decreased motility of smooth muscle. D. Increased progesterone production causes a relaxation of the cardiac sphincter of the stomach and delayed gastric emptying, which can result in heartburn. A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make? A. "It would be best if you gained about 11 to 20 pounds." B. "The recommendation for you is about 15 to 25 pounds." C."A gain of about 25 to 35 pounds is recommended for you." D. "A gain of about 1 pound per week is the best pattern for you." B. Clients who are overweight, having a BMI of 25 to 29.9, should be advised that the recommended weight gain is 7 to 11.5 kg (15 to 25 lb). The pattern of weight gain is also important, with minimal gain in the first trimester. A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification? A. "I should drink about 2 liters of fluid each day." B. "It is okay for me to eat cold cuts so long as they are heated until steaming hot just before serving." C. "I can have a moderate amount of caffeine daily." D. "I should increase my calcium intake to 1, milligrams per day" D. A woman's dietary reference intake (DRI) of calcium for pregnancy and lactation is the same for a woman who is not pregnant. The DRI for a woman older than 19 years of age is 1,000 mg/day, which should supply enough calcium for fetal bone and tooth development and to maintain maternal bone mass. A nurse in a prenatal clinic is completing a skin assessment
of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply). A. Eczema B. Psoriasis C. Linea nigra D. Chloasma E. Striae gravidarum
