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ATI PN MATERNAL NEWBORN PROCTORED EXAM QUESTIONS & VERIFIED ANSWERS GRADED A, Exams of Nursing

York UniversityNursing

ATI PN MATERNAL NEWBORN PROCTORED EXAM QUESTIONS & VERIFIED ANSWERS GRADED A

Typology: Exams

2024/2025

Available from 07/03/2025

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ATI PN MATERNAL NEWBORN PROCTORED EXAM QUESTIONS & VERIFIED
ANSWERS GRADED A
A nurse provided discharge teaching to new parents on how to care for their
newborn following circumcision. Which of the following statements by the parents
indicates the need for further clarification?
Select one:
a. "I should not remove the yellow exudate on the end of the penis."
b. "I will clean his penis with each diaper change."
c. "The circumcision will heal completely within a couple of weeks."
d. "I can give him a tub bath in two days."
d. "I can give him a tub bath in two days."
The newborn should not be immersed in water until the circumcision has healed and the
umbilical cord has detached. The circumcision should heal within two weeks.
A nurse is discussing the use of condoms with a female client. Which of the
following statements by client represents a need for further teaching?
Select one:
a. "My partner will put the condom on while his penis is erect."
b. "I will remove the condom 30 minutes after intercourse."
c. "My partner should leave an empty space at the tip."
d. "I can use spermicidal gels or creams to increase effectiveness."
b. "I will remove the condom 30 minutes after intercourse."
To avoid any semen spillage onto the vulva or the vaginal area, the condom must be
removed the same time as the penis. To do that the condom rim should be held in place
while the penis is withdrawn from the vagina.
A client reports awaking from sleep by contractions that are occurring every five
minutes and lasting 30-40 seconds. Which of the following questions should the
nurse ask to assess for true labor versus false labor?
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Download ATI PN MATERNAL NEWBORN PROCTORED EXAM QUESTIONS & VERIFIED ANSWERS GRADED A and more Exams Nursing in PDF only on Docsity!

ATI PN MATERNAL NEWBORN PROCTORED EXAM QUESTIONS & VERIFIED

ANSWERS GRADED A

A nurse provided discharge teaching to new parents on how to care for their newborn following circumcision. Which of the following statements by the parents indicates the need for further clarification? Select one: a. "I should not remove the yellow exudate on the end of the penis." b. "I will clean his penis with each diaper change." c. "The circumcision will heal completely within a couple of weeks." d. "I can give him a tub bath in two days." d. "I can give him a tub bath in two days." The newborn should not be immersed in water until the circumcision has healed and the umbilical cord has detached. The circumcision should heal within two weeks. A nurse is discussing the use of condoms with a female client. Which of the following statements by client represents a need for further teaching? Select one: a. "My partner will put the condom on while his penis is erect." b. "I will remove the condom 30 minutes after intercourse." c. "My partner should leave an empty space at the tip." d. "I can use spermicidal gels or creams to increase effectiveness." b. "I will remove the condom 30 minutes after intercourse." To avoid any semen spillage onto the vulva or the vaginal area, the condom must be removed the same time as the penis. To do that the condom rim should be held in place while the penis is withdrawn from the vagina. A client reports awaking from sleep by contractions that are occurring every five minutes and lasting 30 - 40 seconds. Which of the following questions should the nurse ask to assess for true labor versus false labor?

Select one: a. "When did your contractions begin?" b. "Have you noticed any bloody show or fluid coming from your vagina?" c. "What happens to your contractions when you move about?" d. "Have you felt fetal movement over the last 24 hours?" b. "Have you noticed any bloody show or fluid coming from your vagina?"

  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.
  2. 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
  3. 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.

C) Bradypnea D) Vomiting - D) Vomiting A nurse is assessing a newborn following a circumcision. Which of the following should the nurse identify as an indication that the newborn is experiencing pain? A) Decreased heart rate B) Chin quivering C) Pinpoint pupils D) Slowed respirations - B) Chin quivering A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse perform the following actions? ( Use all the steps and list them in order) A) Clean the newborn's diaper area B) Wash the newborn's neck by lifting the newborn's chin. C) Wipe the newborn's eyes from the inner canthus outward. D) Cleanse the skin around the newborn's umbilical cord stump. E) Wash the newborn's legs and feet. - C,B,D,E,A A nurse is assessing a client who is at 30 wks gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? A) swelling of the face B) varicose veins in the calves

C) nonpitting 1+ ankle edema D) Hyperpigmentation - A) swelling of the face A nurse is caring for a client who is in active labor and has had no cervical change in the last 4 hr. Which of the following statements should the nurse make? A) Let me help you into a comfortable pushing position so you can begin bearing down. B) I am going to call the doctor to get a prescription for medication to ripen your cervix. C) I will give you some IV pain medicine to strengthen your contractions. D) Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions. - D) Your provider will insert an intrauterine pressure catheter to monitor the strength of your contractions. A nurse in a prenatal clinic who reports that her menstrual period is 2 wks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make? A) You can miss your period for several other reasons, describe your typical menstrual cycle. B) If you have been sexually active and havent used protection, it is likely that you are pregnant. C) Lets check to see if you have any other signs of pregnancy, have you noticed any abdominal enlargement yet? D) Because you have missed your period, you should try taking a home pregnancy test before you start worrying. - A) You can miss your period for several other reasons, describe your typical menstrual cycle.

b. - Measure the client’s BP after the nurse administers antihypertensive meds.

c. −Use a communication board to ask what the client wants for lunch.

  1. A nurse is teaching a group of older adults about expected changes of aging. Which of the following statements by a group member indicates that the teaching has been effective? "I should expect my heart rate to take longer to return to normal after excessive as I get older."
  2. A nurse is caring for a client who is postoperative and has paralytic ileum. Which of the following abdominal assessments should the nurse expect? Absent bowel sounds with distention
  3. A nurse is planning care for a client who reports abdominal pain. An assessment by the nurse reveals the client has a temperature of 39.2 degrees C (1 02 degrees F), heart rate of 105/min, a soft contender abdomen, and census overdue by 2 days. Which of the following findings should be the nurse's priority? Temperature
  4. A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following actions should the nurse take? Administer analgesics to the child on a routine schedule throughout the day and night.
  5. A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse wth inspiration. the nurse auscultates a high-pitched scratching sound during both systole and diastole with diaphragm of the

stethoscope positioned at the left sternal border. Which of the following heart sounds should the nurse document? Pericardial friction rub

  1. A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which of the following statements by the AP indicates an understanding of the teaching? "There are times I should use soap and water rather than alcohol based hand rub to clean my hands."
  2. A nurse is caring for a client who is unstable and has vital signs measured every 15 minutes by an electronic blood pressure machine. The nurse notices the machine begins to measure the blood pressure at varied intervals and the readings are inconsistent. Which of the following actions should the nurse take? Discontinue the machine, and measure the blood pressure manually every 15 min.
  3. A nurse is providing teaching to a client who has heart failure about how to reduce his daily intake of sodium. Which of the following factors is the most important in determining the client's ability to learn new dietary habits? The involvement of the client in planning the change
  4. A nurse is planning to obtain the vital signs of a 2-year-old child who is experiencing diarrhea and who might have a right ear infection. Which of the following routes should the nurse use to obtain the temperature?