Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

ATI RN MATERNAL NEWBORN PROCTORED 2019 NGN 70 EXAM QUESTIONS & CORRECT ANSWERS, Exams of Nursing

York UniversityNursing

ATI RN MATERNAL NEWBORN PROCTORED 2019 NGN 70 EXAM QUESTIONS & CORRECT ANSWERS

Typology: Exams

2024/2025

Available from 07/03/2025

clara-perez-33
clara-perez-33 🇨🇦

127 documents

1 / 17

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
lOMoARcPSD|43806773
ATI RN MATERNAL NEWBORN
PROCTORED 2019 NGN 70 EXAM
QUESTIONS & CORRECT ANSWERS
1. A nurse is using Nagele’s Rule to calculate the expected delivery date of a client who
reports that the first day of her last menstrual cycle was July 28th. Which of the following
dates should the nurse document as the client’s expected delivery date?
a. May 5th−3 months & + 7 days
b. April 21st
c.
−−
d.
−−
2. A nurse is caring for a client who is in active labor and has gonorrhea. For which of the
following potential complications of gonorrhea should the nurse monitor? *OB
Prologue*
a. Excessive bleeding after birth
b. Vaginal laceration during birth
c. Oligohydramnios
d. Chorioamnionitis−infection of the membranes
3. A nurse is providing teaching to a postpartum client who has a prescription for a rubella
immunization. Which of the following client statements indicates understanding of the
teaching?
a. “I will receive a series of three immunizations and each one will be a month
apart”
b. “I should avoid breastfeeding for 2 weeks following the immunization”c. “I
should avoid becoming pregnant for at least 1 month followingthe
immunization”
d. “I will report joint pain that develops after the immunization to my provider
immediately”
4. A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying
to increase intake of vitamin B12 which of the following foods should the nurse
recommend? a. Brown rice
b. Fresh citrus fruits − high in vitamin C
c. Carrots
d. Fortified Soy milk
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff

Partial preview of the text

Download ATI RN MATERNAL NEWBORN PROCTORED 2019 NGN 70 EXAM QUESTIONS & CORRECT ANSWERS and more Exams Nursing in PDF only on Docsity!

ATI RN MATERNAL NEWBORN

PROCTORED 2019 NGN 70 EXAM

QUESTIONS & CORRECT ANSWERS

  1. A nurse is using Nagele’s Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client’s expected delivery date? a. May 5th− 3 months & + 7 days b. April 21st c. −− d. −−
  2. A nurse is caring for a client who is in active labor and has gonorrhea. For which of the following potential complications of gonorrhea should the nurse monitor? OB Prologue a. Excessive bleeding after birth b. Vaginal laceration during birth c. Oligohydramnios d. Chorioamnionitis−infection of the membranes
  3. A nurse is providing teaching to a postpartum client who has a prescription for a rubella immunization. Which of the following client statements indicates understanding of the teaching? a. “I will receive a series of three immunizations and each one will be a month apart” b. “I should avoid breastfeeding for 2 weeks following the immunization”c. “I should avoid becoming pregnant for at least 1 month followingthe immunization” d. “I will report joint pain that develops after the immunization to my provider immediately”
  4. A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12 which of the following foods should the nurse recommend? a. Brown rice b. Fresh citrus fruits − high in vitamin C c. Carrots d. Fortified Soy milk
  1. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal cord. Which of the following clinical findings should the nurse expect? OB Prologue a. Periauricular papillomas b. Telangiectatic nevi−stork bites; flat pink or red marks that easily blanch & are found on theback of the neck, nose, upper eyelid, and middle of the forehead; usually fade by 2nd year of life c. Petechiae d. Erythema toxic − newborn rash
  2. 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 2 diabetes mellitus. Which of the following actions should the nurse take? a. Administer 50 mL of dextrose solution IV. b. Feed the newborn immediately c. ???? for serum glucose level d. Recheck prior to next feeding
  3. A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks of gestation. Which of the following actions should the nurse take? (Click on the “exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.) Neisseria gonorrhoeae in prenatal history exhibit 3 a. Obtain a maternal serum alpha−fetoprotein specimen b. Obtain a blood culture c. Administer ceftriaxone IMATI pg. 53 Gonorrhea (Neisseria gonorrhoeae) d. Administer rubella vaccine
  4. A client who is at 16 weeks of gestation asks a nurse how to prepare her toddler to have a younger sibling. Which of the following statements should the nurse make? a. “You should hold your newborn in your arms when you introduce him to your toddler” b. “ you should place your toddler in time−out if she exhibits regressive behavior after the baby is born” c. “You should give your toddler a gift from the baby when she visits you in the facility” d. “You should move your toddler out of her crib 2 weeks prior to your due date”
  5. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan? a. Dress the newborn in a thin layer of clothing during therapy.b. Ensure the newborn’s eyes are closed beneath the shield. c. Give the newborn 1 oz of glucose water every 4 hr.

a. Keep the newborn in a side−lying position. b. Restrict the newborn’s fluid intake. c. Cover the newborn’s bladder with a sterile, non−adherent dressing. d. Exert gentle pressure on the newborn’s bladder with sterile gauze.

  1. A nurse is caring for a newborn who has exstrophy of the bladder. Which of the following actions should the nurse take prior to the beginning of surgical correction? OB Prologue a. Keep the newborn in a side−lying position b. Restrict newborn’s fluid intake c. Cover the newborn’s bladder with sterile, non−adherent dressing d. Exert gentle pressure on the newborn’s bladder with sterile gauze
  2. A nurse is teaching a client and her partner about the technique of counter pressure during labor. Which of the following statements by the nurse is appropriate? a. “Your partner will apply upward pressure on your lower abdomen between contractions.” b. “Your partner will apply pressure to the top of your uterus during contractions.” c. “Your partner will apply steady pressure with a tennis ball to your lowerback.” d. “Your partner will apply continuous, firm pressure between your thumb and indexfinger.”
  3. A nurse is providing dietary teaching to a client who is at 32 weeks of gestation and has cholelithiasis. Which of the following foods should the nurse recommend for the client to include in her diet? a. Bacon cheeseburger b. French fried c. Baked chickencholelithiasis is the formation ofgallstones. d. Whole milk
  4. A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider? a. The client has a fundal height of 38 cm.Should range + or − 2 cm .(the fundal height should be 32cm, 38cm is way too big and the baby is macrosomic) b. The client reports 12 fetal movements in 1 hr. c. The client has a fasting blood glucose of 90 mg/dL. d. The client has non−pitting pedal edema.
  1. A nurse is caring for a client who is at 30 weeks of gestation and receiving magnesium sulfate for preeclampsia. The nurse should recognize which of the following manifestations as an adverse reaction to the medication? OB Prologue a. Respiratory rate 16/min b. Hyperglycemia c. Hypertension d. 20 ml/hrurine
  2. A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect? a. WBC count 9,000/mm b. Uterine tenderness (course hero) c. Temperature 37.4 C (99.3 F) d. Scant lochia Rationale: Endometritis is a phenomenon of occurrence of the inflammation of the endometrium lining. Some of the common symptoms of endometritis are abnormal vaginal bleeding, pain in the abdomen, and fever. Scant lochia is the bloody discharge associated with the postpartum after delivery of the child.
  3. A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include? OB Prologue a. Offer the newborn 30 mL (1oz) of water between feedings b. Expect two to four wet diapers every 24 hrc. Allow the baby to feed at least every 3hr d. Feed the newborn 5−10 mins per breast − (at least 15−20 minutes)
  4. A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify which of the following factors places the client at risk for an infection? a. Placenta previa b. Midline episiotomy(course hero) c. Meconium−stained fluid d. Gestational hypertension Rationale: Midline episiotomy is associated with the occurrence of the higher risk of postpartum perineal infections in the women after delivery. It is associated with an increasing pain, discharge, edema.
  5. A nurse is caring for a client who is in labor and just received epidural anesthesia. The client’s blood pressure is 90/58 mm Hg. Which of the following actions should the nursetake? OB Prologue a. Turn the client on their side.

29. A nurse is caring for a client who is in the latent phase of the first stage of labor and is in pain. Which of the following nursing interventions are appropriate to reduce pain? ( Select all that apply) a. Have the client sit in a tub of warm water b. Apply counterpressure to the sacral area c. Perform Leopold maneuvers d. Ambulate the client in the hallway e. Administer 70% nitrous oxide mixed with oxygen

  1. A nurse in a provider’s office is caring 20 year old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make? OB Prologue a. “Your provider will schedule a chorionic villus samplilng to determine the sex of your baby. b. You cannot have an amniocentesis until you are at least 35 years of age c. We can schedule the procedure for later today if you’d like d. This procedure determines if your baby has genetic or congenital disorders
  2. A nurse is observing an adolescent client who is offering her newborn a bottle while he is lying in the bassinet. When the nurse offers to pick the newborn up and place him in the client’s arms, the mother states, “No, the baby is too tired to be held.” Which of the following actions should the nurse take?OB Prologue a. Demonstrate how to hold the newborn and allow the client to practice. b. Persuade the client to breastfeed the newborn to promote bonding. c. Offer to take the newborn to the nursery to finish hid feeding. d. Insist that the mother pick up the newborn to fed him.
  3. A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for conception. Which of the following statements by the client indicates an understanding of the teaching? a. I will need to return to the clinic in 8 week for my next injection −ATI pg. 8, injections every 11 to 13 weeks b. I should discontinue this medication if i experience spotting −expected finding c. I should increase my calcium intake while on this medication −ATI pg. 8 decreased bone mineral density d. Will get two shots each time I receive this medication only 4 injections per year
  1. A nurse is discussing risk factors of postpartum hemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum hemorrhage that the nurse should include in the teaching? a. Oligohydramnios b. Retained placental fragmentsATI pg. 140 uterine atony can lead to postpartum hemorrhage−> retained placental fragments c. −− d. −−
  2. A nurse is planning care for a client who is pregnant and has HIV. Which of the following actions should the nurse include in the plan of care? a. Use a fetal scalp electrode during labor and delivery b. Instruct the client to stop taking antiretroviral medications at 32 weeks of gestation c. Bathe the newborn before initiating skin to skin contact−ATI pg. d. Administer a pneumococcal immunization to the newborn within 4 hr following birth
  3. A nurse in a newborn nursery is receiving a change−of−shift report for four newborns. Which of the following newborns should the nurse assess first? a. A newborn who has a short frenulum and is having difficulty breastfeeding b. A newborn who is 24 hr old and has not had a meconium stoolc. A newborn who is 10 hr old and has new onsettachypnea d. A newborn who is 30 hr old and has blood−tinged discharge in her diaper−expected
  4. A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit? a. Urinary tract infection b. Cataracts c. Macrosomia d. Hearingloss
  5. A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include? a. “ You should store your diaphragm in sterile water after each use.” b. “You should use an oil−based vaginal lubricant when inserting your diaphragm.” c. “You should have your provider refit you for a new diaphragm.”−ATI pg. 6 replace every 2 years, and after every pregnancy d. “You should keep the diaphragm in place for at least 4 hours after intercourse.”
  1. A nurse is planning care for a client following chorionic villus sampling. The nurse should recognize that the client is at risk for developing which of the following complications? a. Infection b. Anemia c. Late decelerations d. Placental insufficiency
  2. A nurse is caring for a client who is at 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make? a. “Drink additional liquids with each meal.” b. Avoid eating snacks before bedtime c. Consume foods served at cool temperatures d. Eat a high fat snack before getting out of bed
  3. A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions? OB Prologue a. Postpartum hemorrhage b. Incompetent cervix c. Hyperemesis gravidarum d. Ectopic pregnancy
  4. A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed? OB Prologue a. The newborn’s pulse oximetry is 91% b. The newborn is beginning to cough c. The newborn’s respiratory rate is irregular d. The newborn’s respiratory rate is 32/min
  5. A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect? a. Decreased startle responseb. High−pitched cry c. Hypotonicity d. Increased head circumference
  6. A nurse caring for a client who is at 30 weeks of gestation. The nurse should plan to immunize the client with which of the following vaccines? (SATA) a. Humanpapillomavirus−The vaccine isnotrecommendedfor pregnant women b. Diphtheria−acellular pertussis−CDC yes also known as Tdap c. Varicella

d. Measles, mumps, and rubellae. Inactivatedinfluenza

  1. 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 ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium? a. ½ cup cubed avocado b. 1 cup cooked broccoli −Broccoli 1cup = 100 mg & Collard greens 1cup = 266 mg
  2. A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take? OB Prologue
  1. A nurse is caring for four antepartum clients. WHich of the following clients should the nurse assess first? OB Prologue a. A client is at 7 weeks of gestation and reports urinary frequency A client who is at 38 weeks of gestation and reports leg cramps c. A client who is at 32 weeks of gestation and reports seeing floating spots d. A client who is at 20 weeks of gestation and reports periodic numbness in her fingers
  2. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? a. Prothrombin time b. Urine culture c. Rapid plasma reagind. Ketones
  3. A nurse is providing teaching about the expected effect magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate? OB Prologue a. “This medication increases cardiac output.” b. “This medication stabilizes the fetal heart rate.” c. “This medication improves tissue perfusion.” d. “This medication prevents seizures.”
  4. A nurse is reviewing the laboratory results of a newborn. Which of the following findings should the nurse report to the provider? a. Hemoglobin 16 g/dL b. Blood glucose 58 mg/dL c. Platelets 100,000/mm3normal range for platelets newborns & infants 150 × 103 to 450 ×10^3 /mcL, d. ???
  5. 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? 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? OB Prologue a. Platelet count 60,000/mm b. Creatinine 0.8 mg/dL c. Urine protein concentration 200 mg/24 hr d. Hemoglobin 14.8 g/dL
  1. A nurse is caring for a client who is receiving prenatal care and is at her 24 week appointment. Which of the following laboratory test should the nurse plan toconduct? a. Group B strep culture b. Blood type and Rh Rubella titer d. 1−hr glucose tolerance test24−28 weeks
  2. A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider? a. Urinary output 40 mL/hr b. Fasting blood glucose 75 mg/dLc) BP 88/58 mmHg d) FHR 120/min
  3. A nurse is conducting a class for a group of clients about birth control. Which of the following information should the nurse include in the teaching? OB Prologue a. “You will not need to use birth control for 1 month after receiving emergency contraception.” b. “You should use spermicide 3 hours prior to sexual intercourse.” ATI pg. 5 ,plan to insert 15 min before intercourse& only effective 1 hr after insertion but should not be removed until 6 hrs after intercourse c. “Your fertility will return 6 months after your provider removes your IUD.”ATI pg. 9 contraception can be reversed with immediate return to fertility. d. “You should have an annual examination to assess your diaphragm.”most correct its every 2 years or unless a change occurs
  4. A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy? a. Uric acid level b. Serum medication level c. Liver enzymes d. Indirect Coombs test
  5. A nurse is providing teaching to the parents of a newborn about Plastibell circumcision technique. Which of the following information should the nurse include? a. “Notify the provider if the end of your baby’s penis appears dark red.” b. “Yellow exudate will form at the surgical site in 24 hours.”
  1. A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report? a. Increased urinary output b. Increased fetal movementc) Muscleweakness d)?
  2. A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound. Which of the following statements by the client indicates an understanding of the teaching? a. “I need to take a stool softener the night before the test.” b. “I can’t have anything to eat after midnight.” c. “I will drink water before the test until my bladder feels full.” d. “I won’t apply perfumed lotion to my abdomen before the test.”
  3. A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the following statements should the nurse make? OB Prologue a. “You should name the baby so she can have an identity” b. “If you don't hold the baby, it will make letting go much harder.” c. “I'm sure you will be able to have another baby when you’re ready.”d) “You can bathe and dress your baby if you’d liketo.”
  4. A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup? OB Prologue a. Lentils b. Cabbage c. Oatmeal d. Asparagus
  5. A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs? OB Prologue

a. Contractions last 60 seconds b. Six contractions in 10 min−tachysystole 5 contractions in 10 min c. Nonrepetative early decelerations d. Moderate variability of the fetal heart rate

  1. A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take? OB Prologue a. Puncture the heel on the inner aspect of the foot b. Place an icepack on the newborn's heel 5 min before the procedure. c. Cleanse the newborns heel with an alcohol swab after the procedure d. Use an automatic puncture device on theheel
  2. A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next? a. Administer oxygen via nonrebreather mask at 8 L/min. b. Cover the umbilical cord with a sterile saturated towel. c. Initiate an infusion of IV fluids for the client. d. Perform a vaginal examination by applying upwards pressure on the presenting part.
  3. A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as contraindication to the use of suppository? a. Abdominal distension b. Afterpains c. 3rd degree lacerations d.?