ATI MATERNAL NEWBORN 2024 EXAM/ ATI
MATERNAL NEWBORN PROCTORED EXAM
2024 ACTUAL EXAM 70 QUESTIONS WITH
100% CORRECT ANSWERS /A+ GRADE
... [Show More]
ASSURED
Question 1: A nurse is caring for a client who is 2 weeks postpartum following a
cesarean birth. Which of the following clinical findings should the nurse identify as
an indication of postpartum infection?
A: Unilateral breast pain
B: Persistent abdominal
striae C: Lochia alba
D: WBC count 12,000/mm3
Answer: A: Unilateral breast pain
Question 2: A nurse is assessing client who has preeclampsia during a prenatal
visit. Which of the following findings should the nurse report to the provider?
A: Blood glucose 110 mg/Dl B: Deep tendon reflexes of 2+ C: Urine protein
of 3+
D: Hemoglobin 13 g/Dl
Answer: C: Urine protein of 3+
Question 3: A nurse is providing teaching about the expected effects of
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?
A: “This medication improves tissue perfusion.”
B: “This medication increases cardiac output.”
C: “This medication stabilizes the fetal heart
rate.” D: “This medication prevents
seizures.”
Answer: D: “This medication prevents seizures.”
nursery.
Answer: D: Obtain an imprint of the infant’s feet prior to taking him to the
Question 4: A nurse is teaching a prenatal class regarding false labor. Which of
the following information should the nurse include? A: “You will have dilation
and effacement of the cervix.” B: “Your contractions will become temporarily
regular.” C: “You will have bloody show.”
D: “Your contractions will become more intense when walking.”
Answer: B: “Your contractions will become temporarily regular.”
Question 5: A nurse manager is revising a maternal unit policy to ensure proper
identification of newborns. Which of the following should the nurse include in the
policy?
A: Check the newborn’s identification using the crib card. B:
Replace the infant’s identification band after his name has been
recorded. C: Require visitors to wear an identification band.
D: Obtain an imprint of the infant’s feet prior to taking him to the nursery.
Question 6: A nurse is caring for a client who delivered by cesarean birth 6 hr
ago. The nurse notes a steady trickle of vaginal bleeding that does not stop with
fundal massage. Which of the following actions should the nurse take? A: Apply
an ice pack to the incision site. B: Replace the surgical dressing.
C: Administer 500 mL lactated Ringer’s IV
bolus. D: Evaluate urinary output.
Answer: D: Evaluate urinary output. (Please note option C is for cases of
hydration. The correct answer is option D, and the nurse ought to encourage
the client to empty her bladder frequently (every 2 to 3 hr) to prevent
possible displacement of the uterus and atony)
Question 7: A nurse is providing discharge instructions to a client who is
postpartum and has engorged breasts. Which of the following nonpharmacological
comfort measures should the nurse include in the teaching?
A: Wear nipple shields during the
feeding. B: Use a breast binder for 2
days.
C: Use plastic-lined breast pads.
menstrual period and add
days)
7
D: Apply cabbage leaves after feedings.
Answer: D: Apply cabbage leaves after feedings.
Question 8: A nurse is calculating estimated date of birth using Naegele’s rule
for a client who is pregnant and whose last menstrual cycle started June 21.
Which of the following is the estimated delivery in the next year?
A: March 14
B: March 21
C: March 28
D: April 4
Answer: C: March 28 (Naegele’s rule: subtract 3 months from last
Question 9: A nurse is caring for a client immediately following the delivery of a
stillborn fetus. Which of the following actions should the nurse take? A: Inform
the client that the law requires her to name the fetus. B: Limit the amount of time
the fetus is in the client’s room.
C: Instruct the client that an autopsy should be performed
within 24 hr. D: Prepare the client for what to expect the
fetus to look like.
Answer: D: Prepare the client for what to expect the fetus to look like.
Question 10: 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?
a. Demonstrate how to hold the newborn and allow 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 his feeding.
d. Insist that the mother pick up the newborn to feed him.
Answer: A: Demonstrate how to hold the newborn and allow client to practice.
Question 11: A nurse is caring for a client who is in labor. Which of the
following findings should prompt the nurse to reassess the client? a.
Intense contractions lasting 45 to 60 seconds
b. An urge to have a bowel movement during contractions
c. A sense of excitement and warm, flushed skin
d. Progressive sacral discomfort during contractions Answer: d. Progressive
sacral discomfort during contractions
Question 12: 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: Hemoglobin 14.8 g/dL B:
Urine protein concentration 200
mg/24 hr C: Creatinine 0.8 mg/dL
D: Platelet count 60,000/mm3
Answer: D: Platelet count 60,000/mm3
Question 13: A nurse in a clinic is preparing to measure the fundal height of a
client who is pregnant. Which of the following actions should the nurse take?
a. Lay the tape measure horizontally over the middle of the client’s abdomen.
b. Place the client in a left-lateral position to obtain the measurement.
c. Ensure that the client has a full bladder before taking the measurement.
d. Measure from the upper border of the pubis to the upper border of the [Show Less]