ATI Maternal Newborn Proctored
Exam 2022
(Part II)
ATI MATERNAL NEWBORN PROCTORED EXAM 2022
1. A nurse is reviewing laboratory results for client who
... [Show More] is pregnant. The Nurse
should expect which of the following laboratory values to increase?
A. RBC count
B. Bilirubin
C. Fasting blood glucose
D. Bun
ANS: A
RBC count increases from million/mm3 4.2-5.4 to 5-6.25 million/mm3 during pregnancy.
2. A nurse is caring for a client who is experiencing preterm labor and has a
prescription for 4 doses of dexamethasone 6 mg IM 12 hr. Available in
dexamethasone 10 mg/mL. How many mL of dexamethasone should the nurse
administer per dose? (Round the answer to he nearest tenth. Use a leading zero if it
applies. Do not use trailing zero.)
ANS: 0.6 m
3. A nurse is caring for four clients. For which of the following clients should the
nurse auscultate the fetal heart rate during the prenatal visit?
A. A client who has an ultrasound that confirms a molar pregnancy
B. A client who has a crown-rump length of 7 weeks gestation
C. A client who has a positive urine pregnancy test 1 week after missed menses
D. A client who has felt quickening for the first time.
ANS: D
In pregnancy terms, quickening is the moment in pregnancy when the pregnant woman starts
to feel or perceive fetal movements in the uterus.
part II
@Nursehan (THE TECHANT)
4. A nurse is planning care for a full-term newborn who is receiving phototherapy.
Which of the following actions should the nurse include in the plan of care?
A. Dress the newborn in lightweight clothing.
B. Avoid using lotion or ointment on the newborn skin.
C. Keep the newborn supine throughout treatment
D. Measure the newborn’s temperature every 8hr
ANS: B
Frequent skin care is important, but do not use lotions, creams, balms, or ointments on
uncovered skin. These products react with the phototherapy lights and cause burns.
5. A nurse is receiving laboratory results for a term newborn who is 24 hrs. old.
Which of the following results require intervention by the nurse?
A. WBC count 10,000/mm3
B. Platelets 180,000/mm3
C. Hemoglobin 20g/dL
D. Glucose 20 mg/dL
ANS: D
But at birth, it's common for a newborn to have a blood glucose level as low as 30 mg per dl,
which will gradually increase to 54 to 72 mg/dl. According to guidelines from the American
Academy of Pediatrics, the generally accepted blood glucose level for treating newborn
hypoglycemia is 47 mg/dl.
6. A nurse is assessing a client following an amniocentesis. Which of the following
findings should the nurse recognize as complications? (select all that apply).
A. Amnionitis
B. Urinary tract infection
C. Polyhydramnios
D. Leakage of amniotic fluid
E. Preterm labor
ANS: A, D, E
Amniocentesis is a well-known procedure performed during pregnancy for diagnostic and
therapeutic purposes. Typical complications of the procedure include infection of the
amniotic sac, preterm labor, respiratory distress, fetal deformities, trauma, alloimmunization,
and failure of the puncture wound to heal properly.
part II
@Nursehan (THE TECHANT)
7. A nurse on a labor and delivery unit is reviewing infection control standards with a
newly licensed nurse. The nurse should instruct the newly licensed nurse to don
gloves for which of the following procedures?
A. Assisting a mother with breastfeeding
B. Performing a newborn’s initial bath
C. Administering the measles, mumps, rubella vaccine
D. Performing umbilical cord care
ANS: D
Wear gloves when a reasonably anticipated possibility exists that contact with blood or other
potentially infectious materials, mucous membranes, nonintact skin, or potentially
contaminated intact skin (e.g., of a patient incontinent of stool or urine) might occur. Gloves
should be worn during infant eye prophylaxis, care of the umbilical cord, circumcision site,
parenteral procedures, diaper changes, contact with colostrum, and postpartum assessments.
Wear gloves with fit and durability appropriate to the task.
8. A nurse is providing teaching to a client who has mild preeclampsia and will be
caring for herself at home during the last 2 months of pregnancy. Which of the
following statements by the client indicates an understanding of the teaching?
A. “I will count baby’s kicks every other day.”
B. “I will alternate the arm use to check my blood pressure.”
C. “I will check my urine for protein daily.”
D. “I will consume 50 grams of protein daily.”
ANS: C
This urine will be tested to see if you are passing more than 300 mg of protein in a day. Any
amount of protein in your urine over 300 mg in one day may indicate preeclampsia. However,
the amount of protein doesn't define how severe the preeclampsia is or may get. To test your
urine protein at home on a daily basis, use a simple test kit containing a urine testing strip that
you dip into a fresh sample of your urine.
part II
@Nursehan (THE TECHANT)
9. A nurse is caring for four newborns. Which of the following newborns should the
nurse assess first?
A. newborn who has nasal flaring
B. newborn who has subconjunctival hemorrhage of the left eye
C. A newborn who has overlapping suture lines
D. A newborn who has not rust-stained urine
ANS: A
Based on the ABC rule, respiratory distress needs more attention. Nasal flaring occurs when
the nostrils widen while breathing. It is often a sign of trouble breathing. Nasal flaring may
be an indication of breathing difficulty, or even respiratory distress in infant.
10. 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 for
infection.
A. Meconium-stained fluid
B. placenta previa
C. Midline episiotomy
D. Gestational hypertension
ANS: C
Midline episiotomy puts the client in risk for infection. [Show Less]