ATI MATERNAL NEWBORN PROCTORED EXAM
(CHECK THE LAST PAGE FOR MULTIPLE VERSIONS OF THE EXAM AND OTHER ATI EXAMS)
A nurse provided discharge teaching to ne
... [Show More] w 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 To do that the condom rim should be held in place while the penis is withdrawn from the vagina.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?"
Vaginal discharge of blood or fluid may indicate cervical dilation, and potentially rupture of membranes. False labor is characterized by painless, irregular, and intermittent contractions that decrease in frequency, duration, and intensity with walking or position changes. Contractions are felt in the lower back or above the umbilicus and often stop with comfort measures (like oral hydration). There is usually no vaginal discharge with false labor.
False labor is characterized by painless, irregular, and intermittent contractions that decrease in frequency, duration, and intensity with walking or position changes.
Telling the client to walk is not a correct response because it is an intervention rather than an assessment question.
The client who is scheduled for a nonstress test (NST) asks the nurse to explain the purpose of the test. Which of the following is the correct response?
Select one:
a. The purpose of the NST is to assess the fetal CNS.
b. The purpose of the NST helps to determine gestational age.
c. The purpose of the NST is to determine fetal lie.
d. The purpose of the NST is to determine fetal breathing.
a. The purpose of the NST is to assess the fetal CNS.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
A) Acrocyanosis
B) Transient strabismus
C) Jaundice
D) Caput succedaneum - c) jaundice
A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor
( SSRI) during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI?
A) Large for gestational age
B) Hyperglycemia
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.
A nurse is planning discharge for a client who is 3 days postpartum.Which of the following non pharmacological interventions should the nurse include in the plan of care for lactation suppression?
A) Place warm, moist packs on the breast.
B) Apply cabbage leaves to the breast.
C) Wear a loose- fitting bra.
D) Put green tea bags on the breasts. - B) Apply cabbage leaves to the breasts.
A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? ( Select all that apply).
Heart Rate 154/min Axillary temperature 96.8 F Respiratory rate 58/min
Length 43 cm (16.9in) Weight 5lb 12 oz - Heart rate Respiratory
Weight
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take?
A) Take photos of the newborn to give to the parents.
B) Tell the parents that they can consider organ donations.
C) Encourage the parents to avoid allowing older children to visit them in the hospital.
D) Explain to the parents the need to name the newborn. - Take photos of the newborn to give to the parents.
A nurse is caring for a client who is 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?
A) to estimate fetal weight
B) to locate a pocket of fluid
C) to determine multiparity
D) to pre-screen for fetal anomalies - B) to locate a pocket of fluid
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is, ''happy one min and crying the next.'' The nurse should interpret the client's statement as an indication of which of the following?
A) Emotional lability
B) Focusing phase
C) Cognitive restructuring
D) Couvade syndrome - A) Emotional lability
A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which of the following statements should the nurse include in the teaching?
A) Obtain an informed consent prior to obtaining the specimen
B) Collect at least milliliter of the urine for the test
C) Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the specimen.
D) Premature newborns may have false negative tests due to immature development of liver enzymes. - C) Ensure that the newborn has been receiving feedings for 24 hrs prior to obtaining the specimen.
1. A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect?
a. Reports increased urinary output
b. Diaphoresis
c. Reports blurred vision
d. Shallow respirations
2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
a. Administer penicillin G 2.4 million units IM to the client
b. Instruct the client to schedule an annual pelvic examination
c. Tell the client she will start medication for HIV immediately after delivery
d. Report the client’s condition to the local health department
3. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
a. Depression
b. Polyuria
c. Hypotension
d. Urticaria
4. A nurse is providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching?
a. “I can administer oxytocin 4 hours after the insertion of the medication”
b. “You will need a full bladder prior to the insertion of the medication” - no need to empty bladder first
c. “Remain in a side-lying position for 15 minutes after the medication is inserted”
d. “An antacid will be given 20 minutes prior to the insertion of the medication”
5. A nurse is caring for a prenatal client who has parvovirus B19 (fifth disease). Which of the following actions should the nurse take?
a. Administer antiviral medication
b. Schedule an ultrasound examination
c. Administer Haemophilus influenza type b vaccine
d. Schedule an indirect Coombs’ test
6. A nurse is preparing to collect a blood specimen from a newborn via a heel stick.
Which of the following techniques should the nurse use to help minimize the pain of the procedure for the newborn?
a. Apply a cool back for 10 minutes to the heel prior to the puncture
b. Request a prescription for IM analgesic
c. Use a manual lace blade to pierce the skin
d. Place the newborn skin to skin on the mother’s chest
7. A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take?
a. Insert two gloved fingers into the vagina and apply upward pressure to
the presenting part
b. Wrap the visible cord tightly with sterile, dry gauze
c. Apply oxygen to the client at 2 L/min via nasal cannula
d. Place the client in the lithotomy position and apply fundal pressure
8. A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption? Which of the following laboratory tests should the nurse expect the provider to prescribe?
a. Kleihauer-Betke test
b. Progesterone serum level
c. Lecithin/sphingomyelin (L/S) ration
d. Maternal Alpha-fetoprotein (AFP)
9. A nurse is admitting a client who is in labor. The client admits to recent cocaine use.
For which of the following complications should the nurse assess?
a. Abruptio placenta
b. Placenta previa
c. Preeclampsia
d. Maternal bradycardia
10. A nurse is assessing a client who has severe preeclampsia. Which of the following manifestations should the nurse expect?
a. 2+ deep tendon reflex
b. Proteinuria of 200mg in a 24-hr specimen
c. Polyuria
d. Blurred vision
11. A nurse is providing education about family bonding to parents who recently adopted a newborn. The nurse should make which of the following suggestions to aid the family’s 7-year-old child in accepting the new family member?
a. Allow the sibling to hold the newborn during a bath - quizlet
b. Make sure the sibling kisses the newborn each night
c. Obtain a gift from the newborn to present to the sibling
d. Switch the sibling’s room with the nursery [Show Less]
