ATI RN Maternal Newborn Proctored 2019 (REVISED
FULL EXAM).AGRADE Guaranteed
1. A client who is 16 weeks of gestation asks the nurse how to prepare her
... [Show More] father
to a younger sibling. What statements should the nurse make?
a. You should hold your newborn in your arms when you introduce him to your
toddler
b. you should move your toddler out of her crib 2 weeks prior to your due date
c. you should give your toddler a gift from the baby when she visits you in the
facility
d. You should place your toddler in timeout if she exhibits regressive Behavior
after the baby is born
2. A nurse is observing an adolescent client who is offering her newborn a bottle
while he is laying in the bassinet. When the nurse offers to pick the newborn up
and place them 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. Insist that the mother pick up the newborn to feed him
b. demonstrate how to hold a newborn and allow the client to practice
c. persuade the client to breastfeed the newborn to promote bonding
d. offer to take the newborn to the nursery to finish his feeding
3. A nurse is assessing a client who is in preterm labor and has a new
prescription or terbutaline 0.25 mg subcutaneous. For which of the following
findings should the nurse Withhold the medication and Report to the provider?
a. fasting blood glucose 75 mg / DL
b. blood pressure 88/58 mmhg
c. urinary output 40 ml /hr.
d. FHR 120/min
4. A nurse is providing teaching to the parents of a newborn about the plausible
circumcision technique. Which of the following? - p170-171 - post procedure
bottom of 170 and goes into top of 171.
a. the plausible will be removed 4 hours after the procedure
b. notify the provider is the end of your penis appears dark red
ATI RN Maternal Newborn Proctored 2019 (REVISED
FULL EXAM).AGRADE Guaranteed
c. make sure the newborn's diaper is snug
d. yellow exudate will form at the surgical site in 24 hours
5. A nurse is planning care immediately following birth for a newborn who has
Myelomeningocele that is cerebrospinal fluid. Which of the following actions
should the nurse include in the plan of care?
a. Administer broad-spectrum antibiotics
b. cleanse the site with Povidone iodine
c. monitor the rectal temperature every 4 hours
d. prepare for surgical closure after 72 hours
6. A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose
meter reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes
mellitus. Which of the following actions should the nurse take?
a. Administer 50 mL of dextrose solution IV
b. obtain a blood sample of serum glucose level
c. reassesses the blood glucose level prior to the next feeding
d. Feed the newborn immediately
7. A nurse is caring for four enter-partum clients. Which of the following clients
should the nurse assess first?
a. A client who is at 7 weeks of gestation and reports urinary frequency
b. a client who is at 32 weeks of gestation and reports seeing floating spots
c. a client who is 38 weeks of gestation and reports leg cramps
d. a client who is at 20 weeks of gestation and reports periodic numbness in her
fingers
8. 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. Bathe the newborn before initiating skin to skin contact
c. instruct the client to stop taking the antiretroviral medication at 32 weeks of
gestation
d. administer pneumococcal immunization to the newborn within 4 hours following
birth
ATI RN Maternal Newborn Proctored 2019 (REVISED
FULL EXAM).AGRADE Guaranteed
9. A nurse is caring for a client who has placenta previa. Which of the following
findings should the nurse expect?
a. Firm rigid abdomen
b. painless, vaginal bleeding
c. uterine hypertonicity
d. persistent headache
10. A nurse is planning care for a newborn who is scheduled to start
phototherapy using a lap. Which of the following actions should the nurse
include?
a. Apply a thin layer lotion to the newborn skin every 8 hours
b. trust in you born in a thin layer clothing during the therapy
c. ensure the newborn's eyes are closed beneath the shield
d. give the newborn 1 oz of glucose water every 4 hours
11. A nurse is providing discharge instructions to a client who is breastfeeding
her newborn. Which of the following instructions should the nurse include?
a. Expect 2 to 4 wet diapers every 24 hours
b. allow the baby to feed at least every 3 hours
c. offer the newborn 30 ml (1 oz.) a water between feedings
d. feed the newborn 5 to 10 minutes per breast
12. A nurse is assessing a client during her first prenatal visit the client reports
March 20th us her last menstrual. Use Naegele’s rule to calculate the estimated
date of delivery. Use the mmdd format with four numerals and no spaces or
punctuation. 03/20!"#$%$&
12/27 -correct
13. A nurse is caring for a client who is at 30 weeks of gestation. The nurse
should plan to immunize the client which of the following vaccinations? Select all
the apply
a. Varicella
b. human papillomavirus
c. Diphtheria - acellular pertussis
d. inactivated influenza
ATI RN Maternal Newborn Proctored 2019 (REVISED
FULL EXAM).AGRADE Guaranteed
e. measles, mumps, and rubella
14. A nurse is caring for a client who has preterm labor and receiving magnesium
sulfate by continuous IV infusion. Which of the following laboratory values should
the nurse review during tocolytic therapy?
a. indirect Coombs’s test
b. liver enzymes
c. uric acid level
d. Serum medication level
15. A nurse is caring for a client who reports spontaneous rupture. The nurse
observed fetal bradycardia in the FHR tracing and notices the umbilical cord is
protruding. After calling for assistance and notifying the provider, which of the
following should the nurse take next?
a. Initiate an infusion of IV fluids for the client
b. Perform vaginal examination by applying upward pressure on the presenting
part
d. Administer oxygen via nonrebreather mask at 8L/ min.
D. Cover the umbilical cord with sterile saline saturated towel.
16. A nurse is caring for a client who is 36 weeks gestation and has MRSA.
Which of the following isolation precautions should the nurse initiate?
a. Droplet
b. Contact
c. Airborne
d. Protective environment
17. A nurse is assessing a client who is 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the
provider?
ATI RN Maternal Newborn Proctored 2019 (REVISED
FULL EXAM).AGRADE Guaranteed
a. Hemoglobin 14.8 g/dL
b. Platelet count 60,000/ mm
c. Creatine 0.8 mg/ dL
d. Urine protein concentration 200 mg/24hr
18. 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 use an oil based vaginal lubricant when inserting your diaphragm
b. you should store your diaphragm in sterile water after each use
c. you should keep the diaphragm in place for at least 4 hours after intercourse
d. you should have your provider refit you for a new diaphragm
19. A nurse is caring for a client who is receiving prenatal care and is at her 24-
week appointment. Which of the following laborat [Show Less]