ATI Maternal Newborn Proctored
Exam 2022
(Part I)
part I
@Nursehan (THE TECHANT)
ATI MATERNAL NEWBORN PROCTORED EXAM 2022
1. A nurse provided discharge teaching to new parents on how to care for
their newborn fo
...
ATI Maternal Newborn Proctored
Exam 2022
(Part I)
part I
@Nursehan (THE TECHANT)
ATI MATERNAL NEWBORN PROCTORED EXAM 2022
1. A nurse provided discharge teaching to new 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."
ANS. 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.
part I
@Nursehan (THE TECHANT)
2. 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."
ANS. 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in place while the penis is withdrawn from the vagina.
3. 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?"
ANS. b. "Have you noticed any bloody show or fluid coming from your vagina?"
part I
@Nursehan (THE TECHANT)
4. A nurse is providing discharge teaching to a client following tubal ligation
(occlusion). Which of the following statement by the client indicates an
understanding of the teaching?
A. “premenstrual tension will no longer be present.”
B. “Ovulation will remain the same.”
C. “Hormone replacements will be needed following this procedure.”
D. “My monthly menstrual period will be shorter.”
ANS: B
Ovulation (egg release from the ovaries) will remain the same. Tubal ligation also
known as having your tubes tied or tubal sterilization is a type of permanent birth
control. During tubal ligation, the fallopian tubes are cut, tied or blocked to
permanently prevent pregnancy. Tubal ligation prevents an egg from traveling from
the ovaries through the fallopian tubes and blocks sperm from traveling up the
fallopian tubes to the egg. The procedure doesn't affect your menstrual cycle it just
prevents fertilization.
5. A nurse is assessing a newborn following forceps-assisted birth. Which of
the following clinical manifestations should the nurse identify as a
complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia
ANS: C
part I
@Nursehan (THE TECHANT)
Difficult delivery, with or without the use of an instrument called forceps, may lead
to facial palsy. Facial paralysis 15 minutes after forceps birth or absence of
movement on affected sideis especially noticeable when infant cries
6. A nurse is providing teaching about terbutaline to a client who is
experiencing preterm labor. Which of the following statements by the client
indicates understanding of the
teaching?
A. “This medication could cause me to experience heart palpitations.”
B. “This medication could cause me to experience blurred vision.”
C. “This medication could cause me to experience ringing in my ears.”
D. “This medication could cause me to experience frequent urination.”
ANS: A
Beta-adrenergic agents such as terbutaline (Brethine) are associated with various
side effects,including tachycardia, irregular pulse, myocardial ischemia, and
pulmonary edema. Therefore, these medications should not be used in women with
known or suspected heart disease
7. A nurse is caring for a client who is in labor and requests
nonpharmacological pain management. Which of the following nursing
actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hrs.
ANS: C
Applying fundal pressure by pushing on the mother's abdomen in the direction of
the birth canal is often used to assist spontaneous vaginal birth, shorten the length
part I
@Nursehan (THE TECHANT)
of the second stage and reduce the need for instrumental birth (forceps- or vacuumassisted) or caesarean section.
8. A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
ANS: D
Although trichomoniasis may be asymptomatic, women commonly experience
characteristically yellowish-to-greenish, frothy, mucopurulent, copious, malodorous
discharge. Inflammation of the vulva, vagina, or both may be present; and the
woman may complain of irritation and pruritus. Dysuria and dyspareunia are often
present
9. A nurse is caring for a client who is at 14 weeks of gestation. At which of
the following locations should the nurse place the doppler device when
assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
ANS: A
part I
@Nursehan (THE TECHANT)
Toward the end of the first trimester, before the uterus is an abdominal organ, the
fetal heart tones (FHTs) can be heard with an ultrasound fetoscope or an ultrasound
stethoscope.fig 8.8. To hear the FHTs, place the instrument in the midline just
above the symphysis pubis and apply firm pressure. The woman and her family
should be offered the opportunity to listen to the FHTs. The health status of the
fetus is assessed at each visit for the remainder of the pregnancy.
10. 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. Urine protein concentration 200 mg/24 hr.
B. Creatinine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
D. Platelet Count 60,000/ mm3
ANS: D
Platelets < 100,000/mm3 (60,000/mm3) is below the expected reference range,
which can indicate DIC. The nurse should report this result to the provider. In a 24-
hour specimen proteinuria is defined as a concentration at or > 300 mg/24 hours
11. A nurse is teaching about clomiphene citrate to a client who is
experiencing infertility. Which of the following adverse effect should the
nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
ANS: C
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