Ati Maternal Newborn Proctored 2022-2023 Exam – Study Guide

Ati Maternal Newborn Proctored 2022-2023 Exam – Study Guide

1.A nurse is caring for a full-term newborn immediately following birth. Which of the following actions

should the nurse take first?

~assign Apgar scores to the newborn

~weigh the newborn

~place identification bracelets on the newborn

~dry the newborn

2.A nurse is demonstrating to a client how to bathe her newborn. In which order should the nurse

perform the following actions?

~clean the newborn's diaper area

~wash the newborn's neck by lifting the newborn's chin

~wipe the newborn's eyes from the inner canthus outward

~wash the newborns legs and feet

~cleanse the skin around the newborn's umbilical cord stump

1~wipe the newborn's eyes from the inner canthus outward

2~wash the newborn's neck by lifting the newborn's chin

3~cleanse the skin around the newborn's umbilical cord stump

4~wash the newborns legs and feet

5~clean the newborn's diaper area

3.A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the

nurse request the provider see first?

~a client who is at 11 weeks gestation and reports abdominal cramping

~a client who is at 15 weeks of gestation and reports tingling and numbness in her right hand

~a client who is at 20 weeks of gestation and reports constipation for the past four days

~a client who is at 8 weeks of gestation and reports having three bloody noses in the past week

4.A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test.

The nurse should plan to prepare the client for which of the following diagnostic tests?

~biophysical profile

~amniocentesis

~cordocentesis

~Klelhauer-Betke test

5.A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of

the following findings should the nurse report to the provider?

~swelling of the face

~varicose veins in the calves

~nonpitting 1+ ankle edema

~hyperpigmentation of the cheeks

6.A nurse is observing a new mother caring for her crying newborn who is bottle feeding. Which of the

following actions by the mother nurse recognize as a positive parenting behavior?

~lays the newborn across her lap and gently sways

~places the newborn in the crib in a prone position

~offers the newborn a pacifier dipped in formula

~prepares a bottle of formula mixed with rice cereal

7.A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the

nurse report to the provider?

~acrocyanosis

~transient strabismus

~jaundice

~caput seccdeaneum

8.A nurse is teaching a client who is at 8 weeks of gestation about exercise. Which of the following instructions should the nurse include in the teaching?

~"You should increase the weight-bearing exercises as your pregnancy progresses."

~"You should lie on your back to rest for 5 minutes after exercising."

~"You should take your pulse every 20 minutes while you are exercising."

~"You should exercise for 30 minutes each day."

9.A nurse is assessing a newborn following a circumcision. Which of the following findings should the

nurse

identify as an indication that the newborn is experiencing pain?

~decreased heart rate

~chin quivering

~pinpoint pupils

~slowed respirations

10.A nurse is providing teaching about family planning to a client who has a new prescription for a

diaphragm.

Which of the following statements should the nurse include in the teaching?

~"You should replace the diaphragm every 5 years."

~"You should leave the diaphragm in place for at least 6 hours after intercourse."

~"You should use an oil-based product as a lubricant when inserting the diaphragm."

~"You should insert the diaphragm when your bladder is full."

11.A nurse is teaching a client who is at least 10 weeks of gestation about nutrition during pregnancy.

Which of the following statements by the client indicates an understanding of the teaching?

~"I should increase my protein intake of 60 grams each day."

~"I should drink 2 liters of water each day."

~"I should increase my overall daily caloric intake by 300 calories."

~"I should take 600 micrograms of folic acid each day.

12.A nurse is reviewing the medical record of a client who is one day postpartum. The client had a

vaginal birth with a fourth-degree perineal laceration. The nurse should contact the provider regarding

which of the following prescriptions?

~docusate sodium 100 mg capsule by mouth three times daily

~sitz bath two to three times per day as needed for pain

~bisacodyl rectal suppository daily as needed for constipation

~ibuprofen 600 mg by mouth every 6 hr as needed for pain

13.A nurse is calculating a client's expected date of birth using Naegele's rule. The client tells the nurse

that her last menstrual cycle started on November 27th. Which of the following dates is the client's

expected date of birth?

~September 3rd

~September 20th

~August 3rd

~August 20th

14.A nurse is preparing to administer hepatitis B immuneglobulin to a newborn. The prescription

states, "ad-minsister 5 mcg IM once today." Available is a 5 mL vial with 10 mcg/mL. How many mL

should the nurse administer?

0.5 ml

15.A nurse is developing a plan of care for a newborn who is to undergo phototherapy for

hyperbilirubinemia. Which of the following actions should the nurse include in the pain?

~feed the newborn 1 oz of water every 4 hr

~apply lotion to the newborn's skin three times per day

~remove all the clothing from the newborn expect the diaper

~discontinue therapy if the newborn develops a rash

16.A nurse on the antepartum unit is caring for four clients. Which of the following clients should the

nurse identify as the priority?

~a client who has gestational diabetes and a fasting blood glucose of 120 mg/dL