ATI MATERNAL NEWBORN PROCTORED EXAM B 2019 – STUDY GUIDE

ATI MATERNAL NEWBORN PROCTORED EXAM B 2019 – STUDY GUIDE

• A charge nurse on the postpartum unit is observing a newly licensed nurse who

is preparing o administer pain medication to a client. The charge nurse should

intervene when the newly licensed nurse uses which of the following secondary

id to identify the client?

o The client's room number

R: is not acceptable identifier and places the client at risk for a med error

• A nurse is providing discharge teaching to a patient whose newborn has just had

a circumcision. Which of the following instructions should the nurse include?

o Apply slight pressure with a sterile gauze pad for mild bleeding

R: Nurse should instruct client to attempt to stop mild bleeding by applying

pressure with sterile gauze. If bleeding continues the client should notify

the provider.

• A nurse is teaching about effective breastfeeding to a client who is 3 days

postpartum. Which of the following information should the nurse include?

o Your newborn should appear content after feeding

R: If the baby is not content after feeding signs of hunger are rooting,

sucking on the hands or crying because they might not be emptying the

breasts during feeding completely

• A nurse planning care for a client who is in labor and is requesting epidural

anesthesia for pain control. Which of the following actions should the nurse

include in the plan of care?

o Monitor the clients B/P every 5 min following the first dose of anesthetic

solution

B: The nurse should plan to obtain a baseline blood pressure prior to the

initiation of anesthetic solution. The nurse should then continue to monitor

the client's blood pressure every 5 to 10 min to assess for maternal

hypotension caused by the anesthetic solution

• A nurse is teaching a new mother how to use a bulb syringe to suction her

newborn's secretions. Which of the following instructions should the nurse

include?

o Stop suctioning when the newborn cry sounds clear

R: nurse should instruct client to stop suctioning when cry no longer

sounds like it is coming through a bubble of fluid or mucus

• A nurse is assessing a client who is 12hr postpartum. The client's fundus is two

finger breadths above the umbilicus deviated to the right of the midline, and less

firm than previously noted. Which of the following actions should the nurse take?

o Assist the client to the bathroom to void

R: a dissented bladder can cause the uterus from contracting and can

cause uterine atony. Therefore, the nurse should assist the client to void.

• A nurse is reviewing the medical record at 1800 for a client who is at 34wks

gestation. Based in the chart findings and documentation the nursing plan of care

should include which of the following actions?

o Administer terbutaline

R: administer terbutaline to stop contractions because the lab results

indicate that the fetus's lungs are not mature enough for delivery

• A nurse is assessing a full-term newborn 15min after birth. Which of the following

findings requires intervention by the nurse?

o Respiratory rate of 18/min

R: first 30 min's of a newborns life the rest rate can range from 20-

100/min. A resp. rate this low at the time requires further evaluation and

intervention by the nurse

• A nurse us assessing a client who is at 26wks gestation. Which of the following

clinical manifestations should the nurse report to the provider?

o Decreased urine output

R: increased B/P, proteinuria and decreased fetal activity can be indication

of preeclampsia and should be notified to the provider

• A nurse is providing teaching to a client about the physiological changes that

occur during preg. The client is at 10 wks of gestation and has a BMI w/in the

expected reference range. Which of the following client statements indicate an

understanding of the teaching?

o "I will likely need to use alternative positions for sexual intercourse"

R: The weight of the preg will change positions of sexual intercourse

therefore understanding physiological changes during preg

• A nurse in a woman health clinic is providing teaching about nutritional intake to a

client who is at 8wks of gestation. The nurse should instruct the client to increase

her daily intake of which of the following nutrients?

o Iron

R: for the woman who are pregnant, it is 27 mg/day. the recommendations

for woman not preg is 15/mg day, for women younger than 19 yr old and

18 mg/day for women between the ages of 19 and 50 years old.

• A nurse is assessing a client who is in active labor and notes early decelerations

in the FHR on the monitor tracing. The client is at 39 wks of gestation and is

receiving a continuous IV infusion of oxytocin. Which of the following actions

should the nurse take?

o Continue monitoring the client

R: early decelerations are due to fetal head during contractions, vaginal

examinations and pushing during the second stage of labor. They are ok

and normal

• A nurse is caring for a newborn who was transferred to the nursery 30 min after

delivery. Which of the following actions should the nurse take first?

o Verify the newborn's ID

R: for safety / risk reduction

• A nurse is providing education about the family bonding to parents who recently

adopted a newborn. The nurse should make which of the following suggestions

to aid the family 7-yr old in accepting the new family member?

o Obtain a gift from the newborn to present to the sibling