ATI RN MATERNAL NEWBORN PROCTORED 2023 EXAM ALL 70 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RTIONALES|ALREADY GRADED A+

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ATI RN MATERNAL NEWBORN PROCTORED 2023

EXAM ALL 70 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH

RTIONALES|ALREADY GRADED A+

1.A nurse is using Nagele’s Rule to calculate the expected delivery date of a client who

reports that the first day of her last menstrual cycle was July 28th. Which of the following

dates should the nurse document as the client’s expected delivery date?

a. May 5th−3 months & + 7 days

b. April 21st

c. −−

d. −−

2. A nurse is caring for a client who is in active labor and has gonorrhea. For which of the

following potential complications of gonorrhea should the nurse monitor? *OB

Prologue*

a. Excessive bleeding after birth

b. Vaginal laceration during birth

c. Oligohydramnios

d. Chorioamnionitis−infection of the membranes

3. A nurse is providing teaching to a postpartum client who has a prescription for a rubella

immunization. Which of the following client statements indicates understanding of the

teaching?

a. “I will receive a series of three immunizations and each one will be a month

apart”

b. “I should avoid breastfeeding for 2 weeks following the immunization”c. “I

should avoid becoming pregnant for at least 1 month followingthe

immunization”

d. “I will report joint pain that develops after the immunization to my provider

immediately”

4. A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying

to increase intake of vitamin B12 which of the following foods should the nurse

recommend? a. Brown rice

b. Fresh citrusfruits − high in vitamin C

c. Carrots

d. Fortified Soy milk

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5. A nurse is performing an initial assessment of a newborn who was delivered with a nuchal

cord. Which of the following clinical findings should the nurse expect? *OB Prologue*

a. Periauricular papillomas

b. Telangiectatic nevi−stork bites; flat pink or red marks that easily blanch & are found on

theback of the neck, nose, upper eyelid, and middle of the forehead; usually fade by 2nd

year of life

c. Petechiae

d. Erythema toxic − newborn rash

6. A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65

mg/dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions

should the nurse take?

a. Administer 50 mL of dextrose solution IV.

b. Feed the newborn immediately

c. ???? for serum glucose level

d. Recheck prior to next feeding

7. A nurse in a prenatal clinic is reviewing the laboratory results for a client who is at 12 weeks

of gestation. Which of the following actions should the nurse take? (Click on the “exhibit”

button for additional information about the client. There are three tabsthat contain separate

categories of data.) Neisseria gonorrhoeae in prenatal history exhibit 3

a. Obtain a maternalserum alpha−fetoprotein specimen

b. Obtain a blood culture

c. Administer ceftriaxone IMATI pg. 53 Gonorrhea (Neisseria gonorrhoeae)

d. Administer rubella vaccine

8. A client who is at 16 weeks of gestation asks a nurse how to prepare her toddler to have a

younger sibling. Which of the following statements should the nurse make?

a. “You should hold your newborn in your arms when you introduce him to your toddler”

b. “ you should place yourtoddler in time−out ifshe exhibits regressive behavior after the

baby is born”

c. “You should give your toddler a gift from the baby when she visits you in the facility”

d. “You should move your toddler out of her crib 2 weeks prior to your due date”

9. A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp.

Which of the following actions should the nurse include in the plan?

a. Dress the newborn in a thin layer of clothing during therapy.b. Ensure the newborn’s

eyes are closed beneath the shield.

c. Give the newborn 1 oz of glucose water every 4 hr.

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d. Apply a thin layer of lotion to the newborn’s skin every 8 hr.

10. A nurse is assessing a client during her first prenatal visit. The client reports March 20 as

her last menstrual period. Use naegele's rule to calculate the estimated date of delivery. (Use

the

MMDD format with four numerals and no spaces or punctuation). (FILL IN ) 1227−3

months & + 7 days

11. A nurse is caring for a client who has a placenta previa. Which of the following findings

should the nurse expect?

a. Firm, rigid abdomen−abrupto placentae

b. Painless, vaginal bleeding

c. Uterine hypertonicity

d. −−

12. A nurse manager on the labor and delivery unit is teaching a group of newly licensed

nurses about maternal cytomegalovirus. Which of the following information should the

nurse manager include in the teaching?

a. Transmission can occur via the saliva and urine of the newbornATI pg. 50 (its droplet)

b. Lesions are visible on the mother's genitalia

c. ???? that airborne precautions be initiated for the newborn”

d. ???? with acyclovir prior to delivery”

13. A nurse is providing discharge instructions to a client who is 24 hr postpartum and has

decided not to breastfeed. Which of the following instructions should the nurse include in the

teaching? *OB Prologue*

a. “Pump your breasts twice daily to relieve discomfort from engorgement.”

b. “Shower daily, allowing warm water to run directly over your breasts.”

c. “Apply ice to your breasts using a 15 minutes on, 45 min offschedule.”d. −−

14. A nurse is assessing a client who is 32 weeks of gestation and is receiving magnesium

sulfate via continuous IV infusion. Which of the following findings should the nurse report to

the provider? *OB Prologue*

a. BP 150/100 mm Hg

b. Decrease in frequency of contractions

c. Urinary output 35 mL/hr

d. Absent deep−tendonreflexes

15. A nurse is caring for a newborn who has exstrophy of the bladder. Which of the

following actions −− surgical correction? *OB Prologue* same as 16 laugh out loud!!