2023-2024 ATI RN Proctored Exam with Answers (404 Solved Questions)

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ATI Maternal Newborn ProctoredEXAM2023/2024 300 QUESTIONS ANDANSWERSA nurse is providing care to a client who is in labor. A fetal heart tracing showsearly decelerations. Which of the following actions should the nurse take?-CORRECT ANSWER Continue to monitor the fetal heart tracing.A nurse is assessing a client whois 14 hours postpartum and has a third-degreeher new laceration. The clients temperature is 37.8°C (100°F), and her fundus isfirm and slightly deviated to the right. The client reports a gush of blood when sheambulate's and no bowel movement since delivery. Which of the following actionsshould the nurse take?-CORRECT ANSWER Assist the client to empty herbladdersA nurse on the antepartum unit is caring for a client who is at 28 weeks gestationand reports dizziness when lying on her back. Into which of the following positionsshould the nurse assess the client?-CORRECT ANSWER LateralA nurse is providing teaching for a client at seven weeks of gestation who isexperiencing nausea and vomiting. Which of the following client statementsindicates to the nurse and understanding of the teaching?-CORRECT ANSWER Ishould have a small snack before bedtimeA nurse is assessing a client who is at 36 weeks of gestation which of the followingmanifestations should the nurse recognize as a potential prenatal complicationand report to the provider?-CORRECT ANSWER Double vision

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A nurse is assessing a client who is at 34 weeks gestation and has a cardiacdisorder the nurse should notify the provider about which of the followingassessment findings?-CORRECT ANSWER The client reports a frequent coughA nurse is caring for a client who is in labor the client speaks a different languagethan the nurse and he's been missing. Which of the following actions should thenurse take while waiting for an interpreter?-CORRECT ANSWER Change theclients positionA nurse is providing teaching for a client who is pregnant and has type onediabetes mellitus. Which of the following statements should the nurse include inthe teaching?-CORRECT ANSWER You should expect to decrease your insulindosage immediately after you deliver your babyA nurse is caring for a client in labor and observes a pattern of early decelerationson the fetal monitor. Which of the following actions should the nurse take?-CORRECT ANSWER Document the findings and continue to monitorA nurse is preparing to administer naloxone to a newborn. Which of the followingconditions can require administration of this medication?-CORRECT ANSWER IVnarcotics administered to the mother during laborA nurse is caring for a client labor who hasan epidural for pain relief. Which of thefollowing is a complication of the epidural block?-CORRECT ANSWERHypotension

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A nurse at a prenatal clinic is teaching a client how to perform a kick count. Whichof the following statements should the nurseinclude in the teaching?-CORRECTANSWER Before bedtime is a good time to start counting the kicksA nurse is teaching a group of clients who are pregnant about vitamin K fornewborns. Vitamin K helps prevent which of the following conditions in anewborn?-CORRECT ANSWER Intracranial hemorrhageA nurse is caring for a newborn who has neonatal abstinence syndrome which ofthe following Clinical findings should the nurse expect?-CORRECT ANSWERExaggerated reflexesA nurse is creating a plan of care for a client who is in the active stage of labor andexpresses a desire to use nonpharmacological methods of pain relief. Which of thefollowing intervention should the nurse include?-CORRECT ANSWER Assist theclient into a warm showerA nurse isproviding teaching to a client who has come to the family planning clinicrequesting an intrauterine device IUD. Which of the following pieces ofinformation should the nurse provide to the client?-CORRECT ANSWER Your riskfor ectopic pregnancy increases with an IUDA nurse is teaching a client who is pregnant and has pre-gestational diabetesabout dietary changes. Which of the following statements should the nurseinclude in the teaching?-CORRECT ANSWER Carbohydrates should make up 55%of your dietA provider does a client at 12 weeks gestation who practices Hinduism that sheneeds more protein in her diet and suggest eating more meat after the providerleaves the examination room the client tells the nurse that eating animal products

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will cause her to miscarry. Which of the following responses should the nursemake?-CORRECT ANSWER Let's discuss other foods that are also high in proteinthat you can substitute for meatA nurse is caring for a client who is in labor. A vaginal examination reveals thefollowing findings: 2 cm, 50%, +1, right occiput anterior (ROA). Based on thisinformation, which of the following fetal position should the nurse document inthe medical record?-CORRECT ANSWER VertexA nurse is teaching a client about squatting exercises during pregnancy. Which ofthe following statements should the nurse include?-CORRECT ANSWER Theseexercises should be done for 15 minutes each day to strengthen the peronealmusclesA nurse is providing care to a client who is 12 hours postpartum and is receivingoxytocin IV. The client asked the nurse, why is there so little bleeding? Which ofthe following responses should the nurse make?-CORRECT ANSWER Thebleeding is minimal until I discontinue your IV medicationA nurse is planning care for a Client who is post partum and has cardiac disease.For which of the following prescriptions should the nurse seek clarification?-CORRECT ANSWER Monitor the clients weights weeklyA nurse is caring for a client who is at35 weeks of gestation and he scheduled toundergo an amniocentesis. Which of the following statements should the nursemake?-CORRECT ANSWER You will feel so much discomfort during thisprocedure

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A nurse is caring for a client who had a vaginal delivery 24 hours ago. Which of thefollowing findings should the nurse report to the provider?-CORRECT ANSWER3+ deep tendon reflexesA nurse is providing teaching about exercise for a client who is pregnant which ofthe following pieces of information should the nurse include?-CORRECTANSWER Vigorous exercise it should be limited and should not be performed inhot humid weatherA nurse is caring for several clients. Which of the following clients should thenurse identify as a candidate for oral contraceptives a-CORRECT ANSWER Aclient who is breast-feeding a seven month old infantA nurse is caring for a newborn who was born to a client with a narcotic usedisorder. Which of the following nursing actions is contraindicated in the care ofthis newborn-CORRECT ANSWER Frequent simulationA nurse is discussing epidural anesthesia with a client who is receiving oxytocin toinduce labor which of the following statements should the nurse make?-CORRECT ANSWER An epidural given to early can prolonglaborA nurse is caring for a client who is in labor. The client questions application of aninternal fetal scalp monitor. Which of the following responses should the nurseprovide?-CORRECT ANSWER We need to observe your baby more closelyA nurse isproviding teaching about newborn bath to a client who is two dayspostpartum which of the following pieces of information should the nurseinclude?-CORRECT ANSWER Watch the newborns face with plain warm water

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A nurse is teaching a postpartum client how to swaddle her newborn. Which ofthe following assessments by the parent demonstrates an understanding of theteaching?-CORRECT ANSWER I should stop swaddling my baby once she is ableto roll over by herselfA nurse is receiving a report for a client who is in labor and is experiencingcontractions that are four minutes apart. Which of the following patterns to thenurse expect on the fetal monitor tracing?-CORRECT ANSWER Contractions thatlast for 60 seconds each with a three minute rest between the contractionsA nurse is reviewing the laboratory for it for a client with suspected HELLPSyndrome. Which of the following findings should the nurse report to the provideras an indication of this Disorder?-CORRECT ANSWER Elevated liver enzymesA nurse is caring for a client who is in labor and has received epidural analgesia.The clients blood pressure is 88/50, and the fetal heart tracing so is latedecelerations. Which of the following actions should the nurse take?-CORRECTANSWER Increase the rate of the primary IV infusionA nurse is assessing a client who is receiving morphine Via a patient controlledanalgesia pump PCA Following a cesarean birth. Which of the following findingsshould the nurse report to the provider?-CORRECT ANSWER Urine output 20 mLper hourA nurse is planning care for a newborn who has hyperbilirubinemia And a newprescription for photo therapy. Which of the following intervention should thenurse include in the plan?-CORRECT ANSWER Reposition the newborn everythree hours

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A nurse is teaching the guardian of a newborn about caring for the newbornsumbilical cord. For which of the following reasons should the nurse instruct theguardian to avoid using antibacterial agents on the cord?-CORRECT ANSWERThey can cause delayed cord separationA nurse is caring for a client who states, I think I am pregnant, which of thefollowing findings should the nurse identify as a positive sign of pregnancy?-CORRECT ANSWER Fetal heart Tones auscultated by DopplerA nurse is assessing a postpartumclient who has preeclampsia and notes A Boogieuterus an excessive uterine bleeding. The nurse should plan to administer whichof the following medication's?-CORRECT ANSWER OxytocinA nurse in the clinic is caring for a client who is pregnant and reports a lastmenstrual period that began on December 7. Which of the following dates wouldbe the clients estimated date of birth?-CORRECT ANSWER September 14A nurse is providing teaching to a client who is planning to breast-feed hernewborn. Which of the following statements by the client indicates anunderstanding of the teaching?-CORRECT ANSWER My baby may sometimesfeed every hour for several hours in a rowA nurse is providing education for a parent of a premature infant on interventionstopromote optimal development. Which of the following actions should the nurseinstruct the parent to perform?-CORRECT ANSWER Provide kangaroo care forthe infantA nurse is caring for a client who is 24 years old and at 13 weeks of gestation. Theclients history includes a BMI of 31 prior to pregnancy, a prior post term delivery,

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and a newborn birthweight of 9 lbs. 3 oz. Which of the following laboratory valuesshould the nurse expect to collect?-CORRECT ANSWER HB A1cA nurse is assessing a clientwho is at 12 weeks gestation and has a hydatidiformmole. Which of the following findings should the nurse expect?-CORRECTANSWER Dark brown vaginal dischargeA nurse is counseling a female client who Expresses a desire to conceive in thenear future.Which of the following dietary recommendations should the nursemake to prevent neural tube deficits?-CORRECT ANSWER Begin taking a folicacid supplementA nurse is developing a plan of care for a newborn who has hyperbilirubinemiaand a prescriptionfor photo therapy. Which of the following intervention shouldthe nurse include in the plan?-CORRECT ANSWER Change the newbornsposition every 2 to 3 hoursA nurse is assessing a newborn who was Circumcised 24 hours ago. Which of thefollowing findings should the nurse report to the provider?-CORRECT ANSWERThe newborn has urinated once since the circumcisionA nurse is Assisting a client who is four hours postpartum to get out of bed for thefirst time. The client becomes frightened by gusher ofdark red blood from hervagina. Which of the following statements should the nurse make in theresponse?-CORRECT ANSWER Blood pools in the vagina when you're lying inbedA nurse is providing a nutritional teaching for a pregnant client who had a pre-pregnancy body mass index of 38. Which of the following statements by the clientdemonstrates an understanding of the teaching about recommended weight gain

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during pregnancy?-CORRECT ANSWER I should plan to gain 5 to 9.1 kg duringmy pregnancyA nurse is caring for a term newborn 90 minutes after the scheduled cesareanbirth. The newborns one minute Apgar score was nine. The newborns heart rate is120 per minute, and his respiration rate is 70 per minute. There is no indicationsof retractions, grunting, or nasal flaring. Which of the following actions should thenurse take?-CORRECT ANSWER Initiate close observation of the newborn forindications of respiratory distressA nurse is assessing a postpartum client and observes a steady trickle of bright redblood from the clients vagina. The uterus is palpated as firm, midline, located 1cm below the umbilicus. Which of the following actions should the nurse take?-CORRECTANSWER Notify the providerA nurse is caring for a client at 35 weeks gestation who has severe preeclampsia.Which of the following assessment provides the most accurate informationregarding the clients fluid and electrolyte status?-CORRECT ANSWER DailyweightA nurse is assessing a client at 34 weeks to station who has a mild placentalabruption. Which of the following findings should the nurse expect?-CORRECTANSWER Dark red vaginal bleedingA nurse is providing teaching to a client who has one hour postpartum aboutusing the perineal squeeze bottle. Which of the following instruction should thenurse include?-CORRECT ANSWER Fill the perineal bottle with warm water priorto use

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A nurse is performing a physical assessment of a newborn. Which of the followingaction should the nurse take?-CORRECT ANSWER Measure the circumference ofa newborns head with a tape measure just above the eyebrowsA nurse is providing teaching for a client about hormonal changes duringpregnancy. The nurse identifies that which of the following hormones please a keyrole in preventing miscarriage?-CORRECT ANSWER ProgesteroneA nurse is caring for a client who has a prescription for an election. Which of thefollowing is intended action of the medication inrelation to the central nervoussystem?-CORRECT ANSWER Block the facts of narcotics in the CNSA nurse and a prenatal clinic is performing telephone triage for several clients.Which is the following clients to ports Sheraton nursing identifying as an expectedPhysiological adaptation to pregnancy?-CORRECT ANSWER Breast tendernessA nurse is caring for a client in the third trimester of pregnancy who reportsdifficulty sleeping. Which of the following instruction should the nurse provide?-CORRECT ANSWER Use additional pills to support extremities and abdomenA nurse is using Naegele's rule to determine the estimated date of birth for aclient whose first day of her last menstrual period was February 2, 2018. Thenurse should identify which ofthe following as a client estimated date of birth?-CORRECT ANSWER November 9, 2018A nurse is assisting with fetal heart monitoring during labor for a client who is at40 weeks of gestation. The nurse should identify that which of the followingfindings on the fetal monitoring tracing requires intervention?-CORRECTANSWER A fetal heart rate of 180 per minute for 15 minutes

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A nurse is providing postpartum discharge teaching to a client who is non-lactating about breast discomfort and relief measures. Which of the followingpieces of information should the nurse include?-CORRECT ANSWER Place freshcabbage leaves on your breastsA nurse is planning care for a client in active labor his fetus is in an occipital browpresentation. Which of the following complications should the nurse anticipate asa result of this video presentation?-CORRECT ANSWER Prolonged laborA nurse is caring for a client who is an active labor and receiving in oxytocininfusion. The nurse notes tachysystole with a category one fetal heart rate tracing.Which of the following actions should the nurse take?-CORRECT ANSWERReposition the client and the side lying position and continue to monitorA nurse is providing education for a pregnant client about symptoms that shouldbe reported immediately to the provider. Which of the following client responsesindicate an understanding of the teaching?-CORRECT ANSWER If I notice thatmy eyes are puffy, I should call my providerA nurse is planning care for a client in labor who is positive for HIV. Which of thefollowing action should the nurse take after the baby is born?-CORRECTANSWER Administer the hepatitis B vaccine prior to dischargeA nurse is caring for a client who is in labor. Which of the following assessmentfindings should the nurse report to the provider?-CORRECT ANSWER Fetal heartrate baseline of 90 bpm

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A nurse is preparing to administer routine medications to a newborn followingbirth. Which of the following action should the nurse take?-CORRECT ANSWERAdminister vitamin K in the newborn thighA nurse is reviewing the medical record of a client at 39 weeks gestation who haspolyhydramnios. Which of the following findings should the nurse expect?-CORRECT ANSWER Fetal gastrointestinal anomalyA nurse is reviewing the providers admission Orders for a client who is at 37 weeksso just station and is HIV positive. Which of the following orders should the nurseclarify with the provider?-CORRECT ANSWER Fetal scalp electrodeA nurse is providing teaching about newborn care to the parents of a newborn.Which of the following statements by the parent indicates an understanding ofthe teaching?-CORRECT ANSWER I will place a hat on my babies hair prior togoing outsideA nurse is reviewing recent laboratory values during a prenatal visit for a clientwho is pregnant. The nurse notes a hemoglobin level of 10 G/DL. Which of thefollowing actions should the nurse take-CORRECT ANSWER Request in order forsickle cell anemia screeningA nurse is reviewing the laboratory findings for a 24 hour old newborn which ofthe following findings should the nurse report to the provider?-CORRECTANSWER Hemoglobin 12g/dLA nurseis caring for a client who is post partum and is having difficulty voiding.Which of the following actions should the nurse take first?-CORRECT ANSWERAssist the client to the bathroom

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A nurse is reviewing the laboratory findings for four clients. Which of the followinginfections Should be reported to the public health department?-CORRECTANSWER GonorrheaA nurse is providing teaching to the parents of a newborn about how to care forhis circumcision at home. Which of the following instruction should the nurseinclude in the teaching?-CORRECT ANSWER Encourage non-nutritive sucking forpain reliefA nurse is caring for a client who is in labor and Is receiving an infusion of oxytocinthe nurse should monitor the client for which of the following potential adverseeffects?-CORRECT ANSWER Fetal asphyxiaA nurse is caring for a client who is receiving magnesium sulfate IV. Which of thefollowing medication to the nurse have available as an antidote for magnesiumsulfate?-CORRECT ANSWER Calcium gluconateA nurse is discussing diaphragm use with a client. Which of the followingstatements by the client indicates an understanding of the teaching?-CORRECTANSWER I should replace my diaphragm every two yearsA nurse is assessing a client who is pregnant and reports increased nasalstuffiness. The nurse should inform the client that which of the followinghormones is responsible for this discomfort?-CORRECT ANSWER EstrogenA nurse is teaching a client whois in labor about the use of nitrous oxide analgesiafor pain control. Which of the following statements by the client indicates an

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understanding of the teaching?-CORRECT ANSWER I will feel the affects of thenitrous oxide almost immediatelyA nurse is assessing a newborn which of the following findings should the nursereport to the provider?-CORRECT ANSWER Central cyanosisA nurse is assessing a client who is at 35 weeks of gestation and has preeclampsiawithout severe features which of the following findings should the nurse identifyas a priority?-CORRECT ANSWER 480 mL of urine output in 24 hoursA nurse is caring for a client in active labor who is fetus is in a persistent occiputPosterior position. Which of the following actions shouldthe nurse take topromote rotation of the fetal head?-CORRECT ANSWER Instruct the client tosquat during contractionsA nurse is providing education to a client who is at 34 weeks of gestation about anonstress test. Which of the following pieces of information should the nurseinclude?-CORRECT ANSWER You might have to drink orange juice during the testA nurse is caring for a newborn immediately following delivery. Which of thefollowing actions should the nurse perform first?-CORRECT ANSWERPlease thenewborn directly on the clients chestA nurse is teaching a client about physiological changes that can Occur withmenopause. Which of the following changes to the nurse include?-CORRECTANSWER Stress incontinenceA nurse is caring for a client at 12 weeks gestation who has a BMI of 45. Which ofthe following pieces of information should the nurse provide for the client

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regarding the recommended weight gain during her pregnancy?-CORRECTANSWER You should plan to gain no more than 20 pounds during your pregnancyA nurse is caring for a client who is an active labor and he was a birth plan requeston nonpharmacological pain relief strategies. Which of the following strategiesshould the nurse offer as a form of cutaneous stimulation-CORRECT ANSWERCounter pressureA nurse is caring for a client who is experiencing prolonged labor. Which of thefollowing fetal monitoring results indicates fetal compromise?-CORRECTANSWER Late decelerations with fetal bradicardiaA nurse is providing teaching about calcium intake to a client who is breast-feeding. Which of the following is recommended daily calcium intake for a clientwho is breast-feeding?-CORRECT ANSWER 1000 mgA nurse is assessing a client at 27 Weeks of gestation the clienthas placenta previareports vaginal bleeding Which of the following additional manifestations shouldthe nurse expect?-CORRECT ANSWER The fundal height measures greater thangestational ageA nurse is providing discharge instructions for a client whohad a cesarean birthfour days ago. The clients hemoglobin level is 9.2 G/DL, and the provider hasprescribed an iron supplement. Which of the following foods should the nurserecommend to help increase the clients iron intake-CORRECT ANSWER CitrusfruitA nurse is assessing a newborn. For which of the following findings should thenurse notify the provider?-CORRECT ANSWER Mottling

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