1. A nurse is teaching a client about Rho(D) immunoglobulin (RhoGAM). Which of the following statements by the client indicated an understanding of the teaching?
a. I will receive this medication if my baby is Rh-negative
b. I will receive this medication at time of delivery
c. I will need a sec...
ATI Maternal Newborn Proctored Exam
(NGN ATI)
(Detailed Exam Prep Solutions and
Resources for the test in 2024)
1. A nurse is teaching a client about Rho(D) immunoglobulin
(RhoGAM). Which of the following statements by the client
indicated an understanding of the teaching?
a. I will receive this medication if my baby is Rh-negative
b. I will receive this medication at time of delivery
c. I will need a second dose of this medication when my baby
is 6 weeks old
d. I will need this medication if I have an amniocentesis-
Recommended because of the potential of fetal RBCs
entering the maternal circulation
2. A nurse is caring for a client who is to receive oxytocin (Pitocin)
to augment her labor. Which of the following contraindicates the
initiation of the oxytocin infusion and requires notification of
the provider?
a. Late decelerations- Oxytocin is contraindicated based on
late decelerations noted on fetal assessment findings
because they indicate uteroplacental insufficiency.
b. Baseline variability
c. Cessation of uterine dilation
d. Prolonged active phase of labor
3. A nurse on the newborn unit is planning discharge for four
clients. Which of the following will require care beyond that of
a standard follow-up visit with the provider after delivery?
, a. A newborn being sent home after 22 hr after birth-
Screening tests must be repeated if they were performed
before he newborn was 24 hr. old.
b. A newborn at 38 weeks of gestational age
c. A newborn who is bottle feeding
d. Twin newborns with Apgar scores of 8 and 9
4. A nurse is assessing a newborn who has a weak cry and is
grimacing. The nurse notes the newborn has a heart rate of
102/min, blueish extremities, and a flaccid muscle tone. Which
of the following reflects the appropriate APGAR score?
a. 4
b. 5
c. 6
d. 7
5. A nurse is caring for a client who has a history of rheumatic
disease, but no physical symptoms prior to pregnancy. The
client begins to experience dyspnea, orthopnea, and pulmonary
edema. Which of the following biological alterations explains
this change?
a. Increased maternal weight
b. Increased blood volume- Increase in blood volume during
pregnancy increase the workload of the heart, which
causes the symptoms
c. Change in hematocrit levels
d. Change in heart size
6. A nurse is providing teaching about nonpharmacological pain
management for a postpartum client who is breastfeed and has
engorgement. Which of the following methods should the nurse
recommend?
a. Cold cabbage leaves- Application of this is an effective
nonpharmacological method to relieve pain associated
with engorgement
b. Modified lanolin cream
c. A breast binder
d. Breast shells
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