OB MATERNAL NEWBORN ATI
PROCTORED LATEST 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(GRADED A+)
A nurse is assessing a client who is 14 hr postpartum and has a
3rd degree perineal laceration. The client's temp is 37.8 C (100F),
her fundus is firm and slightly deviated to the right. The client
reports a gush of blood when she ambulates and no bm since
delivery. What action should the nurse take?
a. notify the provider about the elevated temp
b. massage the client's fundus
c. administer bisacodyl supp
d. assist the client to empty her bladder - ANSWER-d. assist the
client to empty her bladder
A nurse is preparing to administer morphine oral solution 0.04
mg/kg to a newborn who weighs 2.5kg. The amount available is
0.4 mg/ml. how many ml should the nurse administer? -
ANSWER-0.25
A nurse is assessing a 12 hr old newborn and notes a resp rate of
44 with shallow respirations and periods of apnea lasting up to 10
seconds. What action should the nurse take?
a. continue routine monitoring
b. place newborn prone
c. request a script for supplemental o2
2 | P a g e
d. perform chest percussion - ANSWER-a. continue routine
monitoring
A nurse is caring for a client who reports intestinal gas pain
following a c-section. What action should the nurse take?
a. encourage client to drink carbonated beverages
b. instruct the client to splint the incision with a pillow
c. have the client drink fluids through a straw
d. assist the client to ambulate in the hallway - ANSWER-d. assist
the client to ambulate in the hallway
A nurse is caring for a newborn who is premature at 30 wks
gestation. What finding should the nurse expect?
a. heel creases covering the bottom of the feet
b. good flexion
c. abundant lanugo
d. dry, parchment-like skin - ANSWER-c. abundant lanugo
A nurse is assessing a newborn 1 hr after birth. What assessment
findings should the nurse report to the provider?
a. acrocyanosis
b. jaundice of the sclera
c. resp rate 50
d. cbg 60 - ANSWER-b. jaundice of the sclera
A nurse is providing teaching to the parents of a newborn about
bottle feeding. What instructions should the nurse include?
a. discard unused refrigerated formula after 72 hrs
b. prop the bottle with a blanket for the last feeding of the day
c. dilute ready-to-feed formula if the newborn is gaining wt too
quickly
d. boil water for powdered formula for 1-2 min - ANSWER-d. boil
water for powdered formula for 1-2 min
3 | P a g e
A nurse is planning care for a newborn who is receiving
phototherapy for an elevated bilirubin level. What action should
the nurse take?
a. apply barrier ointment to the newborn's perianal region
b. offer the newborn glucose water between feedings
c. use photometer to monitor the lamp's energy
d. keep the newborn's eye patches on during feedings -
ANSWER-c. use photometer to monitor the lamp's energy
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