OB MATERNAL NEWBORN ATI
PROCTORED NEWEST 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
A nurse is planning care immediately following birth for a newborn who has
Myelomeningocele that is cerebrospinal fluid. Which of the following actions should the
nurse include in the plan of care?
a. Administer broad-spectrum antibiotics
b. cleanse the site with Povidone iodine
c. monitor the rectal temperature every 4 hours
d. prepare for surgical closure after 72 hours - ANSWER-a. Administer broad-spectrum
antibiotics
A nurse is caring for a newborn Boys 6 hours old and has a bedside glucose meter
reading of 65 mg / DL. The New Orleans mother has Type 2 diabetes mellitus. Which of
the following actions should the nurse take?
a. Administer 50 mL of dextrose solution IV
b. obtain a blood sample of serum glucose level
c. reassess the blood glucose level prior to the next feeding
d. Feed the newborn immediately - ANSWER-c. reassess the blood glucose level prior
to the next feeding
A nurse is caring for four enter-partum clients. Which of the following clients should the
nurse assess first?
a. A client who is at 7 weeks of gestation and reports urinary frequency
b. a client who is at 32 weeks of gestation and reports seeing floating spots
c. a client who is 38 weeks of gestation and reports leg cramps
2 | P a g e
d. a client who is at 20 weeks of gestation and reports periodic numbness in her fingers
- ANSWER-b. a client who is at 32 weeks of gestation and reports seeing floating spots
A nurse is planning care for a client who is pregnant and has HIV. Which of the
following actions Should the nurse include in the plan of care?
a. Use a fetal scalp electrode during labor and delivery
b. Bathe the newborn before initiating skin to skin contact
c. instruct the client to stop taking the antiretroviral medication at 32 weeks of gestation
d. administer pneumococcal immunization to the newborn within 4 hours following birth -
ANSWER-d. administer pneumococcal immunization to the newborn within 4 hours
following birth
client who is 16 weeks of gestation asks the nurse how to prepare her father to a
younger sibling. Statements should the nurse make?
a. You should hold your newborn in your arms when you introduce him to your toddler
b. you should move your toddler out of her crib 2 weeks prior to your due date c.
c. you should give your toddler a gift from the baby when she visit you in the facility
d. You should place your toddler in timeout if she exhibits regressive Behavior after the
baby is born - ANSWER-c. you should give your toddler a gift from the baby when she
visit you in the facility
nurse is observing an adolescent client who is offering her newborn a bottle while he is
laying in the bassinet. When the nurse offers to pick the newborn up and place them in
the client's arms, the mother States " No, the baby is too tired to be held". Which of the
following actions should the nurse take?
a. Insist that the mother pick up the newborn to feed him
b. demonstrate how to hold a newborn and allow the client to practice
c. persuade the client to breastfeed the newborn to promote bonding
d. offer to take the newborn to the nursery to finish his feeding - ANSWER-b.
demonstrate how to hold a newborn and allow the client to practice
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