ATI Practice Assessment-Maternal Newborn Online Practice 2021 A
1) A nurse is caring for a full-term newborn immediately following birth. Which of
thefollowing actions should thenurse take first?
Dry thenewborn-- cold stress on thenewborn
2) A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. thenurse should pan to prepare theclient for
which of thefollowing diagnostic tests?
Biophysical profile-- eval of thefetus is necessary with a real-time ultrasound
3) A nurse in a prenatal clinic is assessing a group of clients. Which of
thefollowing clients should thenurse request theprovider see first?
A client who is at 11 weeks of gestation and reports abdominal cramping-- cramping
could indicate an ectopic pregnancy and manifestations of a spontaneous abortion
4) A nurse is demonstrating to a client how to bathe her newborn. In which order
should thenurse perform thefollowing actions?
Step 1: Wipe thenewborn's eyes from theinner canthus outward
Step 2: Wash thenewborn's neck by lifting thenewborn's chin
Step 3: Cleanse theskin around thenewborn's umbilical cord stump
Step 4: Wash thenewborn's legs and feet
Step 5: Clean thenewborn's diaper area
5) A nurse is assessing a client who is at 30 weeks gestation during a routine
prenatal visit. Which of thefindings should thenurse report to theprovider?
Swelling of theface-- facial, sacral and hand swelling can indicate gestational
hypertension or preeclampsia
6) A nurse is observing a new mother caring for her crying newborn who is bottle
feeding. Which of thefollowing actions by themother should thenurse
recognize as a positive parenting behavior?
Lays thenewborn across her lap and gently sways-- tactile stimulation promotes a
sense of security for a newborn
7) A nurse is assessing a newborn 12 hours after birth. Which of thefollowing
manifestations should thenurse report to theprovider?
Jaundice
8) A nurse is teaching a client who is at 8 weeks of gestation about exercise.
Which of thefollowing instructions should thenurse include in theteaching?
You should exercise for 30 minutes each day-- improves muscle tone
9) A nurse is assessing a newborn following a circumcision. Which of
thefollowing findings should thenurse identify as an indication that thenewborn
is experiencing pain?
Chin quivering-- behavioral responses like grimacing and furrowing of thebrow could
indicate pain in thenewborn
, 10)A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of thefollowing statements should
thenurse include in theteaching?
You should leave thediaphragm in place for at least 6 hours after intercourse
11)A nurse is teaching a client who is at 10 weeks of gestation about nutrition
during pregnancy. Which of thefollowing statements by theclient indicates an
understanding of theteaching?
I should take 600mcg of folic acid each day-- folic acid assists with preventing neural
tube defects
12)A nurse is reviewing themedical record of a client who is one day postpartum.
theclient had a vaginal birth with a fourth-degree perineal laceration. thenurse
should contact theprovider regarding which of thefollowing prescriptions?
Bisacodyl rectal suppository daily as needed for constipation-- a suppository or
enema could cause separation of thesuture line, bleeding or infection
13)A nurse is calculating a client's expected date of birth using Naegele's rule.
theclient tells thenurse that her last menstrual cycle started on November
27th. Which of thefollowing dates is theclient's expected date of birth?
September 3rd-- subtract 3 months from thefirst day of theclient's period, then add 7
days
14)A nurse is preparing to administer hepatitis B immune globulin to a
newborn. theprescription states, "Administer 5mcg IM once today." Available
is a 5mL vial with 10mcg/mL. How many mL should thenurse administer?
0.5mL
15)A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbilirubinemia. Which of thefollowing actions should
thenurse include in theplan?
Remove all clothing from thenewborn except thediaper-- maximum skin exposer is
needed to break down excess bilirubin
16)A nurse on an antepartum unit is caring for four clients. Which of thefollowing
clients should thenurse identify as thepriority?
A client who is at 34 weeks gestation and reports epigastric pain-- epigastric pain is
a clinical manifestation of preeclampsia and indicates hepatic involvement
17)A nurse is teaching a new mother about steps thenurses will take to promote
thesecurity and safety of thenewborn. Which of thefollowing statements
should thenurse make?
Staff members who take care of your baby will be wearing a photo identification
badge
18)A nurse is teaching a client who is at 35 weeks of gestation about clinical
manifestations of potential pregnancy complications to report to theprovider.
Which of thefollowing manifestations should thenurse include?
Headache that is unrelieved by analgesia-- unrelieved headache with meds may
indicate preeclampsia
1) A nurse is caring for a full-term newborn immediately following birth. Which of
thefollowing actions should thenurse take first?
Dry thenewborn-- cold stress on thenewborn
2) A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. thenurse should pan to prepare theclient for
which of thefollowing diagnostic tests?
Biophysical profile-- eval of thefetus is necessary with a real-time ultrasound
3) A nurse in a prenatal clinic is assessing a group of clients. Which of
thefollowing clients should thenurse request theprovider see first?
A client who is at 11 weeks of gestation and reports abdominal cramping-- cramping
could indicate an ectopic pregnancy and manifestations of a spontaneous abortion
4) A nurse is demonstrating to a client how to bathe her newborn. In which order
should thenurse perform thefollowing actions?
Step 1: Wipe thenewborn's eyes from theinner canthus outward
Step 2: Wash thenewborn's neck by lifting thenewborn's chin
Step 3: Cleanse theskin around thenewborn's umbilical cord stump
Step 4: Wash thenewborn's legs and feet
Step 5: Clean thenewborn's diaper area
5) A nurse is assessing a client who is at 30 weeks gestation during a routine
prenatal visit. Which of thefindings should thenurse report to theprovider?
Swelling of theface-- facial, sacral and hand swelling can indicate gestational
hypertension or preeclampsia
6) A nurse is observing a new mother caring for her crying newborn who is bottle
feeding. Which of thefollowing actions by themother should thenurse
recognize as a positive parenting behavior?
Lays thenewborn across her lap and gently sways-- tactile stimulation promotes a
sense of security for a newborn
7) A nurse is assessing a newborn 12 hours after birth. Which of thefollowing
manifestations should thenurse report to theprovider?
Jaundice
8) A nurse is teaching a client who is at 8 weeks of gestation about exercise.
Which of thefollowing instructions should thenurse include in theteaching?
You should exercise for 30 minutes each day-- improves muscle tone
9) A nurse is assessing a newborn following a circumcision. Which of
thefollowing findings should thenurse identify as an indication that thenewborn
is experiencing pain?
Chin quivering-- behavioral responses like grimacing and furrowing of thebrow could
indicate pain in thenewborn
, 10)A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of thefollowing statements should
thenurse include in theteaching?
You should leave thediaphragm in place for at least 6 hours after intercourse
11)A nurse is teaching a client who is at 10 weeks of gestation about nutrition
during pregnancy. Which of thefollowing statements by theclient indicates an
understanding of theteaching?
I should take 600mcg of folic acid each day-- folic acid assists with preventing neural
tube defects
12)A nurse is reviewing themedical record of a client who is one day postpartum.
theclient had a vaginal birth with a fourth-degree perineal laceration. thenurse
should contact theprovider regarding which of thefollowing prescriptions?
Bisacodyl rectal suppository daily as needed for constipation-- a suppository or
enema could cause separation of thesuture line, bleeding or infection
13)A nurse is calculating a client's expected date of birth using Naegele's rule.
theclient tells thenurse that her last menstrual cycle started on November
27th. Which of thefollowing dates is theclient's expected date of birth?
September 3rd-- subtract 3 months from thefirst day of theclient's period, then add 7
days
14)A nurse is preparing to administer hepatitis B immune globulin to a
newborn. theprescription states, "Administer 5mcg IM once today." Available
is a 5mL vial with 10mcg/mL. How many mL should thenurse administer?
0.5mL
15)A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbilirubinemia. Which of thefollowing actions should
thenurse include in theplan?
Remove all clothing from thenewborn except thediaper-- maximum skin exposer is
needed to break down excess bilirubin
16)A nurse on an antepartum unit is caring for four clients. Which of thefollowing
clients should thenurse identify as thepriority?
A client who is at 34 weeks gestation and reports epigastric pain-- epigastric pain is
a clinical manifestation of preeclampsia and indicates hepatic involvement
17)A nurse is teaching a new mother about steps thenurses will take to promote
thesecurity and safety of thenewborn. Which of thefollowing statements
should thenurse make?
Staff members who take care of your baby will be wearing a photo identification
badge
18)A nurse is teaching a client who is at 35 weeks of gestation about clinical
manifestations of potential pregnancy complications to report to theprovider.
Which of thefollowing manifestations should thenurse include?
Headache that is unrelieved by analgesia-- unrelieved headache with meds may
indicate preeclampsia
