ATI RN Maternal Newborn Online Practice A
Exam
,1. A nurse is caring for a
newborn. 8 hr of age:
Temp: 37.1 C(98.8 F)
Axillary Pulse rate:
132/min
Resp rate: 52/min
36 hr of age:
Temp: 36.1 C (97 F)
Axillary Pulse rate:
160/min
Resp rate: 78/min
For each assessment finding, click to specify if the finding is
consistent with hypoglycemia, hyperbilirubinemia, or sepsis. Each
finding may support more than one disease process.: Poor feeding:
Hypoglycemia, Hyperbilirubinemia, Sepsis
Lethargy: Hypoglycemia, Sepsis
Yellow sclera and oral mucosa:
Hyperbilirubinemia, Sepsis Decreased
temperature: Hypoglycemia, Sepsis Respiratory
distress: Hypoglycemia, Sepsis
Ecchymotic caput succedaneum: Hyperbilirubinemia
2. A nurse is assessing a newborn following a circumcision. Which of
the fol- lowing findings should the nurse identify as an indication
that the newborn is experiencing pain?
a. decreased heart rate
b. chin quivering
c. pinpoint pupils
d. slowed respirations: b. Chin quivering
3. A nurse is teaching a client who is at 10 weeks of gestation
about nutrition during pregnancy. Which of the following statements
by the client indicates an understanding of the teaching?
,a. "I should increase my protein intake to 60 g each day."
b. "I should drink 2 liters of water each day"
c. "I should increase my overall daily caloric intake by 300 calories
each day."
, d. "I should take 600 micrograms of folic acid each day.": d. "I should take 600
micrograms of folic acid each day."
4. A nurse is planning care for a client who is to undergo a nonstress
test. Which of the following actions should the nurse include in the
plan of care?
a. Maintain the client NPO throughout the procedure.
b. Place the client in a supine position.
c. Instruct the client to massage the abdomen to stimulate fetal
movement.
d. Instruct the client to press the provided button each time fetal
movement is detected.: d. Instruct the client to press the provided button each time fetal
movement is detected
5. A nurse is transporting a newborn back to the parent's
room following a procedure. Which of the following actions
should the nurse take?
a. Ensure the parent's identification band number matches the
newborn's identification band number
b. Ask the parent's to verify their name and date of birth.
c.Check the newborn's security tag number to ensure it matches the
newborn's medical record
d. Match the newborn's date and time of birth to the information in the
parent's medical record.: a. Ensure the parent's identification band number matches the
newborn's identification band number
6. A nurse is caring for a client who is to receive oxytocin to
augment their labor. Which of the following findings contraindicates
the initiation of the oxytocin infusion and should be reported to the
provider?
a. Late decelerations
b. Moderate variability of the FHR
c. Cessation of uterine dilation
d. Prolonged active phase of labor: a. Late decelerations
7. A nurse is reviewing the medical record of a newly admitted
Exam
,1. A nurse is caring for a
newborn. 8 hr of age:
Temp: 37.1 C(98.8 F)
Axillary Pulse rate:
132/min
Resp rate: 52/min
36 hr of age:
Temp: 36.1 C (97 F)
Axillary Pulse rate:
160/min
Resp rate: 78/min
For each assessment finding, click to specify if the finding is
consistent with hypoglycemia, hyperbilirubinemia, or sepsis. Each
finding may support more than one disease process.: Poor feeding:
Hypoglycemia, Hyperbilirubinemia, Sepsis
Lethargy: Hypoglycemia, Sepsis
Yellow sclera and oral mucosa:
Hyperbilirubinemia, Sepsis Decreased
temperature: Hypoglycemia, Sepsis Respiratory
distress: Hypoglycemia, Sepsis
Ecchymotic caput succedaneum: Hyperbilirubinemia
2. A nurse is assessing a newborn following a circumcision. Which of
the fol- lowing findings should the nurse identify as an indication
that the newborn is experiencing pain?
a. decreased heart rate
b. chin quivering
c. pinpoint pupils
d. slowed respirations: b. Chin quivering
3. A nurse is teaching a client who is at 10 weeks of gestation
about nutrition during pregnancy. Which of the following statements
by the client indicates an understanding of the teaching?
,a. "I should increase my protein intake to 60 g each day."
b. "I should drink 2 liters of water each day"
c. "I should increase my overall daily caloric intake by 300 calories
each day."
, d. "I should take 600 micrograms of folic acid each day.": d. "I should take 600
micrograms of folic acid each day."
4. A nurse is planning care for a client who is to undergo a nonstress
test. Which of the following actions should the nurse include in the
plan of care?
a. Maintain the client NPO throughout the procedure.
b. Place the client in a supine position.
c. Instruct the client to massage the abdomen to stimulate fetal
movement.
d. Instruct the client to press the provided button each time fetal
movement is detected.: d. Instruct the client to press the provided button each time fetal
movement is detected
5. A nurse is transporting a newborn back to the parent's
room following a procedure. Which of the following actions
should the nurse take?
a. Ensure the parent's identification band number matches the
newborn's identification band number
b. Ask the parent's to verify their name and date of birth.
c.Check the newborn's security tag number to ensure it matches the
newborn's medical record
d. Match the newborn's date and time of birth to the information in the
parent's medical record.: a. Ensure the parent's identification band number matches the
newborn's identification band number
6. A nurse is caring for a client who is to receive oxytocin to
augment their labor. Which of the following findings contraindicates
the initiation of the oxytocin infusion and should be reported to the
provider?
a. Late decelerations
b. Moderate variability of the FHR
c. Cessation of uterine dilation
d. Prolonged active phase of labor: a. Late decelerations
7. A nurse is reviewing the medical record of a newly admitted
