ATI MATERNAL NEWBORN TEST BANK FINAL EXAM
PREPARATION 2026-2027 NEWEST VERSION 1 WITH
COMPLETE QUESTIONS AND ACCURATE DETAILED ANSWERS
(RATIONALES) LATEST UPDATE!! ACTUAL TEST BANK FINAL
EXAM ALREADY GRADED A+ Jacksonville University \NUR
346
A nurse is caring for a client who is pregnant in an antepartum clinic. Which of
the following findings should the nurse report to the provider?
- Uterine contractions.
The client is experiencing regular uterine contractions and cervical change,
which are indicators of preterm labor; therefore, the nurse should notify the
provider
about this finding.
- Gestational age.
The client is at 32 weeks of gestation and is experiencing regular uterine
contractions and cervical dilation, which indicates that the client is in preterm labor;
therefore, the nurse should notify the provider about this finding.
- Vaginal examination.
The client's cervix is dilated to 2 cm and is 50% effaced, which indicate the client
is in preterm labor; therefore, the nurse should notify the provider about this
finding.
The client's blood pressure is within the expected reference range . Blood
pressure 130/70 mm Hg? what is normal.
,A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive.
Which of the following actions should the nurse take?
Report the client's condition to the local health department.
Rationale:
The nurse should report the condition to the local health department. HIV is one
of the conditions on the list of Nationally Notifiable Infectious Conditions that
is
required to be reported.
Other considerations:
The nurse should tell the client that treatment for HIV will be during the prenatal
and perinatal periods. Treatment with antiretroviral prophylaxis such as
zidovudine, triple-drug antiretroviral therapy (ART), or highly active
antiretroviral therapy
(HAART) during pregnancy have been reported to decrease the transmission of
the virus to the newborn.
A nurse is assessing a client who is postpartum and has idiopathic
thrombocytopenia purpura (ITP). Which of the following findings should the
nurse expect?
Decreased platelet count
Rationale:
A client who has ITP has an autoimmune response that results in a decreased
platelet count.
Other considerations:
- An increased ESR is an indication of chronic renal failure.
- An increased WBC is an indication of infection.
,A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy.
The client states that they are "happy one minute and crying the next." The nurse
should interpret the client's statement as an indication of which of the
following?
Emotional lability
Rationale:
The nurse should recognize and interpret the client's statement as an indication
of emotional lability. Many clients experience rapid and unpredictable changes
in mood during pregnancy. Intense hormonal changes may be responsible for
mood changes that occur during pregnancy. Tears and anger alternate with
feelings of joy or cheerfulness for little or no reason.
A nurse is assessing the newborn of a client who took a selective serotonin
reuptake inhibitor (SSRI) during pregnancy. Which of the following
manifestations should the nurse identify as an indication of withdrawal from an
SSRI?
Vomiting
Rationale:
Expected manifestations associated with fetal exposure to SSRIs include irritability,
agitation, tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
Manifestations of fetal exposure to SSRIs. include: Low birth weight, Hypoglycemia,
Tachypnea.
, A nurse is assessing four newborns. Which of the following findings should the
nurse report to the provider?
A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
Rationale
An axillary temperature greater than 37.5° C (99.5° F) is above the expected
reference range of 36.5 - 37.5 ° C for a newborn and can be an indication of sepsis.
Therefore, the nurse should report this finding to the provider.
other considerations:
- A newborn should pass the first meconium stool within the first 24 to 48 hr
following birth. Failure to pass a meconium stool can indicate a bowel
obstruction or congenital disorder.
- Pink-tinged urine is an indication of uric acid crystals and is an expected
finding for a newborn during the first week following birth.
- Erythema toxicum is a transient rash that can appear anywhere on a
newborn's body during the first 24 to 72 hr following birth and can last up to
3 weeks. This finding requires no treatment.
PREPARATION 2026-2027 NEWEST VERSION 1 WITH
COMPLETE QUESTIONS AND ACCURATE DETAILED ANSWERS
(RATIONALES) LATEST UPDATE!! ACTUAL TEST BANK FINAL
EXAM ALREADY GRADED A+ Jacksonville University \NUR
346
A nurse is caring for a client who is pregnant in an antepartum clinic. Which of
the following findings should the nurse report to the provider?
- Uterine contractions.
The client is experiencing regular uterine contractions and cervical change,
which are indicators of preterm labor; therefore, the nurse should notify the
provider
about this finding.
- Gestational age.
The client is at 32 weeks of gestation and is experiencing regular uterine
contractions and cervical dilation, which indicates that the client is in preterm labor;
therefore, the nurse should notify the provider about this finding.
- Vaginal examination.
The client's cervix is dilated to 2 cm and is 50% effaced, which indicate the client
is in preterm labor; therefore, the nurse should notify the provider about this
finding.
The client's blood pressure is within the expected reference range . Blood
pressure 130/70 mm Hg? what is normal.
,A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive.
Which of the following actions should the nurse take?
Report the client's condition to the local health department.
Rationale:
The nurse should report the condition to the local health department. HIV is one
of the conditions on the list of Nationally Notifiable Infectious Conditions that
is
required to be reported.
Other considerations:
The nurse should tell the client that treatment for HIV will be during the prenatal
and perinatal periods. Treatment with antiretroviral prophylaxis such as
zidovudine, triple-drug antiretroviral therapy (ART), or highly active
antiretroviral therapy
(HAART) during pregnancy have been reported to decrease the transmission of
the virus to the newborn.
A nurse is assessing a client who is postpartum and has idiopathic
thrombocytopenia purpura (ITP). Which of the following findings should the
nurse expect?
Decreased platelet count
Rationale:
A client who has ITP has an autoimmune response that results in a decreased
platelet count.
Other considerations:
- An increased ESR is an indication of chronic renal failure.
- An increased WBC is an indication of infection.
,A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy.
The client states that they are "happy one minute and crying the next." The nurse
should interpret the client's statement as an indication of which of the
following?
Emotional lability
Rationale:
The nurse should recognize and interpret the client's statement as an indication
of emotional lability. Many clients experience rapid and unpredictable changes
in mood during pregnancy. Intense hormonal changes may be responsible for
mood changes that occur during pregnancy. Tears and anger alternate with
feelings of joy or cheerfulness for little or no reason.
A nurse is assessing the newborn of a client who took a selective serotonin
reuptake inhibitor (SSRI) during pregnancy. Which of the following
manifestations should the nurse identify as an indication of withdrawal from an
SSRI?
Vomiting
Rationale:
Expected manifestations associated with fetal exposure to SSRIs include irritability,
agitation, tremors, diarrhea, and vomiting. These manifestations typically last 2 days.
Manifestations of fetal exposure to SSRIs. include: Low birth weight, Hypoglycemia,
Tachypnea.
, A nurse is assessing four newborns. Which of the following findings should the
nurse report to the provider?
A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
Rationale
An axillary temperature greater than 37.5° C (99.5° F) is above the expected
reference range of 36.5 - 37.5 ° C for a newborn and can be an indication of sepsis.
Therefore, the nurse should report this finding to the provider.
other considerations:
- A newborn should pass the first meconium stool within the first 24 to 48 hr
following birth. Failure to pass a meconium stool can indicate a bowel
obstruction or congenital disorder.
- Pink-tinged urine is an indication of uric acid crystals and is an expected
finding for a newborn during the first week following birth.
- Erythema toxicum is a transient rash that can appear anywhere on a
newborn's body during the first 24 to 72 hr following birth and can last up to
3 weeks. This finding requires no treatment.
