ATI MATERNAL EXAM 2
Here are the questions formatted in a multiple-choice format with the correct answers, case study scenarios, vital
signs where applicable, and rationales that align with NCLEX (NGN style questions).
### 1. Birth Control Education
**Scenario:** A nurse is conducting an educational class for a group of clients about birth control methods.
**Question:** Which of the following information should the nurse include in the teaching?
- A. Your fertility will return six months after your provider removes your IUD.
- B. You should use spermicide 3 hours prior to sexual intercourse.
- C. You will not need to use birth control for one month after receiving emergency contraception.
- D. You should have an annual examination to assess your diaphragm.
**Answer:** D. You should have an annual examination to assess your diaphragm.
**Rationale:** Diaphragms should be checked annually for fit, and it is essential to ensure the contraction remains
effective. Other options contain inaccuracies about fertility and usage times.
---
### 2. Preparing a Toddler for a New Sibling
**Scenario:** A client who is 16 weeks of gestation asks how to prepare her toddler for a new sibling.
**Question:** Which statement 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. You should give your toddler a gift from the baby when she visits 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 visits you in the facility.
,**Rationale:** Giving a gift from the baby can help create a bond and show the toddler that the new sibling is a
positive addition.
---
### 3. Assisting a New Mother
**Scenario:** A nurse observes an adolescent mother attempting to bottle-feed her newborn.
**Question:** When the mother states, "No, the baby is too tired to be held," what should the nurse do next?
- 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.
**Rationale:** Teaching the mother to hold the baby can enhance bonding and provide her the skills she needs for
caring for her newborn.
---
### 4. Preterm Labor Medication
**Scenario:** A nurse is assessing a client in preterm labor with a prescription for terbutaline.
**Question:** For which of the following findings should the nurse WITHHOLD the medication and report to the
provider?
- A. Fasting blood glucose 75 mg/dL.
- B. Blood pressure 88/58 mmHg.
- C. Urinary output 40 mL/hr.
- D. FHR 120/min.
,**Answer:** B. Blood pressure 88/58 mmHg.
**Rationale:** Terbutaline can cause cardiovascular side effects, and a low blood pressure reading is a
contraindication for administration.
---
### 5. Post-Circumcision Care
**Scenario:** A nurse is instructing parents about post-circumcision care for their newborn.
**Question:** Which statement is correct?
- A. The plausible will be removed 4 hours after the procedure.
- B. Notify the provider if the end of your penis appears dark red.
- C. Make sure the newborn's diaper is snug.
- D. Yellow exudate will form at the surgical site in 24 hours.
**Answer:** D. Yellow exudate will form at the surgical site in 24 hours.
**Rationale:** It is normal for a yellow exudate to form at the surgical site as part of the healing process.
---
### 6. Care for Myelomeningocele
**Scenario:** A nurse is planning care for a newborn with myelomeningocele that has cerebrospinal fluid.
**Question:** Which action 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.
**Rationale:** Newborns with myelomeningocele are at high risk for infection; therefore, antibiotic prophylaxis is
necessary.
---
### 7. Newborn Glucose Assessment
**Scenario:** A nurse is caring for a 6-hour-old newborn of a mother with Type 2 diabetes.
**Question:** The bedside glucose meter reading is 65 mg/dL. Which action should the nurse take?
- A. Administer 50 mL of dextrose solution IV.
- B. Obtain a blood sample for 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.
**Rationale:** Monitoring blood glucose periodically is essential before taking more invasive actions, especially in the
absence of hypoglycemic symptoms.
---
### 8. Care for Pregnant Client with HIV
**Scenario:** A nurse is planning care for a pregnant client with HIV.
**Question:** Which action 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.
Here are the questions formatted in a multiple-choice format with the correct answers, case study scenarios, vital
signs where applicable, and rationales that align with NCLEX (NGN style questions).
### 1. Birth Control Education
**Scenario:** A nurse is conducting an educational class for a group of clients about birth control methods.
**Question:** Which of the following information should the nurse include in the teaching?
- A. Your fertility will return six months after your provider removes your IUD.
- B. You should use spermicide 3 hours prior to sexual intercourse.
- C. You will not need to use birth control for one month after receiving emergency contraception.
- D. You should have an annual examination to assess your diaphragm.
**Answer:** D. You should have an annual examination to assess your diaphragm.
**Rationale:** Diaphragms should be checked annually for fit, and it is essential to ensure the contraction remains
effective. Other options contain inaccuracies about fertility and usage times.
---
### 2. Preparing a Toddler for a New Sibling
**Scenario:** A client who is 16 weeks of gestation asks how to prepare her toddler for a new sibling.
**Question:** Which statement 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. You should give your toddler a gift from the baby when she visits 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 visits you in the facility.
,**Rationale:** Giving a gift from the baby can help create a bond and show the toddler that the new sibling is a
positive addition.
---
### 3. Assisting a New Mother
**Scenario:** A nurse observes an adolescent mother attempting to bottle-feed her newborn.
**Question:** When the mother states, "No, the baby is too tired to be held," what should the nurse do next?
- 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.
**Rationale:** Teaching the mother to hold the baby can enhance bonding and provide her the skills she needs for
caring for her newborn.
---
### 4. Preterm Labor Medication
**Scenario:** A nurse is assessing a client in preterm labor with a prescription for terbutaline.
**Question:** For which of the following findings should the nurse WITHHOLD the medication and report to the
provider?
- A. Fasting blood glucose 75 mg/dL.
- B. Blood pressure 88/58 mmHg.
- C. Urinary output 40 mL/hr.
- D. FHR 120/min.
,**Answer:** B. Blood pressure 88/58 mmHg.
**Rationale:** Terbutaline can cause cardiovascular side effects, and a low blood pressure reading is a
contraindication for administration.
---
### 5. Post-Circumcision Care
**Scenario:** A nurse is instructing parents about post-circumcision care for their newborn.
**Question:** Which statement is correct?
- A. The plausible will be removed 4 hours after the procedure.
- B. Notify the provider if the end of your penis appears dark red.
- C. Make sure the newborn's diaper is snug.
- D. Yellow exudate will form at the surgical site in 24 hours.
**Answer:** D. Yellow exudate will form at the surgical site in 24 hours.
**Rationale:** It is normal for a yellow exudate to form at the surgical site as part of the healing process.
---
### 6. Care for Myelomeningocele
**Scenario:** A nurse is planning care for a newborn with myelomeningocele that has cerebrospinal fluid.
**Question:** Which action 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.
**Rationale:** Newborns with myelomeningocele are at high risk for infection; therefore, antibiotic prophylaxis is
necessary.
---
### 7. Newborn Glucose Assessment
**Scenario:** A nurse is caring for a 6-hour-old newborn of a mother with Type 2 diabetes.
**Question:** The bedside glucose meter reading is 65 mg/dL. Which action should the nurse take?
- A. Administer 50 mL of dextrose solution IV.
- B. Obtain a blood sample for 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.
**Rationale:** Monitoring blood glucose periodically is essential before taking more invasive actions, especially in the
absence of hypoglycemic symptoms.
---
### 8. Care for Pregnant Client with HIV
**Scenario:** A nurse is planning care for a pregnant client with HIV.
**Question:** Which action 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.
