ATI Maternal Newborn
1) A nurse is caring for a full-term newborn immediately following
birth. Which of the following actions should the nurse take first?
Dry the newborn-- cold stress on the newborn
2) A nurse is caring for a client who is at 36 weeks of gestation and
has a positive contraction stress test. The nurse should pan to
prepare the client for which of the following diagnostic tests?
Biophysical profile-- eval of the fetus is necessary with a real-time
ultrasound
3) A nurse in a prenatal clinic is assessing a group of clients.
Which of the following clients should the nurse request the
provider 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 the nurse perform the following actions?
Step 1: Wipe the newborn's eyes from the inner canthus outward
Step 2: Wash the newborn's neck by lifting the newborn's chin
Step 3: Cleanse the skin around the newborn's umbilical cord stump
Step 4: Wash the newborn's legs and feet
Step 5: Clean the newborn's diaper area
5) A nurse is assessing a client who is at 30 weeks gestation during
a routine prenatal visit. Which of the findings should the nurse
report to the provider?
Swelling of the face-- 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 the following actions
by the mother should the nurse recognize as a positive parenting
behavior?
,Lays the newborn 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
the following manifestations should the nurse report to the
provider?
Jaundice
8) A nurse is teaching a client who is at 8 weeks of gestation about
exercise. Which of the following instructions should the nurse
include in the teaching?
You should exercise for 30 minutes each day-- improves muscle tone
9) A nurse is assessing a newborn following a circumcision. Which
of the following findings should the nurse identify as an
indication that the newborn is experiencing pain?
Chin quivering-- behavioral responses like grimacing and furrowing
of the brow could indicate pain in the newborn
10) A nurse is providing teaching about family planning to a
client who has a new prescription for a diaphragm. Which of the
following statements should the nurse include in the teaching?
You should leave the diaphragm 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 the following
statements by the client indicates an understanding of the
teaching?
I should take 600mcg of folic acid each day-- folic acid assists with
preventing neural tube defects
12) A nurse is reviewing the medical record of a client who is
one day postpartum. The client had a vaginal birth with a fourth-
degree perineal laceration. The nurse should contact the provider
regarding which of the following prescriptions?
Bisacodyl rectal suppository daily as needed for constipation-- a
suppository or enema could cause separation of the suture line,
bleeding or infection
, 13) A nurse is calculating a client's expected date of birth
using Naegele's rule. The client tells the nurse that her last
menstrual cycle started on November 27th. Which of the
following dates is the client's expected date of birth?
September 3rd-- subtract 3 months from the first day of the client's
period, then add 7 days
14)A nurse is preparing to administer hepatitis B immune
globulin to a newborn. The prescription states, "Administer
5mcg IM once today." Available is a 5mL vial with 10mcg/mL.
How many mL should the nurse administer?
0.5mL
15) A nurse is developing a plan of care for a newborn who is
to undergo phototherapy for hyperbilirubinemia. Which of the
following actions should the nurse include in the plan?
Remove all clothing from the newborn except the diaper-- maximum
skin exposer is needed to break down excess bilirubin
16) A nurse on an antepartum unit is caring for four clients.
Which of the following clients should the nurse identify as the
priority?
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 the nurses
will take to promote the security and safety of the newborn.
Which of the following statements should the nurse 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 the provider. Which of the following
manifestations should the nurse include?
1) A nurse is caring for a full-term newborn immediately following
birth. Which of the following actions should the nurse take first?
Dry the newborn-- cold stress on the newborn
2) A nurse is caring for a client who is at 36 weeks of gestation and
has a positive contraction stress test. The nurse should pan to
prepare the client for which of the following diagnostic tests?
Biophysical profile-- eval of the fetus is necessary with a real-time
ultrasound
3) A nurse in a prenatal clinic is assessing a group of clients.
Which of the following clients should the nurse request the
provider 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 the nurse perform the following actions?
Step 1: Wipe the newborn's eyes from the inner canthus outward
Step 2: Wash the newborn's neck by lifting the newborn's chin
Step 3: Cleanse the skin around the newborn's umbilical cord stump
Step 4: Wash the newborn's legs and feet
Step 5: Clean the newborn's diaper area
5) A nurse is assessing a client who is at 30 weeks gestation during
a routine prenatal visit. Which of the findings should the nurse
report to the provider?
Swelling of the face-- 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 the following actions
by the mother should the nurse recognize as a positive parenting
behavior?
,Lays the newborn 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
the following manifestations should the nurse report to the
provider?
Jaundice
8) A nurse is teaching a client who is at 8 weeks of gestation about
exercise. Which of the following instructions should the nurse
include in the teaching?
You should exercise for 30 minutes each day-- improves muscle tone
9) A nurse is assessing a newborn following a circumcision. Which
of the following findings should the nurse identify as an
indication that the newborn is experiencing pain?
Chin quivering-- behavioral responses like grimacing and furrowing
of the brow could indicate pain in the newborn
10) A nurse is providing teaching about family planning to a
client who has a new prescription for a diaphragm. Which of the
following statements should the nurse include in the teaching?
You should leave the diaphragm 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 the following
statements by the client indicates an understanding of the
teaching?
I should take 600mcg of folic acid each day-- folic acid assists with
preventing neural tube defects
12) A nurse is reviewing the medical record of a client who is
one day postpartum. The client had a vaginal birth with a fourth-
degree perineal laceration. The nurse should contact the provider
regarding which of the following prescriptions?
Bisacodyl rectal suppository daily as needed for constipation-- a
suppository or enema could cause separation of the suture line,
bleeding or infection
, 13) A nurse is calculating a client's expected date of birth
using Naegele's rule. The client tells the nurse that her last
menstrual cycle started on November 27th. Which of the
following dates is the client's expected date of birth?
September 3rd-- subtract 3 months from the first day of the client's
period, then add 7 days
14)A nurse is preparing to administer hepatitis B immune
globulin to a newborn. The prescription states, "Administer
5mcg IM once today." Available is a 5mL vial with 10mcg/mL.
How many mL should the nurse administer?
0.5mL
15) A nurse is developing a plan of care for a newborn who is
to undergo phototherapy for hyperbilirubinemia. Which of the
following actions should the nurse include in the plan?
Remove all clothing from the newborn except the diaper-- maximum
skin exposer is needed to break down excess bilirubin
16) A nurse on an antepartum unit is caring for four clients.
Which of the following clients should the nurse identify as the
priority?
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 the nurses
will take to promote the security and safety of the newborn.
Which of the following statements should the nurse 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 the provider. Which of the following
manifestations should the nurse include?
