ATI MATERNAL NEWBORN FINAL EXAM| [Latest 2026/2027 Update] Questions & Answers | Grade A | 100% Correct
nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include inthe plan of
care ✔️Ensure the newborns eyes are closed before applying the eye shield - Overexposure to the lights during treatment can cause damage to
the newborn's corneas. Therefore, the nurse should gently close the newborn's eyes prior to applying the eye shield.
A nurse is caring for a client at 34 weeks gestation and has a prescription for terbutaline for preterm labor. Which of the following statements
by the patient is the priority? ✔️"My heart feels as if it is racing." - the nurse should assess the client's heart rate. The primary action of
terbutaline is to cause bronchodilation and relax smooth muscles. However, an adverse effect is tachycardia. If the pulse is greater than
130/min, the terbutaline needs to be held until the provider is notified. The nurse might also need to use Maslow's hierarchy of needs, the ABC
priority-setting framework, or nursing knowledge to identify which finding is the most urgent.
A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D)
Immune Globulin? ✔️At 28 weeks of gestation - The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has Rh-
negative blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies against the Rh factor, which will destroy any
fetal RBCs in the maternal circulation and block maternal antibody production.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following actions should the nurse include in the
plan of care? ✔️Check the cervix prior to analgesic administration. - Prior to administering an analgesic during active labor, the nurse must know
how many centimeters the cervix is dilated. If administered too close to the time of delivery, the analgesic could cause respiratory depression in
the newborn.
A nurse is planning care for a client who is at 35 weeks of gestation. Which of the following lab tests should the nurse obtain? ✔️Group B
streptococcus Beta-hemolytic (GBS) - The nurse should obtain a vaginal/anal group B streptococcus ß-hemolytic (GBS) culture at 35 to 37 weeks
of gestation to screen for infection. Prophylactic antibiotics should be given during labor to the client who is positive for GBS.
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following clinical
manifestations is the newborn indicates toxicity due to the magnesium sulfate therapy? ✔️Respiratory depression - Magnesium sulfate can
cause respiratory and neuromuscular depression in the newborn. The nurse should monitor the newborn for clinical manifestations of
respiratory depression.
A nurse is caring for a client who is in labor and has an epidural for pain relief. Which of the following is a complication from the epidural block?
✔️hypotension - Maternal hypotension is an adverse effect of epidural anesthesia. The nurse should administer an IV fluid bolus prior to the
placement of epidural anesthesia in order to decrease the likelihood of this complication.
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse
provide to the client about the treatment plan? ✔️"You and your partner need to take the medication and use a condom during intercourse
until cultures are negative." - Trichomonas vaginalis is the organism that causes the sexually transmitted infection trichomoniasis. Both men
and women can be infected with trichomoniasis. Clinical findings include yellowish to greenish, frothy, mucopurulent, copious discharge with
an unpleasant odor, as well as itching, burning, or redness of the vulva and vagina. Trichomoniasis can be treated easily with metronidazole.
However, for the treatment to work, it is important to make sure both sexual partners receive treatment to prevent reinfection. Instruct the
client to use condoms during sexual intercourse while being treated.
A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much
weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse make? ✔️A weight gain of 25 - 35 lbs is
good - A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the first trimester and 12 lb each for the second and
third trimester is recommended.
A nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the med in relation to the
CNS? ✔️Block effects of narcotics on the CNS- By blocking the effects of narcotics on the CNS, naloxone prevents CNS and respiratory depression
in the newborn following delivery.
A nurse is discussing diaphragm use with a client. Which of the following statements by client indicates an understanding of the teaching? ✔️I
should replace my diaphragm every 2 years - The diaphragm is a flexible rubber cup that is filled with spermicide and is inserted over the cervix
prior to intercourse. The diaphragm is a prescribed device fitted by the provider. It should be replaced every 2 years.
A nurse is teaching a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?
✔️I should press the button on the handheld marker when my baby moves - The purpose of the test is to assess fetal well-being. The client
should press the button on the handheld marker when she feels fetal movement.
nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include inthe plan of
care ✔️Ensure the newborns eyes are closed before applying the eye shield - Overexposure to the lights during treatment can cause damage to
the newborn's corneas. Therefore, the nurse should gently close the newborn's eyes prior to applying the eye shield.
A nurse is caring for a client at 34 weeks gestation and has a prescription for terbutaline for preterm labor. Which of the following statements
by the patient is the priority? ✔️"My heart feels as if it is racing." - the nurse should assess the client's heart rate. The primary action of
terbutaline is to cause bronchodilation and relax smooth muscles. However, an adverse effect is tachycardia. If the pulse is greater than
130/min, the terbutaline needs to be held until the provider is notified. The nurse might also need to use Maslow's hierarchy of needs, the ABC
priority-setting framework, or nursing knowledge to identify which finding is the most urgent.
A nurse is planning care for a client who is pregnant and is Rh-negative. In which of the following situations should the nurse administer Rh(D)
Immune Globulin? ✔️At 28 weeks of gestation - The nurse should administer Rh(D) Immune Globulin to a client who is pregnant and has Rh-
negative blood at 28 weeks of gestation. Rh(D) Immune Globulin consists of passive antibodies against the Rh factor, which will destroy any
fetal RBCs in the maternal circulation and block maternal antibody production.
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. Which of the following actions should the nurse include in the
plan of care? ✔️Check the cervix prior to analgesic administration. - Prior to administering an analgesic during active labor, the nurse must know
how many centimeters the cervix is dilated. If administered too close to the time of delivery, the analgesic could cause respiratory depression in
the newborn.
A nurse is planning care for a client who is at 35 weeks of gestation. Which of the following lab tests should the nurse obtain? ✔️Group B
streptococcus Beta-hemolytic (GBS) - The nurse should obtain a vaginal/anal group B streptococcus ß-hemolytic (GBS) culture at 35 to 37 weeks
of gestation to screen for infection. Prophylactic antibiotics should be given during labor to the client who is positive for GBS.
A nurse is caring for a newborn whose mother received magnesium sulfate to treat preterm labor. Which of the following clinical
manifestations is the newborn indicates toxicity due to the magnesium sulfate therapy? ✔️Respiratory depression - Magnesium sulfate can
cause respiratory and neuromuscular depression in the newborn. The nurse should monitor the newborn for clinical manifestations of
respiratory depression.
A nurse is caring for a client who is in labor and has an epidural for pain relief. Which of the following is a complication from the epidural block?
✔️hypotension - Maternal hypotension is an adverse effect of epidural anesthesia. The nurse should administer an IV fluid bolus prior to the
placement of epidural anesthesia in order to decrease the likelihood of this complication.
A nurse is caring for a client who has trichomoniasis and a prescription for metronidazole. Which of the following instructions should the nurse
provide to the client about the treatment plan? ✔️"You and your partner need to take the medication and use a condom during intercourse
until cultures are negative." - Trichomonas vaginalis is the organism that causes the sexually transmitted infection trichomoniasis. Both men
and women can be infected with trichomoniasis. Clinical findings include yellowish to greenish, frothy, mucopurulent, copious discharge with
an unpleasant odor, as well as itching, burning, or redness of the vulva and vagina. Trichomoniasis can be treated easily with metronidazole.
However, for the treatment to work, it is important to make sure both sexual partners receive treatment to prevent reinfection. Instruct the
client to use condoms during sexual intercourse while being treated.
A nurse in a prenatal clinic is caring for a client who is within the recommended guideline for weight. The client asks the nurse how much
weight is safe for her to gain during her pregnancy. Which of the following responses should the nurse make? ✔️A weight gain of 25 - 35 lbs is
good - A weight gain of 25 to 35 lb is associated with good fetal outcome. A gain of 4 lb in the first trimester and 12 lb each for the second and
third trimester is recommended.
A nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the med in relation to the
CNS? ✔️Block effects of narcotics on the CNS- By blocking the effects of narcotics on the CNS, naloxone prevents CNS and respiratory depression
in the newborn following delivery.
A nurse is discussing diaphragm use with a client. Which of the following statements by client indicates an understanding of the teaching? ✔️I
should replace my diaphragm every 2 years - The diaphragm is a flexible rubber cup that is filled with spermicide and is inserted over the cervix
prior to intercourse. The diaphragm is a prescribed device fitted by the provider. It should be replaced every 2 years.
A nurse is teaching a client about a nonstress test. Which of the following statements by the client indicates an understanding of the teaching?
✔️I should press the button on the handheld marker when my baby moves - The purpose of the test is to assess fetal well-being. The client
should press the button on the handheld marker when she feels fetal movement.
