ATI MATERNAL NEWBORN FINAL EXAM STUDY GUIDE
1. A nurse in the newborn nursery is monitoring a term infant for possible
pathologic jaundice. The nurse should expect to see an abnormal
bilirubin result within:
- 12 hours
(Physiological jaundice occurs after 24 hours, pathological jaundice
occurs before 24 hours)
2. A nurse administered Oxycodone Hydrochloride/Acetaminophen one
tablet by mouth to a post-partum woman. Which of the following is the best
action by the nurse:
- Reassess pain level in 30 mins
3. During the first prenatal visit, an 8-weeks gestation client reports morning
sickness. To promote self-care, the nurse should suggest to the client that
the nausea can be relieved by:
- Eating small frequent meals
4. When assessing a woman who gave birth 5 days ago. What color should
the nurse expect?
- Lochia serosa
(Lochia rubra 1-3 days, Serosa 4-10 days, alba 11-21 days)
5. During the assessment of a 36-weeks pregnant client she reports feeling
faint and dizzy, which intervention is most appropriate?
- Turn client on left side and assess blood pressure
6. After a patient has a spontaneous abortion, the nurse prioritizes care
by observing the client for:
- Frequent changing of peri pads
7. After birth, when inspecting her newborn baby girl, the mother notices
a discharge from the nipples of both breasts of the baby. The nurse
should explain that this is evidence of:
- Influence of maternal hormones
8. A nurse following up with a client who delivered 4 days ago. The client tells
the nurse, “I don’t know what is wrong, I love my son, but I feel so let-down,
I seem to cry for no reason.” The nurse should recognize that the mother is
experiencing:
- Post-partum blues
9. A student nurse asks the registered nurse, “How will I know if the client is
in true labor?” The nurse explains that true labor can be differentiated from
false labor because in true labor, contractions will:
, - Result in progressive dilation of the cervix
10. A nurse is assessing a client who has gestational diabetes, immediately
following birth, the nurse notes profuse bleeding. What will the
nurse’s assessment most likely reveal?
- Uterine atony
11. A decision to withhold “extraordinary care” for a newborn with
severe abnormalities is actually:
- A decision to let the newborn die
12. After the delivery of a 38-week gestation male, a nurse knows that the
assessment of which two body systems of the newborn should be
conducted first:
- Respiratory and Cardiovascular (then Thermoregulation)
13. A nurse in the labor room is teaching nursing students about fetal
positions. After the teaching session the nurse uses the image presented to
quiz the students. The students correctly identify thee fetal position if they
state:
- Right Occiput Posterior (ROP)
14. A clinical instructor explains to nursing students that the most effective and
least expensive treatment of puerperal infections is prevention. Which of
the follow is important in this strategy?
- Aseptic technique and handwashing
15. Which of these actions should a nurse take prior to increasing the
oxytocin rate for a patient in labor who has an oxytocin infusion?
- Monitor fetal heart tones
16. A client who is two weeks postpartum tells the nurse, “I don’t enjoy being
with my baby.” The nurse considers that the client is at risk for which of
the following?
- Postpartum Depression
17. A perinatal nurse is assessing a 32-year-old client who is at 36 weeks’
gestation. The fundal height measurement was last recorded at 34
centimeters. The client’s abdomen appears to be widest from side to side
and no fetal part is palpated in the fundal portion of the uterus or above the
, symphysis pubis. What type of presentation should the perinatal nurse
expect?
- Shoulder presentation
18. A client expresses to the nurse that she is disappointed that she had a boy
instead of a girl. The nurse knows that there is a potential risk for which
of the following?
- Bonding
19. A multipara is experiencing intense back labor and a prolonged active
phase. The nurse concludes that these assessment findings my be due to
- Occipitoposterior presentation?
20. A nurse in the newborn nursery is monitoring a term infant for
possible physiologic jaundice. When should the nurse expect to see an
abnormal bilirubin result:
- 26 hours
21. A nurse is caring for a client who is in labor and notes late decelerations.
The nurse should encourage the mother to:
- Lay on left side
22. A client presents to the labor and delivery unit with contractions 3
minutes apart and strong intensity. Her cervical exams reveal that her
cervix is 3 cm dilated. The nurse explains to the client that she is
experiencing:
- Early Labor
23. A nurse in the labor room is teaching nursing students about fetal
positions. After the teaching session the nurse uses the image presented to
quiz the students. The students correctly identify thee fetal position if they
state:
- Right occiput anterior (ROA)
24. A woman’s contractions become effective and dilation begins. At 8 cm
dilation, the fetal heart rate drops from 150 to 110. On perineal
inspection, the nurse notes the umbilical cord has prolapsed. The nurse’s
first action would be to:
- Place client in knee-chest position
25. A 17 year old woman experiences a miscarriage at 13 weeks gestation. She
begins to cry, stating that she was upset about her pregnancy at first and
now
1. A nurse in the newborn nursery is monitoring a term infant for possible
pathologic jaundice. The nurse should expect to see an abnormal
bilirubin result within:
- 12 hours
(Physiological jaundice occurs after 24 hours, pathological jaundice
occurs before 24 hours)
2. A nurse administered Oxycodone Hydrochloride/Acetaminophen one
tablet by mouth to a post-partum woman. Which of the following is the best
action by the nurse:
- Reassess pain level in 30 mins
3. During the first prenatal visit, an 8-weeks gestation client reports morning
sickness. To promote self-care, the nurse should suggest to the client that
the nausea can be relieved by:
- Eating small frequent meals
4. When assessing a woman who gave birth 5 days ago. What color should
the nurse expect?
- Lochia serosa
(Lochia rubra 1-3 days, Serosa 4-10 days, alba 11-21 days)
5. During the assessment of a 36-weeks pregnant client she reports feeling
faint and dizzy, which intervention is most appropriate?
- Turn client on left side and assess blood pressure
6. After a patient has a spontaneous abortion, the nurse prioritizes care
by observing the client for:
- Frequent changing of peri pads
7. After birth, when inspecting her newborn baby girl, the mother notices
a discharge from the nipples of both breasts of the baby. The nurse
should explain that this is evidence of:
- Influence of maternal hormones
8. A nurse following up with a client who delivered 4 days ago. The client tells
the nurse, “I don’t know what is wrong, I love my son, but I feel so let-down,
I seem to cry for no reason.” The nurse should recognize that the mother is
experiencing:
- Post-partum blues
9. A student nurse asks the registered nurse, “How will I know if the client is
in true labor?” The nurse explains that true labor can be differentiated from
false labor because in true labor, contractions will:
, - Result in progressive dilation of the cervix
10. A nurse is assessing a client who has gestational diabetes, immediately
following birth, the nurse notes profuse bleeding. What will the
nurse’s assessment most likely reveal?
- Uterine atony
11. A decision to withhold “extraordinary care” for a newborn with
severe abnormalities is actually:
- A decision to let the newborn die
12. After the delivery of a 38-week gestation male, a nurse knows that the
assessment of which two body systems of the newborn should be
conducted first:
- Respiratory and Cardiovascular (then Thermoregulation)
13. A nurse in the labor room is teaching nursing students about fetal
positions. After the teaching session the nurse uses the image presented to
quiz the students. The students correctly identify thee fetal position if they
state:
- Right Occiput Posterior (ROP)
14. A clinical instructor explains to nursing students that the most effective and
least expensive treatment of puerperal infections is prevention. Which of
the follow is important in this strategy?
- Aseptic technique and handwashing
15. Which of these actions should a nurse take prior to increasing the
oxytocin rate for a patient in labor who has an oxytocin infusion?
- Monitor fetal heart tones
16. A client who is two weeks postpartum tells the nurse, “I don’t enjoy being
with my baby.” The nurse considers that the client is at risk for which of
the following?
- Postpartum Depression
17. A perinatal nurse is assessing a 32-year-old client who is at 36 weeks’
gestation. The fundal height measurement was last recorded at 34
centimeters. The client’s abdomen appears to be widest from side to side
and no fetal part is palpated in the fundal portion of the uterus or above the
, symphysis pubis. What type of presentation should the perinatal nurse
expect?
- Shoulder presentation
18. A client expresses to the nurse that she is disappointed that she had a boy
instead of a girl. The nurse knows that there is a potential risk for which
of the following?
- Bonding
19. A multipara is experiencing intense back labor and a prolonged active
phase. The nurse concludes that these assessment findings my be due to
- Occipitoposterior presentation?
20. A nurse in the newborn nursery is monitoring a term infant for
possible physiologic jaundice. When should the nurse expect to see an
abnormal bilirubin result:
- 26 hours
21. A nurse is caring for a client who is in labor and notes late decelerations.
The nurse should encourage the mother to:
- Lay on left side
22. A client presents to the labor and delivery unit with contractions 3
minutes apart and strong intensity. Her cervical exams reveal that her
cervix is 3 cm dilated. The nurse explains to the client that she is
experiencing:
- Early Labor
23. A nurse in the labor room is teaching nursing students about fetal
positions. After the teaching session the nurse uses the image presented to
quiz the students. The students correctly identify thee fetal position if they
state:
- Right occiput anterior (ROA)
24. A woman’s contractions become effective and dilation begins. At 8 cm
dilation, the fetal heart rate drops from 150 to 110. On perineal
inspection, the nurse notes the umbilical cord has prolapsed. The nurse’s
first action would be to:
- Place client in knee-chest position
25. A 17 year old woman experiences a miscarriage at 13 weeks gestation. She
begins to cry, stating that she was upset about her pregnancy at first and
now
