ATI MATERNAL NEWBORN FINAL EXAM VERSION 2 2022/2023 LATEST UPDATE
1. nurse is planning DC for client who is 3 days postpartum. which nonpharmacological
interventions should you include for lactation suppression
(correct answers)apply cabbage leaves to your breasts
2. nurse is performing assessment on newborn. what should you expect to find
(correct answers)heart rate 154
resps 58
weight 5lb 12 oz (2.6 kg)
3. nurse caring for client and partner who experiences a fetal death. which action should you take
(correct answers)take photos of the newborn to give to the parent
4. nurse caring for client who is 36wks and has prescription for amniocentesis. whats the reason to
prepare the client for an US
(correct answers)to locate the pocket of fluid
5. nurse in antepartum clinic is assessing pts adaptation to pregnancy. she states "happy one
minute and crying the next". nurse should interpret this statment as an indication of what
(correct answers)emotional lability
6. nurse is teaching newly licensed nurse about universal newborn screening. which statement
should the nurse include in the teaching
(correct answers)ensure newborn has been receiving feedings for 24 hours prior to test
7. nurse is assessing newborn at 12 hours of birth. which manifestation should you report to the
provider
(correct answers)jaundice
8. nurse assessing newborn of client who took selective serotonin reuptake inhibitor during
pregnancy. which manifestation should the nurse identify is an indication of withdrawal from
SSRI
(correct answers)vomiting
9. nurse is assessing newborn following circumcision. which findings should the nurse identify as
an indication that the newborn is experiencing pain
(correct answers)chin quivering
10. nurse is demonstrating how to bathe newborn. whats the order of bathing a newborn
(correct answers)eyes from inner to outer
wash neck by lifting chin
cleanse umbillical cord
wash legs and feet
cleans genitals
11. nurse is assessing client who is 30wks during routine exam. which findings should you report to
the provider
(correct answers)swelling of the face
12. nurse is caring for client in active labor and has no cervical change in 4 hours. which statement
should you make
(correct answers)your provider will insert iupc to monitor strength of ctxs
, 13. nurse in prenatal clinic caring for client who reports her menstrual period is 2 wks late. client
appears anxious and asks if she is pregnant. which response should you make
(correct answers)you can miss your period for several reasons. describe your typical menstrual
cycle
14. nurse is caring for client thats anemic at 32wks and is in PTL. provider prescribes
betamethasone. what outcomes should the nurse expect (correct answers)a reduction in
respiratory distress in newborn
15. nurse is caring for client thats pregnant and at end of first trimester. where would you find the
heart rate with a Doppler
(correct answers)just above symphysis pubis
16. nurse is caring for postpartum client receiving heparin via IV infusion for thrombophlebitis in her
left calf. what action should you take
(correct answers)maintain client on bedrest
17. nurse is planning care for client undergoing NST. which action should the nurse include in the
plan
(correct answers)instruct client to push button every time they feel fetal movement
18. nurse is providing DC instructions who is postpartum and taking insulin for GDM. which
instructions should you include
(correct answers)you should get a 2 hour glucose test in 6-12wks
19. nurse in prenatal clinic is assessing a group. which client should be seen first
(correct answers)11wks experiencing abd cramping
20. nurse is teaching client thats 10wks about nutrition in pregnancy. which statement by the client
indicates and understanding
(correct answers)i should take 600mcg of folic acid each day
21. nurse is teaching client thats pregnant about managing N/V. which instructions should you
include
(correct answers)eat high-carbohydrate foods
22. nurse is reviewing labs on client thats 24 hours postpartum following vaginal delivery. which lab
results should indicate an infection
(correct answers)ESR 26mm/hr
23. nurse is caring for client at 35wks and is undergoing NST that has a variable deceleration. which
action should the nurse take
(correct answers)have the client change position
24. client is 24wks and asks nurse how she will know if she is in labor. whats your response (correct
answers)you will notice blood tinged discharge from your vagina
25. nurse is planning care for client in labor and is to have an amniotomy. which assessement
should the nurse identify as the priority (correct answers)temperature
26. nurse is reviewing medical records of client who is postpartum and has pre-e. which lab results
should the nurse report to the provider (correct answers)platelets 50000
27. nurse on postpartum is caring for client following C/S. which assessment is the nurses priority
(correct answers)amount of lochia
1. nurse is planning DC for client who is 3 days postpartum. which nonpharmacological
interventions should you include for lactation suppression
(correct answers)apply cabbage leaves to your breasts
2. nurse is performing assessment on newborn. what should you expect to find
(correct answers)heart rate 154
resps 58
weight 5lb 12 oz (2.6 kg)
3. nurse caring for client and partner who experiences a fetal death. which action should you take
(correct answers)take photos of the newborn to give to the parent
4. nurse caring for client who is 36wks and has prescription for amniocentesis. whats the reason to
prepare the client for an US
(correct answers)to locate the pocket of fluid
5. nurse in antepartum clinic is assessing pts adaptation to pregnancy. she states "happy one
minute and crying the next". nurse should interpret this statment as an indication of what
(correct answers)emotional lability
6. nurse is teaching newly licensed nurse about universal newborn screening. which statement
should the nurse include in the teaching
(correct answers)ensure newborn has been receiving feedings for 24 hours prior to test
7. nurse is assessing newborn at 12 hours of birth. which manifestation should you report to the
provider
(correct answers)jaundice
8. nurse assessing newborn of client who took selective serotonin reuptake inhibitor during
pregnancy. which manifestation should the nurse identify is an indication of withdrawal from
SSRI
(correct answers)vomiting
9. nurse is assessing newborn following circumcision. which findings should the nurse identify as
an indication that the newborn is experiencing pain
(correct answers)chin quivering
10. nurse is demonstrating how to bathe newborn. whats the order of bathing a newborn
(correct answers)eyes from inner to outer
wash neck by lifting chin
cleanse umbillical cord
wash legs and feet
cleans genitals
11. nurse is assessing client who is 30wks during routine exam. which findings should you report to
the provider
(correct answers)swelling of the face
12. nurse is caring for client in active labor and has no cervical change in 4 hours. which statement
should you make
(correct answers)your provider will insert iupc to monitor strength of ctxs
, 13. nurse in prenatal clinic caring for client who reports her menstrual period is 2 wks late. client
appears anxious and asks if she is pregnant. which response should you make
(correct answers)you can miss your period for several reasons. describe your typical menstrual
cycle
14. nurse is caring for client thats anemic at 32wks and is in PTL. provider prescribes
betamethasone. what outcomes should the nurse expect (correct answers)a reduction in
respiratory distress in newborn
15. nurse is caring for client thats pregnant and at end of first trimester. where would you find the
heart rate with a Doppler
(correct answers)just above symphysis pubis
16. nurse is caring for postpartum client receiving heparin via IV infusion for thrombophlebitis in her
left calf. what action should you take
(correct answers)maintain client on bedrest
17. nurse is planning care for client undergoing NST. which action should the nurse include in the
plan
(correct answers)instruct client to push button every time they feel fetal movement
18. nurse is providing DC instructions who is postpartum and taking insulin for GDM. which
instructions should you include
(correct answers)you should get a 2 hour glucose test in 6-12wks
19. nurse in prenatal clinic is assessing a group. which client should be seen first
(correct answers)11wks experiencing abd cramping
20. nurse is teaching client thats 10wks about nutrition in pregnancy. which statement by the client
indicates and understanding
(correct answers)i should take 600mcg of folic acid each day
21. nurse is teaching client thats pregnant about managing N/V. which instructions should you
include
(correct answers)eat high-carbohydrate foods
22. nurse is reviewing labs on client thats 24 hours postpartum following vaginal delivery. which lab
results should indicate an infection
(correct answers)ESR 26mm/hr
23. nurse is caring for client at 35wks and is undergoing NST that has a variable deceleration. which
action should the nurse take
(correct answers)have the client change position
24. client is 24wks and asks nurse how she will know if she is in labor. whats your response (correct
answers)you will notice blood tinged discharge from your vagina
25. nurse is planning care for client in labor and is to have an amniotomy. which assessement
should the nurse identify as the priority (correct answers)temperature
26. nurse is reviewing medical records of client who is postpartum and has pre-e. which lab results
should the nurse report to the provider (correct answers)platelets 50000
27. nurse on postpartum is caring for client following C/S. which assessment is the nurses priority
(correct answers)amount of lochia
