ATI MATERNAL NURSING EXAM Q & A 100% CORRECT
OB
PROCTORED
1. A nurse is performing an initial assessment of a newborn who was delivered with a
nuchal cord. Which of the following clinical findings should the nurse expect?
Facial petechiae- seen over the presenting part with soft tissue injuries
-nuchal cord: umbilical cord around fetal neck. Will cause variable deceleration of FHR.
Intervention: repositi on client from side to side or into knee chest, discontinue oxytocin
if being infused, oxygen
2. A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal
abstinence syndrome. Which of the following findings indicates narcotic withdrawal?
1. Respiratory rate 50/min
2. Unequal pupils
3. Hypotonia
4. Excessive crying
• Substance withdrawal in the newborn occurs when the mother uses drugs during
pregnancy.
• Hitch pitch shrill cries, incessant crying, tremors, increae deep tendon reflexes,
disturbed sleep pattern, hypertonicity, convulsions
• Nasal congestion w/ flaring, apnea, tachypnea <60/min
3. A nurse is caring for a client who is in the second stage of labor. The nurse
observes the fetal head retract against the clients perineum immediately
following emergence . Which of the following actions should the nurse take?
1. Assess fetal position using Leopold maneuvers
2. Reposition the client in a left lateral position??? Not sure
3. Apply pressure to the clients suprapubic area
4. Empty the client’s bladder using Crede’s maneuver
• Pg 189) Prepare to apply suprapubic pressure to aid in the delivery of the
anterior shoulder, which is located inferior to the maternal symphysis pubis.
4. A client and her partner ask the nurse for information about permanent
,ATI MATERNAL NURSING EXAM Q & A 100% CORRECT
contraception. Which of the following statements should the nurse include in the
counseling?
1. “A man is usually sterile immediately after a vasectomy”- must use birth control
after procedure. Is not effective until 20 ejaulations or 1 week to several months
to allow all sperm to clear
2. “The menstrual cycle is shorter after a tubal ligation”
3. “Most sterilization procedures are considered irreversible”
4. “A woman should use contraception for 1-2 months after a tubal ligation”
5. A nurse is providing education to a client who is to receive misoprostol for induction
of labor. Which of the following instructions should the nurse include in the teaching?
1. “ I will insert a urinary catheter before I administer the medication” -??
2. “I will begin an oxytocin infusion w/in 2 hrs of your last dose of medication”
3. “You will like on your side for 40 minutes after I administer the medication
4. “You will receive an antacid containing magnesium before the medication”
-uterine stimulant. Controls postpartum hemorrhage. Assess uterine tone and vaginal
bleeding
-postpartum hemorrhage nursing care: massage fundas. Insert urinary catheter to assess
kidney functions to obtain accurate urinary output for bladder distention. Elevate legs.
6. A nurse is assessing a client who is in her second trimester for common physiological
changes during pregnancy. The nurse notes a blotchy discoloration on the client’s
forehead, nose & cheeks. Which of the following changes should the nurse document
p. 17 chapter 3
1. Linea nigra-dark line pigmentation from umbilicus to the pubic area.
2. Epulis- not found on ati book, but it is a tumor on the mouth caused by gingervitis.
3. Striae gravidarum - stretch marks found on abdomen and thigh
4. Chloasma -increase pigmentation on the face
7. A charge nurse is discussing STIs w/ a newly licensed nurse. Which of the
following infections should the nurse include in the teaching as an indication for a
cesarean birth p . 50 ch 8
1. Gonorrhea- spread genital to genital
2. Chlamydia
, ATI MATERNAL NURSING EXAM Q & A 100% CORRECT
3. HIV
4. Syphilis
- INDICATIONS for C-Section
::::::: Malpresentation, Non-reassuring fetal heart tones
OB
PROCTORED
1. A nurse is performing an initial assessment of a newborn who was delivered with a
nuchal cord. Which of the following clinical findings should the nurse expect?
Facial petechiae- seen over the presenting part with soft tissue injuries
-nuchal cord: umbilical cord around fetal neck. Will cause variable deceleration of FHR.
Intervention: repositi on client from side to side or into knee chest, discontinue oxytocin
if being infused, oxygen
2. A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal
abstinence syndrome. Which of the following findings indicates narcotic withdrawal?
1. Respiratory rate 50/min
2. Unequal pupils
3. Hypotonia
4. Excessive crying
• Substance withdrawal in the newborn occurs when the mother uses drugs during
pregnancy.
• Hitch pitch shrill cries, incessant crying, tremors, increae deep tendon reflexes,
disturbed sleep pattern, hypertonicity, convulsions
• Nasal congestion w/ flaring, apnea, tachypnea <60/min
3. A nurse is caring for a client who is in the second stage of labor. The nurse
observes the fetal head retract against the clients perineum immediately
following emergence . Which of the following actions should the nurse take?
1. Assess fetal position using Leopold maneuvers
2. Reposition the client in a left lateral position??? Not sure
3. Apply pressure to the clients suprapubic area
4. Empty the client’s bladder using Crede’s maneuver
• Pg 189) Prepare to apply suprapubic pressure to aid in the delivery of the
anterior shoulder, which is located inferior to the maternal symphysis pubis.
4. A client and her partner ask the nurse for information about permanent
,ATI MATERNAL NURSING EXAM Q & A 100% CORRECT
contraception. Which of the following statements should the nurse include in the
counseling?
1. “A man is usually sterile immediately after a vasectomy”- must use birth control
after procedure. Is not effective until 20 ejaulations or 1 week to several months
to allow all sperm to clear
2. “The menstrual cycle is shorter after a tubal ligation”
3. “Most sterilization procedures are considered irreversible”
4. “A woman should use contraception for 1-2 months after a tubal ligation”
5. A nurse is providing education to a client who is to receive misoprostol for induction
of labor. Which of the following instructions should the nurse include in the teaching?
1. “ I will insert a urinary catheter before I administer the medication” -??
2. “I will begin an oxytocin infusion w/in 2 hrs of your last dose of medication”
3. “You will like on your side for 40 minutes after I administer the medication
4. “You will receive an antacid containing magnesium before the medication”
-uterine stimulant. Controls postpartum hemorrhage. Assess uterine tone and vaginal
bleeding
-postpartum hemorrhage nursing care: massage fundas. Insert urinary catheter to assess
kidney functions to obtain accurate urinary output for bladder distention. Elevate legs.
6. A nurse is assessing a client who is in her second trimester for common physiological
changes during pregnancy. The nurse notes a blotchy discoloration on the client’s
forehead, nose & cheeks. Which of the following changes should the nurse document
p. 17 chapter 3
1. Linea nigra-dark line pigmentation from umbilicus to the pubic area.
2. Epulis- not found on ati book, but it is a tumor on the mouth caused by gingervitis.
3. Striae gravidarum - stretch marks found on abdomen and thigh
4. Chloasma -increase pigmentation on the face
7. A charge nurse is discussing STIs w/ a newly licensed nurse. Which of the
following infections should the nurse include in the teaching as an indication for a
cesarean birth p . 50 ch 8
1. Gonorrhea- spread genital to genital
2. Chlamydia
, ATI MATERNAL NURSING EXAM Q & A 100% CORRECT
3. HIV
4. Syphilis
- INDICATIONS for C-Section
::::::: Malpresentation, Non-reassuring fetal heart tones
