NURS ATI MATERNITY EXAM 1 QUESTIONS,
ANSWERS AND EXPLANATIONS GRADED A+ 2022
A laboring woman is lying in the supine position. The most appropriate nursing action is to:
a. Ask her to turn to one side.
b. Elevate her feet and legs.
c. Take her blood pressure.
d. Determine whether there is fetal tachycardia.
a. may cause heavy uterus to put pressure on the vena cava. reducing blood to her heart. relieved by
having her turn to one side.
Which action best explains the main role of surfactant in the neonate?
A) Assists with ciliary body maturation in the upper airways
B) Helps maintain a rhythmic breathing pattern
C) Promotes clearing mucus from the respiratory tract
D) Helps the lungs remain expanded after the initiation of breathing
D) Helps the lungs remain expanded after the initiation of breathing
Surfactant works by reducing surface tension in the lung. Surfactant allows the lung to remain slightly
expanded, decreasing the amount of work required for inspiration.
Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that
she is too tired and just wants to sleep. The nurse should:
1.Tell the woman she can rest after she feeds her
baby 2.Recognize this as a behavior of the taking-hold
stage
3. Record the behavior as ineffective maternal-newborn attachment
4. Take the baby back to the nursery, reassuring the woman that her rest is a priority at this time
4. Response 1 does not take into consideration the need for the new mother to be nurtured and have
her needs met during the taking-in stage. The behavior described is typical of this stage and not a
reflection of ineffective attachment unless the behavior persists. Mothers need to reestablish their
,NURS ATI MATERNITY EXAM 1 QUESTIONS,
ANSWERS AND EXPLANATIONS GRADED A+ 2022
own well-being in order to effectively care for their baby
,NURS ATI MATERNITY EXAM 1 QUESTIONS,
ANSWERS AND EXPLANATIONS GRADED A+ 2022
Which anticipatory guidance action by the nurse makes role transition to parenthood easier?
a. Helps the new parents identify resources
b. Recommends employing babysitters frequently
c. Tells the parents about the realities of parenthood
d. Offers a home phone number and tells parents to call if they have a
question A
Available resources within the community can assist the parents in role transition. Some parents may not
be able to afford babysitters. Also, this removes them from the parenthood role. Each adult sees
parenthood in a different light. They cannot be compared. Searching out resources for the parents is an
important task. However, the nurse should not give her personal number to clients.
A client with group AB blood whose husband has group O has just given birth. The major sign of ABO
blood incompatibility in the neonate is which complication or test result?
A) Negative Coombs test
B) Bleeding from the nose and ear
C) Jaundice after the first 24 hours of life
D) Jaundice within the first 24 hours of
life D
The neonate with ABO blood incompatibility with its mother will have jaundice (pathologic) within the
first 24 hours of life. The neonate would have a positive Coombs test result
To promote bonding and attachment immediately after birth, which action should the nurse take?
a. Assist the mother in feeding her baby.
b. Allow the mother quiet time with her infant.
, NURS ATI MATERNITY EXAM 1 QUESTIONS,
ANSWERS AND EXPLANATIONS GRADED A+ 2022
c. Teach the mother about the concepts of bonding and attachment.
d. Assist the mother in assuming an en face position with her
newborn. D
Assisting the mother in assuming an en face position with her newborn will support the bonding
process. After birth is a good time to initiate breastfeeding, but first the mother needs time to explore
the new infant and begin the bonding process. The mother should be given as much privacy as possible;
however, nursing assessments must still be continued during this critical time. The mother has just
delivered and is more focused on the infant; she will not be receptive to teaching at this time.
The term reciprocal attachment behavior refers to which of the following?
a. Behavior during the sensitive period when the infant is in the quiet alert stage
b. Positive feedback an infant exhibits toward parents during the attachment process
c. Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
d. Behavior by the infant during the sensitive period to elicit feelings of "falling in love" from the
parents B
In this definition, reciprocal refers to the feedback from the infant during the attachment process. The
quiet alert state is a good time for bonding but does not define reciprocal attachment. Reciprocal
attachment deals with feedback behavior and is not unidirectional.
Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the
right of the umbilicus?
a. Notify the physician of an impending hemorrhage.
b. Assess the blood pressure and pulse.
c. Evaluate the lochia.
d. Assist the client in emptying her bladder.
d. urinary retention can cause distention of the bladder. which will lift and displace uterus it will go up
and right. this intervention needs to be done before we notify doc. if we do the intervention and she
still is distended then we need to call doc. and then do fundal massage.
ANSWERS AND EXPLANATIONS GRADED A+ 2022
A laboring woman is lying in the supine position. The most appropriate nursing action is to:
a. Ask her to turn to one side.
b. Elevate her feet and legs.
c. Take her blood pressure.
d. Determine whether there is fetal tachycardia.
a. may cause heavy uterus to put pressure on the vena cava. reducing blood to her heart. relieved by
having her turn to one side.
Which action best explains the main role of surfactant in the neonate?
A) Assists with ciliary body maturation in the upper airways
B) Helps maintain a rhythmic breathing pattern
C) Promotes clearing mucus from the respiratory tract
D) Helps the lungs remain expanded after the initiation of breathing
D) Helps the lungs remain expanded after the initiation of breathing
Surfactant works by reducing surface tension in the lung. Surfactant allows the lung to remain slightly
expanded, decreasing the amount of work required for inspiration.
Four hours after a difficult labor and birth, a primiparous woman refuses to feed her baby, stating that
she is too tired and just wants to sleep. The nurse should:
1.Tell the woman she can rest after she feeds her
baby 2.Recognize this as a behavior of the taking-hold
stage
3. Record the behavior as ineffective maternal-newborn attachment
4. Take the baby back to the nursery, reassuring the woman that her rest is a priority at this time
4. Response 1 does not take into consideration the need for the new mother to be nurtured and have
her needs met during the taking-in stage. The behavior described is typical of this stage and not a
reflection of ineffective attachment unless the behavior persists. Mothers need to reestablish their
,NURS ATI MATERNITY EXAM 1 QUESTIONS,
ANSWERS AND EXPLANATIONS GRADED A+ 2022
own well-being in order to effectively care for their baby
,NURS ATI MATERNITY EXAM 1 QUESTIONS,
ANSWERS AND EXPLANATIONS GRADED A+ 2022
Which anticipatory guidance action by the nurse makes role transition to parenthood easier?
a. Helps the new parents identify resources
b. Recommends employing babysitters frequently
c. Tells the parents about the realities of parenthood
d. Offers a home phone number and tells parents to call if they have a
question A
Available resources within the community can assist the parents in role transition. Some parents may not
be able to afford babysitters. Also, this removes them from the parenthood role. Each adult sees
parenthood in a different light. They cannot be compared. Searching out resources for the parents is an
important task. However, the nurse should not give her personal number to clients.
A client with group AB blood whose husband has group O has just given birth. The major sign of ABO
blood incompatibility in the neonate is which complication or test result?
A) Negative Coombs test
B) Bleeding from the nose and ear
C) Jaundice after the first 24 hours of life
D) Jaundice within the first 24 hours of
life D
The neonate with ABO blood incompatibility with its mother will have jaundice (pathologic) within the
first 24 hours of life. The neonate would have a positive Coombs test result
To promote bonding and attachment immediately after birth, which action should the nurse take?
a. Assist the mother in feeding her baby.
b. Allow the mother quiet time with her infant.
, NURS ATI MATERNITY EXAM 1 QUESTIONS,
ANSWERS AND EXPLANATIONS GRADED A+ 2022
c. Teach the mother about the concepts of bonding and attachment.
d. Assist the mother in assuming an en face position with her
newborn. D
Assisting the mother in assuming an en face position with her newborn will support the bonding
process. After birth is a good time to initiate breastfeeding, but first the mother needs time to explore
the new infant and begin the bonding process. The mother should be given as much privacy as possible;
however, nursing assessments must still be continued during this critical time. The mother has just
delivered and is more focused on the infant; she will not be receptive to teaching at this time.
The term reciprocal attachment behavior refers to which of the following?
a. Behavior during the sensitive period when the infant is in the quiet alert stage
b. Positive feedback an infant exhibits toward parents during the attachment process
c. Unidirectional behavior exhibited by the infant, initiated and enhanced by eye contact
d. Behavior by the infant during the sensitive period to elicit feelings of "falling in love" from the
parents B
In this definition, reciprocal refers to the feedback from the infant during the attachment process. The
quiet alert state is a good time for bonding but does not define reciprocal attachment. Reciprocal
attachment deals with feedback behavior and is not unidirectional.
Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the
right of the umbilicus?
a. Notify the physician of an impending hemorrhage.
b. Assess the blood pressure and pulse.
c. Evaluate the lochia.
d. Assist the client in emptying her bladder.
d. urinary retention can cause distention of the bladder. which will lift and displace uterus it will go up
and right. this intervention needs to be done before we notify doc. if we do the intervention and she
still is distended then we need to call doc. and then do fundal massage.
