PRACTICE EXAM
2023[REVIEW]
ATI MATERNAL
NEWBORN
PRACTICE B EXAM
[REVIEW]
QUESTIONS WITH
ANSWERS LATEST
2023- 2024
Maternal Newborn Practice B
• A nurse is reinforcing teaching about breastfeeding with a patient who has a
12-hr-old newborn. Which of the following statements should the nurse
identify as an indication that the patient understands the instructions?
"I will wipe the colostrum off my nipple before my baby feeds."
globulins, which provide passive immunity to the newborn. Colostrum also facilitates the newborn's passage of meconium. Therefore, the patient should
not remove the colostrum from her nipple p
"I should wake up my baby to feed during the night."
Parents should awaken the newborn to feed every 4 hr at night for the first 24 to 48 hr after birth. Once the newborn is
gaining weight, adequately progressing to d
"Since I am breastfeeding, I won't need to give my
baby iron supplements until he's a year old." "I
should start to pump my breasts after each feeding
when I get home."
P
to feed at the breast. After breastfeeding is well-established, the patient can pump intermittently to establish a
reserve supply of breast
• A nurse is collecting data from a patient who is receiving magnesium sulfate IV for
preeclampsia. The nurse should identify which of the following findings as an indication
of toxicity to report to the provider?Tinnitus Proteinuria 3+
Increased urine output
, Magnesium sulfate is normally excreted in the urine. Decreased urine output can lead to inadequate elimination of the medication, which can
result in magnesium toxicity.
Respiratory rate 10/min
Respiratory depression is an indication of magnesium toxicity. The nurse should report this finding to the provider.
• A nurse is collecting data from a patient who is at 37 weeks of gestation. Which of the
following findings should the nurse report to the provider?
Leukorrhea
Nonpitting ankle edema
Blurred vision
ATI MATERNAL NEWBORN
PRACTICE EXAM
2023[REVIEW]
• A nurse is reviewing the medical record of a patient who is at 26 weeks of
gestation. Which of the following findings should the nurse identify as a
risk factor for the development of preeclampsia?
Rheumatoid arthritis
The nurse should identify that connective tissue diseases, such as rheumatoid arthritis and systemic lupus erythematosus, increase a
patient's risk for preeclampsia.
BMI of 24
The nurse should identify that obesity, or a BMI greater than 30, increases a patient's risk for preeclampsia. Other risk
factors include multifetal gestation, infectio
Iron-deficiency anemia
The nurse should identify that iron-deficiency anemia does not increase the patient's risk for preeclampsia. Risk factors include multifetal gestation,
infection, and chronic hypertension.
Oligohydramnios
The nurse should identify that oligohydramnios, or less than 300 mL of amniotic fluid, does not increase the patient's risk
for preeclampsia. Risk factors include multif
• A nurse is reinforcing teaching about car seat safety with the guardian of a
newborn. Which of the following statements by the guardian indicates an
understanding of the teaching?
, "I will place the baby's car seat in a rear-facing position until she is 1 year old."
rdian should position the newborn's car seat rear-facing in the middle of the back seat until she is 2 years old, or as long as she meets the height and
weight restrictions set by the car seat's manufa
"I will position the retainer clip at the level of the baby's armpits."
"I will position the baby at a 60-degree angle in the car seat."
The guardian should position the newborn in the car seat at a 45° angle to prevent the newborn's head from falling
forward, which can lead to airway obstruction a
• A nurse is contributing to the plan of care for a patient who has eclampsia.
Which of the following interventions should the nurse identify and plan
to include as the priority immediately following a seizure?
Initiate an IV line with an 18-gauge needle.
The nurse should use an 18-gauge catheter to administer magnesium sulfate to the patient; however, there is another action the
nurse should take first.
Insert an indwelling urinary catheter.
The nurse should insert an indwelling urinary catheter to monitor the patient's output; however, there is another action
the nurse should take first.
Administer oxygen via facemask at 10 L/min.
The first action the nurse should take when using the airway, breathing, circulation approach to patient care is to administer oxygen via
facemask at 10 L/min.
Place blankets on the raised side rails of the bed.
The nurse should raise the side rails of the patient's bed and pad the rails with blankets or pillows to ensure the patient's
safety; however, there is another action the n
• A nurse is performing a blood collection via heel stick on a newborn for blood
glucose monitoring. After washing her hands and donning gloves, which of
the following actions should the nurse take next?
Cleanse the site with alcohol and allow it to dry.
however, evidence-based practice indicates that the nurse should take a different action first.
Warm the newborn's heel.
Cuddle and comfort the newborn.
Apply pressure using a dry gauze square.
eel stick blood specimen, the nurse should apply pressure to the site using a dry gauze square to stop the bleeding; however, evidence-based practice
indicates that the nurse should take a different
• A nurse is reinforcing teaching about a nonstress test with a patient
who is at 33 weeks of gestation. Which of the following
statements should the nurse include?