ATI RN PROCTORED MATERNAL NEWBORN
COMPLETE QUESTIONS AND ANSWERS
• A client and her partner ask the nurse for information about permanent
contraception. Which of the following statements should the nurse include in
the counseling?
• Most sterilization procedures are considered irreversible
• A woman should use contraception for 1-2 months after a tubal ligation
• A man is usually sterile immediately after a vasectomy
• The menstrual cycle is shorter after a tubal ligation
• A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which ofthe following interventions should the nurse include in the plan of care?
• Swaddle the newborn in a flexed position
• Weigh the newborn every other day
• Increase the newborn’s visual stimulation
• Discourage parental interaction until after a social service evaluation
• A nurse is providing teaching about increasing dietary fiber to an antepartum
client who reports constipation. Which of the following food selections has the
highest fiber content per cup?
• Lentils
• Oatmeal
• Cabbage
• Asparagus
• A nurse is teaching a client who is pregnant about a new prescription for iron
supplements.Which of the following instructions should the nurse include in the
teaching?
• Increase intake of foods rich in vitamin C
• Take an extra pill if you miss a dose
• Report black stools to the provider
• Drink 8 ox of milk with each pill
• A nurse is caring for a preterm newborn immediately after delivery. Which of the
following actions should the nurse take first?
• Dry the infant under the radiant warmer
• Take the infant’s temperature
• Weigh the infant
• Obtain the infant’s blood glucose
• A nurse is discussing family planning with a client who has a history of DVT. The
nurse should inform the client that this condition is a contraindication for which of
the followingbirth control methods?
• Oral contraceptive
, • Cervical cap
• Diaphragm
• Intrauterine device
• A nurse is teaching a client who is postpartum about car seat safety. Which of the
followingstatements indicates and understanding of the instructions?
• I will make sure the retainer clip is at the level of my baby’s abdomen
• I will position the car seat in the front passenger seat facing the font of the car
• I will adjust the angle of the car seat so that my baby sits at a 90-degre angle
• I will place the shoulder harness slightly below my baby’s shoulders
• A nurse is monitoring a newborn whose mother reports recent opiate use for
neonatalabstinence syndrome. Which of the following findings indicates
narcotic withdrawl?
• Excessive Crying
• Unequal pupils
• Respiratory rate of 50/min
• Hypotonia
• A nurse is assessing the reflexes of a term newborn. After placing the newborn in
the supineposition, which of the following methods should the nurse use to elicit the
Moro reflex?
• Make a loud noise above the newborn
• Touch the newborn’s cheek with a finger
• Turn the newborn’s head to one side
• Tap the newborn’s forehead with a finger
• A nurse is providing teaching to a client who is postpartum about her car seat
safety. Whichof the following statements by the client indicates an understanding of
the teaching?
• I will ensure that my baby is at a 45-degree angle in the car seat
• I will put my baby facing forward in the middle of the back seat of the car
• I will fasten the harness clip 1 inch above my baby’s underarms
• I will swaddle my baby in a blanket before placing her in the car seat
• A nurse is teaching a client who is breastfeeding and has mastitis. Which of the
followingstatements by the client indicates an understanding of the teaching?
• I should apply a warm compress after feeding
• I should apply lanolin to the infection site daily
• I should use a nipple shield while breastfeeding
• I should stop breastfeeding until the infection has healed
• A nurse is caring for a client following a vaginal delivery of a term fetal demise.
Which of thefollowing statements should the nurse make?
• You can bathe and dress your baby if you’d like to
• You should name the baby so he can have an identity
, • If you don’t hold the baby, it will make letting go much harder
• Im sure you will be able to have another baby when you’re ready
• A nurse is performing an initial assessment of a newborn who was delivered with
a nuchalcord. Which of the following clinical findings should the nurse expect?
• Facial petechiae
• Erythema toxicum
• Periauricular papillomas
• Telangilectatic nevi
• A charge nurse is discussing STIs with a newly licensed nurse. Which of the
following infections should the nurse include in the teaching as an indication for
a cesarean birth?
• HIV
• Chlamydia
• Gonorrhea
• Syphilis
• A nurse is reviewing the medication prescriptions for a newborn who is 6 hours
old and whose mother is HBsAg-positive. The nurse should anticipate
administering which of thefollowing medications?
• Hepatitis B Immune Globulin
• Hepatitis A immune globulin
• Haemophilus inflenzae type B vaccine
• Hepatitis A vaccine
• A nurse is assessing a client immediately following the placement of an epidural.
The nurseobtains a maternal blood pressure of 96/54 and a fetal HR of 102/min.
Which of the following actions should the nurse take?
• Position the client in a lateral position
• OR administer naloxone to the client???
• Prepare the client for an amnioinfusion
• Place the client in knee-chest position
• A nurse is planning care for a full-term newborn who is receiving phototherapy.
Which ofthe following actions should the nurse include in the plan of care?
• Avoid using lotion or ointment on the newborn’s skin
• Dress the newborn in lightweight clothing
• Keep the newborn supine throughout treatment
• Measure the newborn’s temperature every 8 hours
• A nurse on the labor and delivery unit is caring for a client who is at 33 weeks of
gestationand was admitted with placenta previa. Which of the following
interventions should the nruse include in the client’s plan of care?
• Administration of magnesium sulfate
• Routine vaginal exams
, • Ambulation as tolerated
• Nonstress test twice weekly
• A nurse is admitting a client who is in preterm labor to the labor and delivery
unit. Thenurse should anticipate which of the following tests to assess for fetal
lung maturity?
• L/S ratio
• Direct coombs test
• Biophysical prophile
• Chorionic villus sampling
• A nurse is caring for a client who is in labor and prescribed an amnioinfusion.
Which of thefollowing findings is an indication for this?
• Variable decelerations
• Early decelerations
• Fetal macrosomia
• Increased uterine tone
• A nurse is caring for a client who is postpartum following repair of a vaginal
laceration. The client has a firm fundus, moderate lochia rubra, and reports
moderate perineal discomfort and pressure. Which of the following actions should
the nurse take?
• Check the perineal area
• Perform deep fundal massage
• Obtain vaginal culture
• Administer methylergonovide 0.2 mg IM
• A nurse is assessing a full-term newborn 1 hr following a vaginal birth.
Which of thefollowing is an expected assessment finding?
• The newborn’s anterior fontanel bulges when he is quiet
• The newborn’s head circumference is greater than the chest circumference
• The newborn exhibits apneic episodes of 30 seconds
• The newborn has a heart rate of 70/min while sleeping
• A nurse is providing discharge teaching to the parent of a newborn about surgical
site care following circumcision using a clamp technique. Which of the following
statements by the parent indicates an understanding of the teaching?
• I will check the site hourly for bleeding
• I will remove the crust with each diaper change
• I will wash the penis with soap and water daily
• I will apply petroleum jelly to the area with each diaper change
• A nurse in a provider’s office is caring for a 20-year-old client who is 12 weeks of
gestation and requests an amniocentesis to determine the gender of the fetus.
Which of the followingresponses should the nurse make?
• You cannot have an amniocentesis until you are at least 35 year of age
COMPLETE QUESTIONS AND ANSWERS
• A client and her partner ask the nurse for information about permanent
contraception. Which of the following statements should the nurse include in
the counseling?
• Most sterilization procedures are considered irreversible
• A woman should use contraception for 1-2 months after a tubal ligation
• A man is usually sterile immediately after a vasectomy
• The menstrual cycle is shorter after a tubal ligation
• A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which ofthe following interventions should the nurse include in the plan of care?
• Swaddle the newborn in a flexed position
• Weigh the newborn every other day
• Increase the newborn’s visual stimulation
• Discourage parental interaction until after a social service evaluation
• A nurse is providing teaching about increasing dietary fiber to an antepartum
client who reports constipation. Which of the following food selections has the
highest fiber content per cup?
• Lentils
• Oatmeal
• Cabbage
• Asparagus
• A nurse is teaching a client who is pregnant about a new prescription for iron
supplements.Which of the following instructions should the nurse include in the
teaching?
• Increase intake of foods rich in vitamin C
• Take an extra pill if you miss a dose
• Report black stools to the provider
• Drink 8 ox of milk with each pill
• A nurse is caring for a preterm newborn immediately after delivery. Which of the
following actions should the nurse take first?
• Dry the infant under the radiant warmer
• Take the infant’s temperature
• Weigh the infant
• Obtain the infant’s blood glucose
• A nurse is discussing family planning with a client who has a history of DVT. The
nurse should inform the client that this condition is a contraindication for which of
the followingbirth control methods?
• Oral contraceptive
, • Cervical cap
• Diaphragm
• Intrauterine device
• A nurse is teaching a client who is postpartum about car seat safety. Which of the
followingstatements indicates and understanding of the instructions?
• I will make sure the retainer clip is at the level of my baby’s abdomen
• I will position the car seat in the front passenger seat facing the font of the car
• I will adjust the angle of the car seat so that my baby sits at a 90-degre angle
• I will place the shoulder harness slightly below my baby’s shoulders
• A nurse is monitoring a newborn whose mother reports recent opiate use for
neonatalabstinence syndrome. Which of the following findings indicates
narcotic withdrawl?
• Excessive Crying
• Unequal pupils
• Respiratory rate of 50/min
• Hypotonia
• A nurse is assessing the reflexes of a term newborn. After placing the newborn in
the supineposition, which of the following methods should the nurse use to elicit the
Moro reflex?
• Make a loud noise above the newborn
• Touch the newborn’s cheek with a finger
• Turn the newborn’s head to one side
• Tap the newborn’s forehead with a finger
• A nurse is providing teaching to a client who is postpartum about her car seat
safety. Whichof the following statements by the client indicates an understanding of
the teaching?
• I will ensure that my baby is at a 45-degree angle in the car seat
• I will put my baby facing forward in the middle of the back seat of the car
• I will fasten the harness clip 1 inch above my baby’s underarms
• I will swaddle my baby in a blanket before placing her in the car seat
• A nurse is teaching a client who is breastfeeding and has mastitis. Which of the
followingstatements by the client indicates an understanding of the teaching?
• I should apply a warm compress after feeding
• I should apply lanolin to the infection site daily
• I should use a nipple shield while breastfeeding
• I should stop breastfeeding until the infection has healed
• A nurse is caring for a client following a vaginal delivery of a term fetal demise.
Which of thefollowing statements should the nurse make?
• You can bathe and dress your baby if you’d like to
• You should name the baby so he can have an identity
, • If you don’t hold the baby, it will make letting go much harder
• Im sure you will be able to have another baby when you’re ready
• A nurse is performing an initial assessment of a newborn who was delivered with
a nuchalcord. Which of the following clinical findings should the nurse expect?
• Facial petechiae
• Erythema toxicum
• Periauricular papillomas
• Telangilectatic nevi
• A charge nurse is discussing STIs with a newly licensed nurse. Which of the
following infections should the nurse include in the teaching as an indication for
a cesarean birth?
• HIV
• Chlamydia
• Gonorrhea
• Syphilis
• A nurse is reviewing the medication prescriptions for a newborn who is 6 hours
old and whose mother is HBsAg-positive. The nurse should anticipate
administering which of thefollowing medications?
• Hepatitis B Immune Globulin
• Hepatitis A immune globulin
• Haemophilus inflenzae type B vaccine
• Hepatitis A vaccine
• A nurse is assessing a client immediately following the placement of an epidural.
The nurseobtains a maternal blood pressure of 96/54 and a fetal HR of 102/min.
Which of the following actions should the nurse take?
• Position the client in a lateral position
• OR administer naloxone to the client???
• Prepare the client for an amnioinfusion
• Place the client in knee-chest position
• A nurse is planning care for a full-term newborn who is receiving phototherapy.
Which ofthe following actions should the nurse include in the plan of care?
• Avoid using lotion or ointment on the newborn’s skin
• Dress the newborn in lightweight clothing
• Keep the newborn supine throughout treatment
• Measure the newborn’s temperature every 8 hours
• A nurse on the labor and delivery unit is caring for a client who is at 33 weeks of
gestationand was admitted with placenta previa. Which of the following
interventions should the nruse include in the client’s plan of care?
• Administration of magnesium sulfate
• Routine vaginal exams
, • Ambulation as tolerated
• Nonstress test twice weekly
• A nurse is admitting a client who is in preterm labor to the labor and delivery
unit. Thenurse should anticipate which of the following tests to assess for fetal
lung maturity?
• L/S ratio
• Direct coombs test
• Biophysical prophile
• Chorionic villus sampling
• A nurse is caring for a client who is in labor and prescribed an amnioinfusion.
Which of thefollowing findings is an indication for this?
• Variable decelerations
• Early decelerations
• Fetal macrosomia
• Increased uterine tone
• A nurse is caring for a client who is postpartum following repair of a vaginal
laceration. The client has a firm fundus, moderate lochia rubra, and reports
moderate perineal discomfort and pressure. Which of the following actions should
the nurse take?
• Check the perineal area
• Perform deep fundal massage
• Obtain vaginal culture
• Administer methylergonovide 0.2 mg IM
• A nurse is assessing a full-term newborn 1 hr following a vaginal birth.
Which of thefollowing is an expected assessment finding?
• The newborn’s anterior fontanel bulges when he is quiet
• The newborn’s head circumference is greater than the chest circumference
• The newborn exhibits apneic episodes of 30 seconds
• The newborn has a heart rate of 70/min while sleeping
• A nurse is providing discharge teaching to the parent of a newborn about surgical
site care following circumcision using a clamp technique. Which of the following
statements by the parent indicates an understanding of the teaching?
• I will check the site hourly for bleeding
• I will remove the crust with each diaper change
• I will wash the penis with soap and water daily
• I will apply petroleum jelly to the area with each diaper change
• A nurse in a provider’s office is caring for a 20-year-old client who is 12 weeks of
gestation and requests an amniocentesis to determine the gender of the fetus.
Which of the followingresponses should the nurse make?
• You cannot have an amniocentesis until you are at least 35 year of age
