ATI RN Maternal Newborn 2019 ATI Exam
A nurse is assessing a newborn following a forceps assisted birth. Which of the
following clinical manifestations should the nurse identify as a complication of
the birth method?
Facial Palsy - Most babies delivered by forceps suffer no long-term problems, but in
rare cases an injury is sustained to the facial nerve, due to the pressure of the forceps
blade on the baby's head.
A nurse is providing teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statement by client indicates an
understanding of the teaching?
" The medication could cause me to experience heart palpitation" - This is a serious
side effect of terbutaline and must be notifies to the physician immediately
A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following laboratory tests should the nurse anticipate?
Urine Ketones - Hyperemesis gravidarum is a severe form of this 'morning sickness',
experience by less than 1% of pregnant women. It can cause dehydration and
starvation and the production of compounds called ketones that can be found in the
blood and urine
A nurse is caring for a client who is in labor and requests nonpharmacological
pain management. Which of the following nursing actions promotes client
comfort?
Assisting the client into squatting position
A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
Malodorous Discharge
A nurse is caring for a client who is 14 weeks of gestation. At which the following
locations should the nurse place the Doppler device when assessing the fetal
heart rate?
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis - at 14 weeks AOG this is
where to place the doppler probe to note FHT
A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
Platelet Count 60.000/ mm3 - platelet count of less than 100,000 correlates with how
severe the condition is
A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?
Tinnitus - this is a documented adverse effect of this medication
A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?
Chest circumference 2 cm (0.8 in) smaller than the head circumference - head
circumference is always 2cm more than the chest in normal term babie
A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of the following interventions should the nurse include in the plan of care
Swaddle the newborn in a flexed position
, A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer
reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which
of the following actions should the nurse take?
Reassess the blood glucose level prior to the next feeding
A nurse is providing teaching to a client about exercise safety during pregnancy.
Which of the following statements by the client indicates an understanding of the
teaching? (Select all that apply)
-I will check my heart rate every 15 minutes during exercise sessions
-I should rest by lying on my side for 10 minutes following exercise.
A charge nurse is teaching a group of staff nurses about fetal monitoring during
labor. Which of the following findings should the charge nurse instruct the staff
members to report to the provider?
Contraction durations of 95 to 100 seconds maybe this true also
A nurse in a woman's health clinic is obtaining a health history from a client.
Which of the following findings should the nurse identify as increasing the
client's risk for developing pelvic inflammatory disease (PID)
Chlamydia Infection - STDs can cause PID
A nurse is teaching a prenatal class about immunizations that newborns receive
following birth. Which of the following immunizations should the nurse include in
the teaching?
Hepatitis B - Part of the EINC and immunizations is Hepa B which follows just when the
baby is born
A nurse is providing nutritional guidance to a client who is pregnant and follows
a vegan diet. The client asks the nurse which foods she should eat to ensure
adequate calcium intake. The nurse should instruct the client that which of the
following foods has the highest amount of calcium
1 cup cooked broccoli - there are 47mg of calcium in a 100 grams of broccoli.
A nurse in a provider's office is assessing a client at her first antepartum visit.
The client states that the first day of her last menstrual period was March 8. Use
Nagele's rule to calculate the estimated date
December 15
A nurse is caring for a client who is in the second stage of labor. Which of the
following manifestations should the nurse expect?
The client delivers the newborn
A nurse is assessing a client who is at 37 weeks of gestation. Which of the
following statement by the client requires immediate intervention by the nurse?
"It burns when I urinate - sign of a UTI
A nurse is providing discharge teaching to a new parent about car seat safety.
Which of the following statements by the parent indicates an understanding of
the teaching
"I should place the car seat rear facing until my baby is 12 months old.
A nurse is developing an educational program about hemolytic diseases in
newborns for a group of newly licensed nurses. Which of the following genetic
information should the nurse include in the program as a cause of hemolytic
disease?
A nurse is assessing a newborn following a forceps assisted birth. Which of the
following clinical manifestations should the nurse identify as a complication of
the birth method?
Facial Palsy - Most babies delivered by forceps suffer no long-term problems, but in
rare cases an injury is sustained to the facial nerve, due to the pressure of the forceps
blade on the baby's head.
A nurse is providing teaching about terbutaline to a client who is experiencing
preterm labor. Which of the following statement by client indicates an
understanding of the teaching?
" The medication could cause me to experience heart palpitation" - This is a serious
side effect of terbutaline and must be notifies to the physician immediately
A nurse is caring for a client who has hyperemesis gravidarum. Which of the
following laboratory tests should the nurse anticipate?
Urine Ketones - Hyperemesis gravidarum is a severe form of this 'morning sickness',
experience by less than 1% of pregnant women. It can cause dehydration and
starvation and the production of compounds called ketones that can be found in the
blood and urine
A nurse is caring for a client who is in labor and requests nonpharmacological
pain management. Which of the following nursing actions promotes client
comfort?
Assisting the client into squatting position
A nurse caring for a client who is at 20 weeks of gestation and has
trichomoniasis. Which of the following findings should the nurse expect?
Malodorous Discharge
A nurse is caring for a client who is 14 weeks of gestation. At which the following
locations should the nurse place the Doppler device when assessing the fetal
heart rate?
Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis pubis - at 14 weeks AOG this is
where to place the doppler probe to note FHT
A nurse is assessing a client who is at 27 weeks of gestation and has
preeclampsia. Which of the following findings should the nurse report to the
provider?
Platelet Count 60.000/ mm3 - platelet count of less than 100,000 correlates with how
severe the condition is
A nurse is teaching about clomiphene citrate to a client who is experiencing
infertility. Which of the following adverse effect should the nurse include?
Tinnitus - this is a documented adverse effect of this medication
A nurse is assessing a newborn upon admission to the nursery. Which of the
following should the nurse expect?
Chest circumference 2 cm (0.8 in) smaller than the head circumference - head
circumference is always 2cm more than the chest in normal term babie
A nurse is planning care for a newborn who has neonatal abstinence syndrome.
Which of the following interventions should the nurse include in the plan of care
Swaddle the newborn in a flexed position
, A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer
reading of 65 mg/ dL. The newborn's mother has type 2 diabetes mellitus. Which
of the following actions should the nurse take?
Reassess the blood glucose level prior to the next feeding
A nurse is providing teaching to a client about exercise safety during pregnancy.
Which of the following statements by the client indicates an understanding of the
teaching? (Select all that apply)
-I will check my heart rate every 15 minutes during exercise sessions
-I should rest by lying on my side for 10 minutes following exercise.
A charge nurse is teaching a group of staff nurses about fetal monitoring during
labor. Which of the following findings should the charge nurse instruct the staff
members to report to the provider?
Contraction durations of 95 to 100 seconds maybe this true also
A nurse in a woman's health clinic is obtaining a health history from a client.
Which of the following findings should the nurse identify as increasing the
client's risk for developing pelvic inflammatory disease (PID)
Chlamydia Infection - STDs can cause PID
A nurse is teaching a prenatal class about immunizations that newborns receive
following birth. Which of the following immunizations should the nurse include in
the teaching?
Hepatitis B - Part of the EINC and immunizations is Hepa B which follows just when the
baby is born
A nurse is providing nutritional guidance to a client who is pregnant and follows
a vegan diet. The client asks the nurse which foods she should eat to ensure
adequate calcium intake. The nurse should instruct the client that which of the
following foods has the highest amount of calcium
1 cup cooked broccoli - there are 47mg of calcium in a 100 grams of broccoli.
A nurse in a provider's office is assessing a client at her first antepartum visit.
The client states that the first day of her last menstrual period was March 8. Use
Nagele's rule to calculate the estimated date
December 15
A nurse is caring for a client who is in the second stage of labor. Which of the
following manifestations should the nurse expect?
The client delivers the newborn
A nurse is assessing a client who is at 37 weeks of gestation. Which of the
following statement by the client requires immediate intervention by the nurse?
"It burns when I urinate - sign of a UTI
A nurse is providing discharge teaching to a new parent about car seat safety.
Which of the following statements by the parent indicates an understanding of
the teaching
"I should place the car seat rear facing until my baby is 12 months old.
A nurse is developing an educational program about hemolytic diseases in
newborns for a group of newly licensed nurses. Which of the following genetic
information should the nurse include in the program as a cause of hemolytic
disease?
