ATI PRACTICE B MATERNAL NEWBORN QUESTIONS
AND ANSWERS COMPLETE WITH EXPLANATIONS.
REVISIONS MATERIAL WITH GUIRANTEED
PASSING. A+ GRADE
1. A nurse is teaching a client who has a new prescription for
combined oral contraceptives about potential adverse effects of
the medication. For which of the following findings should the
nurse instruct the client to notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D.Breast tenderness: A. Shortness of breath
The nurse should instruct the client to notify the provider immediately
of any shortness of breath. Shortness of breath and chest pain can
indicate a pulmonary embolus or myocardial infarction. Also, the nurse
should instruct the client to notify the provider of other adverse effects
that can indicate potential complications, including abdominal pain,
sudden or persistent headaches, blurred vision, and severe leg pain.
2. A nurse is caring for a client following an amniocentesis at
18 weeks of gestation. Which of the following findings should
the nurse report to the provider as a potential complication?
A. Increased fetal movement B. Leakage of fluid from the
vagina
C. Upper abdominal discomfort
D. Urinary frequency: B. Leakage of fluid from the vagina
,Leakage of fluid from the vagina could indicate premature leakage of
amniotic fluid and should be reported to the provider.
3. A nurse is calculating a client's expected date of birth using
Nagele's rule.
The client tells the nurse that her last menstrual cycle started on
November 27th. Which of the following dates is the client's
expected date of birth? September 3rd
When using Angele’s rule to calculate the estimated date of birth for a
client, the nurse should subtract 3 months from the first day of the
client's last menstrual cycle and then add 7 days. November 27th minus
3 months equals August 27th. August 27th plus 7 days equals September
3rd.
4. A nurse is caring for a client who is at 41 weeks of gestation
and has a positive contraction stress test. For which of the
following diagnostic tests should the nurse prepare the client?
A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP) D. Chorionic villus sampling
(CVS): C. Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal
well-being. A positive contraction stress test indicates there is potential
uteroplacental insufficiency. A BPP uses a real time ultrasound to
visualize physical and physiological characteristics of the fetus and
observe for fetal biophysical responses to stimuli.
5. A nurse is teaching a new parent about newborn safety. Which
of the following instructions should the nurse include in the
teaching?
,A. "You can share your room with your baby for the next few
weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your
hand."
D. "Your baby can nap in the car seat during the daytime.": A. "You can
share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks.
This allows the parent to be readily available to the newborn and learn
the newborn's cues. However, the nurse should instruct the parent to
avoid placing the newborn in their bed as it increases the risk for sudden
infant death syndrome.
6. A nurse is caring for a client who is in labor and whose fetus is
in the right occiput posterior position. The client is dilated to 8
cm and reports back pain. Which of the following actions should
the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.: A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving
back labor pain related to fetal posterior position.
7. A nurse is caring for a newborn who is undergoing
phototherapy to treat hyperbilirubinemia. Which of the following
actions should the nurse take?
3/35
, A. Cover the newborn's eyes while under the phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy
light.
C. Apply a light moisturizing lotion to the newborn's skin.
D. Turn and reposition the newborn every 4 hr. while undergoing
phototherapy: A. Cover the newborn's eyes while under the
phototherapy light.
Applying an opaque eye mask prevents damage to the newborn's retinas
and corneas from the phototherapy light.
8. A nurse is performing a vaginal examination on a client who is
in labor and observes the umbilical cord protruding from the
vagina. After calling for assistance, which of the following
actions should the nurse take next?
A. Place a rolled towel beneath one of the client's hips.
B. Apply internal upward pressure to the presenting part
using two gloved fingers
C. Administer oxygen to the client via a nonrebreather mask at 10
L/min D. Increase the IV infusion rate.: B. Apply internal upward
pressure to the presenting part using two gloved fingers
Using evidence-based practice, the first action the nurse should take
is to apply internal upward pressure to the presenting part. Prolapse
of the umbilical cord during labor can result in decreased perfusion
to the fetus, which can lead to hypoxia. After calling for assistance,
the nurse should relieve the compression on the umbilical cord by
AND ANSWERS COMPLETE WITH EXPLANATIONS.
REVISIONS MATERIAL WITH GUIRANTEED
PASSING. A+ GRADE
1. A nurse is teaching a client who has a new prescription for
combined oral contraceptives about potential adverse effects of
the medication. For which of the following findings should the
nurse instruct the client to notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D.Breast tenderness: A. Shortness of breath
The nurse should instruct the client to notify the provider immediately
of any shortness of breath. Shortness of breath and chest pain can
indicate a pulmonary embolus or myocardial infarction. Also, the nurse
should instruct the client to notify the provider of other adverse effects
that can indicate potential complications, including abdominal pain,
sudden or persistent headaches, blurred vision, and severe leg pain.
2. A nurse is caring for a client following an amniocentesis at
18 weeks of gestation. Which of the following findings should
the nurse report to the provider as a potential complication?
A. Increased fetal movement B. Leakage of fluid from the
vagina
C. Upper abdominal discomfort
D. Urinary frequency: B. Leakage of fluid from the vagina
,Leakage of fluid from the vagina could indicate premature leakage of
amniotic fluid and should be reported to the provider.
3. A nurse is calculating a client's expected date of birth using
Nagele's rule.
The client tells the nurse that her last menstrual cycle started on
November 27th. Which of the following dates is the client's
expected date of birth? September 3rd
When using Angele’s rule to calculate the estimated date of birth for a
client, the nurse should subtract 3 months from the first day of the
client's last menstrual cycle and then add 7 days. November 27th minus
3 months equals August 27th. August 27th plus 7 days equals September
3rd.
4. A nurse is caring for a client who is at 41 weeks of gestation
and has a positive contraction stress test. For which of the
following diagnostic tests should the nurse prepare the client?
A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP) D. Chorionic villus sampling
(CVS): C. Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal
well-being. A positive contraction stress test indicates there is potential
uteroplacental insufficiency. A BPP uses a real time ultrasound to
visualize physical and physiological characteristics of the fetus and
observe for fetal biophysical responses to stimuli.
5. A nurse is teaching a new parent about newborn safety. Which
of the following instructions should the nurse include in the
teaching?
,A. "You can share your room with your baby for the next few
weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your
hand."
D. "Your baby can nap in the car seat during the daytime.": A. "You can
share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks.
This allows the parent to be readily available to the newborn and learn
the newborn's cues. However, the nurse should instruct the parent to
avoid placing the newborn in their bed as it increases the risk for sudden
infant death syndrome.
6. A nurse is caring for a client who is in labor and whose fetus is
in the right occiput posterior position. The client is dilated to 8
cm and reports back pain. Which of the following actions should
the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.: A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving
back labor pain related to fetal posterior position.
7. A nurse is caring for a newborn who is undergoing
phototherapy to treat hyperbilirubinemia. Which of the following
actions should the nurse take?
3/35
, A. Cover the newborn's eyes while under the phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy
light.
C. Apply a light moisturizing lotion to the newborn's skin.
D. Turn and reposition the newborn every 4 hr. while undergoing
phototherapy: A. Cover the newborn's eyes while under the
phototherapy light.
Applying an opaque eye mask prevents damage to the newborn's retinas
and corneas from the phototherapy light.
8. A nurse is performing a vaginal examination on a client who is
in labor and observes the umbilical cord protruding from the
vagina. After calling for assistance, which of the following
actions should the nurse take next?
A. Place a rolled towel beneath one of the client's hips.
B. Apply internal upward pressure to the presenting part
using two gloved fingers
C. Administer oxygen to the client via a nonrebreather mask at 10
L/min D. Increase the IV infusion rate.: B. Apply internal upward
pressure to the presenting part using two gloved fingers
Using evidence-based practice, the first action the nurse should take
is to apply internal upward pressure to the presenting part. Prolapse
of the umbilical cord during labor can result in decreased perfusion
to the fetus, which can lead to hypoxia. After calling for assistance,
the nurse should relieve the compression on the umbilical cord by
