ATI PRACTICE B MATERNAL NEWBORN
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 - ANS A. Shortness of breath
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 - ANS B. Leakage of fluid from the vagina
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? - ANS September 3rd
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) - ANS C. Biophysical profile (BPP)
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." - ANS A. "You can share your room with your
baby for the next few weeks."
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. - ANS A. Apply sacral counterpressure.
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of
the following actions should the nurse take?
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 - ANS A. Cover the
newborn's eyes while under the phototherapy light.
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. - ANS B. Apply internal upward pressure to the presenting part using
two gloved fingers
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following
findings is an indication for the administration of the medication? (SATA)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature - ANS A. Flaccid uterus. C. Excess vaginal bleeding
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and
safety of the client's newborn. Which of the following statements should the nurse make?
A. "The nurse will carry your newborn to the nursery for procedures."
B. "We will document the relationship of visitors in your medical record."
C. "Your baby will stay in the nursery while you are asleep."
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 - ANS A. Shortness of breath
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 - ANS B. Leakage of fluid from the vagina
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? - ANS September 3rd
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) - ANS C. Biophysical profile (BPP)
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." - ANS A. "You can share your room with your
baby for the next few weeks."
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. - ANS A. Apply sacral counterpressure.
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of
the following actions should the nurse take?
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 - ANS A. Cover the
newborn's eyes while under the phototherapy light.
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. - ANS B. Apply internal upward pressure to the presenting part using
two gloved fingers
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following
findings is an indication for the administration of the medication? (SATA)
A. Flaccid uterus
B. Cervical laceration
C. Excess vaginal bleeding
D. Increased afterbirth cramping
E. Increased maternal temperature - ANS A. Flaccid uterus. C. Excess vaginal bleeding
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and
safety of the client's newborn. Which of the following statements should the nurse make?
A. "The nurse will carry your newborn to the nursery for procedures."
B. "We will document the relationship of visitors in your medical record."
C. "Your baby will stay in the nursery while you are asleep."
