ATI Practice Assessments for Maternal-Newborn LATEST EXAM
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
What is the most important parameter for the nurse to monitor during
the first 24 hours after the birth of an infant at 36 weeks' gestation? -
CORRECT ANSWER Respiratory distress
What does the nurse do to elicit the Moro reflex during a newborn
assessment? - CORRECT ANSWER Jars the infant's bassinet
suddenly but gently
-Sudden movement causes the startle response (Moro reflex), which
begins with extension and abduction of the extremities with a C shape
formed by the index finger and thumb, followed by flexion and
adduction of extremities and ending with return of the arms to a
relaxed position
A newborn who is born at 36 weeks' gestation weighs 8 lb 13 oz (3997
g). How should the nurse document this finding? - CORRECT ANSWER
LGA and preterm
,During the discharge examination of a 2-day-old newborn, the nurse
observes an edematous area confined to the right side of the scalp.
How should the nurse document this condition? - CORRECT ANSWER
Cephalhematoma
While inspecting her newborn a mother asks the nurse whether her
baby has flat feet. How should the nurse respond? - CORRECT
ANSWER "Infants' feet appear flat because the arch is covered with a
fat pad."
An infant born at 40 weeks' gestation weighs 6 lb 13 oz (3090 g). What
category describes this neonate? - CORRECT ANSWER Appropriate
for gestational age (AGA) and term
In her 36th week of gestation, a client with type 1 diabetes has a 9-lb
10-oz infant in a cesarean birth. For which condition should the nurse
monitor this infant of a diabetic mother? - CORRECT ANSWER
Respiratory distress syndrome
A nurse who is caring for a 32-week appropriate-for-gestational-age
(AGA) neonate establishes a list of objectives for the infant. What
objective should receive the highest priority? - CORRECT ANSWER
Maintain respirations
When calculating an Apgar score for a newborn, what is given a score
in addition to the heart rate? - CORRECT ANSWER Muscle tone
A newborn with a severe bilateral cleft lip and palate is shown to the
father first. The father says, "How could this happen to us? What's my
wife going to do? It would've been better if she'd never gotten
pregnant." How should the nurse respond? - CORRECT ANSWER
"This must be very hard on you. I can go with you when your wife sees
the baby."
The nurse is caring for a client who has a newborn with a neurological
impairment. What is the most important nursing action? - CORRECT
ANSWER Assisting the client with the grieving process
,During labor a client states that she does not want eyedrops or
ointment placed in her baby's eyes immediately after birth. How
should the nurse respond? - CORRECT ANSWER "Let's talk about why
you don't want the medicine to be put into your baby's eyes."
A new mother asks the nurse administering erythromycin ophthalmic
ointment to her newborn why her baby must be subjected to this
procedure. What is the best response by the nurse? - CORRECT
ANSWER "This antibiotic helps keep babies from contracting eye
infections."
What should the nurse's initial discussion include to best help new
parents understand tA nurse is caring for a newborn with a
myelomeningocele. What should immediate nursing care for this infant
include
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? - CORRECT ANSWER renal
agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings
should the nurse expect? - CORRECT ANSWER uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect? - CORRECT
ANSWER dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of the chorionic villi, which gives rise to multiple cysts. The
products of conception transform into a large number of edematous,
fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
, A nurse is assessing a client who is at 35 weeks of gestation and has
mild gestational HTN. What finding should the nurse identify as the
priority? - CORRECT ANSWER 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is 480 mL of urine
output in 24 hr because the minimum acceptable urine output in an
adult client is 30 mL/hr. This can indicate progression of preeclampsia
to preeclampsia with severe features, which requires immediate
intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV.
What statement should the nurse include in the teaching? - CORRECT
ANSWER you should continue to take zidovudine throughout the
pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
A nurse is providing teaching to a client who is at 8 wks gestation
about manifestations to report to the provider during pregnancy. What
info should the nurse include in the teaching? - CORRECT ANSWER
blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the
client is having contractions every 2 min which last 100-110 seconds
that the fetal heart rate is reassuring. What action should the nurse
take? - CORRECT ANSWER decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole.
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
What is the most important parameter for the nurse to monitor during
the first 24 hours after the birth of an infant at 36 weeks' gestation? -
CORRECT ANSWER Respiratory distress
What does the nurse do to elicit the Moro reflex during a newborn
assessment? - CORRECT ANSWER Jars the infant's bassinet
suddenly but gently
-Sudden movement causes the startle response (Moro reflex), which
begins with extension and abduction of the extremities with a C shape
formed by the index finger and thumb, followed by flexion and
adduction of extremities and ending with return of the arms to a
relaxed position
A newborn who is born at 36 weeks' gestation weighs 8 lb 13 oz (3997
g). How should the nurse document this finding? - CORRECT ANSWER
LGA and preterm
,During the discharge examination of a 2-day-old newborn, the nurse
observes an edematous area confined to the right side of the scalp.
How should the nurse document this condition? - CORRECT ANSWER
Cephalhematoma
While inspecting her newborn a mother asks the nurse whether her
baby has flat feet. How should the nurse respond? - CORRECT
ANSWER "Infants' feet appear flat because the arch is covered with a
fat pad."
An infant born at 40 weeks' gestation weighs 6 lb 13 oz (3090 g). What
category describes this neonate? - CORRECT ANSWER Appropriate
for gestational age (AGA) and term
In her 36th week of gestation, a client with type 1 diabetes has a 9-lb
10-oz infant in a cesarean birth. For which condition should the nurse
monitor this infant of a diabetic mother? - CORRECT ANSWER
Respiratory distress syndrome
A nurse who is caring for a 32-week appropriate-for-gestational-age
(AGA) neonate establishes a list of objectives for the infant. What
objective should receive the highest priority? - CORRECT ANSWER
Maintain respirations
When calculating an Apgar score for a newborn, what is given a score
in addition to the heart rate? - CORRECT ANSWER Muscle tone
A newborn with a severe bilateral cleft lip and palate is shown to the
father first. The father says, "How could this happen to us? What's my
wife going to do? It would've been better if she'd never gotten
pregnant." How should the nurse respond? - CORRECT ANSWER
"This must be very hard on you. I can go with you when your wife sees
the baby."
The nurse is caring for a client who has a newborn with a neurological
impairment. What is the most important nursing action? - CORRECT
ANSWER Assisting the client with the grieving process
,During labor a client states that she does not want eyedrops or
ointment placed in her baby's eyes immediately after birth. How
should the nurse respond? - CORRECT ANSWER "Let's talk about why
you don't want the medicine to be put into your baby's eyes."
A new mother asks the nurse administering erythromycin ophthalmic
ointment to her newborn why her baby must be subjected to this
procedure. What is the best response by the nurse? - CORRECT
ANSWER "This antibiotic helps keep babies from contracting eye
infections."
What should the nurse's initial discussion include to best help new
parents understand tA nurse is caring for a newborn with a
myelomeningocele. What should immediate nursing care for this infant
include
A nurse is caring for a client who has oligohydraminios. What fetal
anomalies should the nurse expect? - CORRECT ANSWER renal
agenesis
A nurse is assessing a client who is at 37 wks gestation and has a
suspected pelvic fracture due to blunt abd trauma. What findings
should the nurse expect? - CORRECT ANSWER uterine contractions
The nurse should expect the client to be experiencing uterine
contractions due to abdominal trauma.
A nurse is assessing a client who is at 12 wks gestation and has
hydatidiform mole. What findings should the nurse expect? - CORRECT
ANSWER dark brown vaginal discharge
A hydatidiform mole, or a molar pregnancy, is a benign proliferative
growth of the chorionic villi, which gives rise to multiple cysts. The
products of conception transform into a large number of edematous,
fluid-filled vesicles. As cells slough off the uterine wall, vaginal
discharge is usually dark brown and can contain grapelike clusters.
, A nurse is assessing a client who is at 35 weeks of gestation and has
mild gestational HTN. What finding should the nurse identify as the
priority? - CORRECT ANSWER 480 mL urine output in 24 hrs
When using the urgent vs. nonurgent approach to client care, the
nurse should determine that the priority finding is 480 mL of urine
output in 24 hr because the minimum acceptable urine output in an
adult client is 30 mL/hr. This can indicate progression of preeclampsia
to preeclampsia with severe features, which requires immediate
intervention. Therefore, this is the priority finding.
A nurse is teaching a client who is at 12 wks gestation and has HIV.
What statement should the nurse include in the teaching? - CORRECT
ANSWER you should continue to take zidovudine throughout the
pregnancy
-can be transmitted through breastfeeding
-she can continue to have sex
The nurse should inform the client that taking prescription antiviral
medication every day decreases the risk of transmission of HIV to her
newborn.
A nurse is providing teaching to a client who is at 8 wks gestation
about manifestations to report to the provider during pregnancy. What
info should the nurse include in the teaching? - CORRECT ANSWER
blurred or double vision
A nurse is caring for a client who is in the latent phase of labor and is
receiving oxytocin via continuous IV infusion. The nurse notes that the
client is having contractions every 2 min which last 100-110 seconds
that the fetal heart rate is reassuring. What action should the nurse
take? - CORRECT ANSWER decrease the dose of oxytocin by half
The nurse should decrease the dose of oxytocin by half because the
client is experiencing uterine tachysystole.
