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)
A nurse is testing the reflexes of a newborn to assess neurologic
maturity. What reflexes is the nurse assessing when she quickly and
gently turns the newborn's head to one side? - CORRECT ANSWER
tonic neck
To elicit the tonic neck reflex, the nurse should quickly and gently turn
the newborn's head to one side when he is sleeping or falling asleep.
The newborn's arm and leg should extend outward to the same side
that the nurse turned his head while the opposite arm and leg flex.
This reflex persists for about 3 to 4 months.
A nurse is assessing a newborn who was born at 39 wks gestation.
What finding should the nurse expect? - CORRECT ANSWER
symmetric rib cage
A newborn who is born at 39 weeks of gestation is full-term and should
have normal, smooth skin with good turgor and the presence of
subcutaneous fat pockets. A postmature newborn, greater than 42
,weeks of gestation, will have dry, cracked skin with a wrinkled
appearance.
A nurse is assessing a 2 day old newborn and notes an egg-shaped,
edematous, bluish discoloration that does not cross the suture line.
What pieces of info should the nurse provide to the mother when she
inquires about the finding? - CORRECT ANSWER this will resolve
within 3-6 wks without treatment
A nurse is assessing a client who is postpartum following a vacuum-
assisted birth. For what finding should the nurse monitor to identify a
cervical laceration? - CORRECT ANSWER slow trickle of bright
vaginal bleeding and a firm fundus
The nurse should monitor for bright red bleeding as a slow trickle,
oozing or outright bleeding,and a firm fundus to identify a cervical
laceration.
A nurse is planning care for a client who is postpartum and has
cardiac disease. For what script should the nurse seek clarification? -
CORRECT ANSWER monitor clients wt wkly
The nurse should weigh the client daily to monitor for fluid overload.
A nurse is providing teaching to a client who is postpartum and does
not plan to breastfeed her newborn. What instructions should the
nurse include in the teaching? - CORRECT ANSWER place ice packs
on your breasts
The nurse should instruct the client to place ice packs on her breasts
using a 15 min on and 45 min off schedule, to decrease swelling of the
breast tissue as the body produces milk.
A nurse is caring for a newborn directly after birth. What medications
should the nurse administer to the newborn within 1-2 hr of delivery? -
CORRECT ANSWER erythromycin ophthalmic ointment
,Every newborn born in the United States should receive erythromycin
ophthalmic ointment to prevent gonorrheal or chlamydial infections
that the newborn can contract during birth.
A nurse is caring for a newborn who weighs 4lb. How many kg does
the newborn weigh? - CORRECT ANSWER 1.8
A nurse is assisting a client who is 4 hr postpartum to get out of bed
for the first time. The client becomes frightened when she has a gush
of dark red blood from her vagina. What following statements should
the nurse make? - CORRECT ANSWER blood pools in the vagina when
you are lying a bed
In the early postpartum period, lochia will pool in the vagina when the
client is lying in bed and will flow out of the vagina when the client
stands up. After the initial gush, the bleeding will slow down to a
trickle of bright red lochia.
A nurse is providing teaching to a client who is planning to breastfeed
her newborn. What statement by the client indicates an understanding
of the teaching? - CORRECT ANSWER it is normal for my baby to
sometimes feed every hr for several hours in a row
Cluster feeding is an expected finding for newborns who are
breastfeeding. The mother should follow her newborn's cues and feed
her 8 to 12 times per day.
A nurse is caring for a client who is receiving mag sulfate by
continuous IV. What meds should the nurse have available at bedside?
- CORRECT ANSWER calcium gluconate
The nurse should have calcium gluconate available to give to a client
who is receiving magnesium sulfate by continuous IV infusion in case
of magnesium sulfate toxicity. The nurse should monitor the client for
a respiratory rate less than or equal to 12/min, muscle weakness, and
depressed deep-tendon reflexes.
, A nurse is caring for a client who has a soft uterus and increased
lochia. What meds should the nurse plan to administer to promote
uterine contractions? - CORRECT ANSWER methylergonovine
The nurse should administer methylergonovine, an ergot alkaloid,
which promotes uterine contractions.
A nurse is administering a rubella immunization to a client who is 2
days postpartum. What statement indicates to the nurse the client
needs further instruction? - CORRECT ANSWER I can conceive
anytime i want after 10 days
A client who receives a rubella immunization should not conceive for
at least 1 month after receiving the rubella immunization to prevent
injury to the fetus.
A nurse is providing teaching to the parents of a newborn about how to
care for his circumcision at home. What instructions should the nurse
include in the teaching? - CORRECT ANSWER encourage nonnutritive
sucking for pain relief
Allowing the newborn to suck on a pacifier is an effective form of
nonpharmacological pain management.
A nurse is assessing a client on the first postpartum day. Findings
include fundus firm and one fingerbreadth above and to the right of the
umbilicus, moderate lochia rubra with small clots, temperature 37.3 C
(99.2 F), and pulse rate 52/min. Which of the following actions should
the nurse take? - CORRECT ANSWER Ask the client when she last
voided
Because the muscles supporting the uterus have been stretched
during pregnancy, the fundus is easily displaced when the bladder is
full. The fundus should be found firm at midline. A deviated, firm
fundus indicates a full bladder. The nurse should assist the client to
void.
STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS)
LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED EXAM)
A nurse is testing the reflexes of a newborn to assess neurologic
maturity. What reflexes is the nurse assessing when she quickly and
gently turns the newborn's head to one side? - CORRECT ANSWER
tonic neck
To elicit the tonic neck reflex, the nurse should quickly and gently turn
the newborn's head to one side when he is sleeping or falling asleep.
The newborn's arm and leg should extend outward to the same side
that the nurse turned his head while the opposite arm and leg flex.
This reflex persists for about 3 to 4 months.
A nurse is assessing a newborn who was born at 39 wks gestation.
What finding should the nurse expect? - CORRECT ANSWER
symmetric rib cage
A newborn who is born at 39 weeks of gestation is full-term and should
have normal, smooth skin with good turgor and the presence of
subcutaneous fat pockets. A postmature newborn, greater than 42
,weeks of gestation, will have dry, cracked skin with a wrinkled
appearance.
A nurse is assessing a 2 day old newborn and notes an egg-shaped,
edematous, bluish discoloration that does not cross the suture line.
What pieces of info should the nurse provide to the mother when she
inquires about the finding? - CORRECT ANSWER this will resolve
within 3-6 wks without treatment
A nurse is assessing a client who is postpartum following a vacuum-
assisted birth. For what finding should the nurse monitor to identify a
cervical laceration? - CORRECT ANSWER slow trickle of bright
vaginal bleeding and a firm fundus
The nurse should monitor for bright red bleeding as a slow trickle,
oozing or outright bleeding,and a firm fundus to identify a cervical
laceration.
A nurse is planning care for a client who is postpartum and has
cardiac disease. For what script should the nurse seek clarification? -
CORRECT ANSWER monitor clients wt wkly
The nurse should weigh the client daily to monitor for fluid overload.
A nurse is providing teaching to a client who is postpartum and does
not plan to breastfeed her newborn. What instructions should the
nurse include in the teaching? - CORRECT ANSWER place ice packs
on your breasts
The nurse should instruct the client to place ice packs on her breasts
using a 15 min on and 45 min off schedule, to decrease swelling of the
breast tissue as the body produces milk.
A nurse is caring for a newborn directly after birth. What medications
should the nurse administer to the newborn within 1-2 hr of delivery? -
CORRECT ANSWER erythromycin ophthalmic ointment
,Every newborn born in the United States should receive erythromycin
ophthalmic ointment to prevent gonorrheal or chlamydial infections
that the newborn can contract during birth.
A nurse is caring for a newborn who weighs 4lb. How many kg does
the newborn weigh? - CORRECT ANSWER 1.8
A nurse is assisting a client who is 4 hr postpartum to get out of bed
for the first time. The client becomes frightened when she has a gush
of dark red blood from her vagina. What following statements should
the nurse make? - CORRECT ANSWER blood pools in the vagina when
you are lying a bed
In the early postpartum period, lochia will pool in the vagina when the
client is lying in bed and will flow out of the vagina when the client
stands up. After the initial gush, the bleeding will slow down to a
trickle of bright red lochia.
A nurse is providing teaching to a client who is planning to breastfeed
her newborn. What statement by the client indicates an understanding
of the teaching? - CORRECT ANSWER it is normal for my baby to
sometimes feed every hr for several hours in a row
Cluster feeding is an expected finding for newborns who are
breastfeeding. The mother should follow her newborn's cues and feed
her 8 to 12 times per day.
A nurse is caring for a client who is receiving mag sulfate by
continuous IV. What meds should the nurse have available at bedside?
- CORRECT ANSWER calcium gluconate
The nurse should have calcium gluconate available to give to a client
who is receiving magnesium sulfate by continuous IV infusion in case
of magnesium sulfate toxicity. The nurse should monitor the client for
a respiratory rate less than or equal to 12/min, muscle weakness, and
depressed deep-tendon reflexes.
, A nurse is caring for a client who has a soft uterus and increased
lochia. What meds should the nurse plan to administer to promote
uterine contractions? - CORRECT ANSWER methylergonovine
The nurse should administer methylergonovine, an ergot alkaloid,
which promotes uterine contractions.
A nurse is administering a rubella immunization to a client who is 2
days postpartum. What statement indicates to the nurse the client
needs further instruction? - CORRECT ANSWER I can conceive
anytime i want after 10 days
A client who receives a rubella immunization should not conceive for
at least 1 month after receiving the rubella immunization to prevent
injury to the fetus.
A nurse is providing teaching to the parents of a newborn about how to
care for his circumcision at home. What instructions should the nurse
include in the teaching? - CORRECT ANSWER encourage nonnutritive
sucking for pain relief
Allowing the newborn to suck on a pacifier is an effective form of
nonpharmacological pain management.
A nurse is assessing a client on the first postpartum day. Findings
include fundus firm and one fingerbreadth above and to the right of the
umbilicus, moderate lochia rubra with small clots, temperature 37.3 C
(99.2 F), and pulse rate 52/min. Which of the following actions should
the nurse take? - CORRECT ANSWER Ask the client when she last
voided
Because the muscles supporting the uterus have been stretched
during pregnancy, the fundus is easily displaced when the bladder is
full. The fundus should be found firm at midline. A deviated, firm
fundus indicates a full bladder. The nurse should assist the client to
void.
