2024//2025/Maternal Newborn Nursing ATI 2024-2025
Real Exam 100 Questions And Answers| Already Graded
A
A nurse in the L&D unit receives a phone call from a client who reports that her contractions started
about 2hrs ago, did not go away when she had two glasses of water and rested, and became stronger
since she started walking. Her contractions occur every 10 min and last about 30 seconds. She hasn't had
any fluid leak from her vagina. However, she saw some blood when she wiped after voiding. Based on
this report, the nurse should recognize that the client is experiencing - CORRECT ANSWER-True
contractions
A nurse in the L&D unit is caring for a client in labor and applies an external fetal monitor and
tocotransducer. The FHR is around 140/min. Contractions are every 8 min and 30 to 40 seconds in
duration. The nurse performs a vaginal exam and finds the cervix is 2cm dilated, 50% effaced, and the
fetus is at a -2 station. Which of the following stages and phases of labor is this client experiencing? -
CORRECT ANSWER-The first stage, latent phase
A client experiences a large gush of fluid from her vagina while walking in the hallway of the birthing
unit. The nurse's first nursing action after establishing that the fluid is amniotic fluid should be to -
CORRECT ANSWER-Monitor the FHR for distress
A nurse in L&D is completing an admission history for a client who is at 39 weeks of gestation. The client
reports that she has been leaking fluid from her vagina for 2 days. The nurse knows that this client is at
risk for - CORRECT ANSWER-Infection
A nurse is reviewing breastfeeding positions with the mother of the newborn. Which of the following is
an appropriate position for the nurse to discuss? - CORRECT ANSWER-Cradle position
A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following
should be included in the teaching? - CORRECT ANSWER-Keep the diaper folded below the cord
, A nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which
of the following statements made by a parent indicates a need for further clarification? - CORRECT
ANSWER-" I will give him a tub bath within a couple of days."
A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following
are contradictions? - CORRECT ANSWER-Hypospadias
Familiar history of hemophilia
Epispadias
A nurse is caring for a newborn immediately following a circumcision using a Gomco procedure. Which of
the following is an appropriate nursing intervention? - CORRECT ANSWER-Apply petroleum gauze to
the site
A nurse is reviewing care seat safety with the parents of a newborn. The nurse instructs the parents to
restrain the newborn in a car seat in the - CORRECT ANSWER-Back sear, rear-facing position
A nurse is caring for a client who is pregnant and states that her last menstrual period was April 1, 2013.
Which of he following is the client's estimated date of delivery? - CORRECT ANSWER-Jan. 8 2014
A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client's
health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? -
CORRECT ANSWER-Client has delivered one newborn at term.
Client has had two prior pregnancies.
Client has one living child.
A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client
exhibits probable signs of pregnancy. Which of the following would be included? - CORRECT
ANSWERGoodell's sign
Ballottement
Chadwick's sign