ATI Practice Assessment-Maternal Newborn Online Practice A
1) A nurse is caring for a full-term newborn immediately following birth. Which of
the following actions should the nurse take first?
Dry the newborn-- cold stress on the newborn
2) A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should pan to prepare the client for
which of the following diagnostic tests?
Biophysical profile-- eval of the fetus is necessary with a real-time ultrasound
3) A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse request the provider see first?
A client who is at 11 weeks of gestation and reports abdominal cramping-- cramping
could indicate an ectopic pregnancy and manifestations of a spontaneous abortion
4) A nurse is demonstrating to a client how to bathe her newborn. In which order
should the nurse perform the following actions?
Step 1: Wipe the newborn's eyes from the inner canthus outward
Step 2: Wash the newborn's neck by lifting the newborn's chin
Step 3: Cleanse the skin around the newborn's umbilical cord stump
Step 4: Wash the newborn's legs and feet
Step 5: Clean the newborn's diaper area
5) A nurse is assessing a client who is at 30 weeks gestation during a routine
prenatal visit. Which of the findings should the nurse report to the provider?
Swelling of the face-- facial, sacral and hand swelling can indicate gestational
hypertension or preeclampsia
6) A nurse is observing a new mother caring for her crying newborn who is bottle
feeding. Which of the following actions by the mother should the nurse
recognize as a positive parenting behavior?
Lays the newborn across her lap and gently sways-- tactile stimulation promotes a
sense of security for a newborn
7) A nurse is assessing a newborn 12 hours after birth. Which of the following
manifestations should the nurse report to the provider?
Jaundice
8) A nurse is teaching a client who is at 8 weeks of gestation about exercise.
Which of the following instructions should the nurse include in the teaching?
You should exercise for 30 minutes each day-- improves muscle tone
9) A nurse is assessing a newborn following a circumcision. Which of the
following findings should the nurse identify as an indication that the newborn
is experiencing pain?
Chin quivering-- behavioral responses like grimacing and furrowing of the brow could
indicate pain in the newborn
, 10)A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the
nurse include in the teaching?
You should leave the diaphragm in place for at least 6 hours after intercourse
11)A nurse is teaching a client who is at 10 weeks of gestation about nutrition
during pregnancy. Which of the following statements by the client indicates an
understanding of the teaching?
I should take 600mcg of folic acid each day-- folic acid assists with preventing neural
tube defects
12)A nurse is reviewing the medical record of a client who is one day postpartum.
The client had a vaginal birth with a fourth-degree perineal laceration. The
nurse should contact the provider regarding which of the following
prescriptions?
Bisacodyl rectal suppository daily as needed for constipation-- a suppository or
enema could cause separation of the suture line, bleeding or infection
13)A nurse is calculating a client's expected date of birth using Naegele'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-- subtract 3 months from the first day of the client's period, then add
7 days
14)A nurse is preparing to administer hepatitis B immune globulin to a
newborn. The prescription states, "Administer 5mcg IM once today." Available
is a 5mL vial with 10mcg/mL. How many mL should the nurse administer?
0.5mL
15)A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbilirubinemia. Which of the following actions should the
nurse include in the plan?
Remove all clothing from the newborn except the diaper-- maximum skin exposer is
needed to break down excess bilirubin
16)A nurse on an antepartum unit is caring for four clients. Which of the following
clients should the nurse identify as the priority?
A client who is at 34 weeks gestation and reports epigastric pain-- epigastric pain is
a clinical manifestation of preeclampsia and indicates hepatic involvement
17)A nurse is teaching a new mother about steps the nurses will take to promote
the security and safety of the newborn. Which of the following statements
should the nurse make?
Staff members who take care of your baby will be wearing a photo identification
badge
18)A nurse is teaching a client who is at 35 weeks of gestation about clinical
manifestations of potential pregnancy complications to report to the provider.
Which of the following manifestations should the nurse include?
Headache that is unrelieved by analgesia-- unrelieved headache with meds may
indicate preeclampsia
1) A nurse is caring for a full-term newborn immediately following birth. Which of
the following actions should the nurse take first?
Dry the newborn-- cold stress on the newborn
2) A nurse is caring for a client who is at 36 weeks of gestation and has a
positive contraction stress test. The nurse should pan to prepare the client for
which of the following diagnostic tests?
Biophysical profile-- eval of the fetus is necessary with a real-time ultrasound
3) A nurse in a prenatal clinic is assessing a group of clients. Which of the
following clients should the nurse request the provider see first?
A client who is at 11 weeks of gestation and reports abdominal cramping-- cramping
could indicate an ectopic pregnancy and manifestations of a spontaneous abortion
4) A nurse is demonstrating to a client how to bathe her newborn. In which order
should the nurse perform the following actions?
Step 1: Wipe the newborn's eyes from the inner canthus outward
Step 2: Wash the newborn's neck by lifting the newborn's chin
Step 3: Cleanse the skin around the newborn's umbilical cord stump
Step 4: Wash the newborn's legs and feet
Step 5: Clean the newborn's diaper area
5) A nurse is assessing a client who is at 30 weeks gestation during a routine
prenatal visit. Which of the findings should the nurse report to the provider?
Swelling of the face-- facial, sacral and hand swelling can indicate gestational
hypertension or preeclampsia
6) A nurse is observing a new mother caring for her crying newborn who is bottle
feeding. Which of the following actions by the mother should the nurse
recognize as a positive parenting behavior?
Lays the newborn across her lap and gently sways-- tactile stimulation promotes a
sense of security for a newborn
7) A nurse is assessing a newborn 12 hours after birth. Which of the following
manifestations should the nurse report to the provider?
Jaundice
8) A nurse is teaching a client who is at 8 weeks of gestation about exercise.
Which of the following instructions should the nurse include in the teaching?
You should exercise for 30 minutes each day-- improves muscle tone
9) A nurse is assessing a newborn following a circumcision. Which of the
following findings should the nurse identify as an indication that the newborn
is experiencing pain?
Chin quivering-- behavioral responses like grimacing and furrowing of the brow could
indicate pain in the newborn
, 10)A nurse is providing teaching about family planning to a client who has a new
prescription for a diaphragm. Which of the following statements should the
nurse include in the teaching?
You should leave the diaphragm in place for at least 6 hours after intercourse
11)A nurse is teaching a client who is at 10 weeks of gestation about nutrition
during pregnancy. Which of the following statements by the client indicates an
understanding of the teaching?
I should take 600mcg of folic acid each day-- folic acid assists with preventing neural
tube defects
12)A nurse is reviewing the medical record of a client who is one day postpartum.
The client had a vaginal birth with a fourth-degree perineal laceration. The
nurse should contact the provider regarding which of the following
prescriptions?
Bisacodyl rectal suppository daily as needed for constipation-- a suppository or
enema could cause separation of the suture line, bleeding or infection
13)A nurse is calculating a client's expected date of birth using Naegele'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-- subtract 3 months from the first day of the client's period, then add
7 days
14)A nurse is preparing to administer hepatitis B immune globulin to a
newborn. The prescription states, "Administer 5mcg IM once today." Available
is a 5mL vial with 10mcg/mL. How many mL should the nurse administer?
0.5mL
15)A nurse is developing a plan of care for a newborn who is to undergo
phototherapy for hyperbilirubinemia. Which of the following actions should the
nurse include in the plan?
Remove all clothing from the newborn except the diaper-- maximum skin exposer is
needed to break down excess bilirubin
16)A nurse on an antepartum unit is caring for four clients. Which of the following
clients should the nurse identify as the priority?
A client who is at 34 weeks gestation and reports epigastric pain-- epigastric pain is
a clinical manifestation of preeclampsia and indicates hepatic involvement
17)A nurse is teaching a new mother about steps the nurses will take to promote
the security and safety of the newborn. Which of the following statements
should the nurse make?
Staff members who take care of your baby will be wearing a photo identification
badge
18)A nurse is teaching a client who is at 35 weeks of gestation about clinical
manifestations of potential pregnancy complications to report to the provider.
Which of the following manifestations should the nurse include?
Headache that is unrelieved by analgesia-- unrelieved headache with meds may
indicate preeclampsia
