Page 1 of 30
ATI MATERNAL NEWBORN TEST A AND B
ACTUAL PRACTICE QUESTIONS WITH
VERIFIED ANSWERS TESTED AND
APPROVED!!!
A nurse is admitting a client to the labor and delivery unit when the client states,
"my water just broke", which of the following is the priority intervention for the
nurse to take? -- ANSWER--Begin FHR Monitoring - The greatest risk to the
client and their fetus following a rupture of membranes is an umbilical cord
prolapse. FHR is the PRIORITY action.
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks
gestation. Upon reviewing the clients medical record, what findings should the
nurse report to the provider?
1-hr Glucose of 130 to 140 (or greater) indicates a positive test.
Hematocrit of 34% is within range - should be greater than 33%.
FHR - Should be between 110/min to 160/min for a client at 26 weeks of
gestation. -- ANSWER--Fundal height 30 cm - Fundal height should be PLUS
or MINUS 2cm from weeks of gestation
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A nurse is caring for a newborn who is 48 hr old.
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Maternal blood type: O+
Uncomplicated pregnancy.
Maternal use of marijuana during pregnancy
Client who gave birth plans to breastfeed.
Day 2, 0900:
Newborn awake, alert, and crying. Loosely<<<< wrapped in one blanket. Mild
tremors noted. Yellow discoloration of mucus membranes and sclera noted.
Respirations 88/min, no retractions, grunting, or nasal flaring noted. Diaper
changed for small amount of urine and transitional stool.
Day 2, 0915:Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
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Potential Condition? - It's NOT NAS since Mom wasn't on opiates. It's NOT
Bilirubin issues so no phototherapy. None of the babies S/S point to Respiratory
distress either.
COLD STRESS
Encourage parent to breastfeed
Place newborn skin to skin on birthing parents chest.
Temperature -- ANSWER--
Nurse is caring for a client who is at 22 weeks of gestation and is HIV positive.
Which of the following actions should the Nurse take?
Administer Penicillin g2.4 million units - No, this should be done for syphilis.
Instruct Client to schedule annual pelvic examination - NO - should be every 6
months.
ATI MATERNAL NEWBORN TEST A AND B
ACTUAL PRACTICE QUESTIONS WITH
VERIFIED ANSWERS TESTED AND
APPROVED!!!
A nurse is admitting a client to the labor and delivery unit when the client states,
"my water just broke", which of the following is the priority intervention for the
nurse to take? -- ANSWER--Begin FHR Monitoring - The greatest risk to the
client and their fetus following a rupture of membranes is an umbilical cord
prolapse. FHR is the PRIORITY action.
A nurse in an antepartum clinic is providing care for a client who is at 26 weeks
gestation. Upon reviewing the clients medical record, what findings should the
nurse report to the provider?
1-hr Glucose of 130 to 140 (or greater) indicates a positive test.
Hematocrit of 34% is within range - should be greater than 33%.
FHR - Should be between 110/min to 160/min for a client at 26 weeks of
gestation. -- ANSWER--Fundal height 30 cm - Fundal height should be PLUS
or MINUS 2cm from weeks of gestation
, Page 2 of 30
A nurse is caring for a newborn who is 48 hr old.
Apgars: 7 at 1 min and 8 at 5 min of age
Birth weight: 3,515 g (7 lb 12 oz)
Maternal blood type: O+
Uncomplicated pregnancy.
Maternal use of marijuana during pregnancy
Client who gave birth plans to breastfeed.
Day 2, 0900:
Newborn awake, alert, and crying. Loosely<<<< wrapped in one blanket. Mild
tremors noted. Yellow discoloration of mucus membranes and sclera noted.
Respirations 88/min, no retractions, grunting, or nasal flaring noted. Diaper
changed for small amount of urine and transitional stool.
Day 2, 0915:Blood glucose: 38 mg/dL (expected value greater than 40 to 45
gm/dL
, Page 3 of 30
Potential Condition? - It's NOT NAS since Mom wasn't on opiates. It's NOT
Bilirubin issues so no phototherapy. None of the babies S/S point to Respiratory
distress either.
COLD STRESS
Encourage parent to breastfeed
Place newborn skin to skin on birthing parents chest.
Temperature -- ANSWER--
Nurse is caring for a client who is at 22 weeks of gestation and is HIV positive.
Which of the following actions should the Nurse take?
Administer Penicillin g2.4 million units - No, this should be done for syphilis.
Instruct Client to schedule annual pelvic examination - NO - should be every 6
months.
