ATI Maternal Newborn Practice B(Latest 2020):(50 MCQ with 100% Correct Answers): Chamberlain College of Nursing

ATI Maternal Newborn Practice B


1. A nurse is performing a blood collection via heel stick on a newborn for blood glucose
monitoring. After washing her hands and donning gloves, which of the following actions
should the nurse take next?
Cleanse the site with alcohol and allow it to dry.

The nurse should cleanse the puncture site and allow it to dry to disinfect the skin and avoid

diluting the specimen with alcohol; however, evidence-based practice indicates that the nurse

should take a different action first.

Warm the newborn's heel.

According to evidence-based practice, the nurse should first warm the newborn's heel for 5 to

10 min to dilate the vessels in the area.

Cuddle and comfort the newborn.

The nurse should cuddle and comfort the newborn; however, evidence-based practice indicates

that the nurse should take a different action first.

Apply pressure using a dry gauze square.

After obtaining the heel stick blood specimen, the nurse should apply pressure to the site using

a dry gauze square to stop the bleeding; however, evidence-based practice indicates that the

nurse should take a different action first.


2. A nurse is reinforcing teaching about a nonstress test with a client who is at 33 weeks
of gestation. Which of the following statements should the nurse include?
"You will receive IV fluids throughout the test."

The nurse should instruct the client that a nonstress test is noninvasive and does not require an

IV infusion. A contraction stress test might require an IV infusion for the administration of

oxytocin.

"You will press a button when you feel the baby move."

, The nurse should instruct the client that a nonstress test monitors for accelerations in the FHR

with fetal movement. The client will have a handheld button that she will push when she feels

fetal movements.

"You will need to avoid eating for 4 hours prior to the test."

The nurse should instruct the client to eat and drink as usual prior to the test. A nonstress test is

noninvasive and does not require fasting.

"You will be prompted to massage your nipples for the test."

The nurse should instruct the client that a nonstress test monitors for accelerations in the FHR

with fetal movement. A contraction stress test might require the client to perform nipple

stimulation to initiate contractions.



3. A nurse is collecting data from a client who is at 37 weeks of gestation. Which of the
following findings should the nurse report to the provider?
Leukorrhea

The nurse should identify that leukorrhea, or vaginal discharge, is an expected finding during

pregnancy.

Nonpitting ankle edema

The nurse should identify that nonpitting ankle edema is an expected finding during the third

trimester of pregnancy.

Tingling in fingers

The nurse should identify that tingling in fingers is an expected finding during pregnancy due to

traction on the brachial plexus nerves.

Blurred vision

The nurse should identify that blurred vision or double vision are manifestations of gestational

hypertension or preeclampsia. The nurse should report this finding to the provider.


4. A nurse is reviewing the medical record of a client who is at 26 weeks of gestation.
Which of the following findings should the nurse identify as a risk factor for the
development of preeclampsia?