ATI RN MATERNAL NEW BORN QUESTIONS & ANSWERS

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Maternal New Born Exam (ATI RN MATERNAL NEW BORN QUESTIONS & ANSWERS)

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RN ATI MATERNAL NEWBORN PROCTORED EXAM

• A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse

notes three contractions in 10 min with late decelerations occurring with two of the contractions. Which of the following findings should the nurse report to the provider

• Reactive
• Nonreactive
• Positive- Indicates an adverse reaction by the fetus and should be reported to the

provider

• Negative
• A nurse is providing family planning education to a client who has decided to use a diaphragm.

Which of the following should the nurse include in the plan of care?

• You should replace the diaphragm every 3 years
• You should leave the diaphragm in place for at least 6 hours after intercourse
• You should use an oil based product as a lubricant when inserting the diaphragm
• You should insert he diaphragm when your bladder is full
• A nurse is providing discharge teaching to a client who is postpartum about resuming sexual

activity. Which of the following instructions should the nurse include in the teaching?

• You should use a water soluble gel for lubrication- This will prevent discomfort
• You can resume sexual activity in 10 days
• Your physical reaction to sexual stimulation ill not be altered
• You will not ovulate for 3 months after delivery
• A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which

of the following complications should the nurse assess?

• Abruptio placenta- Cocaines increases the risk for vasoconstriction and possible

abruption placenta

• Placenta previa
• Preeclampsia
• Maternal bradycardia
• A nurse is providing dietary teaching with a client who has hyperemesis gravidarum. Which of

the following statements by the client indicates an understanding of the teaching?

• I should eat to taste instead of trying to balance my meals- Eat to taste to avoid nausea
• I will avoid having a snack at bedtime
• I will have 8 oz of hot tea with each meal
• I should pair my sweets with a starch instead of eating them alone
• A nurse is caring for a client who is in active labor and reports back pain. The nurse performs a

vaginal exam and determines the client is 8cm dilated, 100?faced, and -2 station. The fetus is in the occiput posterior position. Which of the following is an appropriate intervention?

• Perform effleurage during contractions

• Place the client in lithotomy position
• Assist the client to the hands and knees position- Helps relieve back pain and help the

fetus rotate

• Apply a fetal scalp electrode
• A nurse is assessing a client during a weekly prenatal visit that is at 38 weeks of gestation. Which

of the following client findings should the nurse report to the provider?

• Blood pressure 136/88
• Report of insomnia
• Weight gain of 2.2 kg- Above the expected reference range and could indicate

complications

• Report of Braxton-Hicks contractions
• A nurse is caring for a client who is pregnant and has epilepsy. The nurse observes the client

having a seizure. After turning the client’s head to one side, which of the following actions should the nurse take next?

• Monitor the fetal heart rate
• Assess uterine activity
• Administer oxygen via a non-breather mask
• Start a bolus of IV fluids
• A nurse is providing discharge instructions to a client who had a vaginal delivery and is

breastfeeding her newborn. Which of the following statements indicates an understanding of the teaching?

• I will need to eat an additional 330 calories a day while I’m breastfeeding-
• I will change my perineal pad at least twice a day
• I will massage my uterus daily for 7 days
• I will breastfeed my baby every 2 hours
• A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions

should the nurse take prior to applying an external transducer for fetal monitoring?

• Assessment of dilation and effacement
• Leopold maneuvers- helps the nurse assess the position of the fetus to best determine

the optimal placement for the fetal monitoring transducer.

• Sterile speculum exam
• Nitrazine test
• A client who is pregnant presents to a prenatal clinic for her first visit. She tells the nurse that

her last normal menstrual period began Oct 13. Using Nagele’s rule, the nurse should determine the client’s estimated date of delivery as which of the following?

• July 6
• July 13
• July 20- Add a year, subtract 3 months, add 7 days
• July 27
• A nurse is caring for a client undergoing an oxytocin-stimulated contraction test. The nurse

notes three contractions in 10 min with late decelerations occurring with two of the contractions. Which of the following findings should the nurse report to the provider a. Reactive

• Nonreactive

• Positive- Indicates an adverse reaction by the fetus and should be reported to the

provider

• Negative
• A nurse is providing family planning education to a client who has decided to use a diaphragm.

Which of the following should the nurse include in the plan of care?

• You should replace the diaphragm every 3 years
• You should leave the diaphragm in place for at least 6 hours after intercourse
• You should use an oil based product as a lubricant when inserting the diaphragm
• You should insert he diaphragm when your bladder is full
• A nurse is providing discharge teaching to a client who is postpartum about resuming sexual

activity. Which of the following instructions should the nurse include in the teaching?

• You should use a water soluble gel for lubrication- This will prevent discomfort
• You can resume sexual activity in 10 days
• Your physical reaction to sexual stimulation ill not be altered
• You will not ovulate for 3 months after delivery
• A nurse is admitting a client who is in labor. The client admits to recent cocaine use. For which

of the following complications should the nurse assess?

• Abruptio placenta- Cocaines increases the risk for vasoconstriction and possible

abruption placenta

• Placenta previa
• Preeclampsia
• Maternal bradycardia
• A nurse is providing dietary teaching with a client who has hyperemesis gravidarum. Which of

the following statements by the client indicates an understanding of the teaching?

• I should eat to taste instead of trying to balance my meals- Eat to taste to avoid nausea
• I will avoid having a snack at bedtime
• I will have 8 oz of hot tea with each meal
• I should pair my sweets with a starch instead of eating them alone
• A nurse is preparing to collect a blood specimen from a newborn via a heel stick. Which of the

following techniques should the nurse use to help minimize the pain of the procedure for the newborn?

• Warm the heel prior to the puncture
• Request a prescription for IM analgesic
• Use a manual lance blade to pierce the skin
• Swaddle the newborn after the heel puncture- Effective technique to diminish the pain

experience for the newborn.

• A nurse is conducting an initial prenatal visit for a client who is at 6 weeks gestation. Which of

the following laboratory tests should be performed?

• 24 hour urine for protein
• Group B streptococcus culture
• 3-hr glucose tolerance
• Rubella titer- Obtained at the initial prenatal visit to determine immunity to rubella