ATI- Maternity Practice Test A
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the
specimen."
The nurse should ensure that the newborn has been receiving regular feedings for at least 24 hr
prior to testing. - ANS-A nurse is teaching a newly licensed nurse about collecting a specimen
for the universal newborn screening . Which of the following statements should the nurse
include in the teaching?
Obtain an informed consent prior to obtaining the specimen."
"Collect at least 1 milliliter of urine for the test."
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the
specimen."
"Premature newborns may have false negative tests due to immature development of liver
enzymes."
"I should take 600 micrograms of folic acid each day."
A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists
with preventing neural tube birth defects. - ANS-A nurse is teaching a client who is at 10 weeks
gestation about nutrition during pregnancy. Which of the following statements by the client
indicates an understanding of the teaching?
"I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day."
"I will likely need to use alternative positions for sexual intercourse."
The weight gain of pregnancy will likely require alternative positions for sexual intercourse. This
client statement indicates that she understands the nurse's teaching about the physiological
changes that occur during pregnancy. - ANS-A nurse is providing teaching to a client about the
physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and
has a BMI within the expected reference range. Which of the following client statements
indicates an understanding of the teaching?
"I will not gain more than 15 to 20 pounds during my pregnancy."
"I will likely need to use alternative positions for sexual intercourse."
"I'm glad I had a breast reduction years ago, so they will not enlarge with my pregnancy."
"I'm glad I have a light complexion and will not get any stretch marks."
"The person who comes to take my baby's pictures will be wearing a photo identification badge."
,All personnel working on the unit should be wearing a photo identification badge. The nurse
should instruct the parent to never allow anyone who is not wearing an identification badge to
come in contact with the newborn. - ANS-A nurse is providing teaching for a client who gave
birth 2 hr ago about the facility policy for newborn safety. Which of the following client
statements indicates an understanding of the teaching?
"My sister will be able to carry my baby from the nursery to my room when she arrives."
"The nurse will match my wrist band to my baby's crib card when they bring him to me."
"The person who comes to take my baby's pictures will be wearing a photo identification badge."
"My baby doesn't need to wear the electronic security bracelet when he's in my room."
"You can still become pregnant if you are breastfeeding."
The nurse should instruct the client that breastfeeding does not prevent ovulation. Therefore,
the client can become pregnant. The nurse should discuss contraception that is safe to use
while breastfeeding. - ANS-A nurse is providing discharge teaching to a client who had a
c-section 3 days ago. Which of the following instructions should the nurse include?
"You can resume sexual activity in 1 week."
"You won't need to do Kegel exercises since you had a cesarean."
"You can still become pregnant if you are breastfeeding."
"You are safe to start adding sit-ups to your exercise routine in 2 weeks."
"You should press the handheld button when you feel your baby move."
The nurse should instruct the client to press the handheld button when the fetus moves. This
action will mark the fetal monitor tracing with the client's reports of fetal movement. This will
assist in the interpretation of the nonstress test to determine if it is reactive or nonreactive. -
ANS-A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a
nonstress test. Which of the following instructions should the nurse include?
"The test should take 10 to 15 minutes to complete."
"You will lay in a supine position throughout the test."
"You should not eat or drink for 2 hours before the test."
"You should press the handheld button when you feel your baby move."
~wipe the newborn's eyes from the inner canthis outward~wash the newborn's neck by lifting
the newborn''s chin~cleanse the skin around the newborn's umbilical cord stump~wash the
newborn's legs and feet~clean the newborn's diaper area
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty,
approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus
outward using plain water. The nurse should then wash the newborn's neck by lifting the
newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump
followed by washing the newborn's legs and feet. The last step of the bath should be to clean
the newborn's diaper area. - ANS-A nurse is demonstrating to a client how to bathe their
newborn. In which order should the nurse perform the following actions?
, ~clean the newborn's diaper area~wash the newborn's neck by lifting the newborn's chin~wipe
the newborn's eyes from the inner canthus outward~wash the newborns legs and feet~cleanse
the skin around the newborn's umbilical cord stump
50 mL/hr - ANS-A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is
in preterm labor. Available ts 20g magnesium sulfate in 500ml of dextrose 5% in water (D5W).
The nurse should set the IV infusion pump to administer how many ml/hr? (round to whole
number)
A client who is at 11 weeks of gestation and reports abdominal cramping
When using the urgent vs nonurgent approach to client care, the nurse should determine that
the priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping.
Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous
abortion. The nurse should request that the provider see this client first. - ANS-A nurse is a
prenatal clinic is assessing a group of clients/ Which of the following clients should the nurse
see first?
A client who is at 11 weeks of gestation and reports abdominal cramping
A client who is at 15 weeks of gestation and reports tingling and numbness in right hand
A client who is at 20 weeks of gestation and reports constipation for the past 4 days
A client who is at 8 weeks of gestation and reports having three bloody noses in the past week
A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
An axillary temperature greater than 37.5° C (99.5° F) is above the expected reference range for
a newborn and can be an indication of sepsis. Therefore, the nurse should report this finding to
the provider. - ANS-A nurse is assessing 4 newborns. Which of the following findings should the
nurse report to the provider?
A newborn who is 26 hr old and has erythema toxicum on his face
A newborn who is 32 hr old and has not passed a meconium stool
A newborn who is 12 hr old and has pink-tinged urine
A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
A reduction in respiratory distress in the newborn
Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent
respiratory distress. - ANS-A nurse is caring for a client who is anemic at 32 weeks of gestation
and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?
Decreased uterine contractions
An increase in the client's hemoglobin levels
A reduction in respiratory distress in the newborn
Increased production of antibodies in the newborn
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the
specimen."
The nurse should ensure that the newborn has been receiving regular feedings for at least 24 hr
prior to testing. - ANS-A nurse is teaching a newly licensed nurse about collecting a specimen
for the universal newborn screening . Which of the following statements should the nurse
include in the teaching?
Obtain an informed consent prior to obtaining the specimen."
"Collect at least 1 milliliter of urine for the test."
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining the
specimen."
"Premature newborns may have false negative tests due to immature development of liver
enzymes."
"I should take 600 micrograms of folic acid each day."
A client who is pregnant should increase folic acid intake to 600 mcg daily. Folic acid assists
with preventing neural tube birth defects. - ANS-A nurse is teaching a client who is at 10 weeks
gestation about nutrition during pregnancy. Which of the following statements by the client
indicates an understanding of the teaching?
"I should increase my protein intake to 60 grams each day."
"I should drink 2 liters of water each day."
"I should increase my overall daily caloric intake by 300 calories."
"I should take 600 micrograms of folic acid each day."
"I will likely need to use alternative positions for sexual intercourse."
The weight gain of pregnancy will likely require alternative positions for sexual intercourse. This
client statement indicates that she understands the nurse's teaching about the physiological
changes that occur during pregnancy. - ANS-A nurse is providing teaching to a client about the
physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and
has a BMI within the expected reference range. Which of the following client statements
indicates an understanding of the teaching?
"I will not gain more than 15 to 20 pounds during my pregnancy."
"I will likely need to use alternative positions for sexual intercourse."
"I'm glad I had a breast reduction years ago, so they will not enlarge with my pregnancy."
"I'm glad I have a light complexion and will not get any stretch marks."
"The person who comes to take my baby's pictures will be wearing a photo identification badge."
,All personnel working on the unit should be wearing a photo identification badge. The nurse
should instruct the parent to never allow anyone who is not wearing an identification badge to
come in contact with the newborn. - ANS-A nurse is providing teaching for a client who gave
birth 2 hr ago about the facility policy for newborn safety. Which of the following client
statements indicates an understanding of the teaching?
"My sister will be able to carry my baby from the nursery to my room when she arrives."
"The nurse will match my wrist band to my baby's crib card when they bring him to me."
"The person who comes to take my baby's pictures will be wearing a photo identification badge."
"My baby doesn't need to wear the electronic security bracelet when he's in my room."
"You can still become pregnant if you are breastfeeding."
The nurse should instruct the client that breastfeeding does not prevent ovulation. Therefore,
the client can become pregnant. The nurse should discuss contraception that is safe to use
while breastfeeding. - ANS-A nurse is providing discharge teaching to a client who had a
c-section 3 days ago. Which of the following instructions should the nurse include?
"You can resume sexual activity in 1 week."
"You won't need to do Kegel exercises since you had a cesarean."
"You can still become pregnant if you are breastfeeding."
"You are safe to start adding sit-ups to your exercise routine in 2 weeks."
"You should press the handheld button when you feel your baby move."
The nurse should instruct the client to press the handheld button when the fetus moves. This
action will mark the fetal monitor tracing with the client's reports of fetal movement. This will
assist in the interpretation of the nonstress test to determine if it is reactive or nonreactive. -
ANS-A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a
nonstress test. Which of the following instructions should the nurse include?
"The test should take 10 to 15 minutes to complete."
"You will lay in a supine position throughout the test."
"You should not eat or drink for 2 hours before the test."
"You should press the handheld button when you feel your baby move."
~wipe the newborn's eyes from the inner canthis outward~wash the newborn's neck by lifting
the newborn''s chin~cleanse the skin around the newborn's umbilical cord stump~wash the
newborn's legs and feet~clean the newborn's diaper area
The nurse should demonstrate how to bathe a newborn by using a head to toe, clean to dirty,
approach. Therefore, the nurse should first wipe the newborn's eyes from the inner canthus
outward using plain water. The nurse should then wash the newborn's neck by lifting the
newborn's chin. Next, the nurse should cleanse the skin around the umbilical cord stump
followed by washing the newborn's legs and feet. The last step of the bath should be to clean
the newborn's diaper area. - ANS-A nurse is demonstrating to a client how to bathe their
newborn. In which order should the nurse perform the following actions?
, ~clean the newborn's diaper area~wash the newborn's neck by lifting the newborn's chin~wipe
the newborn's eyes from the inner canthus outward~wash the newborns legs and feet~cleanse
the skin around the newborn's umbilical cord stump
50 mL/hr - ANS-A nurse is preparing to administer magnesium sulfate 2g/hr IV to a client who is
in preterm labor. Available ts 20g magnesium sulfate in 500ml of dextrose 5% in water (D5W).
The nurse should set the IV infusion pump to administer how many ml/hr? (round to whole
number)
A client who is at 11 weeks of gestation and reports abdominal cramping
When using the urgent vs nonurgent approach to client care, the nurse should determine that
the priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping.
Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous
abortion. The nurse should request that the provider see this client first. - ANS-A nurse is a
prenatal clinic is assessing a group of clients/ Which of the following clients should the nurse
see first?
A client who is at 11 weeks of gestation and reports abdominal cramping
A client who is at 15 weeks of gestation and reports tingling and numbness in right hand
A client who is at 20 weeks of gestation and reports constipation for the past 4 days
A client who is at 8 weeks of gestation and reports having three bloody noses in the past week
A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
An axillary temperature greater than 37.5° C (99.5° F) is above the expected reference range for
a newborn and can be an indication of sepsis. Therefore, the nurse should report this finding to
the provider. - ANS-A nurse is assessing 4 newborns. Which of the following findings should the
nurse report to the provider?
A newborn who is 26 hr old and has erythema toxicum on his face
A newborn who is 32 hr old and has not passed a meconium stool
A newborn who is 12 hr old and has pink-tinged urine
A newborn who is 18 hr old and has an axillary temperature of 37.7° C (99.9° F)
A reduction in respiratory distress in the newborn
Betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity and prevent
respiratory distress. - ANS-A nurse is caring for a client who is anemic at 32 weeks of gestation
and is in preterm labor. The provider prescribed betamethasone 12 mg IM. Which of the
following outcomes should the nurse expect?
Decreased uterine contractions
An increase in the client's hemoglobin levels
A reduction in respiratory distress in the newborn
Increased production of antibodies in the newborn
