ATI PRACTICE B MATERNAL NEWBORN
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential
adverse effects of the medication. For which of the following findings should the nurse instruct the client
to notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness of breath.
Shortness of breath and chest pain can indicate a pulmonary embolus or myocardial infarction. Also, the
nurse should instruct the client to notify the provider of other adverse effects that can indicate potential
complications, including abdominal pain, sudden or persistent headaches, blurred vision, and severe leg
pain.
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following
findings should the nurse report to the provider as a potential complication?
A. Increased fetal movement
B. Leakage of fluid from the vagina
C. Upper abdominal discomfort
D. Urinary frequency
B. Leakage of fluid from the vagina
Leakage of fluid from the vagina could indicate premature leakage of amniotic fluid and should be
reported to the provider.
,A nurse is calculating a client's expected date of birth using Nagele'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?
a. September 3rd.
b. September 20th
c. August 3rd
d. August 20th
a. September 3rd
When using Nägele's rule to calculate the estimated date of birth for a client, the nurse should subtract 3
months from the first day of the client's last menstrual cycle and then add 7 days. November 27th minus
3 months equals August 27th. August 27th plus 7 days equals September 3rd.
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For
which of the following diagnostic tests should the nurse prepare the client?
A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP)
D. Chorionic villus sampling (CVS)
C. Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-being. A positive contraction
stress test indicates there is potential uteroplacental insufficiency. A BPP uses a real time ultrasound to
visualize physical and physiological characteristics of the fetus and observe for fetal biophysical
responses to stimuli.
A nurse is teaching a new parent about newborn safety. Which of the following instructions should the
nurse include in the teaching?
, A. "You can share your room with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime."
A. "You can share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks. This allows the parent to be
readily available to the newborn and learn the newborn's cues. However, the nurse should instruct the
parent to avoid placing the newborn in their bed as it increases the risk for sudden infant death
syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The
client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back labor pain related to fetal
posterior position.
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of
the following actions should the nurse take?
A. Cover the newborn's eyes while under the phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy light.
C. Apply a light moisturizing lotion to the newborn's skin.
A nurse is teaching a client who has a new prescription for combined oral contraceptives about potential
adverse effects of the medication. For which of the following findings should the nurse instruct the client
to notify the provider?
A. Shortness of breath
B. Breakthrough bleeding
C. Vomiting
D. Breast tenderness
A. Shortness of breath
The nurse should instruct the client to notify the provider immediately of any shortness of breath.
Shortness of breath and chest pain can indicate a pulmonary embolus or myocardial infarction. Also, the
nurse should instruct the client to notify the provider of other adverse effects that can indicate potential
complications, including abdominal pain, sudden or persistent headaches, blurred vision, and severe leg
pain.
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following
findings should the nurse report to the provider as a potential complication?
A. Increased fetal movement
B. Leakage of fluid from the vagina
C. Upper abdominal discomfort
D. Urinary frequency
B. Leakage of fluid from the vagina
Leakage of fluid from the vagina could indicate premature leakage of amniotic fluid and should be
reported to the provider.
,A nurse is calculating a client's expected date of birth using Nagele'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?
a. September 3rd.
b. September 20th
c. August 3rd
d. August 20th
a. September 3rd
When using Nägele's rule to calculate the estimated date of birth for a client, the nurse should subtract 3
months from the first day of the client's last menstrual cycle and then add 7 days. November 27th minus
3 months equals August 27th. August 27th plus 7 days equals September 3rd.
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For
which of the following diagnostic tests should the nurse prepare the client?
A. Percutaneous umbilical blood sampling
B. Amnioinfusion
C. Biophysical profile (BPP)
D. Chorionic villus sampling (CVS)
C. Biophysical profile (BPP)
The nurse should prepare the client for a BPP to further assess fetal well-being. A positive contraction
stress test indicates there is potential uteroplacental insufficiency. A BPP uses a real time ultrasound to
visualize physical and physiological characteristics of the fetus and observe for fetal biophysical
responses to stimuli.
A nurse is teaching a new parent about newborn safety. Which of the following instructions should the
nurse include in the teaching?
, A. "You can share your room with your baby for the next few weeks."
B. "Cover your baby with a light blanket while sleeping."
C. "Check the temperature of your baby's bath water with your hand."
D. "Your baby can nap in the car seat during the daytime."
A. "You can share your room with your baby for the next few weeks."
The nurse should recommend room-sharing during the first few weeks. This allows the parent to be
readily available to the newborn and learn the newborn's cues. However, the nurse should instruct the
parent to avoid placing the newborn in their bed as it increases the risk for sudden infant death
syndrome.
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The
client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?
A. Apply sacral counterpressure.
B. Perform transcutaneous electrical nerve stimulation (TENS).
C. Initiate slow-paced breathing.
D. Assist with biofeedback.
A. Apply sacral counterpressure.
The nurse should apply sacral counterpressure to assist in relieving back labor pain related to fetal
posterior position.
A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of
the following actions should the nurse take?
A. Cover the newborn's eyes while under the phototherapy light.
B. Keep the newborn in a shirt while under the phototherapy light.
C. Apply a light moisturizing lotion to the newborn's skin.
