aaa
ATI MATERNAL NEWBORN
2023 2024 EXAM, 70 PRACTICE
EXAM QUESTIONS
)
• ATI RN MATERNAL EXAM WITH ANSWERS
• MATERNAL CHILD ATI BOOK QUESTIONS WITH ANSWERS
• MATERNAL ATI EXERCISES WITH ANSWERS
• STUDY GUIDE
• 100% SUCCESS RATE
,aaa
1. Two days after delivery, a postpartum client prepares for discharge.
What should the nurse teach her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red)
on days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba
(creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the
physician.
Incorrect: Saturation of the perineal pad is considered abnormal and may
indicate postpartum hemorrhage.
Correct: Lochia normally lasts for about 21 days, and changes from a
bright red, to pinkish brown, to creamy white.
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up
from the bed Lochia should last for about 3 weeks, changing color
every few days
2. A nurse monitors fetal well-being by means of an external monitor. At
the peak of the contractions, the fetal heart rate has repeatedly dropped 30
beats/min below the baseline. Late decelerations are suspected and the
nurse notifies the physician. Which is the rationale for this action?
,aaa
Incorrect: A nuchal cord (cord around the neck) is associated with variable
decelerations, not late decelerations.
Incorrect: Variable decelerations (not late decelerations) are associated with
cord compression.
Incorrect: Late decelerations are a result of hypoxia. They are not reflective
of the strength of maternal contractions.
Correct: Late decelerations are associated with uteroplacental
insufficiency and are a sign of fetal hypoxia. Repeated late decelerations
indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of the fetal head
Maternal contractions are not adequate enough to
deliver the fetus The fetus is not receiving adequate
oxygen and is in distress
3. Which preoperative nursing interventions should be included for a client
who is scheduled to have an emergency cesarean birth?
Incorrect: Monitoring O2 saturations and administering pain medications
are postoperative interventions.
Incorrect: Taking vital signs every 15 minutes is a postoperative
intervention. Instructing the client regarding breathing exercises is not
appropriate in a crisis situation when the client's anxiety is high, because
information would probably not be retained. In an emergency, there is time
only for essential interventions.
Correct: Because this is an emergency, surgery must be performed
quickly. Anxiety of the client and the family will be high. Inserting an
, aaa
indwelling catheter helps to keep the bladder empty and free from
injury when the incision is made.
Incorrect: The nurse should have assessed breath sounds upon admission.
Breath sounds are important if the client is to receive general anesthesia,
but the anesthesiologist will be listening to breath sounds in surgery in that
case. Monitor oxygen saturation and administer pain medication.
Assess vital signs every 15 minutes and instruct the client about
postoperative care.
Alleviate anxiety and insert an indwelling catheter.
Perform a sterile vaginal examination and assess breath sounds.
4. Which nursing instruction should be given to the breastfeeding mother
regarding care of the breasts after discharge?
Incorrect: Engorgement occurs on about the third or fourth postpartum
day and is a result of the breast milk formation. The primary way to
relieve engorgement is by pumping or longer nursing. Giving a bottle of
formula will compound the problem because the baby will not be
hungry and will not empty the breasts well.
Incorrect: Applying lotion to the nipples is not effective for keeping them
soft. Excessive amounts of lotion may harbor microorganisms.
Correct: In order to stimulate adequate milk production, the breasts
should be pumped if the infant is not sucking or eating well, or if the
breasts are not fully emptied.
Incorrect: Using soap on the breasts dries the nipples and can cause
cracking.
The baby should be given a bottle of formula if engorgement occurs.
The nipples should be covered with lotion when the baby is not nursing.
ATI MATERNAL NEWBORN
2023 2024 EXAM, 70 PRACTICE
EXAM QUESTIONS
)
• ATI RN MATERNAL EXAM WITH ANSWERS
• MATERNAL CHILD ATI BOOK QUESTIONS WITH ANSWERS
• MATERNAL ATI EXERCISES WITH ANSWERS
• STUDY GUIDE
• 100% SUCCESS RATE
,aaa
1. Two days after delivery, a postpartum client prepares for discharge.
What should the nurse teach her about lochia flow?
Incorrect: Lochia does change color but goes from lochia rubra (bright red)
on days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba
(creamy white) days 10-21.
Incorrect: Numerous clots are abnormal and should be reported to the
physician.
Incorrect: Saturation of the perineal pad is considered abnormal and may
indicate postpartum hemorrhage.
Correct: Lochia normally lasts for about 21 days, and changes from a
bright red, to pinkish brown, to creamy white.
The color of the lochia changes from a bright red to white after four days
Numerous large clots are normal for the next three to four days
Saturation of the perineal pad with blood is expected when getting up
from the bed Lochia should last for about 3 weeks, changing color
every few days
2. A nurse monitors fetal well-being by means of an external monitor. At
the peak of the contractions, the fetal heart rate has repeatedly dropped 30
beats/min below the baseline. Late decelerations are suspected and the
nurse notifies the physician. Which is the rationale for this action?
,aaa
Incorrect: A nuchal cord (cord around the neck) is associated with variable
decelerations, not late decelerations.
Incorrect: Variable decelerations (not late decelerations) are associated with
cord compression.
Incorrect: Late decelerations are a result of hypoxia. They are not reflective
of the strength of maternal contractions.
Correct: Late decelerations are associated with uteroplacental
insufficiency and are a sign of fetal hypoxia. Repeated late decelerations
indicate fetal distress.
The umbilical cord is wrapped tightly around the fetus' neck
The fetal cord is being compressed due to rapid descent of the fetal head
Maternal contractions are not adequate enough to
deliver the fetus The fetus is not receiving adequate
oxygen and is in distress
3. Which preoperative nursing interventions should be included for a client
who is scheduled to have an emergency cesarean birth?
Incorrect: Monitoring O2 saturations and administering pain medications
are postoperative interventions.
Incorrect: Taking vital signs every 15 minutes is a postoperative
intervention. Instructing the client regarding breathing exercises is not
appropriate in a crisis situation when the client's anxiety is high, because
information would probably not be retained. In an emergency, there is time
only for essential interventions.
Correct: Because this is an emergency, surgery must be performed
quickly. Anxiety of the client and the family will be high. Inserting an
, aaa
indwelling catheter helps to keep the bladder empty and free from
injury when the incision is made.
Incorrect: The nurse should have assessed breath sounds upon admission.
Breath sounds are important if the client is to receive general anesthesia,
but the anesthesiologist will be listening to breath sounds in surgery in that
case. Monitor oxygen saturation and administer pain medication.
Assess vital signs every 15 minutes and instruct the client about
postoperative care.
Alleviate anxiety and insert an indwelling catheter.
Perform a sterile vaginal examination and assess breath sounds.
4. Which nursing instruction should be given to the breastfeeding mother
regarding care of the breasts after discharge?
Incorrect: Engorgement occurs on about the third or fourth postpartum
day and is a result of the breast milk formation. The primary way to
relieve engorgement is by pumping or longer nursing. Giving a bottle of
formula will compound the problem because the baby will not be
hungry and will not empty the breasts well.
Incorrect: Applying lotion to the nipples is not effective for keeping them
soft. Excessive amounts of lotion may harbor microorganisms.
Correct: In order to stimulate adequate milk production, the breasts
should be pumped if the infant is not sucking or eating well, or if the
breasts are not fully emptied.
Incorrect: Using soap on the breasts dries the nipples and can cause
cracking.
The baby should be given a bottle of formula if engorgement occurs.
The nipples should be covered with lotion when the baby is not nursing.
