VIRTUAL ATI MATERNAL NEWBORN
ASSESSMENT TEST
he nurse should notify the provider of which of the following findings?
1. Diarrhea
2. Dark green stools
3. Gingivitis
4. Ptyalsim - correct Answer-1. Diarrhea
A nurse is collecting dats from a client who is 24 hr postpartum. Which of the following
findings is the priority for the nurse to report to the provider?
1. Saturated perineal pad within 15min
2. Voided 3,000 mL/day
3. Fundus palpated to the right of the umbilicus
4. Temp of 100F - correct Answer-1. Saturated perineal pad within 15min
- can indicate a cervical or vaginal tear
A nurse is collecting data from a newborn who is 6 hours old. Which of the following
manifestations should the nurse expect? (Select all that apply)
1. Rust-stained urine
2. Distended abdomen
3. Overlapping cranial sutures
4. Periodic breathing
5. Yellow coloration of the sclera - correct Answer-1. Rust-stained urine
3. Overlapping cranial sutures
4. Periodic breathing
A nurse is reinforcing teaching about daily fetal movement count with a client who is at
34 weeks of gestation. Which of the following statements by the client indicated
understanding of the teaching?
1. "I should have further testing if my baby moves 10 times in 1 hour"
2. "I should expect my babys movements to decrease as i get close to my due date"
3. "I will lay flat on my back while counting my babys movements"
4. "I will notify my provider if i do not feel my baby move for 12 hours" - correct Answer-
4. "I will notify my provider if i do not feel my baby move for 12 hours"
A nurse is collecting data from a newborn whose mother tested positive for cocaine use.
Which of the following newborn withdrawal manifestations should the nurse expect?
1. Jaundice
2. Drowsiness
3. Excessive sucking
4. Large for gestational age - correct Answer-3. Excessive sucking
, - the neurotoxic effects of cocaine can lead to this and poor feeding patterns
A nurse is contributing to the plan of care for a client who plans to formula feed their
newborn. Which of the following interventions should the nurse recommend to include?
1. Discard prepared formula after 72 hr
2. Dilute concentrated formula with equal parts water
3. Warm formula in the microwave on a low setting
4. Add 2 scoops of powdered formula for each ounce of water - correct Answer-2. Dilute
concentrated formula with equal parts water
A nurse is reinforcing teaching with a client who is at 11 weeks of gestation about a
transvaginal ultrasound. Which of the following client statements indicated an
understanding of the teaching?
1. "I might feel some pressure when the probe is moved during the ultrasound"
2. "I will need to be sure my bladder is full before the ultrasound"
3. "This test will require me to take a laxative the day before the ultrasound"
4. "This test will measure the amount of amniotic fluid around my baby" - correct
Answer-1. "I might feel some pressure when the probe is moved during the ultrasound"
A nurse is reviewing the laboratory results for a patient who has a BP of 156/102 mm
Hg and is at 36 weeks gestation. Which of the following lab values should the nurse
report to the provider?
1. WBC 11,000/mm
2. Hct 35%
3. Platelet count 100,000/mm
4. Fasting blood glucose 105 mg/dL - correct Answer-3. Platelet count 100,000/mm
A nurse is caring for a client who is 1 hr postpartum and has a 3rd-degree perineal
laceration. Which of the following actions should the nurse perform? (Select all that
apply)
1. Apply an ice pack to the client's perineum
2. Have the client sit on a pillow
3. Place which hazel pads on the client's perineum
4. Prepare the sitz bath water to 107.6 F
5. Encourage the client to use a squeeze bottle to cleanse the perineum with each void
- correct Answer-1. Apply an ice pack to the client's perineum
3. Place which hazel pads on the client's perineum
5. Encourage the client to use a squeeze bottle to cleanse the perineum with each void
A nurse is assisting with the admission of a client whose labor is being induced. The
client reports using heroin 6 hrs ago. For which of the following manifestations of
abstinence should the nurse monitor the client?
1. Constipation
2, Insomnia
3. Flaccid muscles
4. Euphoria - correct Answer-2. Insomnia
ASSESSMENT TEST
he nurse should notify the provider of which of the following findings?
1. Diarrhea
2. Dark green stools
3. Gingivitis
4. Ptyalsim - correct Answer-1. Diarrhea
A nurse is collecting dats from a client who is 24 hr postpartum. Which of the following
findings is the priority for the nurse to report to the provider?
1. Saturated perineal pad within 15min
2. Voided 3,000 mL/day
3. Fundus palpated to the right of the umbilicus
4. Temp of 100F - correct Answer-1. Saturated perineal pad within 15min
- can indicate a cervical or vaginal tear
A nurse is collecting data from a newborn who is 6 hours old. Which of the following
manifestations should the nurse expect? (Select all that apply)
1. Rust-stained urine
2. Distended abdomen
3. Overlapping cranial sutures
4. Periodic breathing
5. Yellow coloration of the sclera - correct Answer-1. Rust-stained urine
3. Overlapping cranial sutures
4. Periodic breathing
A nurse is reinforcing teaching about daily fetal movement count with a client who is at
34 weeks of gestation. Which of the following statements by the client indicated
understanding of the teaching?
1. "I should have further testing if my baby moves 10 times in 1 hour"
2. "I should expect my babys movements to decrease as i get close to my due date"
3. "I will lay flat on my back while counting my babys movements"
4. "I will notify my provider if i do not feel my baby move for 12 hours" - correct Answer-
4. "I will notify my provider if i do not feel my baby move for 12 hours"
A nurse is collecting data from a newborn whose mother tested positive for cocaine use.
Which of the following newborn withdrawal manifestations should the nurse expect?
1. Jaundice
2. Drowsiness
3. Excessive sucking
4. Large for gestational age - correct Answer-3. Excessive sucking
, - the neurotoxic effects of cocaine can lead to this and poor feeding patterns
A nurse is contributing to the plan of care for a client who plans to formula feed their
newborn. Which of the following interventions should the nurse recommend to include?
1. Discard prepared formula after 72 hr
2. Dilute concentrated formula with equal parts water
3. Warm formula in the microwave on a low setting
4. Add 2 scoops of powdered formula for each ounce of water - correct Answer-2. Dilute
concentrated formula with equal parts water
A nurse is reinforcing teaching with a client who is at 11 weeks of gestation about a
transvaginal ultrasound. Which of the following client statements indicated an
understanding of the teaching?
1. "I might feel some pressure when the probe is moved during the ultrasound"
2. "I will need to be sure my bladder is full before the ultrasound"
3. "This test will require me to take a laxative the day before the ultrasound"
4. "This test will measure the amount of amniotic fluid around my baby" - correct
Answer-1. "I might feel some pressure when the probe is moved during the ultrasound"
A nurse is reviewing the laboratory results for a patient who has a BP of 156/102 mm
Hg and is at 36 weeks gestation. Which of the following lab values should the nurse
report to the provider?
1. WBC 11,000/mm
2. Hct 35%
3. Platelet count 100,000/mm
4. Fasting blood glucose 105 mg/dL - correct Answer-3. Platelet count 100,000/mm
A nurse is caring for a client who is 1 hr postpartum and has a 3rd-degree perineal
laceration. Which of the following actions should the nurse perform? (Select all that
apply)
1. Apply an ice pack to the client's perineum
2. Have the client sit on a pillow
3. Place which hazel pads on the client's perineum
4. Prepare the sitz bath water to 107.6 F
5. Encourage the client to use a squeeze bottle to cleanse the perineum with each void
- correct Answer-1. Apply an ice pack to the client's perineum
3. Place which hazel pads on the client's perineum
5. Encourage the client to use a squeeze bottle to cleanse the perineum with each void
A nurse is assisting with the admission of a client whose labor is being induced. The
client reports using heroin 6 hrs ago. For which of the following manifestations of
abstinence should the nurse monitor the client?
1. Constipation
2, Insomnia
3. Flaccid muscles
4. Euphoria - correct Answer-2. Insomnia
