VIRTUAL ATI MATERNAL NEWBORN
POST QUIZ
A nurse in a prenatal clinic is collecting data from a client who is at 26 weeks of gestation.
Which of the following findings should the nurse expect?
1. Facial swelling
2. FHR 190/min
3. Blurry vision
4. Fundal height 24 cm - ANS-4. Fundal height 24 cm
-from 18-30 weeks the height of the fundus should be approximately the number of weeks
gestation plus or minus 2
\A nurse in a prenatal clinic is contributing to the plan of care for a client who is at 9 weeks of
gestation and has a positive chlamydia culture. Which of the following should the nurse
recommend including in the plan of care?
1. Administer ceftriaxone 125mg IM
2. schedule the client for cryotherapy
3. Recommend chlamydia treatment for any sexual partners the client has
4. Retest the client for chlamydia in 1 week - ANS-3. Recommend chlamydia treatment for any
sexual partners the client has
\A nurse in a prenatal clinic is reviewing the lab results of a client who is at 35 weeks of
gestation. Which of the following findings should the nurse report to the provider?
1. Platelets 350,000/mm3
2. Urine dipstick protein 2+
3. Hemoglobin 12 g/dL
4. Urine specific gravity 1.020 - ANS-2. Urine dipstick protein 2+
- urine dipstick of 1+ or greater indicates preeclampsia
\A nurse is assisting with the care of a client who is receiving oxytocin for induction of labor and
is experiencing late decelerations on the fetal monitor tracing. Which of the following actions
should the nurse take?
1. Place the client in a side-lying position
2. Administer oxygen at 2L/min via nasal cannula
3. Decrease the rate of the maintenance IV infusion
4. Increase the rate of the oxytocin infusion - ANS-1. Place the client in a side-lying position
\A nurse is caring for a client who is 24 hours postpartum. What are 3 reportable findings to the
provider? - ANS-1. perineal pad saturated in 15 min or less
2. blood clots larger than a quarter
3. uterine atony (hypotonic or boggy)
\A nurse is caring for a client who requests information about the use of an intrauterine device
(IUD). Which of the following statements should the nurse make?
, 1. "You should have an IUD replaced every 2 years"
2. "The IUD has a failure rate of approximately 5 percent"
3. "The IUD will protect you from STDs"
4. "You might have spotting during the first few months following insertion of the IUD" - ANS-4.
"You might have spotting during the first few months following insertion of the IUD"
\A nurse is caring for a newborn who was exposed to cocaine during pregnancy. What 3
manifestations would the nurse expect to observe in the central nervous system? -
ANS-Depression, fatigue, agitation
\A nurse is caring for a newborn whois 24 hr old and has sepsis. Which of the following findings
should the nurse expect?
1. Temperature instability
2. Acrocyanosis
3. Hypertension
4. Increased appetite - ANS-1. Temperature instability
\A nurse is caring for a postpartum client 2 hr after a vaginal birth. The client's baseline heart
rate was 80-90/min and their current rate is 130/min. Which of the following actions should the
nurse take?
1. Check the client's lochia
2. Place the client in high-fowlers position
3. Administer oxygen at 2 L/min via nasal cannula
4. Obtain the clients core body temp - ANS-1. Check the client's lochia
-could indicate hypovolemia due to postpartum hemorrhage
\A nurse is checking in the client at 36 weeks for her prenatal visit. What 4 findings would
indicate this client is developing a complication during the pregnancy? - ANS-1. Dysuria (Urinary
tract infection)
2. Changes in fetal activity (decreased fetal movement might indicate fetal distress)
3. Edema of face and hands (gestational hypertension)
4. Concurrent occurrence of flushed dry skin, fruity breath, increased thirst and urination and
headache (hyperglycemia)
\A nurse is collecting data during a prenatal visit. What 2 questions would be asked to identify
maternal drug abstinence? - ANS-1. Have you used any drugs including those prescribed within
the last 30 days?
2. Are you currently receiving any substance abuse treatment or counseling?
\A nurse is collecting data from a client who is 6 hr postpartum. Which of the following findings
should the nurse report to the provider?
1. Edematous labia majora
2. Deep tendon reflexes 3+
3. Heart rate 58/min
4. Moderate lochia rubra - ANS-2. Deep tendon reflexes 3+
-indicates hyperreflexia, which is a manifestation of preeclampsia
\A nurse is collecting data from a client who is at 10 weeks of gestation. Which of the following
should the nurse identify as an expected physiological change during early pregnancy?
1. Decreased breast sensitivity
2. Decreased urinary frequency
POST QUIZ
A nurse in a prenatal clinic is collecting data from a client who is at 26 weeks of gestation.
Which of the following findings should the nurse expect?
1. Facial swelling
2. FHR 190/min
3. Blurry vision
4. Fundal height 24 cm - ANS-4. Fundal height 24 cm
-from 18-30 weeks the height of the fundus should be approximately the number of weeks
gestation plus or minus 2
\A nurse in a prenatal clinic is contributing to the plan of care for a client who is at 9 weeks of
gestation and has a positive chlamydia culture. Which of the following should the nurse
recommend including in the plan of care?
1. Administer ceftriaxone 125mg IM
2. schedule the client for cryotherapy
3. Recommend chlamydia treatment for any sexual partners the client has
4. Retest the client for chlamydia in 1 week - ANS-3. Recommend chlamydia treatment for any
sexual partners the client has
\A nurse in a prenatal clinic is reviewing the lab results of a client who is at 35 weeks of
gestation. Which of the following findings should the nurse report to the provider?
1. Platelets 350,000/mm3
2. Urine dipstick protein 2+
3. Hemoglobin 12 g/dL
4. Urine specific gravity 1.020 - ANS-2. Urine dipstick protein 2+
- urine dipstick of 1+ or greater indicates preeclampsia
\A nurse is assisting with the care of a client who is receiving oxytocin for induction of labor and
is experiencing late decelerations on the fetal monitor tracing. Which of the following actions
should the nurse take?
1. Place the client in a side-lying position
2. Administer oxygen at 2L/min via nasal cannula
3. Decrease the rate of the maintenance IV infusion
4. Increase the rate of the oxytocin infusion - ANS-1. Place the client in a side-lying position
\A nurse is caring for a client who is 24 hours postpartum. What are 3 reportable findings to the
provider? - ANS-1. perineal pad saturated in 15 min or less
2. blood clots larger than a quarter
3. uterine atony (hypotonic or boggy)
\A nurse is caring for a client who requests information about the use of an intrauterine device
(IUD). Which of the following statements should the nurse make?
, 1. "You should have an IUD replaced every 2 years"
2. "The IUD has a failure rate of approximately 5 percent"
3. "The IUD will protect you from STDs"
4. "You might have spotting during the first few months following insertion of the IUD" - ANS-4.
"You might have spotting during the first few months following insertion of the IUD"
\A nurse is caring for a newborn who was exposed to cocaine during pregnancy. What 3
manifestations would the nurse expect to observe in the central nervous system? -
ANS-Depression, fatigue, agitation
\A nurse is caring for a newborn whois 24 hr old and has sepsis. Which of the following findings
should the nurse expect?
1. Temperature instability
2. Acrocyanosis
3. Hypertension
4. Increased appetite - ANS-1. Temperature instability
\A nurse is caring for a postpartum client 2 hr after a vaginal birth. The client's baseline heart
rate was 80-90/min and their current rate is 130/min. Which of the following actions should the
nurse take?
1. Check the client's lochia
2. Place the client in high-fowlers position
3. Administer oxygen at 2 L/min via nasal cannula
4. Obtain the clients core body temp - ANS-1. Check the client's lochia
-could indicate hypovolemia due to postpartum hemorrhage
\A nurse is checking in the client at 36 weeks for her prenatal visit. What 4 findings would
indicate this client is developing a complication during the pregnancy? - ANS-1. Dysuria (Urinary
tract infection)
2. Changes in fetal activity (decreased fetal movement might indicate fetal distress)
3. Edema of face and hands (gestational hypertension)
4. Concurrent occurrence of flushed dry skin, fruity breath, increased thirst and urination and
headache (hyperglycemia)
\A nurse is collecting data during a prenatal visit. What 2 questions would be asked to identify
maternal drug abstinence? - ANS-1. Have you used any drugs including those prescribed within
the last 30 days?
2. Are you currently receiving any substance abuse treatment or counseling?
\A nurse is collecting data from a client who is 6 hr postpartum. Which of the following findings
should the nurse report to the provider?
1. Edematous labia majora
2. Deep tendon reflexes 3+
3. Heart rate 58/min
4. Moderate lochia rubra - ANS-2. Deep tendon reflexes 3+
-indicates hyperreflexia, which is a manifestation of preeclampsia
\A nurse is collecting data from a client who is at 10 weeks of gestation. Which of the following
should the nurse identify as an expected physiological change during early pregnancy?
1. Decreased breast sensitivity
2. Decreased urinary frequency
