ATI MATERNAL NEWBORN ASSESSMENT A TEST ACTUAL EXAM 50+ QUESTIONS AND
CORRECT DETAILED RATIONALES & VERIFIED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ [2025|26]
1. A nurse on the postpartum unit is caring for a pt. following a cesarean birth.
Which of the following assessments is the nurse's priority?
a. parent-child attachment
b. amount of lochia
c. patency of the IV catheter
d. quality and quantity of urine Ans >> b. amount of lochia
RATIONALE >>when using the ABCs approach to client care, the nurse should
place the priority in the immediate postpartum period on assessing the amount of
postpartum lochia. the greatest risk to the client is bleeding and postpartum
hemorrhage.
2. 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 8cm and reports back pain.
which of the following actions should the nurse take?
https://www.stuvia.com/user/Mboffin
, a. apply sacral counter pressure
b. perform trancutaneous electrical nerve stimulation (TENS)
c. initiate slow-paced breathing
d. assist with biofeedback Ans >> a.>> RATIONALE apply sacral counter pressure
the nurse should apply sacral counter pressure to assist in relieving back labor pain
related to fetal posterior position
b. the nurse should perform TENS during the first stage of labor.
c. the nurse should transition a client to pattern-paced breathing during this stage
of labor.
d. The nurse should teach the client about biofeedback during the prenatal period
for it to be effective during labor.
https://www.stuvia.com/user/Mboffin
, 3. a nurse is demonstrating to a client how to bathe her newborn. in which
order should the nurse perform the following actions
a. wipe the newborn's eyes from inner canthus outward
b. wash the newborn's legs and feet
c. wash the newborn's neck by lifting the newborn's chin
d. cleanse the skin around the newborn's umbilical stump
e. clean the newborn's diaper area Ans >> a. >> RATIONALEwipe the newborn's
eyes from inner canthus outward
c. wash the newborn's neck by lifting the newborn's chin
d. cleanse the skin around the newborn's umbilical stump
b. wash the newborn's legs and feet
e. 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.
4. a nurse is caring for a client and her partner who have experienced a fetal
https://www.stuvia.com/user/Mboffin
, death. which of the following actions should the nurse take?
a. take photos of the newborn to give to the parents
b. tell the parents that they can consider organ donation
c. encourage the parents to avoid allowing older children to visit them in the
hospital
d. explain to the parents the need to name the newborn Ans >> a. take photos
of the newborn to give to the parents
https://www.stuvia.com/user/Mboffin
CORRECT DETAILED RATIONALES & VERIFIED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ [2025|26]
1. A nurse on the postpartum unit is caring for a pt. following a cesarean birth.
Which of the following assessments is the nurse's priority?
a. parent-child attachment
b. amount of lochia
c. patency of the IV catheter
d. quality and quantity of urine Ans >> b. amount of lochia
RATIONALE >>when using the ABCs approach to client care, the nurse should
place the priority in the immediate postpartum period on assessing the amount of
postpartum lochia. the greatest risk to the client is bleeding and postpartum
hemorrhage.
2. 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 8cm and reports back pain.
which of the following actions should the nurse take?
https://www.stuvia.com/user/Mboffin
, a. apply sacral counter pressure
b. perform trancutaneous electrical nerve stimulation (TENS)
c. initiate slow-paced breathing
d. assist with biofeedback Ans >> a.>> RATIONALE apply sacral counter pressure
the nurse should apply sacral counter pressure to assist in relieving back labor pain
related to fetal posterior position
b. the nurse should perform TENS during the first stage of labor.
c. the nurse should transition a client to pattern-paced breathing during this stage
of labor.
d. The nurse should teach the client about biofeedback during the prenatal period
for it to be effective during labor.
https://www.stuvia.com/user/Mboffin
, 3. a nurse is demonstrating to a client how to bathe her newborn. in which
order should the nurse perform the following actions
a. wipe the newborn's eyes from inner canthus outward
b. wash the newborn's legs and feet
c. wash the newborn's neck by lifting the newborn's chin
d. cleanse the skin around the newborn's umbilical stump
e. clean the newborn's diaper area Ans >> a. >> RATIONALEwipe the newborn's
eyes from inner canthus outward
c. wash the newborn's neck by lifting the newborn's chin
d. cleanse the skin around the newborn's umbilical stump
b. wash the newborn's legs and feet
e. 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.
4. a nurse is caring for a client and her partner who have experienced a fetal
https://www.stuvia.com/user/Mboffin
, death. which of the following actions should the nurse take?
a. take photos of the newborn to give to the parents
b. tell the parents that they can consider organ donation
c. encourage the parents to avoid allowing older children to visit them in the
hospital
d. explain to the parents the need to name the newborn Ans >> a. take photos
of the newborn to give to the parents
https://www.stuvia.com/user/Mboffin
