ATI Maternal newborn assessment A
questions and answers with explanations
2025\2026
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 - answer b. amount of lochia
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.
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?
a. apply sacral counter pressure
b. perform trancutaneous electrical nerve stimulation (TENS)
,c. initiate slow-paced breathing
d. assist with biofeedback - answer a. 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.
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 - answer a. wipe 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.
a nurse is caring for a client and her partner who have experienced a fetal 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 - answer a. take photos
of the newborn to give to the parents
, the nurse should create a memory box that includes mementos of the newborn
(ex: photos, ID bands, newborn hat and blanket)
b. Organ donation can be considered if a newborn is delivered alive.
c. The nurse should encourage the client to allow older children to come to the
hospital as a beneficial part of the grieving process.
d. The nurse should explain to the client that naming the baby can be helpful
during the grieving process, but it is not a requirement.
a nurse is caring for a client who is 36 weeks gestation and has a positive
contraction stress test. the nurse should plan to prepare the clients for which of
the following diagnostic tests?
a. biophysical profile
b. amniocentesis
c. cordocentesis
d. Kleihauer- Burke test - answer a. biophysical profile
questions and answers with explanations
2025\2026
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 - answer b. amount of lochia
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.
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?
a. apply sacral counter pressure
b. perform trancutaneous electrical nerve stimulation (TENS)
,c. initiate slow-paced breathing
d. assist with biofeedback - answer a. 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.
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 - answer a. wipe 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.
a nurse is caring for a client and her partner who have experienced a fetal 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 - answer a. take photos
of the newborn to give to the parents
, the nurse should create a memory box that includes mementos of the newborn
(ex: photos, ID bands, newborn hat and blanket)
b. Organ donation can be considered if a newborn is delivered alive.
c. The nurse should encourage the client to allow older children to come to the
hospital as a beneficial part of the grieving process.
d. The nurse should explain to the client that naming the baby can be helpful
during the grieving process, but it is not a requirement.
a nurse is caring for a client who is 36 weeks gestation and has a positive
contraction stress test. the nurse should plan to prepare the clients for which of
the following diagnostic tests?
a. biophysical profile
b. amniocentesis
c. cordocentesis
d. Kleihauer- Burke test - answer a. biophysical profile
