Maternal Newborn ATI questions and
detailed correct answers
A nurse is providing teaching about expected gestational
changes to a client who is at 12 weeks of gestation. Which
of the following statements by the client indicates a need
for further teaching?
- "I will reduce my stress level."
- "I will tell my doctor before using home remedies for
nausea."
- "I will monitor my weight gain during the remaining
months."
- "I will use only nonprescription medications while
pregnant." Correct Answer A: I will use only
nonprescription medications while pregnant: Both
nonprescription and prescription medications can be
harmful to the fetus. The client needs to understand the
importance of disclosing all medications, supplements,
and vitamins to the provider prior to use during pregnancy.
A nurse receives report about a client who is in labor and
is having contraction 4 min apart. Which of the following
patterns should the nurse expect on the fetal monitoring
tracing?
- Contractions that last for 60 seconds each with a 4-min
rest between contractions
- A contraction that lasts 4 min followed by a period of
relaxation
- Contractions that last for 60 seconds each with a 3-min
rest between contractions
, - Contractions that last 45 seconds each with a 3-min rest
between contractions Correct Answer A: contraction that
last for 60 seconds each with a 3 min rest between
contractions: A contraction interval indicates how often a
uterine contraction occurs. The nurse should measure the
interval from the beginning of one contraction to the
beginning of the next contraction. A contraction lasting 60
seconds with a relaxation period of 3 min is equivalent to
contractions every 4 min.
A nurse is caring for a client who is in the first stage of
labor. The nurse observes the umbilical cord protruding
from the vagina. Which of the following actions should the
nurse perform first?
- Cover the cord with a sterile, moist saline dressing.
- Prepare the client for an immediate birth.
- Place the client in knee-chest position.
- Insert a gloved hand into the vagina to relieve pressure
on the cord. Correct Answer A: insert a gloved hand into
the vagina to relieve pressure on the cord: This is the first
nursing action because it is essential to prevent any
pressure on the umbilical cord to promote oxygenation of
the fetus.
A nurse is caring for a client who has preeclampsia and is
being treated with magnesium sulfate IV. The clients RR is
10/min and deep tendon reflexes are absent. Which of the
following actions should the nurse take?
- Discontinue the medication infusion.
- Prepare for an emergency cesarean birth.
- Assess maternal blood glucose.
detailed correct answers
A nurse is providing teaching about expected gestational
changes to a client who is at 12 weeks of gestation. Which
of the following statements by the client indicates a need
for further teaching?
- "I will reduce my stress level."
- "I will tell my doctor before using home remedies for
nausea."
- "I will monitor my weight gain during the remaining
months."
- "I will use only nonprescription medications while
pregnant." Correct Answer A: I will use only
nonprescription medications while pregnant: Both
nonprescription and prescription medications can be
harmful to the fetus. The client needs to understand the
importance of disclosing all medications, supplements,
and vitamins to the provider prior to use during pregnancy.
A nurse receives report about a client who is in labor and
is having contraction 4 min apart. Which of the following
patterns should the nurse expect on the fetal monitoring
tracing?
- Contractions that last for 60 seconds each with a 4-min
rest between contractions
- A contraction that lasts 4 min followed by a period of
relaxation
- Contractions that last for 60 seconds each with a 3-min
rest between contractions
, - Contractions that last 45 seconds each with a 3-min rest
between contractions Correct Answer A: contraction that
last for 60 seconds each with a 3 min rest between
contractions: A contraction interval indicates how often a
uterine contraction occurs. The nurse should measure the
interval from the beginning of one contraction to the
beginning of the next contraction. A contraction lasting 60
seconds with a relaxation period of 3 min is equivalent to
contractions every 4 min.
A nurse is caring for a client who is in the first stage of
labor. The nurse observes the umbilical cord protruding
from the vagina. Which of the following actions should the
nurse perform first?
- Cover the cord with a sterile, moist saline dressing.
- Prepare the client for an immediate birth.
- Place the client in knee-chest position.
- Insert a gloved hand into the vagina to relieve pressure
on the cord. Correct Answer A: insert a gloved hand into
the vagina to relieve pressure on the cord: This is the first
nursing action because it is essential to prevent any
pressure on the umbilical cord to promote oxygenation of
the fetus.
A nurse is caring for a client who has preeclampsia and is
being treated with magnesium sulfate IV. The clients RR is
10/min and deep tendon reflexes are absent. Which of the
following actions should the nurse take?
- Discontinue the medication infusion.
- Prepare for an emergency cesarean birth.
- Assess maternal blood glucose.
