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Exam (elaborations)

Final ATI Maternal Newborn with Accurate Answers Updated

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nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include in the plan of care - Answer Ensure the newborns eyes are closed before applying the eye shield - Overexposure to the lights during treatment can cause damage to the newborn's corneas. Therefore, the nurse should gently close the newborn's eyes prior to applying the eye shield. A nurse is caring for a client at 34 weeks gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the patient is the priority? - Answer "My heart feels as if it is racing." - the nurse should assess the client's heart rate. The primary action of terbutaline is to cause bronchodilation and relax smooth muscles. However, an adverse effect is tachycardia. If the pulse is greater than 130/min, the terbutaline needs to be held until the provider is notified. The nurse might also need to use Maslow's hierarchy of needs, the ABC priority-setting framework, or nursing knowledge to identify which finding is the most urgent.

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MATERNAL NEWBORN NURSING
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MATERNAL NEWBORN NURSING
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MATERNAL NEWBORN NURSING

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Uploaded on
January 13, 2026
Number of pages
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Written in
2025/2026
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Maternal newborn final exam with
Answers 2025-2026 Updated.

Which statement describes an action that results in a congenital heart defect? - Answer The foramen
ovale remains open



Mrs. Smith comes into the OB office at 17 weeks gestation complaining of pain on both sides of her
abdomen and in her groin. The doctor explains that this pain is most likely: - Answer Round ligament
pain



The nurse is explaining the length of pregnancy to a "new" pregnant mom. What is the appropriate
response? - Answer "the normal length of pregnancy is 40 weeks"



A nurse is providing instructions to a pregnant patient with heartburn regarding measures that will
alleviate the discomfort. The nurse instructs the patient to: - Answer drink decaffeinated coffee and tea



A new expectant mother asks the nurse about having sex while she is pregnant. Which of the following
would be the MOST appropriate response? - Answer in general, expressions of sexuality during
pregnancy are quiet safe



The nurse is teaching a prenatal class about preparing for their expanding families. Which of the
following is helpful advice from the nurse? - Answer The hormones of pregnancy may cause anxiety or
depression postpartum."



A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being
pregnant. Which of the following responses should the nurse make? - Answer "It is normal to have
these feelings during he first few months of pregnancy."



A client has four children and is pregnant for a fifth time. What term would the nurse use to describe
this client? - Answer grand multipara

, The nurse is explaining to a prim gravida how the zygote becomes implanted into the uterus. How would
the nurse describe the structure formed in this process known as the blastocyst? - Answer First one,
then two layers of cells surround a fluid-filled space.



The nurse is performing prenatal education on a prim gravida woman who is at 10 weeks gestation.
During the education, the client asks if she will be able to feel the baby move soon. What is the nurse's
best response? - Answer "You should start feeling the baby move around 18-20 weeks gestation."



For what complication should the nurse monitor for in a client in the first few moments after the
administration of an epidural anesthetic? - Answer Maternal hypotension



A woman in active labor has contractions every 2-3 minutes that last for 45 seconds. The fetal heart rate
between contractions is 100 beats per minute. On the basis of these findings, the priority nursing
intervention is to: - Answer notify the physician/provider immediately



The nurse is giving postpartum instructions to a new mother. She is explaining the color progression of
lochia. What color should the nurse tell the patient to expect the lochia to be on the 6th postpartum
day? - Answer pink or brownish



A woman has been in labor for 6 hours. She calls the nurse and tells her that she thinks her "water has
broken". Which of the following should the nurse do FIRST? - Answer confirm SROM and check fetal
heart tones



The nurse is monitoring a patient that is in early labor. The patient has been ambulating and reports to
the nurse that her bag of water has just broke. The nurse assesses the fetal heart rate carefully because
of an increased risk of: - Answer cord prolapse



A nurse is assessing a client to whom oxytocin is being given for labor augmentation. Which of the
following situations should the nurse immediately report? - Answer If the contractions occur more
often than every 2 minutes



Which response by the nurse provides the best explanation regarding vertex positioning? - Answer The
head is entering the birth canal first."
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