1/13/26, 2:26 PM ATI Maternal Newborn Mastery Exam | Quizlet
Name: Score:
20 Multiple choice questions
Term 1 of 20
A nurse is caring for a client who had no prenatal care, is Rh-negative, and will undergo an external version at 38 weeks of gestation. Which
of the following medications should the nurse plan to administer prior to the version?
A. Prostaglandin gel
B. Magnesium sulfate
C. Rho(D) immune globulin
D. Oxytocin
D. Report of severe shoulder pain
A client's report of severe shoulder pain is a finding associated with a ruptured ectopic pregnancy due to the presence of blood in
the abdominal cavity, which irritates the diaphragm and phrenic nerve.
C. Rho(D) immune globulin
Rho(D) immune globulin is administered to an Rh-negative client at 28 weeks of gestation. Because this client had no prenatal care, it
should be given prior to the version to prevent isoimmunization.
B. Check the FHR.
The greatest risk to the client and fetus is umbilical cord prolapse, leading to fetal distress following rupture of membranes. The first
action to take is to check the FHR for clinical findings of distress.
D. Relaxation between uterine contractions
A fetus is most oxygenated during the relaxation period between contractions. During contractions, the arteries to the
uteroplacental intervillous spaces are compressed, resulting in a decrease in fetal circulation and oxygenation.
https://quizlet.com/test/ati-maternal-newborn-mastery-exam-931099281?answerTermSides=6&promptTermSides=6&questionCount=20&questionTypes=4&showImages=true 1/20
,1/13/26, 2:26 PM ATI Maternal Newborn Mastery Exam | Quizlet
Term 2 of 20
A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client reports leaking urine every time they
sneeze or cough. Which of the following interventions should the nurse suggest?
A. Sit-ups
B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches
C. Erythromycin
One medication of choice for ophthalmia neonatorum is erythromycin ophthalmic ointment 0.5%. This antibiotic provides prophylaxis
against Neisseria gonorrhoeae and Chlamydia trachomatis.
C. Kegel exercises
Kegel exercises consist of the voluntary contraction and relaxation of the pubococcygeus muscle to strengthen the pelvic muscles,
which will assist the client in decreasing urinary stress incontinence that occurs with sneezing and coughing.
A. Assist the client into the left-lateral position.
The greatest risk to the fetus during late decelerations is uteroplacental insufficiency. The initial nursing action should be to place
the client into the leftlateral position to increase uteroplacental perfusion.
D. Relaxation between uterine contractions
A fetus is most oxygenated during the relaxation period between contractions. During contractions, the arteries to the
uteroplacental intervillous spaces are compressed, resulting in a decrease in fetal circulation and oxygenation.
https://quizlet.com/test/ati-maternal-newborn-mastery-exam-931099281?answerTermSides=6&promptTermSides=6&questionCount=20&questionTypes=4&showImages=true 2/20
, 1/13/26, 2:26 PM ATI Maternal Newborn Mastery Exam | Quizlet
Term 3 of 20
A nurse is caring for a client who is in the transition phase of labor and reports that they need to have a bowel movement with the peak of
contractions. Which of the following actions should the nurse make?
A. Assist the client to the bathroom.
B. Prepare for an impending delivery.
C. Prepare to remove a fecal impaction.
D. Encourage the client to take deep, cleansing breaths.
B. Prepare for an impending delivery.
The urge to have a bowel movement indicates fetal descent and complete dilation. Preparing for an imminent birth is appropriate.
D. "It awakens a sleeping fetus."
The acoustic vibration device is activated for 3 seconds on the maternal abdomen over the fetal head to awaken a sleeping fetus.
D. "Your baby's skin will have a leathery appearance."
Leathery, cracked, and wrinkled skin is seen in a newborn who is postmature due to placental insufficiency.
A. Pudendal
A pudendal block is a transvaginal injection of local anesthetic that anesthetizes the perineal area for the episiotomy and repair, and
the expulsion of the fetus.
https://quizlet.com/test/ati-maternal-newborn-mastery-exam-931099281?answerTermSides=6&promptTermSides=6&questionCount=20&questionTypes=4&showImages=true 3/20
Name: Score:
20 Multiple choice questions
Term 1 of 20
A nurse is caring for a client who had no prenatal care, is Rh-negative, and will undergo an external version at 38 weeks of gestation. Which
of the following medications should the nurse plan to administer prior to the version?
A. Prostaglandin gel
B. Magnesium sulfate
C. Rho(D) immune globulin
D. Oxytocin
D. Report of severe shoulder pain
A client's report of severe shoulder pain is a finding associated with a ruptured ectopic pregnancy due to the presence of blood in
the abdominal cavity, which irritates the diaphragm and phrenic nerve.
C. Rho(D) immune globulin
Rho(D) immune globulin is administered to an Rh-negative client at 28 weeks of gestation. Because this client had no prenatal care, it
should be given prior to the version to prevent isoimmunization.
B. Check the FHR.
The greatest risk to the client and fetus is umbilical cord prolapse, leading to fetal distress following rupture of membranes. The first
action to take is to check the FHR for clinical findings of distress.
D. Relaxation between uterine contractions
A fetus is most oxygenated during the relaxation period between contractions. During contractions, the arteries to the
uteroplacental intervillous spaces are compressed, resulting in a decrease in fetal circulation and oxygenation.
https://quizlet.com/test/ati-maternal-newborn-mastery-exam-931099281?answerTermSides=6&promptTermSides=6&questionCount=20&questionTypes=4&showImages=true 1/20
,1/13/26, 2:26 PM ATI Maternal Newborn Mastery Exam | Quizlet
Term 2 of 20
A nurse is providing discharge instructions to a postpartum client following a cesarean birth. The client reports leaking urine every time they
sneeze or cough. Which of the following interventions should the nurse suggest?
A. Sit-ups
B. Pelvic tilt exercises
C. Kegel exercises
D. Abdominal crunches
C. Erythromycin
One medication of choice for ophthalmia neonatorum is erythromycin ophthalmic ointment 0.5%. This antibiotic provides prophylaxis
against Neisseria gonorrhoeae and Chlamydia trachomatis.
C. Kegel exercises
Kegel exercises consist of the voluntary contraction and relaxation of the pubococcygeus muscle to strengthen the pelvic muscles,
which will assist the client in decreasing urinary stress incontinence that occurs with sneezing and coughing.
A. Assist the client into the left-lateral position.
The greatest risk to the fetus during late decelerations is uteroplacental insufficiency. The initial nursing action should be to place
the client into the leftlateral position to increase uteroplacental perfusion.
D. Relaxation between uterine contractions
A fetus is most oxygenated during the relaxation period between contractions. During contractions, the arteries to the
uteroplacental intervillous spaces are compressed, resulting in a decrease in fetal circulation and oxygenation.
https://quizlet.com/test/ati-maternal-newborn-mastery-exam-931099281?answerTermSides=6&promptTermSides=6&questionCount=20&questionTypes=4&showImages=true 2/20
, 1/13/26, 2:26 PM ATI Maternal Newborn Mastery Exam | Quizlet
Term 3 of 20
A nurse is caring for a client who is in the transition phase of labor and reports that they need to have a bowel movement with the peak of
contractions. Which of the following actions should the nurse make?
A. Assist the client to the bathroom.
B. Prepare for an impending delivery.
C. Prepare to remove a fecal impaction.
D. Encourage the client to take deep, cleansing breaths.
B. Prepare for an impending delivery.
The urge to have a bowel movement indicates fetal descent and complete dilation. Preparing for an imminent birth is appropriate.
D. "It awakens a sleeping fetus."
The acoustic vibration device is activated for 3 seconds on the maternal abdomen over the fetal head to awaken a sleeping fetus.
D. "Your baby's skin will have a leathery appearance."
Leathery, cracked, and wrinkled skin is seen in a newborn who is postmature due to placental insufficiency.
A. Pudendal
A pudendal block is a transvaginal injection of local anesthetic that anesthetizes the perineal area for the episiotomy and repair, and
the expulsion of the fetus.
https://quizlet.com/test/ati-maternal-newborn-mastery-exam-931099281?answerTermSides=6&promptTermSides=6&questionCount=20&questionTypes=4&showImages=true 3/20
