ATI Maternal newborn assessment A
Questions with Accurate Answers
a charge nurse on a labor and delivery unit is teaching a newly licensed nurse how
to perform Leopold maneuvers. Which of the following images indicates the first
step of Leopold maneuvers?
-pictures-
a. Hands on either side of baby's head.
b. one hand on baby's head.
c. Both hands on either side of baby's bottom.
d. One hand on baby's back and one hand on baby's front. correct answer c. Both
hands on either side of baby's bottom.
Evidence-based practice indicates the nurse should perform this step first when
performing Leopold maneuvers. During this step, the nurse palpates the client's
abdomen with her palms to determine which fetal part is in the uterine fundus.
This step also identifies the lie (transverse or longitudinal) and presentation
(cephalic or breech) of the fetus.
a. The nurse should identify this image as the fourth step of Leopold maneuvers.
During this step, the nurse faces the client's feet and uses the fingertips to palpate
the cephalic prominence. This assessment allows the nurse to determine the
attitude of the fetal head.
b. The nurse should identify this image as the third step of Leopold maneuvers.
During this step, the nurse determines which fetal part is presenting in the pelvic
inlet. The nurse gently grasps the lower uterine segment between the thumb and
forefingers, pressing in slightly.
,d. The nurse should identify this image as the second step of Leopold maneuvers.
During this step, the nurse uses the palms of her hands to determine the location
of the smooth fetal back and the irregularly shaped, smaller fetal parts.
a client who is 34 week gestation asks the nurse how will she know when she is in
labor and should go to the hospital. which of the following responses should the
nurse make?
a. "you will feel the contractions primarily in your upper abdomen"
b. "you will feel extremely fatigued when your labor starts"
c. "your breasts will begin to excrete colostrum"
d. "you will notice blood-tinged discharge from your vagina" correct answer d.
"you will notice blood-tinged discharge from your vagina"
the nurse should inform the client that a sign of true labor is the *bloody show*,
which is a blood-tinged discharge from the vagina that occurs when the cervix
begins to efface and dilate. this is an indication that the client should go to the
hospital
a. Contractions during true labor are usually felt in the lower abdomen, not the
upper abdomen.
b. True labor is usually preceded by a burst of energy, not extreme fatigue.
,c. The breasts begin producing and excreting colostrum as early as 16 weeks of
gestation. Therefore, this does not indicate the onset of labor.
a nurse for a client who is anemic at 32 weeks gestation and is in preterm labor.
the provider prescribed betamethasone 12mg IM. which of the following
outcome should the nurse expect?
a. decreased uterine contractions
b. in increase in the client's hemoglobin levels
c. a reduction in respiratory distress in the newborn
d.increased production of antibodies in the newborn correct answer c. a
reduction in respiratory distress in the newborn
betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity
and prevent respiratory distress.
a. This is not an expected outcome of betamethasone.
b. This is not an expected outcome of betamethasone.
d. This is not an expected outcome of betamethasone.
, a nurse in a prenatal clinic is assessing a group of clients. which of the following
clients should the nurse request the provider to see first?
a. a client who is 11 weeks gestation and reports abdominal cramping
b. a client who is 15 weeks gestation and reports tingling and numbness in her
right hand
c. a client who is 20 weeks gestation and reports constipation for the past 4 days
d. a client who is 8 weeks gestation and reports having 3 bloody noses this week
correct answer a. a client who is 11 weeks gestation and reports abdominal
cramping
when using the urgent vs nonurgent approach to care, the nurse should
determine that the priority finding is a client who is 11 weeks gestation and
reports abdominal cramping. *abdominal cramping can indicate an ectopic
pregnancy* or manifestations of spontaneous abortion. the nurse should request
that the provider see this client first
b. Tingling and numbness of the right hand is nonurgent because it is a common
discomfort related to pregnancy for a client who is at 15 weeks of gestation. .
c. Constipation is nonurgent because it is common discomfort related to
pregnancy for a client who is at 20 weeks of gestation.
d. Epistaxis is nonurgent because it is a common discomfort related to pregnancy
for a client who is at 8 weeks of gestation.
Questions with Accurate Answers
a charge nurse on a labor and delivery unit is teaching a newly licensed nurse how
to perform Leopold maneuvers. Which of the following images indicates the first
step of Leopold maneuvers?
-pictures-
a. Hands on either side of baby's head.
b. one hand on baby's head.
c. Both hands on either side of baby's bottom.
d. One hand on baby's back and one hand on baby's front. correct answer c. Both
hands on either side of baby's bottom.
Evidence-based practice indicates the nurse should perform this step first when
performing Leopold maneuvers. During this step, the nurse palpates the client's
abdomen with her palms to determine which fetal part is in the uterine fundus.
This step also identifies the lie (transverse or longitudinal) and presentation
(cephalic or breech) of the fetus.
a. The nurse should identify this image as the fourth step of Leopold maneuvers.
During this step, the nurse faces the client's feet and uses the fingertips to palpate
the cephalic prominence. This assessment allows the nurse to determine the
attitude of the fetal head.
b. The nurse should identify this image as the third step of Leopold maneuvers.
During this step, the nurse determines which fetal part is presenting in the pelvic
inlet. The nurse gently grasps the lower uterine segment between the thumb and
forefingers, pressing in slightly.
,d. The nurse should identify this image as the second step of Leopold maneuvers.
During this step, the nurse uses the palms of her hands to determine the location
of the smooth fetal back and the irregularly shaped, smaller fetal parts.
a client who is 34 week gestation asks the nurse how will she know when she is in
labor and should go to the hospital. which of the following responses should the
nurse make?
a. "you will feel the contractions primarily in your upper abdomen"
b. "you will feel extremely fatigued when your labor starts"
c. "your breasts will begin to excrete colostrum"
d. "you will notice blood-tinged discharge from your vagina" correct answer d.
"you will notice blood-tinged discharge from your vagina"
the nurse should inform the client that a sign of true labor is the *bloody show*,
which is a blood-tinged discharge from the vagina that occurs when the cervix
begins to efface and dilate. this is an indication that the client should go to the
hospital
a. Contractions during true labor are usually felt in the lower abdomen, not the
upper abdomen.
b. True labor is usually preceded by a burst of energy, not extreme fatigue.
,c. The breasts begin producing and excreting colostrum as early as 16 weeks of
gestation. Therefore, this does not indicate the onset of labor.
a nurse for a client who is anemic at 32 weeks gestation and is in preterm labor.
the provider prescribed betamethasone 12mg IM. which of the following
outcome should the nurse expect?
a. decreased uterine contractions
b. in increase in the client's hemoglobin levels
c. a reduction in respiratory distress in the newborn
d.increased production of antibodies in the newborn correct answer c. a
reduction in respiratory distress in the newborn
betamethasone is a glucocorticoid that is given to stimulate fetal lung maturity
and prevent respiratory distress.
a. This is not an expected outcome of betamethasone.
b. This is not an expected outcome of betamethasone.
d. This is not an expected outcome of betamethasone.
, a nurse in a prenatal clinic is assessing a group of clients. which of the following
clients should the nurse request the provider to see first?
a. a client who is 11 weeks gestation and reports abdominal cramping
b. a client who is 15 weeks gestation and reports tingling and numbness in her
right hand
c. a client who is 20 weeks gestation and reports constipation for the past 4 days
d. a client who is 8 weeks gestation and reports having 3 bloody noses this week
correct answer a. a client who is 11 weeks gestation and reports abdominal
cramping
when using the urgent vs nonurgent approach to care, the nurse should
determine that the priority finding is a client who is 11 weeks gestation and
reports abdominal cramping. *abdominal cramping can indicate an ectopic
pregnancy* or manifestations of spontaneous abortion. the nurse should request
that the provider see this client first
b. Tingling and numbness of the right hand is nonurgent because it is a common
discomfort related to pregnancy for a client who is at 15 weeks of gestation. .
c. Constipation is nonurgent because it is common discomfort related to
pregnancy for a client who is at 20 weeks of gestation.
d. Epistaxis is nonurgent because it is a common discomfort related to pregnancy
for a client who is at 8 weeks of gestation.
