MATERNAL NEWBORN ONLINE PRACTICE 2023 B
STUDY GUIDE | ATI MATERNAL NEWBORN PRACTICE
B ACTUALEXAM QUESTIONS & ANSWERS | EXAM
1. A nurse is caring for a client who is 3 days postpartum.
Complete the diagram by dragging from the choices below to specify what conditions the client is most likely
experienicng, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor
to assess the client's progress.: Action to Take:
Plan to adminsiter IV antibiotics.
Obtain a culture of vaginal fluid using a sterile swab.
Potential Condition:
Endometritis
Parameter to Monitor:
Lochia amount and odor
Temperature
2.A nurse is caring for a client who is pregnant.
Which of the following findings should the nurse report to the provider?
Click to highlight the finidngs that require immediate follow-up. To deselect a finding, click on the finding again.:
Temperature 28.3 C (101 F)
Client reports, "I've been crampting and have had low back pain since yesterday. it burns when I urinate." Uterine
contractions occurring every 2 minutes, lasting 40-60 seconds, palpate mild to moderate intensity.
Vaginal examination reveals cervix is 2 cm dilated and 80% effaced.
3.A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which
of the following statements should the nurse include in the teaching?: "Ensure that the newborn has been
receiving feedings for 24 hours prior to obtaining the specimen."
4.A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs.
Which of the following cultural practices should the nurse include in the plan of care?: Protect the client's head
and feet from cold air.
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, 5.A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse
should plan to prepare the client for which of the following diagnostic tests?: Biophysical profile
6.A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g
magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do
not use a trailing zero.): 50 mL/hr 7. A nurse is developing a plan of care for a client who has preeclampsia and is
recieving magnesium sulfate via continuous IV infusion. Which of the following interventions should the nurse
include in the plan?: Monitor the FHR continuously.
8. A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention
by the nurse?: Substernal chest retractions while sleeping
9. A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the
following findings should the nurse report to the provider?: Weight gain of 2.2 kg (4.8 lb)
10. A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding
and has engorgement. The nurse should recommend which of the following strategies?: A warm shower
11. A nurse is caring for a client who is pregnant and is at the end of their first trimester. The nurse should place
the Doppler ultrasound stethesoscope in which of the following locations to begin assessing for the fetal heart tones
(FHT)?: Just above the symphysis pubis
12 A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy.
Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia?:
Pregestational diabetes mellitus
13. A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy
hyperpigmentation on their forehead. Which of the following actions should the nurse take?: Explain to the client this
is an expected occurrence. 14. A nurse is demonstrating to a client how to pathe their newborn. In which order should
the nurse perform the following actions?: Wipe the newborn's eyes from inner canthus outward.
Wash the newborn's neck by lifting the newborn's chin.
Cleanse the skin around the newborn's umbilical cord stump.
Wash the newborn's legs and feet.
Clean the newborn's diaper area.
15. A nurse is performing a newborn assessment. Which of the following images should the nurse identify as an
indication of spina bifida occulta?: External indications of this neural tube defect include a dimpled area ofer the
defect and the presence of a birthmark or hairy patch above the area.
16. A nurse is calculating a client's expected date of birth using Naegele's rule.
The client tells the nurse that their last menstrual cycle started on November 27th. Which of the following dates is the
client's expected date of birth?: September 3rd
2/7
STUDY GUIDE | ATI MATERNAL NEWBORN PRACTICE
B ACTUALEXAM QUESTIONS & ANSWERS | EXAM
1. A nurse is caring for a client who is 3 days postpartum.
Complete the diagram by dragging from the choices below to specify what conditions the client is most likely
experienicng, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor
to assess the client's progress.: Action to Take:
Plan to adminsiter IV antibiotics.
Obtain a culture of vaginal fluid using a sterile swab.
Potential Condition:
Endometritis
Parameter to Monitor:
Lochia amount and odor
Temperature
2.A nurse is caring for a client who is pregnant.
Which of the following findings should the nurse report to the provider?
Click to highlight the finidngs that require immediate follow-up. To deselect a finding, click on the finding again.:
Temperature 28.3 C (101 F)
Client reports, "I've been crampting and have had low back pain since yesterday. it burns when I urinate." Uterine
contractions occurring every 2 minutes, lasting 40-60 seconds, palpate mild to moderate intensity.
Vaginal examination reveals cervix is 2 cm dilated and 80% effaced.
3.A nurse is teaching a newly licensed nurse about collecting a specimen for the universal newborn screening. Which
of the following statements should the nurse include in the teaching?: "Ensure that the newborn has been
receiving feedings for 24 hours prior to obtaining the specimen."
4.A nurse is creating a plan of care for a client who is postpartum and adheres to traditional Hispanic cultural beliefs.
Which of the following cultural practices should the nurse include in the plan of care?: Protect the client's head
and feet from cold air.
1/7
, 5.A nurse is caring for a client who is at 36 weeks of gestation and has a positive contraction stress test. The nurse
should plan to prepare the client for which of the following diagnostic tests?: Biophysical profile
6.A nurse is preparing to administer magnesium sulfate 2 g/hr IV to a client who is in preterm labor. Available is 20 g
magnesium sulfate in 500 mL of dextrose 5% in water (D5W). The nurse should set the IV infusion pump to
administer how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do
not use a trailing zero.): 50 mL/hr 7. A nurse is developing a plan of care for a client who has preeclampsia and is
recieving magnesium sulfate via continuous IV infusion. Which of the following interventions should the nurse
include in the plan?: Monitor the FHR continuously.
8. A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention
by the nurse?: Substernal chest retractions while sleeping
9. A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Which of the
following findings should the nurse report to the provider?: Weight gain of 2.2 kg (4.8 lb)
10. A nurse is providing teaching about nonpharmacological pain management to a client who is breastfeeding
and has engorgement. The nurse should recommend which of the following strategies?: A warm shower
11. A nurse is caring for a client who is pregnant and is at the end of their first trimester. The nurse should place
the Doppler ultrasound stethesoscope in which of the following locations to begin assessing for the fetal heart tones
(FHT)?: Just above the symphysis pubis
12 A nurse in a provider's office is reviewing the medical record of a client who is in the first trimester of pregnancy.
Which of the following findings should the nurse identify as a risk factor for the development of preeclampsia?:
Pregestational diabetes mellitus
13. A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy
hyperpigmentation on their forehead. Which of the following actions should the nurse take?: Explain to the client this
is an expected occurrence. 14. A nurse is demonstrating to a client how to pathe their newborn. In which order should
the nurse perform the following actions?: Wipe the newborn's eyes from inner canthus outward.
Wash the newborn's neck by lifting the newborn's chin.
Cleanse the skin around the newborn's umbilical cord stump.
Wash the newborn's legs and feet.
Clean the newborn's diaper area.
15. A nurse is performing a newborn assessment. Which of the following images should the nurse identify as an
indication of spina bifida occulta?: External indications of this neural tube defect include a dimpled area ofer the
defect and the presence of a birthmark or hairy patch above the area.
16. A nurse is calculating a client's expected date of birth using Naegele's rule.
The client tells the nurse that their last menstrual cycle started on November 27th. Which of the following dates is the
client's expected date of birth?: September 3rd
2/7
