MATERNAL NEWBORN ATI B ACTUAL EXAM |
COMPREHENSIVE PRACTICE QUESTIONS &
RATIONALES FOR NURSING EXAM
A nurse is preparing to perform Leopold's Maneuvers for a client identify the sequence the nurse should
follow
Identify the altitude of the head
Determine the location of the fetal back
Palpate for the fetal part presenting at the inle
Palpate the funds to identify the fetal part - ANS✔✔-Palpate the funds to identify the fetal part
Determine the location of the fetal back
Palpate for the fetal part presenting at the inlet
Identify the altitude of the head
The first step the nurse should take when performing Leopold maneuvers is to palpate the client's fundus to
identify the fetal part. Second, the nurse should determine the location of the fetal back. Third, the nurse
should palpate for the fetal part presenting at the inlet. Finally, the nurse should palpate the cephalic
prominence to identify the attitude of the head.
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord
protruding from the vagina after calling for assistance which of the following actions should the nurse take
next
Place a rolled towel beneath one of the client's hips.
Apply internal upward pressure to the presenting part using two gloved fingers.
Administer oxygen to the client via a nonrebreather mask at 10 L/min.
Increase the IV infusion rate. - ANS✔✔-Apply internal upward pressure to the presenting part using two
gloved fingers
Using evidence-based practice, the first action the nurse should take is to apply internal upward pressure to
the presenting part. Prolapse of the umbilical cord during labor can result in decreased perfusion to the
fetus, which can lead to hypoxia. After calling for assistance, the nurse should relieve the compression on
the umbilical cord by applying upward internal pressure on the presenting part with two gloved fingers. The
nurse should not move their hand.
A nurse is planning care for a client who is two hours postpartum which of the following intervention should
the nurse plan to implement during the taking hold phase of postpartum behavioral adjustment
Discuss contraceptive options with the client and her partner.
Repeat information to ensure client understanding.
Listen to the client and her partner as they reflect upon the birth experience.
Demonstrate to the client how to perform a newborn bath. - ANS✔✔-Demonstrate to the client how to
perform a newborn bath
Demonstrating to the client how to perform a newborn bath occurs during the taking-hold phase. The new
parent moves from being passively dependent to taking a stronger interest in her new role as a mother. She
is now focusing on the care her newborn and acquiring parenting skills. The nurse should provide positive
reinforcement during this phase to give the new parent confidence and promote maternal adjustment.
, A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test
which of the following statements should the nurse include in the teaching
"You will receive IV fluids prior to this test."
"The procedure will take approximately 10 to 15 minutes."
"You will be offered orange juice to drink during the test."
"You will need to sign an informed consent form each time you have this test." - ANS✔✔-You will be offered
orange juice to drink during a test
A nonstress test is performed to measure fetal activity. Having the client drink orange juice, or another
beverage high in glucose, will stimulate fetal movements during the procedure, helping to obtain results.
A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is it eight
weeks of gestation the nurse should instruct the client to increase her daily intake of which of the following
nutrients
Calcium
Vitamin E
Iron
Vitamin D - ANS✔✔-Iron
The recommendation for iron intake during pregnancy is higher than that for women who are not pregnant.
For women who are pregnant, it is 27 mg/day. For women who are not pregnant, it is 15 mg/day for women
younger than 19 years old and 18 mg/day for women between the ages of 19 and 50 years old.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa which of the following
actions should the nurse take
Perform a vaginal exam to determine cervical dilation every 2 hr.
Instruct the client to ambulate in the hallway once every 4 hr.
Administer betamethasone to the client via IM injection.
Initiate continuous external fetal monitoring. - ANS✔✔-Initiate continuous external fetal monitoring
The nurse should identify that a client who has a placenta previa and is actively bleeding is at an increased
risk for preterm labor and hemorrhage. The nurse should initiate interventions such as bed rest, pelvic rest,
and continuous fetal heart monitoring, which assesses fetal well-being and the presence of contractions.
The nurse should obtain IV access and monitor laboratory values. Also, the nurse should implement
interventions to prepare for an emergency birth.
A nurse is assessing fetal heart tones for a client who is pregnant the nurse is determined the fetal position
as left occipital anterior to which of the following areas of the clients abdomen sure the nurse apply the
ultrasound transducer to assess the point of maximum intensity to the fetal heart
Left upper quadrant
Right upper quadrant
Left lower quadrant
Right lower quadrant - ANS✔✔-Left lower quadrant
The fetal heart tones of a fetus in the left occipital anterior position are best heard in the left lower quadrant.
A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a
positive chlamydia culture the prescription states administer is it from ice in 1 g Orly now available is 250 mg
tablets how many tablets for the nurse administer round the answer to the nearest whole number using
leading zero if it applies do not use a trailing zero - ANS✔✔-4 tablets
COMPREHENSIVE PRACTICE QUESTIONS &
RATIONALES FOR NURSING EXAM
A nurse is preparing to perform Leopold's Maneuvers for a client identify the sequence the nurse should
follow
Identify the altitude of the head
Determine the location of the fetal back
Palpate for the fetal part presenting at the inle
Palpate the funds to identify the fetal part - ANS✔✔-Palpate the funds to identify the fetal part
Determine the location of the fetal back
Palpate for the fetal part presenting at the inlet
Identify the altitude of the head
The first step the nurse should take when performing Leopold maneuvers is to palpate the client's fundus to
identify the fetal part. Second, the nurse should determine the location of the fetal back. Third, the nurse
should palpate for the fetal part presenting at the inlet. Finally, the nurse should palpate the cephalic
prominence to identify the attitude of the head.
A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord
protruding from the vagina after calling for assistance which of the following actions should the nurse take
next
Place a rolled towel beneath one of the client's hips.
Apply internal upward pressure to the presenting part using two gloved fingers.
Administer oxygen to the client via a nonrebreather mask at 10 L/min.
Increase the IV infusion rate. - ANS✔✔-Apply internal upward pressure to the presenting part using two
gloved fingers
Using evidence-based practice, the first action the nurse should take is to apply internal upward pressure to
the presenting part. Prolapse of the umbilical cord during labor can result in decreased perfusion to the
fetus, which can lead to hypoxia. After calling for assistance, the nurse should relieve the compression on
the umbilical cord by applying upward internal pressure on the presenting part with two gloved fingers. The
nurse should not move their hand.
A nurse is planning care for a client who is two hours postpartum which of the following intervention should
the nurse plan to implement during the taking hold phase of postpartum behavioral adjustment
Discuss contraceptive options with the client and her partner.
Repeat information to ensure client understanding.
Listen to the client and her partner as they reflect upon the birth experience.
Demonstrate to the client how to perform a newborn bath. - ANS✔✔-Demonstrate to the client how to
perform a newborn bath
Demonstrating to the client how to perform a newborn bath occurs during the taking-hold phase. The new
parent moves from being passively dependent to taking a stronger interest in her new role as a mother. She
is now focusing on the care her newborn and acquiring parenting skills. The nurse should provide positive
reinforcement during this phase to give the new parent confidence and promote maternal adjustment.
, A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a nonstress test
which of the following statements should the nurse include in the teaching
"You will receive IV fluids prior to this test."
"The procedure will take approximately 10 to 15 minutes."
"You will be offered orange juice to drink during the test."
"You will need to sign an informed consent form each time you have this test." - ANS✔✔-You will be offered
orange juice to drink during a test
A nonstress test is performed to measure fetal activity. Having the client drink orange juice, or another
beverage high in glucose, will stimulate fetal movements during the procedure, helping to obtain results.
A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is it eight
weeks of gestation the nurse should instruct the client to increase her daily intake of which of the following
nutrients
Calcium
Vitamin E
Iron
Vitamin D - ANS✔✔-Iron
The recommendation for iron intake during pregnancy is higher than that for women who are not pregnant.
For women who are pregnant, it is 27 mg/day. For women who are not pregnant, it is 15 mg/day for women
younger than 19 years old and 18 mg/day for women between the ages of 19 and 50 years old.
A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa which of the following
actions should the nurse take
Perform a vaginal exam to determine cervical dilation every 2 hr.
Instruct the client to ambulate in the hallway once every 4 hr.
Administer betamethasone to the client via IM injection.
Initiate continuous external fetal monitoring. - ANS✔✔-Initiate continuous external fetal monitoring
The nurse should identify that a client who has a placenta previa and is actively bleeding is at an increased
risk for preterm labor and hemorrhage. The nurse should initiate interventions such as bed rest, pelvic rest,
and continuous fetal heart monitoring, which assesses fetal well-being and the presence of contractions.
The nurse should obtain IV access and monitor laboratory values. Also, the nurse should implement
interventions to prepare for an emergency birth.
A nurse is assessing fetal heart tones for a client who is pregnant the nurse is determined the fetal position
as left occipital anterior to which of the following areas of the clients abdomen sure the nurse apply the
ultrasound transducer to assess the point of maximum intensity to the fetal heart
Left upper quadrant
Right upper quadrant
Left lower quadrant
Right lower quadrant - ANS✔✔-Left lower quadrant
The fetal heart tones of a fetus in the left occipital anterior position are best heard in the left lower quadrant.
A nurse is preparing to administer azithromycin to a client who is at 16 weeks of gestation and has a
positive chlamydia culture the prescription states administer is it from ice in 1 g Orly now available is 250 mg
tablets how many tablets for the nurse administer round the answer to the nearest whole number using
leading zero if it applies do not use a trailing zero - ANS✔✔-4 tablets
