Test Bank for RN Maternal Newborn
Nursing Edition 12.0 ATI Review
Module Content Mastery Series
QUESTIONS WITH CORRECT
ANSWERS WITH RATIONALES
GURANTEED PASS GRADED A+
An expectant father tells the nurse he fears that his wife is "losing
her mind." He states that she is constantly rubbing her abdomen
and talking to the baby and that she actually reprimands the baby
when it moves too much. Which recommendation should the
nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with
her symptoms.
B.Explain that his wife is exhibiting ambivalence about the
pregnancy.
C. Ask him to report similar abnormal behaviors at the next
prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. -
answerD) Reassure him that normal maternal-fetal bonding is
occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and
do not reflect ambivalence. No intervention is needed.
Quickening, the first perception of fetal movement, occurs at 17 to
,20 weeks of gestation and begins a new phase of prenatal
bonding during the second trimester. Options A and C are not
necessary because the behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy.
Immediately after the procedure is completed, it is most important
for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - answerC. Fetal heart rate
(FHR)
Rationale:
The FHR should be assessed before and after the procedure to
detect changes that may indicate the presence of cord
compression or prolapse. An amniotomy (artificial rupture of
membranes [AROM]) is used to stimulate labor when the
condition of the cervix is favorable. The fluid should be assessed
for color, odor, and consistency. Option A should be assessed
every 15 to 20 minutes during labor but is not specific for AROM.
Option B is monitored hourly after the membranes are ruptured to
detect the development of amnionitis. Option D should be
determined for all clients in labor.
.
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized swelling on the right side of
his head. In a newborn, what is the most likely cause of this
,accumulation of blood between the periosteum and skull that
does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage -
answerA.Cephalhematoma, which is caused by forceps trauma
Rationale: Cephalhematoma, a slight abnormal variation of the
newborn, usually arises within the first 24 hours after delivery.
Trauma from delivery causes capillary bleeding between the
periosteum and skull. Option C is a cranial distortion lasting 5 to 7
days, caused by pressure on the cranium during vaginal delivery,
and is a common variation of the newborn. Options B and D both
involve intracranial bleeding and could not be detected by
physical assessment alone.
Prior to discharge, what instructions should the nurse give to
parents regarding the newborn's umbilical cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath - answerC.Allow
the cord to air-dry as much as possible.
Rationale:Recent studies have indicated that air drying or plain
water application may be equal to or more effective than alcohol
, in the cord healing process. Options A, B, and D are incorrect
because they promote moisture and increase the potential for
infection.
A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the
teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4
hours.
B.Wash off the yellow exudate on the glans once every day to
prevent infection.
C.Place petroleum ointment around the glans with each diaper
change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5
minutes if bleeding occurs. - answerC.Place petroleum ointment
around the glans with each diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with
warm water to remove any urine or feces, and petroleum ointment
should be applied to prevent the diaper from sticking to the
healing surface. Prepackaged wipes often contain other products
that may irritate the site. The yellow exudate, which covers the
glans penis as the area heals and epithelializes, is not an infective
process and should not be removed. If bleeding occurs at home,
the client should be instructed to apply gentle pressure to the site
of the bleeding with sterile gauze squares and call the health care
provider.
A 26-year-old gravida 2, para 1, client is admitted to the hospital
at 28 weeks of gestation in preterm labor. She is given three
Nursing Edition 12.0 ATI Review
Module Content Mastery Series
QUESTIONS WITH CORRECT
ANSWERS WITH RATIONALES
GURANTEED PASS GRADED A+
An expectant father tells the nurse he fears that his wife is "losing
her mind." He states that she is constantly rubbing her abdomen
and talking to the baby and that she actually reprimands the baby
when it moves too much. Which recommendation should the
nurse make to this expectant father?
A.Suggest that his wife seek professional counseling to deal with
her symptoms.
B.Explain that his wife is exhibiting ambivalence about the
pregnancy.
C. Ask him to report similar abnormal behaviors at the next
prenatal visit.
D.Reassure him that normal maternal-fetal bonding is occurring. -
answerD) Reassure him that normal maternal-fetal bonding is
occurring.
Rationale:
These behaviors are positive signs of maternal-fetal bonding and
do not reflect ambivalence. No intervention is needed.
Quickening, the first perception of fetal movement, occurs at 17 to
,20 weeks of gestation and begins a new phase of prenatal
bonding during the second trimester. Options A and C are not
necessary because the behaviors displayed are normal.
The nurse is preparing a laboring client for an amniotomy.
Immediately after the procedure is completed, it is most important
for the nurse to obtain which information?
A.Maternal blood pressure
B.Maternal temperature
C.Fetal heart rate (FHR)
D.White blood cell count (WBC) - answerC. Fetal heart rate
(FHR)
Rationale:
The FHR should be assessed before and after the procedure to
detect changes that may indicate the presence of cord
compression or prolapse. An amniotomy (artificial rupture of
membranes [AROM]) is used to stimulate labor when the
condition of the cervix is favorable. The fluid should be assessed
for color, odor, and consistency. Option A should be assessed
every 15 to 20 minutes during labor but is not specific for AROM.
Option B is monitored hourly after the membranes are ruptured to
detect the development of amnionitis. Option D should be
determined for all clients in labor.
.
Twenty-four hours after admission to the newborn nursery, a full-
term male infant develops localized swelling on the right side of
his head. In a newborn, what is the most likely cause of this
,accumulation of blood between the periosteum and skull that
does not cross the suture line?
A.Cephalhematoma, which is caused by forceps trauma
B.Subarachnoid hematoma, which requires immediate drainage
C.Molding, which is caused by pressure during labor
D.Subdural hematoma, which can result in lifelong damage -
answerA.Cephalhematoma, which is caused by forceps trauma
Rationale: Cephalhematoma, a slight abnormal variation of the
newborn, usually arises within the first 24 hours after delivery.
Trauma from delivery causes capillary bleeding between the
periosteum and skull. Option C is a cranial distortion lasting 5 to 7
days, caused by pressure on the cranium during vaginal delivery,
and is a common variation of the newborn. Options B and D both
involve intracranial bleeding and could not be detected by
physical assessment alone.
Prior to discharge, what instructions should the nurse give to
parents regarding the newborn's umbilical cord care at home?
A.Wash the cord frequently with mild soap and water.
B.Cover the cord with a sterile dressing.
C.Allow the cord to air-dry as much as possible.
D.Apply baby lotion after the baby's daily bath - answerC.Allow
the cord to air-dry as much as possible.
Rationale:Recent studies have indicated that air drying or plain
water application may be equal to or more effective than alcohol
, in the cord healing process. Options A, B, and D are incorrect
because they promote moisture and increase the potential for
infection.
A mother expresses fear about changing the infant's diaper after
circumcision. What information should the nurse include in the
teaching plan?
A.Cleanse the penis with prepackaged diaper wipes every 3 to 4
hours.
B.Wash off the yellow exudate on the glans once every day to
prevent infection.
C.Place petroleum ointment around the glans with each diaper
change and cleansing.
D.Apply pressure by squeezing the penis with the fingers for 5
minutes if bleeding occurs. - answerC.Place petroleum ointment
around the glans with each diaper change and cleansing.
Rationale:
With each diaper change, the glans penis should be washed with
warm water to remove any urine or feces, and petroleum ointment
should be applied to prevent the diaper from sticking to the
healing surface. Prepackaged wipes often contain other products
that may irritate the site. The yellow exudate, which covers the
glans penis as the area heals and epithelializes, is not an infective
process and should not be removed. If bleeding occurs at home,
the client should be instructed to apply gentle pressure to the site
of the bleeding with sterile gauze squares and call the health care
provider.
A 26-year-old gravida 2, para 1, client is admitted to the hospital
at 28 weeks of gestation in preterm labor. She is given three
