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ATI Maternal Newborn Practice Questions com
● Prior to giving an analgesic during active labor, the nurse should assess and know how
many centimeters the cervix is dilated. If an analgesic is given too close to time of
delivery, respiratory depression in the newborn can occur.
● A diaper should be applied loosely when the child has a circumcision until the site is
healed to decrease pressure of the circumcision site and decrease pain.
● An IUD is a small plastic device placed into the uterus that changes the uterine
environment to prevent pregnancy. IUD’s are contraindicated for patients with
menorrhagia, severe dysmenorrhea, and history of ectopic pregnancy.
● Placing a fetal scalp electrode is an invasive procedure that requires the rupture of
membranes. The electrodes are placed into the fetal scalp, which can increase the
fetus’s exposure to HIV and is contraindicated.
● Hyperactive DTR’s demonstrate a progression to severe gestational hypertension or
preeclampsia with severe features. This finding indicates the need for hospitalization and
treatment with magnesium sulfate to prevent eclamptic seizures. The DTR will be +4.
● In bladder distention, the bladder is suprapubic, round, budging, and dull to percussion
and fluctuates like a balloon when palpated. The uterus is usually displaced to the right,
boggy, and well above the umbilicus.
● If a mom is HIV positive and plans to breastfeed their baby, it must be discussed with the
HCP because HIV can be transmitted through breast milk and is a contraindication to
breastfeeding, so other alternatives must be discussed.
● Oxytocin is an uterotonic medication that causes the uterus to contract and relieve
excess bleeding and the boggy feeling when palpating.
● During the second stage of labor, frequent position changes can promote fetal descent,
and the nurse should assist and encourage the mom to find optimal positions of comfort
to allow the mom to rest in between contractions and enhance expulsion efforts.
● When bottle-feeding, the mom should run tap water for 2 minutes and then boil it for 1-
2 minutes before mixing it with formula to decrease contamination.
● Intermittent nausea and vomiting during the first trimester are common, but persistent
vomiting can suggest hyperemesis gravidarium and increase risk for F/E imbalances,
causing maternal and fetal health compromise. Cause can be from hCG levels and the
client should be encouraged to eat dry crackers upon awakening, eat 5-6 small meals
daily, and avoid fried, odorous or spicy food.
● If a client in the first trimester has heartburn, advise them to avoid eating large meals
and avoid eating foods that are gassy or have a high fat content.
● Daily weights are the best method to assess a client’s fluid and electrolyte status,
especially in clients with preeclampsia or hyperemesis gravidarium.
● In a patient in the 3rd trimester with vaginal bleeding, an assessment of the uterine tone
will determine if the bleeding is caused by placenta previa or abruption placenta. If it is
caused by placenta previa, the uterus will be relaxed, soft and pain less, while the
abruptio placenta will have a firm and board-like uterus with a lot of pain.
● BMI less than 18.5- gain 28-40 lbs during pregnancy, BMI 18.5-24.9- gain 25-30 lbs, BMI
25-29.9- gain 15-25 lbs, BMI 30+- gain 11-20 lbs
,● Premature infants who engage with mom in kangaroo care or skin to skin demonstrate
improved development of thermo stability, oxygen saturation, interest in feeding, and
maintaining an organized and relaxed state.
● Large for gestational age babies have a higher risk of having hypoglycemia. The nurse
should monitor for jitteriness, lethargy, hypotonia, an unusual cry, respiratory distress,
poor feeding, and unstable body temp. A heel stick should be done to check the range of
blood sugar (40-60), and implement interventions to correct the low glucose level.
● A client who receives a rubella immunization should not conceive for 1 month after
receiving the injection to prevent fetal injury.
● If a newborn has manifestations of transient tachypnea of the newborn, the nurse
should initiate close observation for respiratory distress. This condition is thought to be a
result of an incomplete clearance of fluid from lungs at birth. C-section babies are likely
to have it as the thoracic cavity is not compressed at birth. Will resolve spontaneously
and should be monitored.
● If a mom is treated with magnesium sulfate for preterm labor, if it is given at toxic levels,
the newborn can have respiratory and neuromuscular depression, and the nurse should
monitor for these manifestations.
● Newborn expected range for Hemoglobin- 14-24, platelets 150000-300000, total
bilirubin 2-6, glucose 40-60
● If a newborn has generalized petechiae at 2 hrs old, it should be reported to the HCP as
it can be associated with infection or clotting factor deficiency.
● Postpartum patients who are bottle-feeding should wear a supportive bra for a few days
to promote lactation suppression.
● In the early postpartum period, the lochia can pool in the vagina when the client lays in
the bed and will flow out when the client stands up. Will be an initial gush, but can
trickle out slowly as bright red lochia.
● Clients with placenta previa and vaginal bleeding may have a fundal height that is
greater than gestational age because the fetus remains higher in the uterus.
● Any child up to 2 years of age should be placed in a rear-facing car seat when riding in
the car, or longer depending on the manufacturer.
● Never set the water heater above 120 F, cover the baby with a blanket, or lower side
rails as it can cause burns, suffocation, and injury.
● Category 1 FHR are expected to be found when using oxytocin and noting a FHR of
tachysystole. The nurse should reposition the client to a side lying position to optimize
uteroplacental perfusion and continue to monitor for 10 mins to see if the FHR resolves
or if fetal distress occurs.
● Moms who are HSV 2 positive are at risk of transmitting to the baby the virus during a
vagianl birth, so it's appropriate to schedule a C-section prior to onset of labor or
rupture of membranes to ensure the baby and mom stay safe.
● If there is an increase in fundal height above the umbilicus after birth, it is a sign of non-
contracted uterus, which can increase the risk for bleeding. The most common cause of
elevated fundal height is an over-distended bladder, which an appropriate nursing
intervention is to ambulate the client to the restroom to empty the bladder.
● Betamethasone is a steroid medication given to the mom before birth to stimulate lung
, maturity, but it can also cause side effects of decreased glucose levels in the baby within
the first few hours after delivery. The nurse should assess the glucose level following
birth and afterwards to ensure stability.
● If a client is vomiting in the morning within the first trimester, they are having morning
sickness, which is a buildup of hCG. Dry foods such as crackers should be eaten before
rising in the morning to reduce the risk of nausea or vomiting in pregnant clients.
● Open cans and prepared bottles of formula for bottle fed babies should be refrigerated
and discarded after 48 hrs due to risk of bacterial contamination.
● Infants who become cold attempt to generate heat through increased muscular and
metabolic activity which involves use of glucose and places the baby at risk for
hypoglycemia. A heel stick should be obtained.
● When a nurse presses on the abdomen during a pregnancy examination, the nurse notes
what position the baby is in. It can determine which part is in the fundus and where the
back is. Palpation of the lower abdomen determines if the head is down or if another
part is presenting.
● Phototherapy is used to lower the level of bilirubin in a newborn's body if it is too high.
Jaundice is caused by RBC destruction, which releases bilirubin. Since the newborn has
an immature liver and cannot filter and excrete bilirubin efficiently, it leads to
accumulation and phototherapy will aid in breaking down the bilirubin with the UV light.
● Know the different categories of APGAR scores and how to score them.
● Uterine fibroids can increase the risk of postpartum bleeding due to increased blood
supply to the uterus that supports the fibroid. They will grow during pregnancy in
response to the increase in circulating estrogen. The mom will have ultrasounds done to
monitor the fibroid, and the size of it will determine the safest method of delivery, with
smaller fibroids allowing for a vaginal delivery.
● During a non stress test, the nurse monitors for accelerations of the FHR over 20
minutes. The fetus may be asleep during this time and experience hypoacitvity during
the test. Drinking orange juice will help to stimulate fetal movement during the test.
● During the nonstress test, the mom should press the button when the baby moves when
fetal movement is felt. The test is to assess fetal wellbeing in utero.
● If jaundice is present in the newborn 12 hrs after delivery, it is likely pathological
jaundice, which occurs in the 1 st 24 hrs of life. The nurse should notify the HCP and
obtain a prescription to assess the bilirubin level.
● While the chances of fertility in the first 4 weeks of postpartum are low, clients who
receive a rubella immunization should be careful to avoid pregnancy through abstinence
or with effective contraceptives as it is a live vaccine and can cause birth defects.
Therefore, the client should not become pregnant within the next month to minimize
risk for fetal defects.
● Full term babies should have symmetrical rib cages, normal, smooth skin, good turgor,
and subcutaneous fat pockets, little to no vernix, no lanugo present.
● A gynecoid pelvis is good for vaginal births because it is well rounded with a wide pubic
arch.
● A client with android, anthropoid, or platepoid pelvic shapes may have difficulty with a
vaginal birth and may opt for cesarean delivery.
ATI Maternal Newborn Practice Questions com
● Prior to giving an analgesic during active labor, the nurse should assess and know how
many centimeters the cervix is dilated. If an analgesic is given too close to time of
delivery, respiratory depression in the newborn can occur.
● A diaper should be applied loosely when the child has a circumcision until the site is
healed to decrease pressure of the circumcision site and decrease pain.
● An IUD is a small plastic device placed into the uterus that changes the uterine
environment to prevent pregnancy. IUD’s are contraindicated for patients with
menorrhagia, severe dysmenorrhea, and history of ectopic pregnancy.
● Placing a fetal scalp electrode is an invasive procedure that requires the rupture of
membranes. The electrodes are placed into the fetal scalp, which can increase the
fetus’s exposure to HIV and is contraindicated.
● Hyperactive DTR’s demonstrate a progression to severe gestational hypertension or
preeclampsia with severe features. This finding indicates the need for hospitalization and
treatment with magnesium sulfate to prevent eclamptic seizures. The DTR will be +4.
● In bladder distention, the bladder is suprapubic, round, budging, and dull to percussion
and fluctuates like a balloon when palpated. The uterus is usually displaced to the right,
boggy, and well above the umbilicus.
● If a mom is HIV positive and plans to breastfeed their baby, it must be discussed with the
HCP because HIV can be transmitted through breast milk and is a contraindication to
breastfeeding, so other alternatives must be discussed.
● Oxytocin is an uterotonic medication that causes the uterus to contract and relieve
excess bleeding and the boggy feeling when palpating.
● During the second stage of labor, frequent position changes can promote fetal descent,
and the nurse should assist and encourage the mom to find optimal positions of comfort
to allow the mom to rest in between contractions and enhance expulsion efforts.
● When bottle-feeding, the mom should run tap water for 2 minutes and then boil it for 1-
2 minutes before mixing it with formula to decrease contamination.
● Intermittent nausea and vomiting during the first trimester are common, but persistent
vomiting can suggest hyperemesis gravidarium and increase risk for F/E imbalances,
causing maternal and fetal health compromise. Cause can be from hCG levels and the
client should be encouraged to eat dry crackers upon awakening, eat 5-6 small meals
daily, and avoid fried, odorous or spicy food.
● If a client in the first trimester has heartburn, advise them to avoid eating large meals
and avoid eating foods that are gassy or have a high fat content.
● Daily weights are the best method to assess a client’s fluid and electrolyte status,
especially in clients with preeclampsia or hyperemesis gravidarium.
● In a patient in the 3rd trimester with vaginal bleeding, an assessment of the uterine tone
will determine if the bleeding is caused by placenta previa or abruption placenta. If it is
caused by placenta previa, the uterus will be relaxed, soft and pain less, while the
abruptio placenta will have a firm and board-like uterus with a lot of pain.
● BMI less than 18.5- gain 28-40 lbs during pregnancy, BMI 18.5-24.9- gain 25-30 lbs, BMI
25-29.9- gain 15-25 lbs, BMI 30+- gain 11-20 lbs
,● Premature infants who engage with mom in kangaroo care or skin to skin demonstrate
improved development of thermo stability, oxygen saturation, interest in feeding, and
maintaining an organized and relaxed state.
● Large for gestational age babies have a higher risk of having hypoglycemia. The nurse
should monitor for jitteriness, lethargy, hypotonia, an unusual cry, respiratory distress,
poor feeding, and unstable body temp. A heel stick should be done to check the range of
blood sugar (40-60), and implement interventions to correct the low glucose level.
● A client who receives a rubella immunization should not conceive for 1 month after
receiving the injection to prevent fetal injury.
● If a newborn has manifestations of transient tachypnea of the newborn, the nurse
should initiate close observation for respiratory distress. This condition is thought to be a
result of an incomplete clearance of fluid from lungs at birth. C-section babies are likely
to have it as the thoracic cavity is not compressed at birth. Will resolve spontaneously
and should be monitored.
● If a mom is treated with magnesium sulfate for preterm labor, if it is given at toxic levels,
the newborn can have respiratory and neuromuscular depression, and the nurse should
monitor for these manifestations.
● Newborn expected range for Hemoglobin- 14-24, platelets 150000-300000, total
bilirubin 2-6, glucose 40-60
● If a newborn has generalized petechiae at 2 hrs old, it should be reported to the HCP as
it can be associated with infection or clotting factor deficiency.
● Postpartum patients who are bottle-feeding should wear a supportive bra for a few days
to promote lactation suppression.
● In the early postpartum period, the lochia can pool in the vagina when the client lays in
the bed and will flow out when the client stands up. Will be an initial gush, but can
trickle out slowly as bright red lochia.
● Clients with placenta previa and vaginal bleeding may have a fundal height that is
greater than gestational age because the fetus remains higher in the uterus.
● Any child up to 2 years of age should be placed in a rear-facing car seat when riding in
the car, or longer depending on the manufacturer.
● Never set the water heater above 120 F, cover the baby with a blanket, or lower side
rails as it can cause burns, suffocation, and injury.
● Category 1 FHR are expected to be found when using oxytocin and noting a FHR of
tachysystole. The nurse should reposition the client to a side lying position to optimize
uteroplacental perfusion and continue to monitor for 10 mins to see if the FHR resolves
or if fetal distress occurs.
● Moms who are HSV 2 positive are at risk of transmitting to the baby the virus during a
vagianl birth, so it's appropriate to schedule a C-section prior to onset of labor or
rupture of membranes to ensure the baby and mom stay safe.
● If there is an increase in fundal height above the umbilicus after birth, it is a sign of non-
contracted uterus, which can increase the risk for bleeding. The most common cause of
elevated fundal height is an over-distended bladder, which an appropriate nursing
intervention is to ambulate the client to the restroom to empty the bladder.
● Betamethasone is a steroid medication given to the mom before birth to stimulate lung
, maturity, but it can also cause side effects of decreased glucose levels in the baby within
the first few hours after delivery. The nurse should assess the glucose level following
birth and afterwards to ensure stability.
● If a client is vomiting in the morning within the first trimester, they are having morning
sickness, which is a buildup of hCG. Dry foods such as crackers should be eaten before
rising in the morning to reduce the risk of nausea or vomiting in pregnant clients.
● Open cans and prepared bottles of formula for bottle fed babies should be refrigerated
and discarded after 48 hrs due to risk of bacterial contamination.
● Infants who become cold attempt to generate heat through increased muscular and
metabolic activity which involves use of glucose and places the baby at risk for
hypoglycemia. A heel stick should be obtained.
● When a nurse presses on the abdomen during a pregnancy examination, the nurse notes
what position the baby is in. It can determine which part is in the fundus and where the
back is. Palpation of the lower abdomen determines if the head is down or if another
part is presenting.
● Phototherapy is used to lower the level of bilirubin in a newborn's body if it is too high.
Jaundice is caused by RBC destruction, which releases bilirubin. Since the newborn has
an immature liver and cannot filter and excrete bilirubin efficiently, it leads to
accumulation and phototherapy will aid in breaking down the bilirubin with the UV light.
● Know the different categories of APGAR scores and how to score them.
● Uterine fibroids can increase the risk of postpartum bleeding due to increased blood
supply to the uterus that supports the fibroid. They will grow during pregnancy in
response to the increase in circulating estrogen. The mom will have ultrasounds done to
monitor the fibroid, and the size of it will determine the safest method of delivery, with
smaller fibroids allowing for a vaginal delivery.
● During a non stress test, the nurse monitors for accelerations of the FHR over 20
minutes. The fetus may be asleep during this time and experience hypoacitvity during
the test. Drinking orange juice will help to stimulate fetal movement during the test.
● During the nonstress test, the mom should press the button when the baby moves when
fetal movement is felt. The test is to assess fetal wellbeing in utero.
● If jaundice is present in the newborn 12 hrs after delivery, it is likely pathological
jaundice, which occurs in the 1 st 24 hrs of life. The nurse should notify the HCP and
obtain a prescription to assess the bilirubin level.
● While the chances of fertility in the first 4 weeks of postpartum are low, clients who
receive a rubella immunization should be careful to avoid pregnancy through abstinence
or with effective contraceptives as it is a live vaccine and can cause birth defects.
Therefore, the client should not become pregnant within the next month to minimize
risk for fetal defects.
● Full term babies should have symmetrical rib cages, normal, smooth skin, good turgor,
and subcutaneous fat pockets, little to no vernix, no lanugo present.
● A gynecoid pelvis is good for vaginal births because it is well rounded with a wide pubic
arch.
● A client with android, anthropoid, or platepoid pelvic shapes may have difficulty with a
vaginal birth and may opt for cesarean delivery.
