MATERNAL NEWBORN ATI COMPREHENSIVE EXAM QUESTIONS AND ANSWERS UPDATED 2024/2025 (100% Verified)

MATERNAL NEWBORN ATI COMPREHENSIVE EXAM QUESTIONS AND ANSWERS UPDATED 2024/2025 (100% Verified) Urinary frequency usually disappears at about 12 weeks of gestation but returns near term as the enlarging uterus presses on the bladder. It can also worsen following fetal descent. A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse? - ANSWER "Implantation occurs between two and three weeks after conception." A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make? - ANSWER Increased progesterone production causes decreased motility of smooth muscle. Increased progesterone production causes a relaxation of the cardiac sphincter and delayed gastric emptying, which can result in heartburn A nurse is preparing to auscultate fetal heart tones for a client who is pregnant. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundal portion of the uterus and a long, smooth surface on the mother's right side. In which of the following maternal quadrants should the nurse auscultate fetal heart tones? - ANSWER Right upper quadrant A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take? - ANSWER Apply vibroacoustic stimulation to the woman's abdomen A nurse is reinforcing teaching with a client at her first prenatal visit about expected changes during gestation. (Move the steps into the box on the right, placing them in the selected order of occurrence from earliest to latest in gestation. Use all the steps.) - ANSWER Breast tenderness Nausea and vomiting Goodell's sign Quickening Striaegravidarum A nurse in a prenatal clinic is determining a client's estimated date of delivery using MATERNAL NEWBORN ATI COMPREHENSIVE EXAM QUESTIONS AND ANSWERS 2024/2025 | 100% CORRECT Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery? - ANSWER February 11 A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include? - ANSWER "Given too soon, epidural anesthesia can prolong labor." A nurse is reinforcing nutrition teaching with a client during the first prenatal visit. Which of the following statements by the client indicates an understanding of the teaching? - ANSWER "I can eat 12 to 18 ounces of albacore tuna weekly." A nurse is collecting data from a client who is 3 hr postpartum. The nurse notes that the client's fundus is displaced to the right of midline, is firm, and is two fingerbreadths above the umbilicus. Which of the following actions should the nurse take? - ANSWER Have the client urinate. A nurse is assisting in the care of a client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature? - ANSWER Lecithin/sphingomyelin (L/S) ratio of 2:1 A nurse is assisting with the care of a client who had an epidural anesthesia block during the early stages of labor. The client's blood pressure is 80/40 mm Hg and the fetal heart recording is 140/min. Which of the following actions should the nurse take first? - ANSWER Place the client in a lateral position A charge nurse observes a newly licensed nurse checking fetal heart tones (FHT) for a client who is at 12 weeks of gestation. Which of the following actions by the nurse indicates a need for intervention by the charge nurse? - ANSWER Listens with a fetoscope A nurse is assisting with the care of a client who is in labor. An RN's vaginal examination of the client yields the following information: 2 cm, 50%, +1. Which of the following fetal positions should the nurse document in the client's medical record? - ANSWER Vertex A nurse is reinforcing teaching about fetal development with a group of women who are pregnant. Which of the following statements should the nurse include in the teaching? - ANSWER he baby's heartbeat is audible by a Doppler stethoscope at 12 weeks of pregnancy." The fetal heartbeat is audible by Doppler stethoscope at 12 weeks of gestation. A nurse is providing teaching to the parents of a newborn about how to care for his circumcision at home. Which of the following instructions should the nurse include in the teaching? - ANSWER Encourage nonnutritive sucking for pain relief A nurse is teaching a client during the clients first prenatal visit. Which of the following instructions should the nurse include? - ANSWER A doppler device can detect your baby's heart rate at 12 weeks A nurse is preparing to perform leopoldmanuevaers on a client who is in labor. Which of the following actions should the nurse plan to take? - ANSWER Stand at the clients right side if the nurse is right handed A nurse is assessing a 2 day old newborn and notes an egg shaped, edematous. Bluish discoloration that does not cross the suture line. Which of the following pieces of information should the nurse provide to the mother when she asks about this finding? - ANSWER This will resolve in 3 to 6 weeks without treatment A nurse is teaching a client who is postpartum and breastfeeding. Which of the following statements should the nurse include? - ANSWER A reduction in sexual interest could indicate postpartum depression A nurse is reviewing the laboratory findings for 4 clients. Which of the following infections should be reported to the public health department? - ANSWER Gonorrhea A nurse is assessing an 18 hour old newborn. Which of the following findings should be reported to the provider? - ANSWER Yellow tinged skin A nurse is assessing a newborn and notes an axillary temperature of 96.9 degrees F (36 degree C). which of the following actions should the nurse perform? - ANSWER Assess the newborn's blood glucose level A nurse is caring for a client who is in active labor and whose birth plan requests only nonpharmacological pain relief strategies. Which of the following strategies should the nurse offer as a form of cutaneous stimulations? - ANSWER Counter pressure A nurse is monitoring a newborn who is receiving phototherapy. The nurse should identify which of the following findings as requiring intervention? - ANSWER Weight loss 12% of birth weight A nurse is assessing the respiratory status of a newborn who was born 2 hours ago. Which of the following findings should the nurse identify as a manifestation of respiratory distress? - ANSWER Expiratory grunting nurse in a providers office is caring for a client who is in the first trimester of pregnancy. Which of the following psychological tasks should the nurse expect the client to accomplish during this trimester? - ANSWER Accepting the pregnancy The parents of a child with phenylketonuria ask the nurse if their second unborn child could have the same condition. The nurse should base the response on which of the following inheritance patterns responsible for PKU? - ANSWER Autosomal recessive A nurse in an antepartum clinic is caring for a client who is at 24 weeks gestation. Which of the following findings should the nurse report to the provider? - ANSWER Frequent Headaches A nurse is caring for a client who experienced a fetal loss. When initiating communication with this client. Which of the following statements should the nurse make? - ANSWER 'm here for you if you would like to talk A nurse is assessing a client who is at 35 weeks gestation and has mild gestational hypertension. Which of the following findings should the nurse identify as the priority? - ANSWER 480 mL urine output in 24 hours A nurse is caring for a client at 34 weeks gestation who presents with vaginal bleeding. Which of the following assessments will indicate whether the bleeding is caused by placenta previa or an abruptio placenta? - ANSWER Uterine tone A nurse is caring for a client who has a BMI of 22.6 and expresses concern about weight gain during pregnancy. Which of the following responses should the nurse make? - ANSWER Gaining weight will promote a healthy pregnancy A nurse is determining an Apgar score for a newborn who was born 1 minute ago. For which of the following findings should the nurse assign a score of 1? - ANSWER Weak cry A nurse is caring for a client who is 12 hour postpartum. Which of the following interventions should the nurse implement? - ANSWER Administer ferrous sulfate orally A nurse in the labor and delivery suite is planning care for a group of 4 clients. Which of the following clients should the nurse see first? - ANSWER A client who is in active labor and has late decelerations on the fetal heart monitor strip A nurse is caring for a client at 37 weeks gestation who is undergoing a nonstress test. The fetal heart rate is 130/min without acceleration for the past 10 min. which of the following actions should the nurse take? - ANSWER Use vibroacoustic stimulation on the clients abdomen for 3 sec A nurse is caring for a client who has a prescription for naloxone. Which of the following is the intended action of the medication in relation to the central nervous system? - ANSWER Block the effects of narcotics on the CNS A nurse is providing care for a pregnant adolescent who is at 12 weeks gestation and verbalizes a fear of gaining weight during pregnancy. Which of the following actions should the nurse take? - ANSWER Provide examples of how eating well will help maintain a healthy weight during pregnancy. A nurse is providing care to a client who is 2 hour postpartum and is receiving an oxytocin iv. The client asks the nurse, " why is there so little bleeding"? which of the following responses should the nurse make? - ANSWER The bleeding is minimal until I discontinue your iv medication A nurse is teaching a client who is at 12 weeks gestation and has human immunodeficiency virus . which of the following statement should the nurse include in the teaching? - ANSWER You should continue to take zidovudine throughout the pregnancy A nurse is caring for a client who is pregnant and whose last menstrual period began on April 8th . using Naegele's rule, which of the following dates would be the clients estimated date of birth ( Estimated date of birth) ? - ANSWER January 15th A nurse is preparing to administer routine medications to a newborn following birth. Which of the following actions should the nurse take? - ANSWER Administer vitamin k in the newborn's thigh