ATI: Maternal/Newborn: 4 questions with correct answers A nurse is reinforcing teaching with a group of clients about pregnancy prevention during the postpartum period. Which of the following statements should the nurse include?
A. "Non-lactating clients can ovulate immediately after giving birth."
B. "Non-lactating clients ovulate in their third month postpartum on average."
C. "Lactating clients can ovulate as early as their first month postpartum."
D. "Lactating clients ovulate in their sixth month postpartum on average." Correct Answer - "Lactating clients ovulate in their sixth month postpartum on average."
A nurse is collecting data from a newborn who is 12 hours old. Which of the following findings should the nurse report to the provider?
A. Apical heart rate of 80/min while crying
B. Apneic episode of 10 seconds while sleeping
C. Positive Moro reflex
D. Vernix caseosa in the skin folds Correct Answer - Apical heart rate of 80/min while crying
A nurse is reviewing the laboratory report of a newborn who has a blood type of B-
negative. The mother's blood type is O-positive. The laboratory results indicate the direct antiglobulin test is positive. Which of the following complications should the nurse anticipate?
A. Hyperbilirubinemia
B. Central cyanosis C. Intracranial hemorrhage
D. Cardiomyopathy Correct Answer - Hyperbilirubinemia
A nurse is reinforcing teaching with a client who is postpartum and has a hearing impairment. Which of the following techniques should the nurse use?
A. Raise voice volume
B. Stand in front of a light or window
C. Sit at the client's eye level
D. Ask client to read educational material after the teaching Correct Answer - Sit at
the client's eye level
A nurse is reinforcing teaching with the guardian of a newborn about formula preparation and feeding. Which of the following statements by the guardian indicates an understanding of the teaching?
A. "I should use a quick-flow nipple for the first few weeks."
B. "I should warm the formula before feeding my newborn."
C. "I should use soft bottle nipples to encourage sucking."
D. "I should discard any formula left in the bottle after a feeding." Correct Answer - "I should discard any formula left in the bottle after a feeding."
A nurse is collecting data from a male newborn. Which of the following findings should the nurse report to the provider?
A. Superficial cracking and peeling are evident on the skin of the hands and feet.
B. The palmar grasp occurs spontaneously when the newborn is sucking. C. The bulge of the testes is palpable in the inguinal canal
D. There is decreased abdominal movement with breathing Correct Answer - There is decreased abdominal movement with breathing
A nurse is collecting data from a newborn and notes an axillary temperature of 36 C (96.9 F). Which of the following actions should the nurse take?
A. Obtain a rectal temperature
B. Assess the newborn's blood glucose level
C. Bathe the newborn with warm water
D. Position the infant's bassinet in front of a heater vent Correct Answer - Assess the newborn's blood glucose level
A nurse is reinforcing teaching about home care with the parent of a newborn. Which of the following statements indicates an understanding of the teaching?
A. "I should make sure the baby's bath water is between 115 and 120 degrees Fahrenheit."
B. "I should let my baby sleep on the sofa until he is old enough to roll over."
C. "I should ensure the airbag is functional when my baby is riding in the front sear
of a car."
D. "I should remove the bumper pad and stuffed toys from my baby's crib." Correct Answer - "I should remove the bumper pad and stuffed toys from my baby's crib."
A nurse is assisting with the care of a client who has been experiencing mild contractions for a few days. The nurse places an external fetal monitor on the client. The client asks, "What will the monitor show you?" Which of the following responses should the nurse make? A. "It will indicate if you are in active labor."
B. "It will measure your heart rate."
C. "It indicates if your baby is receiving an adequate amount of oxygen."
D. "It indicates the intensity of the contractions you are currently having." Correct Answer - "It indicates if your baby is receiving an adequate amount of oxygen."
A nurse is preparing to massage the fundus of a client who is postpartum and experiencing uterine atony. Which of the following actions should the nurse plan to
take when performing a fundal massage? (place them in correct order)
A. Position a hand around the top of the client's fundus
B. Place a hand just above the client's symphysis pubis
C. Ask the client to lie on her back with her knees flexed
D. Rotate the upper hand to massage the client's uterus
E. Use slight downward pressure to compress the client's fundus Correct Answer - 1. Ask the client to lie on her back with her knees flexed
2. Place a hand just above the client's symphysis pubis
3. Position a hand around the top of the client's fundus
4. Rotate the upper hand to massage the client's uterus
5. Use slight downward pressure to compress the client's fundus
A nurse is collecting data from a client who is at 39 weeks of gestation and show manifestations of labor. Which of the following findings should alert the nurse to notify the provider that the client is in true labor?
A. Contractions felt in the upper abdomen
A. "Non-lactating clients can ovulate immediately after giving birth."
B. "Non-lactating clients ovulate in their third month postpartum on average."
C. "Lactating clients can ovulate as early as their first month postpartum."
D. "Lactating clients ovulate in their sixth month postpartum on average." Correct Answer - "Lactating clients ovulate in their sixth month postpartum on average."
A nurse is collecting data from a newborn who is 12 hours old. Which of the following findings should the nurse report to the provider?
A. Apical heart rate of 80/min while crying
B. Apneic episode of 10 seconds while sleeping
C. Positive Moro reflex
D. Vernix caseosa in the skin folds Correct Answer - Apical heart rate of 80/min while crying
A nurse is reviewing the laboratory report of a newborn who has a blood type of B-
negative. The mother's blood type is O-positive. The laboratory results indicate the direct antiglobulin test is positive. Which of the following complications should the nurse anticipate?
A. Hyperbilirubinemia
B. Central cyanosis C. Intracranial hemorrhage
D. Cardiomyopathy Correct Answer - Hyperbilirubinemia
A nurse is reinforcing teaching with a client who is postpartum and has a hearing impairment. Which of the following techniques should the nurse use?
A. Raise voice volume
B. Stand in front of a light or window
C. Sit at the client's eye level
D. Ask client to read educational material after the teaching Correct Answer - Sit at
the client's eye level
A nurse is reinforcing teaching with the guardian of a newborn about formula preparation and feeding. Which of the following statements by the guardian indicates an understanding of the teaching?
A. "I should use a quick-flow nipple for the first few weeks."
B. "I should warm the formula before feeding my newborn."
C. "I should use soft bottle nipples to encourage sucking."
D. "I should discard any formula left in the bottle after a feeding." Correct Answer - "I should discard any formula left in the bottle after a feeding."
A nurse is collecting data from a male newborn. Which of the following findings should the nurse report to the provider?
A. Superficial cracking and peeling are evident on the skin of the hands and feet.
B. The palmar grasp occurs spontaneously when the newborn is sucking. C. The bulge of the testes is palpable in the inguinal canal
D. There is decreased abdominal movement with breathing Correct Answer - There is decreased abdominal movement with breathing
A nurse is collecting data from a newborn and notes an axillary temperature of 36 C (96.9 F). Which of the following actions should the nurse take?
A. Obtain a rectal temperature
B. Assess the newborn's blood glucose level
C. Bathe the newborn with warm water
D. Position the infant's bassinet in front of a heater vent Correct Answer - Assess the newborn's blood glucose level
A nurse is reinforcing teaching about home care with the parent of a newborn. Which of the following statements indicates an understanding of the teaching?
A. "I should make sure the baby's bath water is between 115 and 120 degrees Fahrenheit."
B. "I should let my baby sleep on the sofa until he is old enough to roll over."
C. "I should ensure the airbag is functional when my baby is riding in the front sear
of a car."
D. "I should remove the bumper pad and stuffed toys from my baby's crib." Correct Answer - "I should remove the bumper pad and stuffed toys from my baby's crib."
A nurse is assisting with the care of a client who has been experiencing mild contractions for a few days. The nurse places an external fetal monitor on the client. The client asks, "What will the monitor show you?" Which of the following responses should the nurse make? A. "It will indicate if you are in active labor."
B. "It will measure your heart rate."
C. "It indicates if your baby is receiving an adequate amount of oxygen."
D. "It indicates the intensity of the contractions you are currently having." Correct Answer - "It indicates if your baby is receiving an adequate amount of oxygen."
A nurse is preparing to massage the fundus of a client who is postpartum and experiencing uterine atony. Which of the following actions should the nurse plan to
take when performing a fundal massage? (place them in correct order)
A. Position a hand around the top of the client's fundus
B. Place a hand just above the client's symphysis pubis
C. Ask the client to lie on her back with her knees flexed
D. Rotate the upper hand to massage the client's uterus
E. Use slight downward pressure to compress the client's fundus Correct Answer - 1. Ask the client to lie on her back with her knees flexed
2. Place a hand just above the client's symphysis pubis
3. Position a hand around the top of the client's fundus
4. Rotate the upper hand to massage the client's uterus
5. Use slight downward pressure to compress the client's fundus
A nurse is collecting data from a client who is at 39 weeks of gestation and show manifestations of labor. Which of the following findings should alert the nurse to notify the provider that the client is in true labor?
A. Contractions felt in the upper abdomen
