ATI RN MATERNAL NEWBORN PRACTICE / MATERNAL
NEWBORN ATI 2019 PRACTICE EXAM
A nurse in a prenatal clinic is assessing a group of clients. Which of the following
clients should the nurse see first?
A client who is at 11 weeks of gestation and reports abdominal cramping
A client who is at 15 weeks of gestation and reports tingling and numbness in right
hand
A client who is at 20 weeks of gestation and reports constipation for the past 4 days
A client who is at 8 weeks of gestation and reports having three bloody noses in the
past week - ANSWER: A client who is at 11 weeks of gestation and reports abdominal
cramping
When using the urgent vs nonurgent approach to client care, the nurse should
determine that the priority finding is a client who is at 11 weeks of gestation and
reports abdominal cramping. Abdominal cramping can indicate an ectopic pregnancy
or manifestations of spontaneous abortion. The nurse should request that the
provider see this client first.
A nurse is providing teaching about nonpharmacological pain management to a
client who is breastfeeding and has engorgement. The nurse should recommend the
application of which of the following items?
Cold cabbage leaves
Purified lanolin cream
A snug-fitting support bra
Breast shells - ANSWER: Cold cabbage leaves
The application of fresh, raw cabbage leaves that have been chilled is an effective
nonpharmacological method to relieve the pain associated with engorgement. The
nurse should instruct the client to place the cabbage leaves on the breasts for 15 to
20 min, repeating the application for two to three sessions as needed. More
frequent applications could decrease the client's milk supply.
A nurse is observing a new parent caring for their crying newborn who is bottle
feeding. Which of the following actions by the parent should the nurse recognize as a
positive parenting behavior?
Lays the newborn across their lap and gently sways
Places the newborn in the crib in a prone position
Offers the newborn a pacifier dipped in formula
Prepares a bottle of formula mixed with rice cereal - ANSWER: Lays the newborn
across their lap and gently sways
,This is a correct technique for quieting a newborn. This tactile stimulation promotes
a sense of security for the newborn.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the
clients head to one side, which of the following actions should the nurse take
immediately after the seizure?
Monitor the FHR.
Assess uterine activity.
Administer oxygen via a nonrebreather mask.
Start a bolus of IV fluids. - ANSWER: Administer oxygen via a nonrebreather mask.
When using the airway, breathing, and circulation approach to client care, the nurse
should place the priority on administering oxygen to the client via a nonrebreather
mask at 10 L/min to ensure adequate oxygenation to the fetus.
A nurse is caring for a client who is at 26 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic tests?
Biophysical profile
Amniocentesis
Cordocentesis
Kleihauer-Betke test - ANSWER: Biophysical profile
A positive contraction stress test indicates that further evaluation of the fetus is
necessary. A biophysical profile will provide further evaluation with a real-time
ultrasound.
A nurse is teaching a newly liscensed nurse about collecting a specimen for the
universal newborn screening. Which of the following statements should the nurse
include in the teaching?
"Obtain an informed consent prior to obtaining the specimen."
"Collect at least 1 milliliter of urine for the test."
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
the specimen."
"Premature newborns may have false negative tests due to immature development
of liver enzymes." - ANSWER: "Ensure that the newborn has been receiving feedings
for 24 hours prior to obtaining the specimen."
The nurse should ensure that the newborn has been receiving regular feedings for at
least 24 hr prior to testing.
A nurse is assessing a newborn who was bron at 26 weeks of gestation using the
New Ballard Score. WHich fo the following findings should the nurse expect?
, Minimal arm recoil
Popliteal angle of 90°
Creases over the entire foot sole
Raised areolas with 3 to 4 mm buds - ANSWER: Minimal arm recoil
The nurse should expect a newborn who was born at 26 weeks of gestation to have
decreased muscular tone, or minimal arm recoil.
A nurse is preparing to administer magniseum sulfate 2 g/hr IV to a client who is in
preterm labor. Avalible is 20 g magnesium sulfate in 500 mL of dextrose 5% in water
(D5W). The nurse should set the IV infusion pump to administer how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do
not use a trailing zero.) - ANSWER: 50
A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications should
the nurse anticipate administering if the client develops magnesium toxicity?
Calcium gluconate
Hydralazine
Medroxyprogesterone acetate
Methylergonovine - ANSWER: Calcium gluconate
The nurse should anticipate administering calcium gluconate if the client develops
magnesium toxicity. Calcium gluconate is the antidote.
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription
for magesium sulfact IV to treat preterm labor. The nurse should notify the provider
of which of the following adverse effects?
Client reports nausea
Urinary output of 40 mL/hr
Respiratory rate 10/min
Client reports feeling flushed - ANSWER: Respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider,
because this is a manifestation of magnesium toxicity. The nurse should ensure that
the antidote, calcium gluconate, is readily available.
A nurse is admitting a client to the labor and delivery unit when the client states,
"My water just broke." which of the following interventions is the nurses priority?
Perform Nitrazine testing.
Assess the fluid.
Check cervical dilation.
Begin FHR monitoring. - ANSWER: Begin FHR monitoring.
NEWBORN ATI 2019 PRACTICE EXAM
A nurse in a prenatal clinic is assessing a group of clients. Which of the following
clients should the nurse see first?
A client who is at 11 weeks of gestation and reports abdominal cramping
A client who is at 15 weeks of gestation and reports tingling and numbness in right
hand
A client who is at 20 weeks of gestation and reports constipation for the past 4 days
A client who is at 8 weeks of gestation and reports having three bloody noses in the
past week - ANSWER: A client who is at 11 weeks of gestation and reports abdominal
cramping
When using the urgent vs nonurgent approach to client care, the nurse should
determine that the priority finding is a client who is at 11 weeks of gestation and
reports abdominal cramping. Abdominal cramping can indicate an ectopic pregnancy
or manifestations of spontaneous abortion. The nurse should request that the
provider see this client first.
A nurse is providing teaching about nonpharmacological pain management to a
client who is breastfeeding and has engorgement. The nurse should recommend the
application of which of the following items?
Cold cabbage leaves
Purified lanolin cream
A snug-fitting support bra
Breast shells - ANSWER: Cold cabbage leaves
The application of fresh, raw cabbage leaves that have been chilled is an effective
nonpharmacological method to relieve the pain associated with engorgement. The
nurse should instruct the client to place the cabbage leaves on the breasts for 15 to
20 min, repeating the application for two to three sessions as needed. More
frequent applications could decrease the client's milk supply.
A nurse is observing a new parent caring for their crying newborn who is bottle
feeding. Which of the following actions by the parent should the nurse recognize as a
positive parenting behavior?
Lays the newborn across their lap and gently sways
Places the newborn in the crib in a prone position
Offers the newborn a pacifier dipped in formula
Prepares a bottle of formula mixed with rice cereal - ANSWER: Lays the newborn
across their lap and gently sways
,This is a correct technique for quieting a newborn. This tactile stimulation promotes
a sense of security for the newborn.
A nurse is caring for a client who is at 26 weeks of gestation and has epilepsy. The
nurse enters the room and observes the client having a seizure. After turning the
clients head to one side, which of the following actions should the nurse take
immediately after the seizure?
Monitor the FHR.
Assess uterine activity.
Administer oxygen via a nonrebreather mask.
Start a bolus of IV fluids. - ANSWER: Administer oxygen via a nonrebreather mask.
When using the airway, breathing, and circulation approach to client care, the nurse
should place the priority on administering oxygen to the client via a nonrebreather
mask at 10 L/min to ensure adequate oxygenation to the fetus.
A nurse is caring for a client who is at 26 weeks of gestation and has a positive
contraction stress test. The nurse should plan to prepare the client for which of the
following diagnostic tests?
Biophysical profile
Amniocentesis
Cordocentesis
Kleihauer-Betke test - ANSWER: Biophysical profile
A positive contraction stress test indicates that further evaluation of the fetus is
necessary. A biophysical profile will provide further evaluation with a real-time
ultrasound.
A nurse is teaching a newly liscensed nurse about collecting a specimen for the
universal newborn screening. Which of the following statements should the nurse
include in the teaching?
"Obtain an informed consent prior to obtaining the specimen."
"Collect at least 1 milliliter of urine for the test."
"Ensure that the newborn has been receiving feedings for 24 hours prior to obtaining
the specimen."
"Premature newborns may have false negative tests due to immature development
of liver enzymes." - ANSWER: "Ensure that the newborn has been receiving feedings
for 24 hours prior to obtaining the specimen."
The nurse should ensure that the newborn has been receiving regular feedings for at
least 24 hr prior to testing.
A nurse is assessing a newborn who was bron at 26 weeks of gestation using the
New Ballard Score. WHich fo the following findings should the nurse expect?
, Minimal arm recoil
Popliteal angle of 90°
Creases over the entire foot sole
Raised areolas with 3 to 4 mm buds - ANSWER: Minimal arm recoil
The nurse should expect a newborn who was born at 26 weeks of gestation to have
decreased muscular tone, or minimal arm recoil.
A nurse is preparing to administer magniseum sulfate 2 g/hr IV to a client who is in
preterm labor. Avalible is 20 g magnesium sulfate in 500 mL of dextrose 5% in water
(D5W). The nurse should set the IV infusion pump to administer how many mL/hr?
(Round the answer to the nearest whole number. Use a leading zero if it applies. Do
not use a trailing zero.) - ANSWER: 50
A nurse is caring for a client who is experiencing preeclampsia and has a new
prescription for IV magnesium sulfate. Which of the following medications should
the nurse anticipate administering if the client develops magnesium toxicity?
Calcium gluconate
Hydralazine
Medroxyprogesterone acetate
Methylergonovine - ANSWER: Calcium gluconate
The nurse should anticipate administering calcium gluconate if the client develops
magnesium toxicity. Calcium gluconate is the antidote.
A nurse is caring for a client who is at 30 weeks of gestation and has a prescription
for magesium sulfact IV to treat preterm labor. The nurse should notify the provider
of which of the following adverse effects?
Client reports nausea
Urinary output of 40 mL/hr
Respiratory rate 10/min
Client reports feeling flushed - ANSWER: Respiratory rate 10/min
The nurse should report a respiratory rate of less than 12/min to the provider,
because this is a manifestation of magnesium toxicity. The nurse should ensure that
the antidote, calcium gluconate, is readily available.
A nurse is admitting a client to the labor and delivery unit when the client states,
"My water just broke." which of the following interventions is the nurses priority?
Perform Nitrazine testing.
Assess the fluid.
Check cervical dilation.
Begin FHR monitoring. - ANSWER: Begin FHR monitoring.
