v
ATI MATERNAL NEWBORN
1. A nurse is assessing a newborn following a forceps assisted
birth. Which of the following clinical manifestations should
the nurse identify as a complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia
2. A nurse is providing teaching about terbutaline to a client
who is experiencing preterm labor. Which of the following
statement by client indicates an understanding of the
teaching?
A. “The medication could cause me to experience heart
palpitation”
B. “This medication could cause me to experience
blurred vision”
C. “This medication could cause me to experience
ringing in my ears”
D. “This medication could cause me to experience
frequent ...”
3. A nurse is caring for a client who has hyperemesis
gravidarum. Which of the following laboratory tests should
the nurse anticipate?
A. Urine Ketones
B. Rapid plasma r gains
C. Prothrombin time
D. Urine culture
,v
4. A nurse is caring for a client who is in labor and requests
nonpharmacological pain management. Which of the
following nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr
5. A nurse caring for a client who is at 20 weeks of gestation
and has trichomoniasis. Which of the following findings
should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
6. A nurse is caring for a client who is 14 weeks of gestation.
At which the following locations should the nurse place the
Doppler device when assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis
pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
7. A nurse is assessing a client who is at 27 weeks of gestation
and has preeclampsia. Which of the following findings
should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatnine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
,v
D. Platelet Count 60.000/ mm3
8. A nurse is teaching about clomiphene citrate to a client
who is experiencing infertility. Which of the following
adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
9. A nurse is assessing a newborn upon admission to the
nursery. Which of the following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the
head circumference
10. A nurse is planning care for a newborn who has neonatal
abstinence syndrome. Which of the following interventions
should the nurse include in the plan of care.
A. Increase the newborn’s visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social
evaluation
D. Swaddle the newborn in a flexed position
11. A nurse is caring for a newborn who is 6 hr o d and has a
bedside glucometer reading of 65 mg/ dL. The newborn’s
mother has type 2 diabetes mellitus. Which of the following
actions should the nurse take?
A. Obtain a blood sample for a serum glucose level
,v
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next
feeding
12. A nurse is providing teaching to a client about exercise
safety during pregnancy. Which of the following statements
by the client indicates an understanding of the teaching?
(Select all that apply).
A. “I will limit my time in the hot tub to 30 minutes after
exercise.”
B. “I should consume three 8-ounce glasses of water
after I exercise.”
C. “I will check my heart rate every 15 minutes during
exercise sessions.”
D. “I should limit exercise sessions to 30 minutes when
the weather is humid.”
E. “I should rest by lying on my side for 10 minutes
following exercise.”
13. A charge nurse is teaching a group of staff nurses about
fetal monitoring during labor. Which of the following
findings should the charge nurse instruct the staff members
to report to the provider?
A. Contraction durations of 95 to 100 seconds
B. Contraction frequency of 2 to 3 min apart
C. Absent early deceleration of fetal heart rate
D. Fetal heart rate is 140/min
14. A nurse in a woman’s health clinic is obtaining a health
history from a client. Which of the following findings
should the nurse identify as increasing the client’s risk for
,v
developing pelvic inflammatory disease (PID)?
A. Recurrent Cystitis
B. Frequent Alcohol Use
C. Use of Oral Contraceptives
D. Chlamydia Infection
15. A nurse is teaching a prenatal class about immunizations
that newborns receive following birth. Which of the
following immunizations should the nurse include in the
teaching?
A. Hepatitis B
B. Rotavirus
C. Pneumococcal
D. Varicella
16. A nurse is providing nutritional guidance to a client who is
pregnant and follows a vegan diet. The client asks the nurse
which foods she should eat to ensure adequate calcium
intake. The nurse should instruct the client that which of
the following foods has the highest amount of calcium?
A. 1⁄2 cup cubed avocado
B. 1 large banana
C. 1 medium potato
D. 1 cup cooked broccoli
17. A nurse in a provider’s office is assessing a client at her
first antepartum visit. The client states that the first day of
her last menstrual period was March 8. Use Nagele’s rule to
calculate the estimated date of delivery. (Use the MMDD
format with four numerals and no spaces or punctuation.)
18. A nurse is caring for a client who is in the second stage of
,v
labor. Which of the following manifestations should the
nurse expect?
A. The client expels the placenta
B. The client experiences gradual dilation of the cervix
C. The client begins have regular contractions.
D. The client delivers the newborn
19. A nurse is assessing a client who is at 37 weeks of
gestation. Which of the following statement by the client
requires immediate intervention by the nurse?
A. “It burns when I urinate
B. “My feet are really swollen today”.
C. “I didn’t have lunch today, but I have breakfast this
morning”.
D. “I have been seeing spot this morning”
20. A nurse is providing discharge teaching to a new parent
about car seat safety. Which of the following statements by
the parent indicates an understanding of the teaching?
A. “I should position my baby’s car seat at a 45 degree
angle in the car.”
B. “I should place the car seat rear facing until my baby
is 12 months old.”
C. “I should place the harness snugly in a slot above my
baby’s shoulders.”
D. “I should position the retainer clip at the top of my
baby’s abdomen.”
21. A nurse is developing an educational program about
hemolytic diseases in newborns for a group of newly
licensed nurses. Which of the following genetic
,v
information should the nurse include in the program as a
cause of hemolytic disease?
A. The mother is Rh positive and the father is Rh
negative
B. The mother is Rh negative and the father is Rh
positive
C. The mother and the father are both Rh positive
D. The mother and the father are both Rh negative
22. A nurse on an antepartum unit is reviewing the medical
records for four clients. Which of the following clients
should the nurse assess first?
A.A client who has diabetes mellitus and an HbA1c of
5.8%
B. A client who has preeclampsia and a creatinine level
of 1.1 mg/ dL
C. A client who has hyperemesis gravidarum and a
sodium level of 110 mEq/L
D. A client who has placenta previa and a hematocrit of
36%
23. A nurse is assessing a newborn immediately following a
vaginal birth. For which of the following findings should
the nurse intervene?
A. Molding
B. Vernix Caseosa
C. Acrocyanosis
D. Sternal retractions
24. A nurse on the postpartum unit is caring for four clients.
For which of the following clients should the nurse notify
the provider?
,v
A. A client who has a urinary output of 300 ml in 8 hr
B. A client who reports abdominal cramping during
breastfeeding
C. A client who is receiving magnesium sulfate and ha s
absent deep tendon reflex.
D.A client who reports lochia rubra requiring changing
perineal pads every 3 hr
25. A nurse is caring for a client who has active genital herpes
simplex virus type 2. Which of the following medications
should the nurse plan to administer?
A. Metronidazole
B. Penicillin
C. Acyclovir
D. Gentamicin
26. A nurse is caring for a client following an amniocentesis.
The nurse should observe the client for which of the
following complications?
A. Hyperemesis
B. Proteinuria
C. Hypoxia
D. Hemorrhage
27. A nurse is planning care for a client who is receiving
oxytocin by continuous IV infusion for labor induction.
Which of the following interventions should the nurse
include in the plan?
A. Increase the infusion rate every 30 to 60 min.
B. Maintain the client in a supine position.
C. Titrate the infusion rate by 4 milliunits/min.
,v
D. Limit IV intake to 4 L per 24 hr.
28. A nurse is caring for a 2-day-old newborn who was born
at 35 weeks of gestation. Which of the following actions
should the nurse the nurse takes? (Click on the “Exhibit”
Button for additional information about the newborn. There
are three tabs that contain separate categories of date.)
29. Administer nitric oxide inhalation therapy to the newborn
Insert an orogastric decompression tube with low wall
suction.
Provide the newborn with an iron-rich formula containing
vitamin B12 every 2 hr. Measure the aadbominal
circumference at the level of the newborn’s umbilicus every
2 hr.
30. A nurse is caring for a client who is receiving oxytocin for
induction of labor and notes late decelerations of the fetal
heart rate on the monitor Tracing. Which of the following
action should the nurse take?
A. Decrease maintenance IV solution infusion rate.
B. Place the client in lateral position.
C. Administer misoprostol 25 mcg vaginally
D. Administer oxygen via face mask at 2 L/min
31. A nurse is planning care for a client who is pregnant and
has HIV. Which of the following actions should the nurse
include in the plan of care?
A. Instruct the client to stop taking the antiretroviral
medication at 32 weeks of gestation.
B. Use a fetal scalp electrode during labor and delivery.
C. Administer a pneumococcal immunization to the
newborn within 4 hr following birth.
, v
D. Bathe the newborn before initiating skin-to-skin
contact
32. A nurse is preparing to administer methylergonovine 0.2
mg orally to a client who is 2 hr postpartum and has a
boggy uterus. For which of the following assessment
findings should the nurse withhold the medication?
A. Blood pressure 142/92 mm Hg
B. Urine output 100 mL in hr
C. Pulse 58/min
D. Respiratory rate 14/min
33.
A nurse is reviewing laboratory results for client who is
pregnant. The Nurse should expect which of the following
laboratory values to increase?
A. RBC count
B. Bilirubin
C. Fasting blood glucose
D. Bun
34. A nurse is caring for a client who is experiencing preterm
labor and has a prescription for 4 doses of dexamethasone 6
mg IM 12 hr. Available in dexamethasome 10 mg/mL. How
many mL of dexamethasone should the nurse administer
per dose? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use trailing zero.)
35. A nurse is caring for four clients. For which of the
following clients should the nurse auscultate the fetal heart
rate during the prenatal visit?
A.A client who has an ultrasound that confirms a molar
pregnancy
ATI MATERNAL NEWBORN
1. A nurse is assessing a newborn following a forceps assisted
birth. Which of the following clinical manifestations should
the nurse identify as a complication of the birth method?
A. Hypoglycemia
B. Polycythemia
C. Facial Palsy
D. Bronchopulmonary dysplasia
2. A nurse is providing teaching about terbutaline to a client
who is experiencing preterm labor. Which of the following
statement by client indicates an understanding of the
teaching?
A. “The medication could cause me to experience heart
palpitation”
B. “This medication could cause me to experience
blurred vision”
C. “This medication could cause me to experience
ringing in my ears”
D. “This medication could cause me to experience
frequent ...”
3. A nurse is caring for a client who has hyperemesis
gravidarum. Which of the following laboratory tests should
the nurse anticipate?
A. Urine Ketones
B. Rapid plasma r gains
C. Prothrombin time
D. Urine culture
,v
4. A nurse is caring for a client who is in labor and requests
nonpharmacological pain management. Which of the
following nursing actions promotes client comfort?
A. Assisting the client into squatting position
B. Having the client lie in a supine position
C. Applying fundal pressure during contractions
D. Encouraging the client to void every 6 hr
5. A nurse caring for a client who is at 20 weeks of gestation
and has trichomoniasis. Which of the following findings
should the nurse expect?
A. Thick, White Vaginal Discharge
B. Urinary Frequency
C. Vulva Lesions
D. Malodorous Discharge
6. A nurse is caring for a client who is 14 weeks of gestation.
At which the following locations should the nurse place the
Doppler device when assessing the fetal heart rate?
A. Midline 2 to 3 cm (0.8 to 1.2 in) above the symphysis
pubis
B. Left Upper Abdomen
C. Two fingerbreadths above the umbilicus
D. Lateral at the Xiphoid Process
7. A nurse is assessing a client who is at 27 weeks of gestation
and has preeclampsia. Which of the following findings
should the nurse report to the provider?
A. Urine protein concentration 200 mg/ 24 hr
B. Creatnine 0.8 mg/ dL
C. Hemoglobin 14.8 g/ dL
,v
D. Platelet Count 60.000/ mm3
8. A nurse is teaching about clomiphene citrate to a client
who is experiencing infertility. Which of the following
adverse effect should the nurse include?
A. Tinnitus
B. Urinary Frequency
C. Breast Tenderness
D. Chills
9. A nurse is assessing a newborn upon admission to the
nursery. Which of the following should the nurse expect?
A. Bulging Fontanels
B. Nasal Flaring
C. Length from head to heel of 40 cm (15.7 in)
D. Chest circumference 2 cm (0.8 in) smaller than the
head circumference
10. A nurse is planning care for a newborn who has neonatal
abstinence syndrome. Which of the following interventions
should the nurse include in the plan of care.
A. Increase the newborn’s visual stimulation
B. Weigh the newborn every other day
C. Discourage parental interaction until after a social
evaluation
D. Swaddle the newborn in a flexed position
11. A nurse is caring for a newborn who is 6 hr o d and has a
bedside glucometer reading of 65 mg/ dL. The newborn’s
mother has type 2 diabetes mellitus. Which of the following
actions should the nurse take?
A. Obtain a blood sample for a serum glucose level
,v
B. Feed the newborn immediately
C. Administer 50 mL of dextrose solution IV
D. Reassess the blood glucose level prior to the next
feeding
12. A nurse is providing teaching to a client about exercise
safety during pregnancy. Which of the following statements
by the client indicates an understanding of the teaching?
(Select all that apply).
A. “I will limit my time in the hot tub to 30 minutes after
exercise.”
B. “I should consume three 8-ounce glasses of water
after I exercise.”
C. “I will check my heart rate every 15 minutes during
exercise sessions.”
D. “I should limit exercise sessions to 30 minutes when
the weather is humid.”
E. “I should rest by lying on my side for 10 minutes
following exercise.”
13. A charge nurse is teaching a group of staff nurses about
fetal monitoring during labor. Which of the following
findings should the charge nurse instruct the staff members
to report to the provider?
A. Contraction durations of 95 to 100 seconds
B. Contraction frequency of 2 to 3 min apart
C. Absent early deceleration of fetal heart rate
D. Fetal heart rate is 140/min
14. A nurse in a woman’s health clinic is obtaining a health
history from a client. Which of the following findings
should the nurse identify as increasing the client’s risk for
,v
developing pelvic inflammatory disease (PID)?
A. Recurrent Cystitis
B. Frequent Alcohol Use
C. Use of Oral Contraceptives
D. Chlamydia Infection
15. A nurse is teaching a prenatal class about immunizations
that newborns receive following birth. Which of the
following immunizations should the nurse include in the
teaching?
A. Hepatitis B
B. Rotavirus
C. Pneumococcal
D. Varicella
16. A nurse is providing nutritional guidance to a client who is
pregnant and follows a vegan diet. The client asks the nurse
which foods she should eat to ensure adequate calcium
intake. The nurse should instruct the client that which of
the following foods has the highest amount of calcium?
A. 1⁄2 cup cubed avocado
B. 1 large banana
C. 1 medium potato
D. 1 cup cooked broccoli
17. A nurse in a provider’s office is assessing a client at her
first antepartum visit. The client states that the first day of
her last menstrual period was March 8. Use Nagele’s rule to
calculate the estimated date of delivery. (Use the MMDD
format with four numerals and no spaces or punctuation.)
18. A nurse is caring for a client who is in the second stage of
,v
labor. Which of the following manifestations should the
nurse expect?
A. The client expels the placenta
B. The client experiences gradual dilation of the cervix
C. The client begins have regular contractions.
D. The client delivers the newborn
19. A nurse is assessing a client who is at 37 weeks of
gestation. Which of the following statement by the client
requires immediate intervention by the nurse?
A. “It burns when I urinate
B. “My feet are really swollen today”.
C. “I didn’t have lunch today, but I have breakfast this
morning”.
D. “I have been seeing spot this morning”
20. A nurse is providing discharge teaching to a new parent
about car seat safety. Which of the following statements by
the parent indicates an understanding of the teaching?
A. “I should position my baby’s car seat at a 45 degree
angle in the car.”
B. “I should place the car seat rear facing until my baby
is 12 months old.”
C. “I should place the harness snugly in a slot above my
baby’s shoulders.”
D. “I should position the retainer clip at the top of my
baby’s abdomen.”
21. A nurse is developing an educational program about
hemolytic diseases in newborns for a group of newly
licensed nurses. Which of the following genetic
,v
information should the nurse include in the program as a
cause of hemolytic disease?
A. The mother is Rh positive and the father is Rh
negative
B. The mother is Rh negative and the father is Rh
positive
C. The mother and the father are both Rh positive
D. The mother and the father are both Rh negative
22. A nurse on an antepartum unit is reviewing the medical
records for four clients. Which of the following clients
should the nurse assess first?
A.A client who has diabetes mellitus and an HbA1c of
5.8%
B. A client who has preeclampsia and a creatinine level
of 1.1 mg/ dL
C. A client who has hyperemesis gravidarum and a
sodium level of 110 mEq/L
D. A client who has placenta previa and a hematocrit of
36%
23. A nurse is assessing a newborn immediately following a
vaginal birth. For which of the following findings should
the nurse intervene?
A. Molding
B. Vernix Caseosa
C. Acrocyanosis
D. Sternal retractions
24. A nurse on the postpartum unit is caring for four clients.
For which of the following clients should the nurse notify
the provider?
,v
A. A client who has a urinary output of 300 ml in 8 hr
B. A client who reports abdominal cramping during
breastfeeding
C. A client who is receiving magnesium sulfate and ha s
absent deep tendon reflex.
D.A client who reports lochia rubra requiring changing
perineal pads every 3 hr
25. A nurse is caring for a client who has active genital herpes
simplex virus type 2. Which of the following medications
should the nurse plan to administer?
A. Metronidazole
B. Penicillin
C. Acyclovir
D. Gentamicin
26. A nurse is caring for a client following an amniocentesis.
The nurse should observe the client for which of the
following complications?
A. Hyperemesis
B. Proteinuria
C. Hypoxia
D. Hemorrhage
27. A nurse is planning care for a client who is receiving
oxytocin by continuous IV infusion for labor induction.
Which of the following interventions should the nurse
include in the plan?
A. Increase the infusion rate every 30 to 60 min.
B. Maintain the client in a supine position.
C. Titrate the infusion rate by 4 milliunits/min.
,v
D. Limit IV intake to 4 L per 24 hr.
28. A nurse is caring for a 2-day-old newborn who was born
at 35 weeks of gestation. Which of the following actions
should the nurse the nurse takes? (Click on the “Exhibit”
Button for additional information about the newborn. There
are three tabs that contain separate categories of date.)
29. Administer nitric oxide inhalation therapy to the newborn
Insert an orogastric decompression tube with low wall
suction.
Provide the newborn with an iron-rich formula containing
vitamin B12 every 2 hr. Measure the aadbominal
circumference at the level of the newborn’s umbilicus every
2 hr.
30. A nurse is caring for a client who is receiving oxytocin for
induction of labor and notes late decelerations of the fetal
heart rate on the monitor Tracing. Which of the following
action should the nurse take?
A. Decrease maintenance IV solution infusion rate.
B. Place the client in lateral position.
C. Administer misoprostol 25 mcg vaginally
D. Administer oxygen via face mask at 2 L/min
31. A nurse is planning care for a client who is pregnant and
has HIV. Which of the following actions should the nurse
include in the plan of care?
A. Instruct the client to stop taking the antiretroviral
medication at 32 weeks of gestation.
B. Use a fetal scalp electrode during labor and delivery.
C. Administer a pneumococcal immunization to the
newborn within 4 hr following birth.
, v
D. Bathe the newborn before initiating skin-to-skin
contact
32. A nurse is preparing to administer methylergonovine 0.2
mg orally to a client who is 2 hr postpartum and has a
boggy uterus. For which of the following assessment
findings should the nurse withhold the medication?
A. Blood pressure 142/92 mm Hg
B. Urine output 100 mL in hr
C. Pulse 58/min
D. Respiratory rate 14/min
33.
A nurse is reviewing laboratory results for client who is
pregnant. The Nurse should expect which of the following
laboratory values to increase?
A. RBC count
B. Bilirubin
C. Fasting blood glucose
D. Bun
34. A nurse is caring for a client who is experiencing preterm
labor and has a prescription for 4 doses of dexamethasone 6
mg IM 12 hr. Available in dexamethasome 10 mg/mL. How
many mL of dexamethasone should the nurse administer
per dose? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use trailing zero.)
35. A nurse is caring for four clients. For which of the
following clients should the nurse auscultate the fetal heart
rate during the prenatal visit?
A.A client who has an ultrasound that confirms a molar
pregnancy
