ATI RN Maternal Newborn Online Practice 2019 B
with NGN | Expert-Verified Questions & Detailed
Solutions for Exam Success
1. A nurse is evaluating the client following surgery. Which of the following findings indicate
that the client is experiencing a potential complication of surgery that requires immediate
follow-up?
Correct Answer: B. Temperature 35.3°C (95.5°F)
Rationale: A temperature of 35.3°C (95.5°F) is below the expected reference range and may
indicate hypothermia. Hypothermia is a potential complication following surgery and
requires immediate follow-up to prevent further complications such as cardiovascular
instability or respiratory distress.
2. A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic
shock. After notifying the provider, which of the following actions should the nurse take
next?
Correct Answer: A. Massage the client's fundus.
Rationale: The primary concern for a client in hypovolemic shock is hemorrhage. The
nurse's first action should be to massage the fundus to encourage uterine contractions,
which helps expel clots and reduce bleeding. This intervention is critical before
administering fluids or oxygen.
3. A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which
of the following findings should the nurse report to the provider as a potential
complication?
Correct Answer: B. Leakage of fluid from the vagina.
Rationale: Leakage of fluid from the vagina after amniocentesis may indicate premature
rupture of membranes, a serious complication that could lead to preterm labor or
infection. The nurse should report this immediately to the provider for further evaluation.
,4. A nurse is calculating a client's expected date of birth using Nägele's rule. The client tells
the nurse that her last menstrual cycle started on November 27th. Which of the following
dates is the client's expected date of birth?
Correct Answer: A. September 3rd.
Rationale: Using Nägele's rule, subtract 3 months from the first day of the last menstrual
period (November 27th), and then add 7 days.
• Subtracting 3 months from November 27th gives August 27th.
• Adding 7 days to August 27th results in the expected date of birth of September 3rd.
When using Nägele's rule to calculate the estimated date of birth for a client, the nurse
should subtract 3 months from the first day of the client's last menstrual cycle and then
add 7 days. November 27th minus 3 months equals August 27th. August 27th plus 7 days
equals September 3rd.
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the
nurse should follow. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.)
A. Identify the attitude of the head.
B. Plapate the fundus to identify the fetal part.
C. Determine the loctation of the fetal back.
D. Palpate for the fetal part presenting at the inlet. - -CORRECT ANS- -B. Plapate the fundus
to identify the fetal part.
C. Determine the loctation of the fetal back.
D. Palpate for the fetal part presenting at the inlet.
A. Identify the attitude of the head.
The first step the nurse should take when performing Leopold maneuvers is to palpate the
client's fundus to identify the fetal part. Second, the nurse should determine the location of
, the fetal back. Third, the nurse should palpate for the fetal part presenting at the inlet.
Finally, the nurse should palpate the cephalic prominence to identify the attitude of the
head.
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following
nonpharmacological interventions should the nurse include in the plan of care for lactation
suppression?
A. Place warm, moist packs on the breasts.
B. Apply cabbage leaves to the breasts.
C. Wear a loose-fitting bra.
D. Put green tea bags on the breasts. - -CORRECT ANS- -B. Apply cabbage leaves to the
breasts.
Plant sterols and salicylates from cabbage leaves can help to relieve swelling and
discomfort caused by breast engorgement.
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client
states that she is, "happy one minute and crying the next." The nurse should interpret the
client's statement as an indication of which of the following?
A. Emotional lability
B. Focusing phase
C. Cognitive restructuring
D. Couvade syndrome - -CORRECT ANS- -A. Emotional lability
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many clients experience rapid and unpredictable changes in mood
during pregnancy. Intense hormonal changes may be responsible for mood changes that
with NGN | Expert-Verified Questions & Detailed
Solutions for Exam Success
1. A nurse is evaluating the client following surgery. Which of the following findings indicate
that the client is experiencing a potential complication of surgery that requires immediate
follow-up?
Correct Answer: B. Temperature 35.3°C (95.5°F)
Rationale: A temperature of 35.3°C (95.5°F) is below the expected reference range and may
indicate hypothermia. Hypothermia is a potential complication following surgery and
requires immediate follow-up to prevent further complications such as cardiovascular
instability or respiratory distress.
2. A nurse on a postpartum unit is caring for a client who is experiencing hypovolemic
shock. After notifying the provider, which of the following actions should the nurse take
next?
Correct Answer: A. Massage the client's fundus.
Rationale: The primary concern for a client in hypovolemic shock is hemorrhage. The
nurse's first action should be to massage the fundus to encourage uterine contractions,
which helps expel clots and reduce bleeding. This intervention is critical before
administering fluids or oxygen.
3. A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which
of the following findings should the nurse report to the provider as a potential
complication?
Correct Answer: B. Leakage of fluid from the vagina.
Rationale: Leakage of fluid from the vagina after amniocentesis may indicate premature
rupture of membranes, a serious complication that could lead to preterm labor or
infection. The nurse should report this immediately to the provider for further evaluation.
,4. A nurse is calculating a client's expected date of birth using Nägele's rule. The client tells
the nurse that her last menstrual cycle started on November 27th. Which of the following
dates is the client's expected date of birth?
Correct Answer: A. September 3rd.
Rationale: Using Nägele's rule, subtract 3 months from the first day of the last menstrual
period (November 27th), and then add 7 days.
• Subtracting 3 months from November 27th gives August 27th.
• Adding 7 days to August 27th results in the expected date of birth of September 3rd.
When using Nägele's rule to calculate the estimated date of birth for a client, the nurse
should subtract 3 months from the first day of the client's last menstrual cycle and then
add 7 days. November 27th minus 3 months equals August 27th. August 27th plus 7 days
equals September 3rd.
A nurse is preparing to perform Leopold maneuvers for a client. Identify the sequence the
nurse should follow. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.)
A. Identify the attitude of the head.
B. Plapate the fundus to identify the fetal part.
C. Determine the loctation of the fetal back.
D. Palpate for the fetal part presenting at the inlet. - -CORRECT ANS- -B. Plapate the fundus
to identify the fetal part.
C. Determine the loctation of the fetal back.
D. Palpate for the fetal part presenting at the inlet.
A. Identify the attitude of the head.
The first step the nurse should take when performing Leopold maneuvers is to palpate the
client's fundus to identify the fetal part. Second, the nurse should determine the location of
, the fetal back. Third, the nurse should palpate for the fetal part presenting at the inlet.
Finally, the nurse should palpate the cephalic prominence to identify the attitude of the
head.
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following
nonpharmacological interventions should the nurse include in the plan of care for lactation
suppression?
A. Place warm, moist packs on the breasts.
B. Apply cabbage leaves to the breasts.
C. Wear a loose-fitting bra.
D. Put green tea bags on the breasts. - -CORRECT ANS- -B. Apply cabbage leaves to the
breasts.
Plant sterols and salicylates from cabbage leaves can help to relieve swelling and
discomfort caused by breast engorgement.
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client
states that she is, "happy one minute and crying the next." The nurse should interpret the
client's statement as an indication of which of the following?
A. Emotional lability
B. Focusing phase
C. Cognitive restructuring
D. Couvade syndrome - -CORRECT ANS- -A. Emotional lability
The nurse should recognize and interpret the client's statement as an indication of
emotional lability. Many clients experience rapid and unpredictable changes in mood
during pregnancy. Intense hormonal changes may be responsible for mood changes that
